Section three
- Mental disorder
- Organic or non-organic
- Including personality disorder
- Of a nature or degree
- i.e. Even if no current symptoms, the nature of a patient's past illness can be sufficient
- Making it appropriate
- That they be under hospital detention for treatment
- On the basis of their health, safety or the protection of others
- Protection on others should be a separate act
- Appropriate medical treatment should be available
- Defined extremely broadly (education, rehab..)
- Only the purpose need be to treat - i.e. Doesn't need to be likely to help, or even reasonable
- For the disorder, its symptoms or its manifestations
- What does this mean in personality disorders?
Antisocial PD problem
- Retained capacity, but essentially untreatable
- So MHA had to be defined widely enough to allow for their detention (if dangerous)
- => Huge discretion for clinicians
Dangerous and Severe Personality Disorder (DSPD)- Not really a diagnosis at all
- Introduced in 2001 to allow detention of bad 'ns
- Michael Stone: Murder of Lin and Megan Russell in 1998
Personality disorders (DSM-IV)
Cluster |
Description |
Disorder |
A |
Odd or eccentric behaviour |
Paranoid Schizoid |
|
|
Schizotypal |
B |
Dramatic or emotional behaviour |
Antisocial |
|
|
Borderline Histrionic |
|
|
Narcissistic |
C |
Anxious or avoidant behaviour |
Avoidant Dependent |
|
|
Obsessive– compulsive |
Notes- Section 3 = Section 37 (which is from courts)
- Professor George Szmukler - No need for MHA, can use MCA
- Mental disorder = "Impairment or disturbance in functioning of mind or brain resulting from a disability or disorder of mind or brain"
- MAPPA / MARAC for dangerous folk
|
|