Independent admission means the admission of a person who has the capacity to make mental health care decisions, or requires very less support in making them. An independent patient is given treatment only after informed consent1 (i.e. permission given after complete knowledge of the treatment and its consequences). Additionally, an independent patient must follow the rules of the establishment, if admitted2.
Criteria for Admission
The mental health professional in charge of the establishment must ensure that3:
- The person has a mental illness severe enough to require admission,
- He will benefit from the admission
- He has understood the nature and purpose of admission
- The person has made the request for admission of his own free will and has the capacity to take mental health care and treatment decisions.
Procedure for Admission
A person can admit himself in an establishment if he wants to and is above the age of 18 years. To do this, he must request the professional in charge of the establishment4. The professional does not require permission from anyone to admit an independent patient. For example, the nominated representative or the caregiver5.
A person does not need the permission of the professional for discharge 6. Additionally, he should be discharged immediately7. However, the person may be retained for 24 hours to assess whether he needs to be admitted as a supported patient. However, this happens only if the professional believes that8:
- The person is unable to understand the nature and purpose of his decisions and requires substantial support from his nominated representative
- He has recently threatened/attempted to cause physical harm to himself
- The person has recently behaved violently towards someone else or has caused someone else to fear physical harm from him
- He has recently shown an inability to care for himself to the extent that he poses a danger to himself.
- Section 86(5), the Mental Healthcare Act, 2017.
- Section 86(4), the Mental Healthcare Act, 2017.
- Section 86(2), the Mental Healthcare Act, 2017
- Section 86(2), the Mental Healthcare Act, 2017.
- Section 86(6), the Mental Healthcare Act, 2017.
- Section 86(7), the Mental Healthcare Act, 2017.
- Section 88(1), the Mental Healthcare Act, 2017.
- Section 88(3), the Mental Healthcare Act, 2017.