To ask the Scottish Executive whether it considers that a mental health patient whose condition poses no risk to others should have the right to refuse treatment.
There are three ways in which a person may be subjected to compulsory measures of treatment under the civil regime in the Mental Health (Care and Treatment) (Scotland) Act 2003, namely: (a) emergency detention; (b) short-term detention, and (c) long-term detention or compulsory measures under the authority of a compulsory treatment order. In addition, mentally disordered offenders may be made subject to compulsory measures of treatment by the courts under the Criminal Procedure (Scotland) Act 1995 (the 1995 act).
Before an individual is detained under the Health (Care and Treatment) (Scotland) Act 2003 an Approved Medical Practitioner must have considered and be satisfied that if the patient were not detained in hospital there would be significant risk to the health, safety or welfare of the patient or to the safety of any other person. The Approved Medical Practitioner must then keep this criteria under review.
In terms of any subsequent treatment, the majority of compulsory measures of treatment for mental disorder are first approved by either the Mental Health Tribunal for Scotland under part 7 of the 2003 act (compulsory treatment orders) or by a court under the 1995 act in relation to mentally disordered offenders. The two exceptions to this prior authority for treatment for mental disorder by a court or tribunal are: civil emergency detention under part 5 of the 2003 act, and short-term detention under part 6 of the 2003 act.
In relation to emergency detention, the authorised period of detention is just 72 hours and the purpose of the detention is to determine what medical treatment requires to be provided to the patient. There is no general authority to give treatment for mental disorder under an emergency detention certificate.
A short-term detention certificate does enable treatment to be given, in accordance with part 16 of the 2003 act. Volume 1, Chapter 10 of the Mental Health (Care and Treatment) (Scotland) Act 2003 Code of Practice provides guidance on the provision of medical treatment for mental disorder which are set out in part 16, including the issue of consent.
Where an individual feels that they may have been misdiagnosed as suffering from a mental disorder of any sort they may ask for a second opinion or they may contact the Mental Welfare Commission for Scotland to look into their complaint.