Psychiatry · Mental Healthcare Act 2017, Capacity and Forensic Assessment

Under MHCA 2017, which body at the state level has the authority to review involuntary admissions and hear appeals against the treating team's decisions?

  • A Central Mental Health Authority (CMHA)
  • B State Mental Health Authority (SMHA)
  • C District Mental Health Authority
  • D Mental Health Review Board (MHRB)
Correct answer: D. Mental Health Review Board (MHRB)

Explanation

MHCA 2017 establishes Mental Health Review Boards (MHRBs) at the district level under each State. MHRBs have the authority to: review applications for involuntary admission, hear appeals by patients or their nominated representatives against the treating team's decisions, and scrutinise Advance Directives. The CMHA is the apex regulatory body at the central (national) level, responsible for licensing and policy. The SMHA regulates at the state level. The introduction of MHRBs represents judicial oversight ensuring rights-based psychiatry as mandated by UNCRPD.

Reference: Kaplan & Sadock's Synopsis of Psychiatry, 11th ed.

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