hardindex
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Look serious, seem like discharged
Under Singapore’s Mental Health (Care and Treatment) Act 2008, a hospital cannot simply "forcibly discharge" a patient to the Institute of Mental Health (IMH) unless specific legal and medical criteria are met. Here's how it works:
- Designated Psychiatric Institutions: IMH is one of the designated institutions under the Act. Only these institutions can detain and treat individuals under the provisions of the Act.
- Involuntary Admission: If a person is assessed to be suffering from a mental disorder and poses a risk to themselves or others, a designated medical practitioner (usually at IMH) can authorize involuntary admission under Section 10 of the Act.
- Transfer from Other Hospitals:
- A general hospital cannot detain a patient under the Mental Health Act unless it is also a designated psychiatric institution.
- If a patient in a general hospital is deemed to require psychiatric detention, the hospital may refer or transfer the patient to IMH, but this must be done in accordance with legal procedures—typically involving a psychiatric assessment and formal documentation.
- Not in the casual sense. The term “forcibly discharged” implies coercion, but the Act requires:
- Medical justification: A psychiatrist must assess the patient and determine that they meet the criteria for involuntary treatment.
- Legal process: The transfer must be documented and comply with the Act’s provisions.
- Police involvement: In some cases, police may assist in transferring individuals who are uncooperative or pose a public risk, but this is governed by strict protocols.
- Patients have rights to dignity, informed consent (where possible), and appeal mechanisms.
- If a patient lacks mental capacity, decisions may be made by legally authorized caregivers.
If you're dealing with a specific case or need help navigating this process, I can help you break down the steps or explore appeal options. Want to go deeper into how IMH handles these transfers or what safeguards exist?
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