INVOLUNTARY ADMISSIONS TO A DISTRICT MENTAL-HEALTH-SERVICE - IMPLICATIONS FOR A NEW MENTAL TREATMENT ACT

Objective: The aim of this study was to examine the working of the 194 5 Irish Mental Treatment Act in relation to compulsory admission and d etention and to establish issues that will need to be addressed in imm inent new legislation. Method: A 3 year retrospective study was carrie d out on all compulsory admissions to the Cavan/Monaghan Psychiatric S ervice using case note material. The circumstances surrounding applica tion for compulsory admission in one year of the study period were fur ther investigated by delivery of a schedule to Relative-Applicants. Re sults: The study revealed rates of compulsory admission equivalent to other Irish regions but much higher than neighbouring jurisdictions. T here was no evidence of deliberate abuse of the act. Indications emerg ed of excessive and inappropriate recourse to certification by some re latives and General Practitioners. Excessive length of detained stay a nd lack of specific procedures for informing patients of their rights were evident. Conclusions: A new Mental Treatment Act will need to pla ce much greater emphasis on patients' civil rights while facilitating access to treatment.