Section 4 - Admission for Assessment in Case of Emergency

What is Section 4?

Section 4 of the Mental Health Act is a provision that allows for the emergency detention of an individual for assessment and treatment when urgent mental health concerns arise. It is used when there is an immediate need for assessment and there is no time to arrange a full assessment under Section 2 of the Mental Health Act.

Section 4 is an interim measure, providing a swift response to situations where someone’s mental health is deteriorating rapidly and poses a risk to themselves or others.

Why might you be placed on Section 4?

You may be placed under Section 4 if healthcare professionals, such as doctors or mental health practitioners, believe that:

• You are experiencing a severe mental health crisis.
• There is an immediate risk of harm to yourself or others.
• A delay in your assessment could lead to further deterioration of your mental health.
• It is not feasible to conduct a full assessment under Section 2 due to time constraints.

This section is designed to provide a quick intervention, allowing for immediate evaluation and, if necessary, treatment to stabilise your condition.

Duration and Process

Section 4 can last for up to 72 hours. During this time:

• You will undergo a comprehensive assessment by a qualified medical professional.
• The assessment aims to determine the severity of your condition and the most appropriate next steps.
• Based on the assessment, one of the following may happen:
  • You may be discharged if it is determined that you do not require further detention or immediate treatment.
  • You may be placed under Section 2 or another appropriate section of the Mental Health Act for further assessment and treatment if ongoing care is deemed necessary.
  • A treatment plan may be put in place to support your recovery.

Medication and Consent

In certain situations, medication may be administered against your will if healthcare professionals believe it is essential for your safety and well-being. This decision is not taken lightly and typically involves:

• A thorough assessment of your condition.
• Consideration of the potential benefits and risks of the medication.
• Efforts to communicate with you about your treatment and address your concerns.
• Involvement of a second opinion or consultation with other medical professionals.

Leave and Appeals

While under Section 4, the possibility of leave is limited due to the short duration and the urgent nature of the detention. However:

• If your condition stabilises and healthcare professionals determine that it is safe for you to leave the facility temporarily, you may be granted supervised leave.
• The decision to grant leave will depend on your progress and the specific circumstances of your case.

How can I appeal?

If you disagree with your detention under Section 4, you have the right to appeal. To appeal:

• Inform a healthcare professional of your intention to challenge the detention.
• Seek advice from a legal representative or mental health advocate who can assist you with the appeals process.
• You can request a review of your case by an independent tribunal or court.

What are my rights?

While under Section 4, you are entitled to several rights, including:

• The right to be treated with dignity and respect.
• The right to receive clear and comprehensive information about your condition, treatment, and detention.
• The right to confidentiality regarding your medical information and treatment.
• The right to communicate with family, friends, and legal representatives.
• The right to appeal your detention and seek legal advice.
• The right to have your preferences and concerns considered in your treatment plan.

Support and Advocacy: If you are under Section 4, it is crucial to know that support and advocacy services are available to help you navigate this challenging time. Mental health advocates can provide guidance, ensure your rights are protected, and assist with any appeals or complaints you may have.

Understanding Section 4 and your rights can empower you to actively participate in your care and work towards your recovery. If you have any questions or need further assistance, do not hesitate to contact healthcare professionals, legal advisors, or mental health advocates.

Our partner hospital facilities are dedicated to providing compassionate care, ensuring your rights are upheld, and supporting you throughout your recovery journey. Your well-being and rights are our top priorities. We are here to support you on your journey towards recovery, every step of the way.

If you have any questions or concerns, please don’t hesitate to reach out to a member of our team.