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This is a Bill, not an Act. For current law, see the Acts databases.
South Australia
Mental Health (Review) Amendment
Bill 2015
A BILL FOR
An Act to amend the
Mental
Health Act 2009
; and to make related amendments to the
Advance
Care Directives Act 2013
and the
Health
Care Act 2008
.
Contents
Part 2—Amendment of Mental Health
Act 2009
5Amendment of section
3—Interpretation
6Amendment of section 4—Application of
Act
7Amendment of section 5—Medical
examinations by audio-visual conferencing
9Amendment of section
6—Objects
10Amendment of section 7—Guiding
principles
11Amendment of section 9—Voluntary
inpatients to be given statement of rights
12Amendment of section 10—Level 1
community treatment orders
16Amendment of section 16—Level 2
community treatment orders
17Amendment of section 21—Level 1
inpatient treatment orders
18Amendment of section 22—Chief
Psychiatrist to be notified of level 1 orders or their revocation
20Amendment of section 24—Treatment of
patients to whom level 1 orders apply
21Amendment of section 25—Level 2
inpatient treatment orders
22Amendment of section 26—Notices and
reports relating to level 2 orders
24Amendment of section 28—Treatment of
patients to whom level 2 orders apply
25Amendment of section 29—Level 3
inpatient treatment orders
26Amendment of section 31—Treatment of
patients to whom level 3 orders apply
27Amendment of section
34A—Confinement and other powers relating to involuntary
inpatients
28Amendment of section 35—Transfer of
involuntary inpatients
29Amendment of section 36—Leave of absence
of involuntary patients
30Amendment of section 37—Persons granted
leave of absence to be given statement of rights
31Amendment of section 38—Cancellation of
leave of absence
32Amendment of section 39—Treatment and
care plans for voluntary patients
35Insertion of Part 7 Division A1
Division A1—Prescribed Psychiatric
Treatment Panel
41APrescribed
Psychiatric Treatment Panel
41BConditions of
appointment to Panel
41DConstitution and
proceedings of Panel
37Amendment of section 43—Neurosurgery for
mental illness
38Amendment of section 44—Other prescribed
psychiatric treatments
39Amendment of section 45—Assistance of
interpreters
41Amendment of section 50—Community
visitors
42Amendment of section 51—Community
visitors' functions and powers
51ADelegation by
Principal Community Visitor
44Amendment of section 52—Visits to and
inspections of treatment centres
52AVisits to and
inspection of authorised community mental health facilities
46Amendment of section 54—Reports by
Principal Community Visitor
54AIssuing of patient
assistance requests
48Amendment of section 55—Issuing of
patient transport requests
58AOfficers to keep
records about exercise of powers under Act
52Amendment of section
61—Interpretation
53Amendment of section 63—Requests or
approvals relating to actions involving other jurisdictions
54Amendment of section 64—Powers of South
Australian officers
56Amendment of section 67—Powers of
interstate officers
57Amendment of section 68—Interstate
community treatment orders and treatment in South Australia
59Amendment of section 70—Transfer from
South Australian treatment centres
60Amendment of section 71—Transfer to
South Australian treatment centres
61Amendment of section 72—Patient
transport requests
73Powers when
patient transport request issued
64Amendment of section 75—Transport to
other jurisdictions of persons with apparent mental illness
67Amendment of section 78—Transport to
South Australia of persons with apparent mental illness
68Amendment of section 85—Tribunal must
give notice of proceedings
69Amendment of section
90—Chief Psychiatrist's functions
70Amendment of section 93—Authorised
medical practitioners
71Substitution of heading to Part 12 Division
4
72Amendment of section 94—Authorised
mental health professionals
73Amendment of section 95—Code of practice
for authorised mental health professionals
74Amendment of section 96—Approved
treatment centres
75Amendment of section 97—Limited
treatment centres
97AAuthorised
community mental health facilities
77Repeal of sections 98 and
99
78Amendment of section 102—Offences
relating to authorisations and orders
80Amendment of section 109—Evidentiary
provision
81Amendment of section 111—Review of
Act
Part 1—Amendment of Advance Care
Directives Act 2013
1Amendment of section 12—Provisions that
cannot be included in advance care directives
Part 2—Amendment
of Health Care Act 2008
2Amendment of section
68—Preliminary
The Parliament of South Australia enacts as
follows:
This Act may be cited as the Mental Health (Review) Amendment
Act 2015.
This Act will come into operation on a day to be fixed by
proclamation.
In this Act, a provision under a heading referring to the amendment of a
specified Act amends the Act so specified.
Part 2—Amendment
of Mental Health
Act 2009
(1) Long title—delete "serious" and substitute:
severe
(2) Long title—delete "mentally ill persons" and
substitute:
persons with mental illness
5—Amendment
of section 3—Interpretation
(1) Section 3—before the definition of ambulance
officer insert:
absent without leave—see subsection (2);
advance care directive means an advance care directive given
under the
Advance
Care Directives Act 2013
that is in force;
(2) Section 3, definition of authorised health
professional—delete the definition and substitute:
authorised community mental health facility means a facility
that is determined by the Chief Psychiatrist under Part 12 Division 5
to be an authorised community mental health facility;
(3) Section 3, definition of authorised medical
practitioner—delete "Minister" and substitute:
Chief Psychiatrist
(4) Section 3—after the definition of authorised medical
practitioner insert:
authorised mental health professional means a person
determined by the Chief Psychiatrist under Part 12 Division 4 to be an
authorised mental health professional for the purposes of this Act;
(5) Section 3, definition of authorised officer,
(d)—delete paragraph (d) and substitute:
(d) a person, or a person of a class, approved by the Chief Psychiatrist,
by notice in the Gazette, for the purposes of this definition; or
(e) any other person, or person of a class, prescribed by the regulations
for the purposes of this definition;
(6) Section 3, definition of Chief Executive—delete
"administrative unit of the Public Service that is, under the Minister,
responsible for the administration of this Act" and substitute:
Department
(7) Section 3—after the definition of decision
insert:
Department means the administrative unit of the Public
Service that is responsible for assisting a Minister in the administration of
this Act;
(8) Section 3, definition of director—delete the
definition and substitute:
director of a treatment centre means the person for the time
being in charge of the mental health services of the centre;
(9) Section 3, definition of limited treatment
centre—delete "Minister" and substitute:
Chief Psychiatrist
(10) Section 3, definition of medical
examination—delete "authorised health professional" and
substitute:
authorised mental health professional
(11) Section 3, definition of patient—delete the
definition and substitute:
patient, in relation to the provision of mental health
services, includes (where the context so requires) the following:
(a) a voluntary inpatient;
(b) a person to whom a community treatment order applies;
(c) a person to whom an inpatient treatment order applies;
(d) a person to whom section 56 applies;
(e) a person with a mental illness (within the meaning of this Act) who is
liable to a supervision order under Part 8A of the
Criminal
Law Consolidation Act 1935
;
(12) Section 3, definition of patient at large—delete
the definition and substitute:
patient assistance request means a patient assistance request
issued under Part 9;
(13) Section 3—after the definition of prescribed psychiatric
treatment insert:
Prescribed Psychiatric Treatment Panel or Panel
means the Prescribed Psychiatric Treatment Panel established under Part 7
Division A1;
(14) Section 3—after the definition of relative
insert:
restrictive practice, in relation to a patient,
includes—
(a) the use of physical, mechanical or chemical means to restrain the
patient; and
(b) seclusion or the confinement of the patient on his or her own in an
area from which he or she cannot leave of his or her own volition;
(15) Section 3—after the definition of staff
insert:
substitute decision-maker, in respect of a person, means a
substitute decision-maker appointed under an advance care directive given by the
person under the
Advance
Care Directives Act 2013
that is in force;
(16) Section 3—after the definition of Tribunal
insert:
voluntary community patient means a person receiving
treatment, care and rehabilitation services for a mental illness in an
authorised community mental health facility;
(17) Section 3—after its present contents as amended by this Act
(now to be designated as (subsection (1)) insert:
(2) For the purposes of this Act, a patient will be taken to be
absent without leave if—
(a) an inpatient treatment order applies to the patient; and
(b) the patient—
(i) has not been taken into, or remained in, the care and control of
treatment centre staff or an authorised officer or police officer after the
making of the order and before admission to a treatment centre; or
(ii) has left a treatment centre in which he or she was an involuntary
inpatient, or the care and control of treatment centre staff, without leave of
absence under Part 5 Division 5; or
(iii) has been granted leave of absence from a treatment centre under
Part 5 Division 5 but has not returned to the centre, or been taken
into the care and control of treatment centre staff or an authorised officer or
police officer, by the expiry of the leave or after cancellation of the
leave.
(3) For the purposes of this Act, a form that has been approved by the
Chief Psychiatrist must—
(a) be published on the Department's website; and
(b) be used for the purposes specified in the form; and
(c) contain the information required by, and be presented and completed in
accordance with, any instruction contained in the form; and
(d) be lodged in the manner and form required by the Chief
Psychiatrist.
6—Amendment
of section 4—Application of Act
(1) Section 4(1)—after paragraph (b) insert:
(c) an obligation under this Act to give information to a person
(including information about the person's illness, any order that applies to the
person, his or her legal rights, the treatment and other services that are to be
provided or offered to the person and what alternatives are available) is, if
the person is a child under 16 years of age, to be treated as an obligation
to give the information to a parent or guardian of the child.
(2) Section 4—after subsection (2) insert:
(3) Subject to an express provision of this Act or of any other Act, this
Act is in addition to and does not derogate from—
(a) the
Advance
Care Directives Act 2013
; and
(b) the
Consent
to Medical Treatment and Palliative Care Act 1995
; and
(c) the
Guardianship
and Administration Act 1993
.
7—Amendment
of section 5—Medical examinations by audio-visual
conferencing
Section 5—delete "authorised health professional" wherever occurring
and substitute in each case:
authorised mental health professional
After section 5 insert:
5A—Decision-making capacity
(1) A person is, in the absence of evidence or a law of the State to the
contrary, to be presumed to have full decision-making capacity in respect of
decisions about his or her health care, residential and accommodation
arrangements and personal affairs.
(2) For the purposes of this Act, a person will be taken to have impaired
decision-making capacity in respect of a particular decision if—
(a) the person is not capable of—
(i) understanding any information that may be relevant to the decision
(including information relating to the consequences of making a particular
decision); or
(ii) retaining such information; or
(iii) using such information in the course of making the decision;
or
(iv) communicating his or her decision in any manner; or
(b) in the case of a person who has given an advance care
directive—the person has satisfied any requirement in the advance care
directive that sets out when the person is to be considered to have impaired
decision-making capacity (however described) in respect of a decision of the
relevant kind.
(3) For the purposes of this Act—
(a) a person will not be taken to be incapable of understanding
information merely because the person is not able to understand matters of a
technical or trivial nature; and
(b) a person will not be taken to be incapable of retaining information
merely because the person can only retain the information for a limited time;
and
(c) a person may fluctuate between having impaired decision-making
capacity and full decision-making capacity; and
(d) a person's decision-making capacity will not be taken to be impaired
merely because a decision made by the person results, or may result, in an
adverse outcome for the person.
9—Amendment
of section 6—Objects
Section 6(a)—delete "serious" and substitute:
severe
10—Amendment
of section 7—Guiding principles
(1) Section 7(1)—after paragraph (a) insert:
(ab) mental health services should meet the highest levels of quality and
safety;
(ac) mental health services should (subject to this Act or any other Act)
be provided in accordance with international treaties and agreements to which
Australia is a signatory;
(2) Section 7(1)(b)—delete "the services" and substitute:
mental health services
(3) Section 7(1)(c)—delete paragraph (c) and substitute:
(c) mental health services should be governed by comprehensive treatment
and care plans that are developed in a multi-disciplinary framework in
consultation with the patients (including children) and their family or other
carers or supporters;
(ca) mental health services should take into account—
(i) the different developmental stages of infants, children, young
persons, adults and older persons; and
(ii) the gender or gender identity, or the sexuality or sexual identity or
orientation, of persons; and
(iii) the particular needs of persons with disability; and
(iv) in the case of persons of Aboriginal or Torres Strait Islander
descent—the persons' traditional beliefs and practices and, when
practicable and appropriate, involve collaboration with health workers and
traditional healers from their communities; and
(v) the cultural and linguistic backgrounds of persons; and
(vi) the background, circumstances and particular needs of persons who
have experienced torture or trauma;
(4) Section 7(1)(h)—delete "mechanical body restraints and
seclusion" and substitute:
restrictive practices
(5) Section 7(2), definition of mental health
services—delete "serious" and substitute:
severe
(6) Section 7(2)—after the definition of mental health
services insert:
patient includes a voluntary community patient.
11—Amendment
of section 9—Voluntary inpatients to be given statement of
rights
Section 9(1)—delete "written statement in the form approved by the
Minister" and substitute:
statement in writing in the form approved by the Chief
Psychiatrist
12—Amendment
of section 10—Level 1 community treatment orders
(1) Section 10—delete "authorised health professional" wherever
occurring and substitute in each case:
authorised mental health professional
(2) Section 10(1)(b)—delete "including" and substitute:
whether physical or mental, and including
(3) Section 10(1)(c)—delete paragraph (c) and substitute:
(c) the person has impaired decision-making capacity relating to
appropriate treatment of the person's mental illness; and
(4) Section 10(3)—delete "Minister" and substitute:
Chief Psychiatrist
(5) Section 10(4)—delete "28" and substitute:
42
(6) Section 10(5)—delete subsection (5) and substitute:
(5) On the making of a level 1 community treatment order, the
following provisions apply:
(a) the patient must be examined by a psychiatrist or authorised medical
practitioner, who must, if the order was made by a psychiatrist or authorised
medical practitioner, be a different psychiatrist or authorised medical
practitioner from whomever made the order;
(b) the examination must occur within 24 hours of the making of the
order;
(c) if it is not practicable for the examination to occur within that
period, it must occur as soon as practicable thereafter;
(d) after completion of the examination, the psychiatrist or authorised
medical practitioner may confirm the level 1 community treatment order if
satisfied that the grounds referred to in subsection (1) exist for the
making of a level 1 community treatment order, but otherwise must revoke
the order.
(7) Section 10(8)—delete "written notice in the form approved by the
Minister" and substitute:
notice in the form approved by the Chief Psychiatrist
13—Amendment
of section 11—Chief Psychiatrist to be notified of level 1 orders or their
variation or revocation
(1) Section 11(1)—delete "written notice in the form approved by the
Minister" and substitute:
notice in the form approved by the Chief Psychiatrist
(2) Section 11(2)—delete "by written notice sent or given to the
Tribunal,"
14—Amendment
of section 12—Copies of level 1 orders, notices and statements of rights
to be given to patients etc
(1) Section 12—delete "authorised health professional" wherever
occurring and substitute in each case:
authorised mental health professional
(2) Section 12(2)—delete "written statement in the form approved by
the Minister" and substitute:
statement in writing in the form approved by the Chief
Psychiatrist
Section 15—delete the section
16—Amendment
of section 16—Level 2 community treatment orders
(1) Section 16(1)(b)—delete "including" and substitute:
whether physical or mental, and including
(2) Section 16(1)(c)—delete paragraph (c) and substitute:
(c) the person has impaired decision-making capacity relating to
appropriate treatment of the person's illness; and
(3) Section 16(3)(b)—delete paragraph (b)
17—Amendment
of section 21—Level 1 inpatient treatment orders
(1) Section 21—delete "authorised health professional" wherever
occurring and substitute in each case:
authorised mental health professional
(2) Section 21(1)(b)—delete "including" and substitute:
whether physical or mental, and including
(3) Section 21(1)—after paragraph (b) insert:
(ba) the person has impaired decision-making capacity relating to
appropriate treatment of the person's illness; and
(4) Section 21(3)—delete "Minister" and substitute:
Chief Psychiatrist
(5) Section 21(8)—delete "written notice in the form approved by the
Minister" and substitute:
notice in the form approved by the Chief Psychiatrist
18—Amendment
of section 22—Chief Psychiatrist to be notified of level 1 orders or their
revocation
(1) Section 22(1)—delete "written notice in the form approved by the
Minister" and substitute:
notice in the form approved by the Chief Psychiatrist
(2) Section 22(2)—delete "by written notice sent or given to the
Tribunal,"
19—Amendment
of section 23—Copies of level 1 orders, notices and statements of rights
to be given to patients etc
(1) Section 23—delete "authorised health professional" wherever
occurring and substitute in each case:
authorised mental health professional
(2) Section 23(2)—delete "written statement in the form approved by
the Minister" and substitute:
statement in writing in the form approved by the Chief
Psychiatrist
20—Amendment
of section 24—Treatment of patients to whom level 1 orders
apply
(1) Section 24(1)—delete "or any other illness" and
substitute:
, or for any other illness that may be causing or contributing to the
mental illness,
(2) Section 24(5)—delete "written notice in the form approved by the
Minister" and substitute:
notice in the form approved by the Chief Psychiatrist
21—Amendment
of section 25—Level 2 inpatient treatment orders
(1) Section 25(2)(b)—delete "including" and substitute:
whether physical or mental, and including
(2) Section 25(2)—after paragraph (b) insert:
(ba) the person has impaired decision-making capacity relating to
appropriate treatment of the person's illness; and
(3) Section 25(5)—delete "Minister" and substitute:
Chief Psychiatrist
(4) Section 25(6)—delete "A" and substitute:
Subject to subsection (7), a
(5) Section 25—after subsection (6) insert:
(7) A psychiatrist
or authorised medical practitioner who has examined a patient to whom a
level 2 inpatient treatment order applies may, once only, extend the order
and, in that case, the order, unless earlier revoked, will expire at a time
fixed in the extended order (which must be 2 pm on a business day not later
than 42 days from the day on which the order would, had it not been
extended, have expired).
(6) Section 25(9)—delete "written notice in the form approved by the
Minister" and substitute:
notice in the form approved by the Chief Psychiatrist
22—Amendment
of section 26—Notices and reports relating to level 2
orders
(1) Section 26(1)—delete "written notice in the form approved by the
Minister" and substitute:
notice in the form approved by the Chief Psychiatrist
(2) Section 26(2)—delete "by written notice sent or given to the
Tribunal,"
23—Amendment
of section 27—Copies of level 2 orders, notices and statements of rights
to be given to patients etc
Section 27(2)—delete "written statement in the form approved by the
Minister" and substitute:
statement in writing in the form approved by the Chief
Psychiatrist
24—Amendment
of section 28—Treatment of patients to whom level 2 orders
apply
(1) Section 28(1)—delete "or any other illness" and
substitute:
, or for any other illness that may be causing or contributing to the
mental illness,
(2) Section 28(4)—delete "written notice in the form approved by the
Minister" and substitute:
notice in the form approved by the Chief Psychiatrist
25—Amendment
of section 29—Level 3 inpatient treatment orders
(1) Section 29(1)(b)—delete "including" and substitute:
whether physical or mental, and including
(2) Section 29(1)—after paragraph (b) insert:
(ba) the person has impaired decision-making capacity relating to
appropriate treatment of the person's illness; and
26—Amendment
of section 31—Treatment of patients to whom level 3 orders
apply
(1) Section 31(1)—delete "or any other illness" and
substitute:
, or for any other illness that may be causing or contributing to the
mental illness,
(2) Section 31(4)—delete "written notice in the form approved by the
Minister" and substitute:
notice in the form approved by the Chief Psychiatrist
27—Amendment
of section 34A—Confinement and other powers relating to involuntary
inpatients
Section 34A(2)—delete "use reasonable force), as reasonably required"
and substitute:
restrain the patient and otherwise use force in relation to the patient),
as reasonably required in the circumstances
28—Amendment
of section 35—Transfer of involuntary inpatients
Section 35(6)(a)—delete "Minister" and substitute:
Chief Psychiatrist
29—Amendment
of section 36—Leave of absence of involuntary
patients
Section 36(1)—delete "written notice in the form approved by the
Minister" and substitute:
a statement in writing in the form approved by the Chief
Psychiatrist
30—Amendment
of section 37—Persons granted leave of absence to be given statement of
rights
Section 37(1)—delete "written statement in the form approved by the
Minister" and substitute:
statement in writing in the form approved by the Chief
Psychiatrist
31—Amendment
of section 38—Cancellation of leave of absence
Section 38(1)—delete "Minister" and substitute:
Chief Psychiatrist
32—Amendment
of section 39—Treatment and care plans for voluntary
patients
(1) Section 39(1)—delete "inpatient" and substitute:
patient
(2) Section 39(2)(a)—delete "available to the patient at the
treatment centre or following the person's discharge from the centre" and
substitute:
made available to the patient
(3) Section 39(2)(b)—delete paragraph (b) and substitute:
(b) must, as far as practicable, be prepared and revised in consultation
with—
(i) the patient and any guardian, medical agent, relative, carer or friend
of the patient who is providing support to the patient under this Act;
and
(ii) any service provider or agency that is providing treatment, care or
support to the patient; and
(4) Section 39—after subsection (2) insert:
(3) In this section—
voluntary patient means—
(a) a voluntary community patient; or
(b) a voluntary inpatient.
33—Amendment
of section 40—Treatment and care plans for patients to whom community
treatment orders apply
Section 40(2)(b)—delete paragraph (b) and substitute:
(b) must, as far as practicable, be prepared and revised in consultation
with—
(i) the patient and any guardian, medical agent, relative, carer or friend
of the patient who is providing support to the patient under this Act;
and
(ii) any service provider or agency that is providing treatment, care or
support to the patient; and
34—Amendment
of section 41—Treatment and care plans for patients to whom inpatient
treatment orders apply
Section 41(2)(b)—delete paragraph (b) and substitute:
(b) must, as far as practicable, be prepared and revised in consultation
with—
(i) the patient and any guardian, medical agent, relative, carer or friend
of the patient who is providing support to the patient under this Act;
and
(ii) any service provider or agency that is providing treatment, care or
support to the patient; and
35—Insertion
of Part 7 Division A1
Part 7—before Division 1 insert:
Division A1—Prescribed Psychiatric Treatment
Panel
41A—Prescribed Psychiatric Treatment
Panel
(1) The Prescribed
Psychiatric Treatment Panel is established.
(a) the Chief Psychiatrist; and
(b) no more than
8 other persons appointed by the Governor on the recommendation of the
Minister, of whom at least—
(i) 1 must be a patient or former patient; and
(ii) 1 must be a carer or former carer; and
(iii) 1 must be a senior psychiatrist; and
(iv) 1 must be a neurosurgeon; and
(v) 1 must be a legal practitioner in this State; and
(vi) 1 must be a person with credentials and experience in
bioethics.
(3) A member of the
Panel must be a person who, in the opinion of the Minister, is qualified, by
reason of his or her knowledge, expertise and experience, to assist the Panel to
exercise its functions under this Act.
(4) The Minister must consult with the Chief Psychiatrist before making a
recommendation under
subsection (2)(b)
.
(5) The Governor may make appointments from time to time in accordance
with this section for the purpose of maintaining or increasing the membership of
the Panel established under this section.
41B—Conditions of appointment to
Panel
(1) An appointed member of the Panel will be appointed for a term of
office, not exceeding 5 years, and on conditions specified in the
instrument of appointment (and is eligible for reappointment at the expiration
of a term of office).
(2) A member of the Panel is entitled to receive such allowances and
expenses as the Governor may from time to time determine.
(3) The Governor
may, on the recommendation of the Minister, remove an appointed member from
office for—
(a) mental or physical incapacity to carry out official duties
satisfactorily; or
(b) neglect of duty; or
(c) dishonourable conduct.
(4) A person appointed to the Panel ceases to be a member if the
person—
(a) dies; or
(b) completes a term of office and is not reappointed; or
(c) resigns by written notice to the Minister; or
(d) ceases to satisfy any qualification by virtue of which the person was
eligible for appointment to the Tribunal; or
(e) is removed from office under
subsection (3)
.
(5) The Minister must consult with the Chief Psychiatrist before making a
recommendation under
subsection (3)
.
41C—Functions of Panel
The Prescribed Psychiatric Treatment Panel has the following functions in
relation to the regulation of prescribed psychiatric treatments:
(a) to conduct a review of the progress of a patient who has, in the
course of any 12 month period, received 3 or more courses of ECT
treatment;
(b) to conduct a review of the progress of a patient to whom, in the
course of any 12 month period, 2 or more episodes of ECT have been
administered without consent in reliance on section 42(6);
(c) to authorise the carrying out of neurosurgery on a patient as a
treatment for mental illness;
(d) to carry out any other function conferred on the Panel under this
Act.
41D—Constitution and proceedings of
Panel
(1) The following provisions apply in proceedings before the Prescribed
Psychiatric Treatment Panel under this Act:
(a) subject to this section, the Panel may decide its own
proceedings;
(b) the Chief Psychiatrist is the presiding member of the Panel;
(c) the Panel will meet at such times and places as required by the Chief
Psychiatrist for the purposes of carrying out its functions;
(d) the Panel will be constituted, in relation to a particular matter or
matters, by the Chief Psychiatrist and at least 2 other members selected by
the Chief Psychiatrist;
(e) a question the Panel is required to decide will be resolved according
to the opinion of the majority of them (but, if the opinions on the question are
equally divided, the question is to be resolved according to the opinion of the
Chief Psychiatrist);
(f) a telephone or video conference between members will, for the purposes
of this section, be taken to be a meeting of the Panel at which the
participating members are present.
(2) A decision of the Panel must be recorded in writing and kept by the
Chief Psychiatrist.
36—Amendment
of section 42—ECT
(1) Section 42(1)(c)(ii)—delete "by a medical agent or guardian of
the patient or by the Tribunal on application under this section; or" and
substitute:
(A) in the case of a patient who has given an advance care directive under
which a substitute decision-maker has been appointed—by each substitute
decision-maker appointed under the advance care directive or by the Tribunal on
application under this section; or
(B) in any other case—by a medical agent or guardian of the patient
or by the Tribunal on application under this section; or
(2) Section 42(4)—delete subsection (4) and substitute:
(4) The following provisions apply in relation to consent given to the
administration of ECT treatment:
(a) the consent extends to the administration of anaesthetics required for
the purposes of the ECT treatment;
(b) the consent does not extend to the use of any force for the purposes
of administering the ECT treatment;
(c) consent may be withdrawn at any time by the person by whom consent has
been given.
(3) Section 42(7)—delete "without consent in reliance on subsection
(6)" and substitute:
, either with consent under subsection (1) or without consent in
reliance on subsection (6),
37—Amendment
of section 43—Neurosurgery for mental illness
(1) Section 43(1)(b)—delete "the person who is to carry it out and
by 2 psychiatrists (at least 1 of whom is a senior psychiatrist), each
of whom has separately examined the patient; and" and substitute:
—
(i) the person who is to carry it out; and
(ii) 2 psychiatrists (at least 1 of whom is a senior
psychiatrist), each of whom has separately examined the patient; and
(iii) the Prescribed Psychiatric Treatment Panel; and
(2) Section 43—after subsection (1) insert:
(1a) For the purposes of subsection (1)(b)(iii), the person by whom
the neurosurgery is to be carried out must ensure that the
Chief Psychiatrist is sent or given, at least 14 days before the
neurosurgery is proposed to be carried out—
(a) a written notice in the form approved by the Chief
Psychiatrist—
(i) advising the Chief Psychiatrist of the proposed neurosurgery;
and
(ii) requesting the Prescribed Psychiatric Treatment Panel to authorise
the proposed neurosurgery; and
(iii) containing any other information required by the notice;
and
(b) a copy of the report of each psychiatrist on examining the patient
under subsection (1)(b)(ii).
(3) Section 43—after subsection (2) insert:
(2a) A person who carries out neurosurgery on a patient as a treatment for
mental illness must ensure that the Chief Psychiatrist is sent or given, within
3 months of carrying out the neurosurgery—
(a) a written report in the form approved by the Chief Psychiatrist
containing such information about the neurosurgery as may be required by the
Chief Psychiatrist; and
(b) a copy of a report from a psychiatrist who has examined the patient
after the neurosurgery.
38—Amendment
of section 44—Other prescribed psychiatric treatments
Section 44—after subsection (3) insert:
(4) No regulation may be made declaring treatment to be prescribed
psychiatric treatment, or regulating the administration of any such treatment,
except on the recommendation of the Prescribed Psychiatric Treatment
Panel.
39—Amendment
of section 45—Assistance of interpreters
Section 45—delete "authorised health professional" wherever occurring
and substitute in each case:
authorised mental health professional
40—Amendment
of section 46—Copies of Tribunal's orders, decisions and statements of
rights to be given
Section 46(1)(b)—delete "Minister" and substitute:
Chief Psychiatrist
41—Amendment
of section 50—Community visitors
Section 50(4)—delete subsection (4)
42—Amendment
of section 51—Community visitors' functions and
powers
(1) Section 51(1)—after paragraph (a) insert:
(ab) to conduct visits to and inspections of authorised community mental
health facilities as required or authorised under this Division;
(2) Section 51—after subsection (2) insert:
(3) A community visitor will, for the purposes of this
Division—
(a) have the authority to conduct inspections of the premises and
operations of any hospital that is an incorporated hospital under the
Health
Care Act 2008
; and
(b) be taken to be an inspector under Part 10 of the
Health
Care Act 2008
.
After section 51 insert:
51A—Delegation by Principal Community
Visitor
(1) The Principal Community Visitor may delegate a power or function of
the Principal Community Visitor under this Act to another community
visitor.
(2) A delegation under this section—
(a) may be absolute or conditional; and
(b) does not derogate from the power of the Principal Community Visitor to
act in a matter; and
(c) is revocable at will by the Principal Community Visitor.
44—Amendment
of section 52—Visits to and inspections of treatment
centres
(1) Section 52(1) and (2)—delete subsections (1) and (2) and
substitute:
(1) Subject to
subsection (2)
, each treatment centre—
(a) must be visited and inspected at least once in every 2 month
period by 2 or more community visitors; and
(b) may be visited at
any time by 2 or more community visitors.
(2) The Principal
Community Visitor may, at any time, visit a treatment centre alone.
(2) Section 52(3)—delete "subsection (1), the community visitors"
and substitute:
this section, a community visitor
(3) Section 52(7)—delete subsection (7)
After section 52 insert:
52A—Visits to and inspection of authorised
community mental health facilities
(1) An authorised
community mental health facility—
(a) must be visited and inspected at least once in every 2 month
period by 2 or more community visitors; and
(b) may be visited
at any time by 2 or more community visitors.
(2) However, the
Principal Community Visitor may visit an authorised community mental health
facility alone at any time.
(3) On a visit to an authorised community mental health facility, a
community visitor must—
(a) so far as practicable, inspect all parts of the facility used for or
relevant to the care, treatment or control of patients; and
(b) take any other action required under the regulations.
(4) After any visit to an authorised community mental health facility, the
community visitors must (unless 1 of them is the Principal Community
Visitor) report to the Principal Community Visitor about the visit in accordance
with the requirements of the Principal Community Visitor.
(5) A visit may be made with or without previous notice and at any time of
the day or night, and be of such length, as the community visitors think
appropriate.
(6) A visit may be made at the request of a patient or a guardian, medical
agent, relative, carer or friend of a patient or any person who is providing
support to a patient under this Act.
46—Amendment
of section 54—Reports by Principal Community Visitor
Section 54(1)—delete "work of the community visitors" and
substitute:
performance of the community visitors' functions
Before section 55 insert:
54A—Issuing of patient assistance
requests
(1) If a community
treatment order applies to a patient and the patient has not complied with the
requirements of the order, a medical practitioner or mental health clinician may
issue a patient assistance request for the purpose of treating the patient in
accordance with the order at the place where the person is located.
(2) A patient assistance request must be—
(a) directed to authorised officers and police officers generally;
and
(b) in writing in the form approved by the Chief Psychiatrist.
(3) A person in respect of whom a patient assistance request has been
issued who is treated under the care and control of an authorised officer or
police officer under this Part must, as soon as practicable, be given a copy
of—
(a) the patient assistance request; and
(b) a written statement in the form approved by the Chief Psychiatrist (a
statement of rights)—
(i) informing the patient of his or her legal rights; and
(ii) containing any other information prescribed by the
regulations.
48—Amendment
of section 55—Issuing of patient transport requests
(1) Section 55—delete "authorised health professional" wherever
occurring and substitute in each case:
authorised mental health professional
(2) Section 55(1)(c)—delete "a patient at large" and
substitute:
absent without leave
(3) Section 55(2)(b)—delete "Minister" and substitute:
Chief Psychiatrist
(4) Section 55(3)—delete "be given a copy of the patient transport
request as soon as practicable" and substitute:
, as soon as practicable, be given a copy of—
(a) the patient transport request; and
(b) a written statement in the form approved by the Chief Psychiatrist (a
statement of rights)—
(i) informing the patient of his or her legal rights; and
(ii) containing any other information prescribed by the
regulations.
49—Amendment
of section 56—Powers of authorised officers relating to persons who have
or appear to have mental illness
(1) Section 56(1)(a)—delete "a patient transport request has been
issued under section 55(1); or" and substitute:
—
(i) a patient assistance request has been issued under
section 54A(1); or
(ii) a patient transport request has been issued under section 55(1);
or
(2) Section 56(1)(b)—delete "at large" and substitute:
who is absent without leave
(3) Section 56(4)—before paragraph (a) insert:
(aa) in the case of a person referred to in
subsection (1)(a)(i)—provide such assistance as reasonably required
for the purpose of enabling or facilitating the treatment of the person at the
place where the person is located; or
(4) Section 56(4)(a)—delete "subsection (1)(a)" and
substitute:
subsection (1)(a)(ii)
(5) Section 56(4)(c)—delete "transport the person, or arrange for
the person to be transported by some other authorised officer or by a police
officer, to a treatment centre or other place for medical examination" and
substitute:
(i) transport the person, or arrange for the person to be transported by
some other authorised officer or by a police officer, to a treatment centre or
other place for medical examination; and
(ii) give the person a copy of a written statement in the form approved by
the Chief Psychiatrist (a statement of rights)—
(A) informing the patient of his or her legal rights; and
(B) containing any other information prescribed by the
regulations.
50—Amendment
of section 57—Powers of police officers relating to persons who have or
appear to have mental illness
(1) Section 57(1)(a)—delete "a patient transport request has been
issued under section 55(1); or" and substitute:
—
(i) a patient assistance request has been issued under
section 54A(1); or
(ii) a patient transport request has been issued under section 55(1);
or
(2) Section 57(1)(b)—delete "at large" and substitute:
who is absent without leave
(3) Section 57(2)—delete "at large" and substitute:
who is absent without leave
(4) Section 57(5)—before paragraph (a) insert:
(aa) in the case of a person referred to in
subsection (1)(a)(i)—provide such assistance as reasonably required
for the purpose of enabling or facilitating the treatment of the person at the
place where the person is located; or
(5) Section 57(5)(a)—delete "subsection (1)(a)" and
substitute:
subsection (1)(a)(ii)
After section 58 insert:
58A—Officers to keep records about exercise of
powers under Act
(1) Authorised officers must keep records relating to the exercise of
powers under this Act in a manner and form approved by the Chief
Psychiatrist.
(2) Police officers must keep such records relating to the exercise of
powers under this Act as may be required by the Commissioner of
Police.
52—Amendment
of section 61—Interpretation
(1) Section 61, definition of corresponding law—delete
the definition and substitute:
another jurisdiction means a State (other than South
Australia) or a Territory of the Commonwealth;
corresponding law means a law of another
jurisdiction—
(a) that—
(i) makes provision for the treatment and care of persons with mental
illness; and
(ii) corresponds (or substantially corresponds) to this Act; or
(b) that is declared by the regulations to be a corresponding law for the
purposes of this definition;
(2) Section 61, definition of interstate patient at
large—delete the definition and substitute:
interstate patient absent without leave means a person to
whom an interstate inpatient treatment order applies who is absent from an
interstate treatment centre in which he or she was an interstate inpatient, or
is otherwise absent without leave, without lawful authority under the relevant
corresponding law;
53—Amendment
of section 63—Requests or approvals relating to actions involving other
jurisdictions
(1) Section 63(1)(a)—after "contemplated by" insert:
, or not disallowed under,
(2) Section 63(2)(a)—after "contemplates" insert:
, or does not disallow,
54—Amendment
of section 64—Powers of South Australian officers
Section 64—delete "a corresponding law or under a Ministerial
agreement" and substitute:
this Act, a corresponding law or a Ministerial agreement
55—Amendment
of section 66—South Australian community treatment orders and treatment in
other jurisdictions
Section 66(3) and (4)—delete subsections (3) and (4) and
substitute:
(3) Subject to
subsection (5)
, if an interstate authorised officer believes on reasonable grounds that a
person in the officer's jurisdiction is a patient to whom a South Australian
community treatment order applies (other than an order referred to in
subsection (1)), 1 or more of the following powers may be exercised in
relation to the person:
(a) the person may
be taken into the care and control of the officer;
(b) the person may
be delivered by an interstate officer into the care and control of a South
Australian authorised officer for the purpose of the person's transport to a
South Australian authorised community mental health facility, the person's usual
place of residence or some other place specified in the order;
(c) the person may
be taken to an interstate treatment centre by an interstate officer and treated
as an involuntary community patient there;
(d) the person may
be given treatment for his or her mental illness in the interstate treatment
centre, without any requirement for the person's consent, based on the
requirements of the South Australian community treatment order or as authorised
by a medical practitioner who has examined the patient.
(4) Section 63(1) applies to the taking of action under
subsection (1), (2) or
(3)
.
(5) The powers under
subsection (3)
may only be exercised for a period not exceeding 42 days pending the
making of an interstate community treatment order or the expiry of the South
Australian community treatment order (whichever occurs first).
(6) If a South Australian authorised officer or an interstate authorised
officer believes on reasonable grounds that a person is the patient in respect
of whom a patient transport request has been issued under subsection (2),
the officer may, for the purpose of the person's transport to an interstate
treatment centre—
(a) exercise the powers of an authorised officer under Part 9;
and
(b) if the officer is a police officer (however described) in South
Australia or another jurisdiction—exercise the powers of a police officer
under Part 9,
(and the provisions of Part 9, including section 60, will apply
for the purpose with necessary modifications).
56—Amendment
of section 67—Powers of interstate officers
(1) Section 67—delete ", other than any power of forcible
entry,"
(2) Section 67—after its present contents as amended by this section
(now to be designated as subsection (1)) insert:
(2) Despite
subsection (1), a power of forcible entry may only be exercised in South
Australia in connection with an interstate community treatment order if the
interstate officer is a police officer (however described) in the jurisdiction
in respect of which the corresponding law is law.
57—Amendment
of section 68—Interstate community treatment orders and treatment in South
Australia
Section 68—after its present contents (now to be designated as
subsection (1)) insert:
(2) If a South
Australian authorised officer believes on reasonable grounds that a person in
South Australia is a patient to whom an interstate community treatment order
applies (other than an order referred to in subsection (1)), 1 or more of the
following powers may be exercised in relation to the person:
(a) the person may
be taken into the care and control of a South Australian authorised
officer;
(b) the person may
be delivered by a South Australian authorised officer into the care and control
of an interstate authorised officer (whether in or outside South Australia) for
the purpose of the person's transport to an interstate treatment centre, the
person's usual place of residence or some other place specified in the
order;
(c) the person may
be taken to a South Australian authorised community mental health facility by a
South Australian authorised officer and treated as an involuntary community
inpatient there;
(d) the person may
be given treatment for his or her mental illness in South Australia, without any
requirement for the person's consent, based on the requirements of the
interstate community treatment order or as authorised by a medical practitioner
who has examined the patient.
(3) Section 63(1) applies to the taking of action under
subsection (2)(b)
.
(4) The powers
under
subsection (2)
may only be exercised for a period not exceeding 42 days pending the
making of a South Australian community treatment order under section 69 or the
expiry of the interstate community treatment order (whichever occurs
first).
(5) The Chief Psychiatrist must, as soon as practicable, be advised by
notice in the form approved by the Chief Psychiatrist of a person to whom an
interstate community treatment order applies who is being treated in South
Australia for the person's mental illness under subsection (1) or
(2)
.
(6) The Chief
Psychiatrist must ensure that, as soon as practicable after being so
advised—
(a) the person is given a copy of a written statement in the form approved
by the Chief Psychiatrist (a statement of rights)—
(i) informing the person of his or her legal rights; and
(ii) containing any other information prescribed by the regulations;
and
(b) subject to
subsection (7)
—a guardian, medical agent, relative, carer or friend of the person
is notified that the person is being treated for the person's mental illness in
South Australia under this section.
(7) The following
provisions apply for the purposes of
subsection (6)(b)
:
(a) the person to be notified must be—
(i) a guardian, medical agent, relative, carer or friend of the person
nominated by the person for the purpose; or
(ii) if that is not practicable or appropriate—a guardian, medical
agent, relative, carer or friend of the person who appears to have or be
assuming responsibility for the care of the person; or
(iii) if that is not practicable or appropriate—any other guardian,
medical agent, relative, carer or friend of the person whom it is practicable
and appropriate to notify;
(b) the Chief Psychiatrist is not required to notify a person whose
whereabouts are not known to or readily ascertainable by the Chief
Psychiatrist;
(c) it is not appropriate for the Chief Psychiatrist to notify a
particular person if the Chief Psychiatrist has reason to believe that it would
be contrary to the person to whom the order applies best interests to do
so.
(8) A South Australian authorised officer or an interstate authorised
officer may, for the purpose of transporting the person to a South Australian
treatment centre or interstate treatment centre, or enabling or facilitating
medical treatment of the person—
(a) exercise the powers of an authorised officer under Part 9;
and
(b) if the officer is a police officer (however described) in South
Australia or another jurisdiction—exercise the powers of a police officer
under Part 9,
(and the provisions of Part 9, including section 60, will apply for the
purpose with necessary modifications).
58—Amendment
of section 69—Making of South Australian community treatment orders when
interstate orders apply
Section 69—after subsection (2) insert:
(2a) The Chief
Psychiatrist must ensure that, as soon as practicable after making the
order—
(a) the person is given a copy of—
(i) the order; and
(ii) a written statement in the form approved by the Chief Psychiatrist (a
statement of rights)—
(A) informing the person of his or her legal rights; and
(B) containing any other information prescribed by the regulations;
and
(b) subject to
subsection (2b)
—a guardian, medical agent, relative, carer or friend of the person
is notified of the making of the order and the requirements of the
order.
(2b) The following
provisions apply for the purposes of
subsection (2a)(b)
:
(a) the person to be notified must be—
(i) a guardian, medical agent, relative, carer or friend of the person
nominated by the person for the purpose; or
(ii) if that is not practicable or appropriate—a guardian, medical
agent, relative, carer or friend of the person who appears to have or be
assuming responsibility for the care of the person; or
(iii) if that is not practicable or appropriate—any other guardian,
medical agent, relative, carer or friend of the person whom it is practicable
and appropriate to notify;
(b) the Chief Psychiatrist is not required to notify a person whose
whereabouts are not known to or readily ascertainable by the Chief
Psychiatrist;
(c) it is not appropriate for the Chief Psychiatrist to notify a
particular person if the Chief Psychiatrist has reason to believe that it would
be contrary to the person to whom the order applies best interests to do
so.
59—Amendment
of section 70—Transfer from South Australian treatment
centres
(1) Section 70(1)—delete subsection (1) and substitute:
(1) The Chief Psychiatrist may give a direction for the transfer to an
interstate treatment centre of an involuntary inpatient or a patient absent
without leave from a South Australian treatment centre.
(2) Section 70(3)—delete "Minister" and substitute:
Chief Psychiatrist
(3) Section 70(4)—delete "director" and substitute:
Chief Psychiatrist
(4) Section 70(5)(b) and (c)—delete "director" wherever occurring
and substitute in each case:
Chief Psychiatrist
(5) Section 70(6)—delete "A" and substitute:
Subject to subsection (7), a
(6) Section 70—after subsection (6) insert:
(7) Subsection (6) does not apply if written consent to the transfer has
been given—
(a) if the patient has attained 16 years of age and is capable of
making decisions on his or her own behalf—by the patient; or
(b) in any other case—by a person referred to in
subsection (5)(a).
60—Amendment
of section 71—Transfer to South Australian treatment
centres
(1) Section 71(1)—delete subsection (1) and substitute:
(1) The Chief Psychiatrist may approve the transfer of a person to whom an
interstate inpatient treatment order applies (including an interstate patient
absent without leave) to a South Australian treatment centre.
(2) Section 71(2)—delete "Minister" and substitute:
Chief Psychiatrist
(3) Section 71—after subsection (2) insert:
(2a) The Chief
Psychiatrist must ensure that, as soon as practicable after the patient is
admitted to the South Australian treatment centre—
(a) the patient is given a copy of—
(i) the order; and
(ii) a written statement in the form approved by the Chief Psychiatrist (a
statement of rights)—
(A) informing the patient of his or her legal rights; and
(B) containing any other information prescribed by the regulations;
and
(b) subject to
subsection (2b)
—a guardian, medical agent, relative, carer or friend of the patient
is notified of the patient's admission.
(2b) The following
provisions apply for the purposes of
subsection (2a)(b)
:
(a) the person to be notified must be—
(i) a guardian, medical agent, relative, carer or friend of the person
nominated by the patient for the purpose; or
(ii) if that is not practicable or appropriate—a guardian, medical
agent, relative, carer or friend of the patient who appears to have or be
assuming responsibility for the care of the patient; or
(iii) if that is not practicable or appropriate—any other guardian,
medical agent, relative, carer or friend of the patient whom it is practicable
and appropriate to notify;
(b) the Chief Psychiatrist is not required to notify a person whose
whereabouts are not known to or readily ascertainable by the Chief
Psychiatrist;
(c) it is not appropriate for the Chief Psychiatrist to notify a
particular person if the Chief Psychiatrist has reason to believe that it would
be contrary to the patient's best interests to do so.
61—Amendment
of section 72—Patient transport requests
(1) Section 72(1)—delete "director of a South Australian treatment
centre" and substitute:
Chief Psychiatrist
(2) Section 72(1)—delete "director" second occurring and
substitute:
Chief Psychiatrist
(3) Section 72(2)—delete subsection (2) and substitute:
(2) If the Chief Psychiatrist has approved the transfer of a person to a
South Australian treatment centre under this Division, the Chief Psychiatrist
may issue a patient transport request for the purpose of the person's transport
to the centre.
(4) Section 72(3)—delete "Minister" and substitute:
Chief Psychiatrist
Section 73—delete the section and substitute:
73—Powers when patient transport request
issued
If a South Australian authorised officer or an interstate authorised
officer believes on reasonable grounds that a person is the person in respect of
whom a patient transport request has been issued under this Division, the
officer may, for the purpose of the person's transport to an interstate
treatment centre or South Australian treatment centre (as the case
requires)—
(a) exercise the powers of an authorised officer under Part 9;
and
(b) if the officer is a police officer (however described) in South
Australia or another jurisdiction—exercise the powers of a police officer
under Part 9,
(and the provisions of Part 9, including section 60, will apply for the
purpose with necessary modifications).
63—Amendment
of section 74—Transport to other jurisdictions when South Australian
inpatient treatment orders apply
(1) Section 74(1)—after "may," insert:
with the approval of the Chief Psychiatrist,
(2) Section 74(3)—delete subsection (3) and substitute:
(3) A South Australian authorised officer or an interstate authorised
officer may, for the purpose of the person's transport to an interstate
treatment centre—
(a) exercise the powers of an authorised officer under Part 9;
and
(b) if the officer is a police officer (however described) in South
Australia or another jurisdiction—exercise the powers of a police officer
under Part 9,
(and the provisions of Part 9, including section 60, will apply for the
purpose with necessary modifications).
64—Amendment
of section 75—Transport to other jurisdictions of persons with apparent
mental illness
(1) Section 75(2)—after "may," insert:
with the approval of the Chief Psychiatrist,
(2) Section 75(2)—delete "authorised health professional" wherever
occurring and substitute in each case:
authorised mental health professional
(3) Section 75(4)—delete subsection (4) and substitute:
(4) A South Australian authorised officer or an interstate authorised
officer may, for the purpose of the person's transport to an interstate
treatment centre, or to an interstate medical practitioner or interstate
authorised mental health professional—
(a) exercise the powers of an authorised officer under Part 9;
and
(b) if the officer is a police officer (however described) in South
Australia or another jurisdiction—exercise the powers of a police officer
under Part 9,
(and the provisions of Part 9, including section 60, will apply for the
purpose with necessary modifications).
(4) Section 75(5), definition of interstate authorised health
professional—after "authorised" insert:
mental
65—Amendment
of section 76—Transport to other jurisdictions when interstate inpatient
treatment orders apply
(1) Section 76(1)—delete "at large" and substitute:
absent without leave
(2) Section 76(1)(d)—after "may" insert:
, with the approval of the Chief Psychiatrist,
(3) Section 76(1)(e)—after "may" insert:
, with the approval of the Chief Psychiatrist,
(4) Section 76—after subsection (2) insert:
(2a) As soon as
practicable after the person is taken to a South Australian treatment centre
under subsection (1)(d), or given treatment under subsection (1)(e), the
director of the centre or the medical practitioner (as the case may be) must
ensure that—
(a) the patient is given a copy of—
(i) a written statement in the form approved by the Chief Psychiatrist (a
statement of rights)—
(A) informing the patient of his or her legal rights; and
(B) containing any other information prescribed by the regulations;
and
(b) subject to
subsection (2b)
—a guardian, medical agent, relative, carer or friend of the patient
is notified of the person's admission.
(2b) The following
provisions apply for the purposes of
subsection (2a)(b)
:
(a) the person to be notified must be—
(i) a guardian, medical agent, relative, carer or friend of the patient
nominated by the person for the purpose; or
(ii) if that is not practicable or appropriate—a guardian, medical
agent, relative, carer or friend of the patient who appears to have or be
assuming responsibility for the care of the person; or
(iii) if that is not practicable or appropriate—any other guardian,
medical agent, relative, carer or friend of the person whom it is practicable
and appropriate to notify;
(b) the director or medical practitioner is not required to notify a
person whose whereabouts are not known to or readily ascertainable by the
director or medical practitioner (as the case requires);
(c) it is not appropriate for the director or medical practitioner to
notify a particular person if the director or medical practitioner (as the case
requires) has reason to believe that it would be contrary to the patient's best
interests to do so.
(5) Section 76(4)—delete "at large" and substitute:
absent without leave
(6) Section 76(5)—delete subsection (5) and substitute:
(5) A South Australian authorised officer or an interstate authorised
officer may, for the purpose of transporting the person to a South Australian
treatment centre or interstate treatment centre, or enabling or facilitating
medical treatment of the person—
(a) exercise the powers of an authorised officer under Part 9;
and
(b) if the officer is a police officer (however described) in South
Australia or another jurisdiction—exercise the powers of a police officer
under Part 9,
(and the provisions of Part 9, including section 60, will apply for the
purpose with necessary modifications).
(7) Section 76(6)—delete "director of the South Australian treatment
centre" and substitute:
Chief Psychiatrist
66—Amendment
of section 77—Transport to South Australia when South Australian inpatient
treatment orders apply
(1) Section 77(1)—delete "at large" and substitute:
absent without leave
(2) Section 77(3)—delete "at large" and substitute:
absent without leave
(3) Section 77(4)—delete subsection (4) and substitute:
(4) A South Australian authorised officer or an interstate authorised
officer may, for the purpose of the person's transport to a South Australian
treatment centre—
(a) exercise the powers of an authorised officer under Part 9;
and
(b) if the officer is a police officer (however described) in South
Australia or another jurisdiction—exercise the powers of a police officer
under Part 9,
(and the provisions of Part 9, including section 60, will apply for the
purpose with necessary modifications).
(4) Section 77(5)—delete "director of the South Australian treatment
centre" and substitute:
Chief Psychiatrist
67—Amendment
of section 78—Transport to South Australia of persons with apparent mental
illness
Section 78(2)—delete subsection (2) and substitute:
(2) A South Australian authorised officer or an interstate authorised
officer may, for the purpose of the person's transport to a South Australian
treatment centre or other place in South Australia for medical
examination—
(a) exercise the powers of an authorised officer under Part 9;
and
(b) if the officer is a police officer (however described) in South
Australia or another jurisdiction—exercise the powers of a police officer
under Part 9,
(and the provisions of Part 9, including section 60, will apply for the
purpose with necessary modifications).
68—Amendment
of section 85—Tribunal must give notice of
proceedings
Section 85(1)—after paragraph (c) insert:
(ca) if the proceedings relate to an application for consent to prescribed
psychiatric treatment—the Chief Psychiatrist;
69—Amendment
of section 90—Chief Psychiatrist's functions
(1) Section 90(1)(b)—delete "mechanical body restraints and
seclusion" and substitute:
restrictive practices
(2) Section 90(1)(c)—delete "psychiatric" and substitute:
mental health
(3) Section 90(1)(d)—delete "psychiatry" and substitute:
mental health
(4) Section 90(2)—delete ", with the approval of the
Minister,"
(5) Section 90—after subsection (4) insert:
(5) For the purposes of
subsection (4)(a), the Chief Psychiatrist may, at any reasonable time, enter the
premises of an incorporated hospital and, while on the premises,
may—
(a) inspect the premises or any equipment or other thing on the premises;
and
(b) require any person to produce any documents or records; and
(c) examine any documents or records and take extracts from, or make
copies of, any of them.
(6) A person must not refuse or fail to comply with a requirement made
under
subsection (5)
.
Maximum penalty: $10 000.
(7) A person must not hinder or obstruct the Chief Psychiatrist in the
exercise by the Chief Psychiatrist of the powers conferred by
subsection (5)
.
Maximum penalty: $10 000.
70—Amendment
of section 93—Authorised medical practitioners
(1) Section 93(1)—delete "Minister may, by instrument in writing"
and substitute:
Chief Psychiatrist may, by notice in the Gazette
(2) Section 93(2)—delete "Minister" and substitute:
Chief Psychiatrist
(3) Section 93(2)(b)—delete "instrument in writing" and
substitute:
notice in the Gazette
(4) Section 93—after subsection (2) insert:
(3) The Chief Psychiatrist must cause records to be kept and maintained
of—
(a) each medical practitioner, or medical practitioner or a class, who has
been determined to be an authorised medical practitioner under this section;
and
(b) the conditions or limitations attached to each such
determination.
71—Substitution
of heading to Part 12 Division 4
Heading to Part 12 Division 4—delete the heading and
substitute:
Division 4—Authorised mental health
professionals
72—Amendment
of section 94—Authorised mental health professionals
(1) Section 94(1)—delete "Minister may, by instrument in writing"
and substitute:
Chief Psychiatrist may, by notice in the Gazette
(2) Section 94(1)—delete "authorised health professional" and
substitute:
authorised mental health professional
(3) Section 94(2)—delete "Minister" and substitute:
Chief Psychiatrist
(4) Section 94(2)(b)—delete "instrument in writing" and
substitute:
notice in the Gazette
(5) Section 94—after subsection (2) insert:
(3) The Chief Psychiatrist must cause records to be kept and maintained
of—
(a) each specified person, or person of a specified class, who has been
determined to be an authorised mental health professional under this section;
and
(b) the conditions or limitations attached to each such
determination.
73—Amendment
of section 95—Code of practice for authorised mental health
professionals
(1) Section 95(1)—delete "Minister" and substitute:
Chief Psychiatrist
(2) Section 95(1)—delete "authorised health professionals" and
substitute:
authorised mental health professionals
(3) Section 95(2)—delete "Minister" and substitute:
Chief Psychiatrist
74—Amendment
of section 96—Approved treatment centres
(1) Section 96(1)—delete "Minister may, by instrument in writing"
and substitute:
Chief Psychiatrist may, by notice in the Gazette
(2) Section 96(2)—delete "Minister" and substitute:
Chief Psychiatrist
(3) Section 96(2)(b)—delete "instrument in writing" and
substitute:
notice in the Gazette
75—Amendment
of section 97—Limited treatment centres
(1) Section 97(1)—delete "Minister may, by instrument in writing"
and substitute:
Chief Psychiatrist may, by notice in the Gazette
(2) Section 97(2)—delete "Minister" and substitute:
Chief Psychiatrist
(3) Section 97(2)(b)—delete "instrument in writing" and
substitute:
notice in the Gazette
After section 97 insert:
97A—Authorised community mental health
facilities
(1) The Chief Psychiatrist may, by notice in the Gazette, determine that a
specified place will be an authorised community mental health facility for the
purposes of this Act.
(2) The Chief Psychiatrist may—
(a) attach conditions or limitations to a determination under this
section; and
(b) by subsequent notice in the Gazette, vary or revoke a determination
under this section or a condition or limitation of a determination under this
section.
77—Repeal
of sections 98 and 99
Sections 98 and 99—delete the sections
78—Amendment
of section 102—Offences relating to authorisations and
orders
Section 102—delete "authorised health professional" wherever
occurring and substitute in each case:
authorised mental health professional
79—Amendment
of section 103—Medical practitioners or health professionals not to act in
respect of relatives
Section 103—delete "authorised health professional" wherever
occurring and substitute in each case:
authorised mental health professional
80—Amendment
of section 109—Evidentiary provision
Section 109(f)—delete paragraph (f)
81—Amendment
of section 111—Review of Act
Section 111—delete "4 years" and substitute:
5 years
Part 1—Amendment of Advance Care Directives
Act 2013
1—Amendment
of section 12—Provisions that cannot be included in advance care
directives
Section 12(4), definition of mandatory medical
treatment—after paragraph (a) insert:
(ab) medical treatment provided under section 56 of the
Mental
Health Act 2009
; or
Part 2—Amendment of Health Care
Act 2008
2—Amendment
of section 68—Preliminary
Section 68(1), definition of designated authority—after
paragraph (c) insert:
or
(d) in relation to the investigation of an adverse incident involving a
mental health patient or mental health services provided by a health services
entity—the Chief Psychiatrist;