{"kind":"expression","expression":{"expr_id":"545","doc_id":"545","label":"2024 Revision","is_as_enacted":"f","commenced_on":null,"superseded_on":null,"valid_from":null,"valid_to":null,"is_current":"t","incorporating":null,"akn_expr_iri":"\/akn\/ky\/act\/sl\/2013\/39\/eng@2024-01-01","akn_envelope":"{\"_canary\": {\"iri\": {\"work\": \"\/akn\/ky\/act\/sl\/2013\/39\", \"expression\": \"\/akn\/ky\/act\/sl\/2013\/39\/eng@2024-01-01\", \"manifestation\": \"\/akn\/ky\/act\/sl\/2013\/39\/eng@2024-01-01.pdf\"}, \"pdf\": {\"md5\": \"1c57e48caaaae478590ea886c5d3ac61\", \"path\": \"\/Users\/q\/kyleg-data\/working\/SUBORDINATE\/2013\/2013-0039\/2013-0039_2024 Revision.pdf\", \"pages\": 32, \"filename\": \"2013-0039_2024 Revision.pdf\"}, \"errors\": [], \"extraction\": {\"model\": null, \"stats\": {\"word_count\": 5671, \"paragraph_count\": 16, \"text_char_count\": 39930}, \"usage\": null, \"method\": \"pymupdf-text\", \"version\": \"kyleg-akn-1.0\", \"extracted_at\": \"2026-06-22\"}, \"classification\": \"text_layer\", \"validation_flags\": [], \"docai_processor_id\": null}, \"akomaNtoso\": {\"act\": {\"body\": [{\"eId\": \"sec_n1\", \"num\": null, \"text\": \"Mental Health Act (2024 Revision) (2024 Revision) PUBLISHING DETAILS Revised under the authority of the Law Revision Act (2020 Revision). The Mental Health Regulations, 2013 made 22nd October, 2013 as amended by the Citation of Acts of Parliament Act, 2020 [Act 56 of 2020]. Consolidated with \u2014 Mental Health (Amendment) Regulations, 2023 made 25th January, 2023. Consolidated and revised this 31st day of December, 2023. Mental Health Regulations (2024 Revision) Arrangement of Regulations Mental Health Act (2024 Revision) (2024 Revision) Arrangement of Regulations Regulation 1. 2. 3. 4. 5. 6. 7. 8.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_9\", \"num\": \"9.\", \"text\": \"SCHEDULE FORM 1 - ASSESSMENT FORM 2 - REQUEST FOR AN EMERGENCY DETENTION ORDER FORM 3 - OBSERVATION ORDER FORM 4 - REQUEST FOR REVIEW FORM 5 - TREATMENT ORDER FORM 6 - ASSISTED OUTPATIENT TREATMENT ORDER FORM 6A - ORDER FOR PROTECTIVE CUSTODY FORM 7 - ORDER TO SEND PATIENT OVERSEAS Arrangement of Regulations Mental Health Regulations (2024 Revision) ENDNOTES Mental Health Regulations (2024 Revision) Regulation 1 Mental Health Act (2024 Revision) (2024 Revision)\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_1\", \"num\": \"1.\", \"text\": \"Citation 1. These Regulations may be cited as the Mental Health Regulations (2024 Revision).\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_2\", \"num\": \"2.\", \"text\": \"Definitions 2. In these Regulations \u2014 \u201cCommission\u201d means the Mental Health Commission established by section 3 of the Mental Health Commission Act (2024 Revision); \u201cpatient\u201d means a person who is suffering from or is suspected to be suffering from a mental impairment or serious mental illness; and \u201cprincipal Act\u201d means the Mental Health Act (2023 Revision).\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_3\", \"num\": \"3.\", \"text\": \"Reference to a place of safety 3. (1) Where a patient is detained in a place of safety following the issuance of an Emergency Detention Order, Observation Order or Treatment Order, paragraphs (2) to (6) shall apply. (2) The person making the order shall as soon as it is reasonably practicable inform the patient or that patient\u2019s nearest relative, in writing, of the rights of appeal contained in section 6(3), 8(4) or 9(5) of the principal Act. Regulation 4 Mental Health Regulations (2024 Revision) (3) Where an emergency detention order has been made and the patient is held in a hospital ward but the patient is too disturbed to remain in the ward, the responsible medical officer, after consultation with the Chief Medical Officer shall cause the patient to be removed to another place of safety. (4) Where an inpatient in a mental health unit of a hospital presents a danger to themselves or others to the extent that the level of risk is not reasonably manageable, the responsible medical officer, after consultation with the Chief Medical Officer may cause the patient to be removed to another place of safety. (5) The patient\u2019s files shall, at least once every 12 hours, be reviewed by a medical officer or an appropriate designate, who shall act in accordance with such general or specific directives as the medical officer may give. (6) For patients on Cayman Brac and Little Cayman, the review of the patient may be carried out by a medical doctor after consultation with a medical officer.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_4\", \"num\": \"4.\", \"text\": \"Functions of Commission: Quasi- judicial 4. The functions of the Commission shall be to \u2014 (a) hear and determine appeals made under sections 6(3), 8(4) and 9(5) of the principal Act; (b) conduct reviews under section 6(4) of the principal Act; (c) exercise the powers referred to in section 9(3) of the principal Act in relation to treatment orders; (d) hear and determine appeals made under section 12(7) of the principal Act; and (e)  hear and determine appeals made under section 16(4) of the principal Act.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_5\", \"num\": \"5.\", \"text\": \"Grounds of appeal to the Commission 5. An appeal made in the instances referred to in regulation 4 may be made \u2014 (a) on the grounds that there were no reasonable grounds for the making of the order concerned or extension of the order concerned by a similar or other order; (b) on the grounds that the procedure set out in the principal Act was not complied with; or (c) any other grounds recognised by law.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_6\", \"num\": \"6.\", \"text\": \"Conduct of appeals 6. (1) Appeals against the orders referred to in regulation 4 shall be made within the respective time limits provided in the principal Act. (2) Appeals shall be by notice in writing addressed to the Secretary to the Commission and the notice shall set out \u2014 Mental Health Regulations (2024 Revision) Regulation 7 (a) the decision against which the appeal is made; (b) the grounds of appeal; and (c) whether or not the appellant wishes to be heard personally, or through a nearest relative or any other person. (3) On receipt of a notice of appeal, the Commission shall, if the appellant has applied to be heard personally, or through a nearest relative or any other person, fix a time for such hearing and inform the appellant. (4) At the hearing of an appeal, the Commission shall allow all parties to be heard and may, in its discretion, call upon any party or witness to address it again or to return to give further evidence. (5) Representatives appearing on behalf of either party need not be qualified to practice law. (6) Parties shall be notified of decisions of the Commission as soon as reasonably practicable but in not more than twenty-eight days.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_7\", \"num\": \"7.\", \"text\": \"Places of safety 7. The following are declared to be places of safety \u2014 (a) government hospitals; (b) police stations; and (c) prisons.\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_8\", \"num\": \"8.\", \"text\": \"Decision of Commission 8. (1) On appeal the Commission may make such order (including an order for costs of damages) as it thinks fit and it may either confirm, modify or quash the decision against which the appeal is made, or any part of such decision. (2) The Commission shall render its decision within a reasonable time after the hearing and such period shall not exceed twenty-eight days. (3) Where a decision is confirmed, the confirmation shall take effect from the date on which the original decision was made. 9. Forms 9. For purposes stated in the principal Act and these Regulations, the forms set out in the Schedule shall be used. Mental Health Regulations (2024 Revision) SCHEDULE SCHEDULE (Regulation 9) FORMS 1. Assessment 2. Request for an Emergency Detention Order 3. Observation Order 4. Request for Review 5. Treatment Order 6. Assisted Outpatient Treatment Order 6A.  Order for Protective Custody 7. Order to Send Patient Overseas SCHEDULE Mental Health Regulations (2024 Revision) FORM 1 - ASSESSMENT (For possible issuance of an emergency detention order under section 6, 7 or 12 of the Mental Health Act (2023 Revision)) 1. TO THE EXAMINER: The following is a statement that must be read, where possible, to the individual before proceeding with any questions. I am a \u25a1 medical doctor: registered to practise in accordance with the Health Practice Act (2021 Revision) \u25a1 medical doctor who has consulted with a medical officer within 12 hours: Name of Medical Officer (time______) or \u25a1 medical officer: a psychiatrist or a clinical psychologist registered to practise in accordance with the Health Practice Act (2021 Revision) I am authorised under the Mental Health Act (2023 Revision) to examine you with a view to determining whether you are suffering from a mental impairment or serious mental illness. I am empowered to order your detention in a hospital or other place of safety for up to 72 hours. (only applicable where the examiner is a medical officer) If an emergency detention order is made, you or your nearest relative may, within 24 hours of the order being made, request a second opinion from another medical officer. If it is the opinion of that medical officer that an emergency detention order should not have been made, the order will be revoked and you will be released. Further, the matter, together with all records, will be referred to the Mental Health Commission, which will make such decision as it thinks fit. You may, at any time after the making of the order and up to 14 days from the expiration of the order, personally or through a nearest relative, file an appeal with the Mental Health Commission and the Commission may affirm or expunge the order. \u25a1 I certify that on this date I read the above statement to the individual before asking any questions or conducting any examination. Mental Health Regulations (2024 Revision) SCHEDULE \u25a1 I certify that on this date I was unable to read the above statement to the individual before asking any questions or conducting any examination for the following reasons:_____________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________. 2. I further certify that I, ______________________________ personally examined____________________________at____________________________ on__________________ starting at ______a.m.\/p.m., and continuing for _______________ minutes. 3. I believe the person concerned is or may be suffering from: (check applicable box) a) \u25a1 mental impairment and I base the conclusion on the following facts: __________________________________________________________ __________________________________________________________ __________________________________________________________ b)  \u25a1 serious mental illness and I base the conclusion on the following facts: __________________________________________________________ __________________________________________________________ __________________________________________________________ c) \u25a1 inability to attend to basic physical needs and I base the conclusion on the following facts: __________________________________________________________ __________________________________________________________ __________________________________________________________ d) \u25a1 inability to understand need for treatment and I base the conclusion on the following facts: __________________________________________________________ __________________________________________________________ __________________________________________________________ SCHEDULE Mental Health Regulations (2024 Revision) e) \u25a1 danger to self or others and I base the conclusion on the following facts: __________________________________________________________ __________________________________________________________ __________________________________________________________ f) \u25a1 other (specify): __________________________________________________________ __________________________________________________________ __________________________________________________________ 4. My determination is that the person is: a) \u25a1 suffering from a serious mental illness or mental impairment as defined in the Mental Health Act (2023 Revision) b) \u25a1 not suffering from a serious mental illness or mental impairment as defined in the Mental Health Act (2023 Revision) 5. My diagnosis is: ____________________________________________________ Please insert the relevant Diagnostic Statistical Manual \/International Classification of Diseases (DSM\/ICD) code or clinical term 6. Additional facts serving as the basis for my determination are: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 7. I conclude that the individual \u25a1 is \u25a1 is not               a person requiring treatment 8. I recommend \u25a1 hospitalisation       \u25a1 alternative treatment as follows:__________ Mental Health Regulations (2024 Revision) SCHEDULE Name_____________________     Signature__________________  Date_________ Examiner \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026. TO BE COMPLETED BY MEDICAL OFFICER I certify that I am a person authorised by the Mental Health Act (2023 Revision) to certify as to the individual\u2019s mental condition. I declare that this certificate has been examined by me and that its contents are true to the best of my information, knowledge and belief. ________________________________________________________________________ Date (DD\/MM\/YY)                                                Time                                                     Signature _______________________________          ____________________________________ Title \u25a1Psychiatrist \u25a1Clinical Psychologist                                 Print Name & Business Telephone Number \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026. EMERGENCY DETENTION ORDER (Medical Officer Use Only) I declare that in addition to the diagnosis that is made above, I hereby order that ____________________________ be detained under an emergency detention order for ___________ hours under [section 6 of the Mental Health Act (2023 Revision)] or [section7 of the Mental Health Act (2023 Revision)] or [section 12 of the Mental Health Act (2023 Revision) ________________________________________________________________________ Date (DD\/MM\/YY)                                                         Time                                                               Signature __________________________________        __________________________________ Title \u25a1Psychiatrist \u25a1Clinical Psychologist                               Print Name & Business Telephone Number SCHEDULE Mental Health Regulations (2024 Revision) FORM 2 - REQUEST FOR AN EMERGENCY DETENTION ORDER (By a constable of the Royal Cayman Islands Police Service under section 7 of the Mental Health Act (2023 Revision)) Name:_________________________________________________ DOB:____________ First                          Middle                                    Last                                       (DD\/MM\/YY) Gender: \u25a1 M      \u25a1 F Person\u2019s street address: ____________________________________________________ District: \u25a1 WB    \u25a1GT   \u25a1BT   \u25a1EE   \u25a1NS   \u25a1CYB     \u25a1LYB     \u25a1OTHER_____________ \uf0b7 File this statement with the receiving medical doctor immediately. \uf0b7 Please print or type all information below. All blanks must be filled in. I am a constable in the Royal Cayman Islands Police Service and have cause to believe, pursuant to section 7 of the Mental Health Act (2023 Revision), that the person named above is \u2014 \u25a1 by reason of suspected mental impairment or serious mental illness, an immediate danger, or is likely to become a danger to themselves, or others; or \u25a1 threatening, attempting or preparing to harm themselves. My belief is based on specific and recent dangerous acts, attempts, threats or omissions by the person named above as observed by me or reliably reported to me as stated below: When the behaviour occurred: _____________________________________________ Where the behaviour occurred: ____________________________________________ Description of the behaviour:______________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Mental Health Regulations (2024 Revision) SCHEDULE The witnesses (including other constables) who observed the behaviour are as follows: Name of witness Telephone No. Mailing Address E-mail address Relationship of witness to the person to be detained Note: Witnesses are not a requirement under section 7 of the Mental Health Act (2023 Revision) but where there are witnesses this should be stated and witness statements, if any, should be attached to this form. The person was brought to ________________________________________________________________________ (Name of facility) on ____________________________________ at ______________________________. Date (DD\/MM\/YY) Time (a.m.\/p.m.) __________________________   ________________   _____________     ___________ Signature of the Medical Doctor                        Name Printed                        License No.              Telephone No. ________________________   ________________   _____________  ___________ Signature of the Constable                             Name Printed                      Badge No.             Telephone No. SCHEDULE Mental Health Regulations (2024 Revision) FORM 3 - OBSERVATION ORDER (Under section 8 of the Mental Health Act (2023 Revision)) Medical Record Number\u2026\u2026\u2026\u2026\u2026\u2026\u2026 In the matter of: First, Middle, Last Names: DOB (DD\/MM\/YY): Gender: \u25a1F \u25a1M District: \u25a1 WB  \u25a1 GT  \u25a1 BT  \u25a1 EE  \u25a1NS  \u25a1 CYB  \u25a1 LYB  \u25a1 Outside the Cayman Islands: [Specify town, state, country] Emergency Detention Order has been made in relation to [insert name of patient] initiated pursuant to section 6 of the Mental Health Act (2023 Revision) and who was brought to [Insert hospital or other designated place of safety] for evaluation. \u25a1 I have conducted an examination of the above person, including documenting observations of the person\u2019s recent behaviour, reviewing the form initiating this examination and this person\u2019s functioning while being treated under the Emergency Detention Order; this has been completed by conducting a brief psychiatric history, conducting a face-to-face examination of the person or in consultation with a medical officer who has conducted a face-to-face examination in consultation with me. Tick applicable boxes: This person suffers from a serious mental illness or mental impairment as defined in the Mental Health Act (2023 Revision) and I have determined that the person does meet the criteria for continued involuntary inpatient placement in a hospital or other place of safety based upon one or more of the following reasons (Tick as applicable): 1.\u25a1 Person has refused placement or is unable to determine for themselves that placement is necessary 2.\u25a1 Person is likely to suffer from neglect posing a real and present threat of substantial harm, or there is the substantial likelihood that in the near future that person will inflict serious bodily harm on self or others as evidenced by recent behaviour causing, attempting, or threatening such harm 3.\u25a1 Person suffers from mental impairment or serious mental illness, as defined in the Mental Health Act (2023 Revision) and exhibits active symptoms 4.\u25a1 Person is NOT likely to survive safely in the community without supervision, based on my clinical determination Mental Health Regulations (2024 Revision) SCHEDULE 5.\u25a1  Person has history of non-compliance with treatment for a serious mental illness or mental impairment 6.\u25a1 Person has within the preceding 36 months been involuntarily admitted to a treatment facility, or received mental health services in a forensic correctional facility or engaged in one or more acts of serious violent behaviour toward self or others, or attempts serious bodily harm to themselves or others 7.\u25a1 Person has been found to be unlikely to voluntarily participate in recommended treatment and has either refused voluntary placement or been found to be unable to determine whether placement is necessary 8.\u25a1 Person has been found, based upon that person\u2019s treatment history and current behaviour, to need involuntary outpatient placement to prevent a relapse or deterioration that would be likely to result in serious bodily harm to self or others, or a substantial harm to that person\u2019s well-being 9.\u25a1 There have been clinical findings that it is likely the person will benefit from involuntary outpatient placement 10.\u25a1There are no less restrictive treatment alternatives available that offer an opportunity for improvement of that person\u2019s condition 11.\u25a1Other (please specify) This examination was conducted at [insert time, date and place of examination] As a medical officer registered to practice under the Health Practice Act (2021 Revision), eligible to perform the involuntary examination, I have: \u25a1 Recommended continued involuntary placement of this person; or \u25a1 Recommended immediate placement in an approved place of safety as per the Mental Health Act (2023 Revision) Section 8 of the principal Act \u25a1 has been read to the patient \u25a1 a copy of the relevant section has been provided [Insert name of Responsible Medical Officer, designation, licence number, organisation, date and time] SCHEDULE Mental Health Regulations (2024 Revision) FORM 4 - REQUEST FOR REVIEW (Under section 5 of the Mental Health Act (2023 Revision)) Medical Record Number\u2026\u2026\u2026\u2026\u2026\u2026\u2026 In the matter of: First, Middle, Last Names: DOB (DD\/MM\/YY): Gender: \u25a1F \u25a1M District: \u25a1 WB  \u25a1 GT  \u25a1 BT  \u25a1 EE  \u25a1NS  \u25a1 CYB  \u25a1 LYB  \u25a1 Outside the Cayman Islands: [Specify town, state, country] I, [insert name], being a nearest relative of the above-named patient (herein referred to as \u201cthe person\u201d) hereby request the involuntary examination of the person. This request for review will be included in the person\u2019s clinical record and may be viewed by the person. I understand that by filling out this form, the person may be taken by law enforcement to a health care facility for an examination. I SWEAR that the answers to the following questions are given honestly, in good faith, and to the best of my knowledge. (a) I live at [Print your full residential address (or, if nearest relative is acting in a professional capacity, the place of business), phone number, email address and district\/town, state and country] (b) I work as [Insert your occupation, work street address, email address, work phone number and district (or, if from outside the country, the town, state and country)] (c) The person lives at, or may be found at, the following address (es) [Insert home address and district; and work address and district] 2. I am a [insert relationship] to the person. 3. (Tick those that apply) (a) \u25a1 I have or \u25a1 I have not previously made allegations to law enforcement involving this person in relation to things such as domestic violence, trespassing, battery, child abuse or neglect, or neighbourhood disputes: [Insert description and dates allegations were made] Mental Health Regulations (2024 Revision) SCHEDULE (b) A family member \u25a1 has or \u25a1 has not previously made allegations to law enforcement involving the person in relation to things such as domestic violence, trespassing, battery, child abuse or neglect, or neighbourhood disputes: [Insert description and dates allegations were made] (c) This   person    has  or    has not previously made allegations to law enforcement about me or my family for things such as domestic violence, trespassing, battery, child abuse or neglect, or neighbourhood disputes: [Insert description and dates allegations were made] 4. (Tick ONE box that applies) (a) \u25a1 I have been or \u25a1 I have never been involved in a court case with the person. (b) I am aware that a family member \u25a1 has or \u25a1 has not been involved in a court case with the person. If yes, explain: [Insert explanation here] 5. I have known the person for [State for how long] and (Tick as applicable): (a) The person has only recently displayed unusual kinds of behaviour \u25a1Y \u25a1N (b) The person has, over a period of time, acted in a strange manner \u25a1Y \u25a1N (c) The person's behaviour has deteriorated over a period of time \u25a1Y \u25a1N COMPLETE THE FOLLOWING ONLY IF THE SECTION APPLIES TO THIS CASE: 6. I have seen the following behaviours, which cause me to believe that there is a good chance that the person will cause serious bodily harm to themselves or others. On [date] at approximately [time] I saw the person: [Insert behaviours]. 7. Other behaviour of concern that I have personally seen is as follows: [Insert] 8. To my knowledge I believe these actions were a result of \uf031developmental disability \uf031 intoxication \uf031conditions resulting from antisocial behaviour or \uf031substance abuse impairment or \uf031none of the above. CIRCLE AND\/OR ANSWER APPLICABLE SECTIONS 9. (Indicate as applicable) (a) Y\/N I have attempted to get the person to agree to seek assistance for a mental or emotional problem(s). (Describe when, who was present, and whether you or another person explained the need for the examination): [Insert] SCHEDULE Mental Health Regulations (2024 Revision) Note: At the time of issuing the Mental Health Regulations (2024 Revision), of which this form is a part, the Mental Health Act (2023 Revision), contained the following definitions: \u201cmental impairment\u201d means a state of arrested or incomplete development of mind, which may or may not be due to a trauma or injury and includes significant impairment of intelligence and social functioning and which may or may not manifest itself in abnormally aggressive or seriously irresponsible conduct. \u201cserious mental illness\u201d means a substantial disorder of thought, mood, perception, orientation or memory which  \u2014 (a) grossly impairs a person\u2019s  \u2014 (i) judgement; (ii) behaviour; (iii) capacity to recognise reality; or (iv) ability to meet the ordinary demands of life; or (b) poses a danger to the person concerned or others, but does not include a sole diagnosis of alcoholism or drug abuse, that is, a diagnosis of alcoholism or drug abuse without any other ailment of a mental nature. (b) Y\/N I have attempted to get the person to agree to a voluntary examination because: [Insert explanation] (c) Y\/N The person refused a voluntary examination because: [Insert explanation]\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_10\", \"num\": \"10.\", \"text\": \"Have you taken any steps to get the person to go to a hospital for mental health care? \u25a1YES (If yes, provide details) \u25a1NO \u25a1DON\u2019T KNOW\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_11\", \"num\": \"11.\", \"text\": \"Do you believe that the person is unable to determine for themselves, why the examination is necessary? \u25a1YES (If yes, provide details) \u25a1NO \u25a1DON\u2019T KNOW\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_12\", \"num\": \"12.\", \"text\": \"Do you believe that the person has a mental impairment or serious mental illness as defined in the Mental Health Act? \u25a1YES (If yes, provide details) \u25a1NO \u25a1DON\u2019T KNOW\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_13\", \"num\": \"13.\", \"text\": \"Do you believe that without care or treatment, the person is likely to suffer from neglect or refuse to care for themselves or others? \u25a1YES (If yes, provide details) \u25a1NO \u25a1DON\u2019T KNOW\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_14\", \"num\": \"14.\", \"text\": \"Do you believe that this lack of care or neglect will lead to the person hurting themselves or others? Mental Health Regulations (2024 Revision) SCHEDULE \u25a1YES (If yes, provide details) \u25a1NO \u25a1DON\u2019T KNOW\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_15\", \"num\": \"15.\", \"text\": \"Are family or close friends able to provide enough care to avoid harm to the person or others? \u25a1YES (If yes, provide details) \u25a1NO \u25a1DON\u2019T KNOW Provide the following identifying information about the person (if known) Height: Weight: Hair Color: Eye Color: Does the person have access to any weapons? \u25a1NO \u25a1YES  \u25a1DON\u2019T KNOW If yes, describe: [Insert description] Is the person violent now? \u25a1NO \u25a1YES  \u25a1DON\u2019T KNOW Has the person been violent in the recent past? \u25a1NO \u25a1YES  \u25a1DON\u2019T KNOW If yes, describe: [Insert description] Does the person have any pending criminal charges against the said person? \u25a1NO \u25a1YES  \u25a1DON\u2019T KNOW If yes, describe: [Insert description] Describe: [Insert description] GUARDIANSHIP: (1) Does the person have a legal guardian \u25a1NO \u25a1YES  \u25a1DON\u2019T KNOW (2) Is there a pending petition to determine the person\u2019s capacity and for the appointment of a guardian? \u25a1NO \u25a1YES  \u25a1DON\u2019T KNOW If yes to either of the above, provide the name, address and phone number of the current or proposed guardian. Name: Phone: Address: District: Post Code: Physician: [Name, phone] Medications: [Provide name of medications if known] Case management: Provide name and phone number of case manager or case management agency, if known. (Social Worker\/Probation Officer\/Mental Health Professional) SCHEDULE Mental Health Regulations (2024 Revision) I understand that if in this form I have made a statement which I do not believe to be true I may be exposed to criminal penalties under section 21 of the Mental Health Act (2023 Revision). I declare that I have read the foregoing document and that the facts stated in it are true to the best of my knowledge. Signature of Nearest Relative: Printed Name of Nearest Relative: Date: Signature of Person assisting Nearest Relative: Printed Name of Person assisting Nearest Relative: Date: Signature of Person acting on behalf of Nearest Relative: Printed name of Person acting on behalf of Nearest Relative: Date: Mental Health Regulations (2024 Revision) SCHEDULE FORM 5 - TREATMENT ORDER (Under section 9 of the Mental Health Act (2023 Revision)) Medical Record Number\u2026\u2026\u2026\u2026\u2026\u2026\u2026 In the matter of: First, Middle, Last Names: DOB (DD\/MM\/YY): Gender: \u25a1F \u25a1M District: \u25a1 WB  \u25a1 GT  \u25a1 BT  \u25a1 EE  \u25a1NS  \u25a1 CYB  \u25a1 LYB  \u25a1 Outside the Cayman Islands: [Specify town, state, country] I, [name] the Responsible Medical Officer have personally examined [insert full name of person, that person\u2019s date of birth] under an Observation Order issued under section 8 of the Mental Health Act (2023 Revision) and find from such examination that the person meets the following criteria for the initiation of a Treatment Order under section 9. 1. The said person is (tick one) \u25a1mentally impaired or \u25a1has a serious mental illness and for that reason: 1\u25a1 (a) The said person has been treated under an Observation Order and persists in that said person\u2019s mental impairment or serious mental illness to an extent that renders that person unfit. OR 1\u25a1  (b) The said person is unable to determine for themselves whether placement is necessary. AND 2. Either (tick one or both): 2\u25a1 (a) The said person is manifestly incapable of surviving alone or without the help of willing and responsible family or friends, including available services, and without treatment, the said person is likely to suffer from neglect or refuse to care for themselves and such neglect or refusal poses a real and present threat of substantial harm to that person\u2019s well-being; OR 2\u25a1 (b) There is substantial likelihood that in the near future the said person will inflict serious bodily harm on themselves or another person as evidenced by recent behaviour causing, attempting, or threatening such harm. AND SCHEDULE Mental Health Regulations (2024 Revision) 2\u25a1 (c) All available less restrictive treatment alternatives which would offer an opportunity for improvement of the said person's condition have been judged to be inappropriate based on a treatment discussion with the following medical officer: [Name of Medical Officer] This person should be detained for treatment until [insert date and time] or until such time as that person is deemed to be fit for release. Date: Signature of Responsible Medical Officer Time: Printed Name of Responsible Medical Officer: Licence Number NOTE: THIS ORDER MAY BE RENEWED UNDER SECTION 9(2) OF THE MENTAL HEALTH ACT (2023 REVISION) AND IN THAT REGARD THE PROCEDURE SHALL BE THE SAME AS THE PROCEDURE FOR AN INITIAL ORDER CONSULTATION REPORT (Opinion of second medical officer under section 9 of the Mental Health Act (2023 Revision) I [print name] , medical officer authorised to provide a second opinion on this matter pursuant to section 9, have personally examined [full name of person, date of birth] on [date], (within 72 hours of the signing of the above Treatment Order) and find that the said person meets the criteria for involuntary inpatient placement as stated in this matter. [Insert signature, print name and insert also the date]: Mental Health Regulations (2024 Revision) SCHEDULE FORM 6 - ASSISTED OUTPATIENT TREATMENT ORDER (Under section 12 of the Mental Health Act (2023 Revision)) Medical Record Number\u2026\u2026\u2026\u2026\u2026\u2026\u2026 In the matter of: First, Middle, Last Names: DOB (DD\/MM\/YY): Gender: \u25a1F \u25a1M District: \u25a1 WB  \u25a1 GT  \u25a1 BT  \u25a1 EE  \u25a1NS  \u25a1 CYB  \u25a1 LYB  \u25a1 Outside the Cayman Islands: [Specify town, state, country] THE RESPONSIBLE MEDICAL OFFICER (RMO) FINDS: 1.\u25a1 By clear and convincing evidence, the individual is a person requiring treatment because the individual has a serious mental illness or mental impairment, and as a result of that serious mental illness or mental impairment, the individual\u2019s understanding of the need for treatment is impaired to the point that individual is unlikely to participate in treatment voluntarily. 2.\u25a1 The individual is currently noncompliant with treatment which has been recommended by a mental health professional registered under a mental health category under the Health Practice Act (2021 Revision) and which treatment has been determined by that mental health professional to be necessary to prevent a relapse or harmful deterioration of the individual\u2019s condition, and the individual\u2019s noncompliance with this treatment has been a factor in that individual\u2019s placement in a place of safety. 3.\u25a1 The individual \u25a1is \u25a1is not scheduled to begin a course of assisted outpatient treatment as defined under the Mental Health Act (2023 Revision). The undersigned Responsible Medical Officer therefore recommends that the person be placed on an Assisted Outpatient Treatment Order from [date and time] for a period of [insert] months, ending on [insert date and time] \u25a1 PROPOSED TREATMENT PLAN IS AS FOLLOWS [Insert] \u25a1 SEE ATTACHED PAGE(S) FOR PROPOSED TREATMENT PLAN [Insert signature of Responsible Medical Officer, print that person\u2019s name and insert also the date] SCHEDULE Mental Health Regulations (2024 Revision) \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026 Submitted to the Mental Health Commission on [date] Submitted to the court on [date] FORM 6A - ORDER FOR PROTECTIVE CUSTODY (By a Medical Officer under section 6 or section 12 of the Mental Health Act (2023 Revision)) Name:_________________________________________________ DOB:____________ First                             Middle                                Last                                     (DD\/MM\/YY) Gender: \u25a1 M      \u25a1F District: \u25a1 WB    \u25a1GT   \u25a1BT   \u25a1EE   \u25a1NS   \u25a1CYB     \u25a1LYB     \u25a1OTHER_____________ I am a Medical Officer and have cause to believe that pursuant to: \u25a1 section 6 of the Mental Health Act (2023 Revision), that the patient above may be suffering from a mental impairment or serious mental illness; or \u25a1 section 12 of the Mental Health Act (2023 Revision), that the patient named above has failed to comply with the assisted outpatient treatment order made on the _______ day of ___________________20____ by ___________________________________. The PATIENT lives at, or may be found at, the following address(es): Home Address:_________________________________ District: __________________ Work Address:_________________________________ District:___________________ The Patient MUST be brought to: \u25a1 Accident and Emergency (H.S.A)                                         \u25a1 Other place of safety __________________________   ________________   _____________     ___________ Signature of the Medical Officer                    Name Printed                    License No.                Telephone No. ________________ Date Mental Health Regulations (2024 Revision) SCHEDULE __________________________   ________________   _____________   ___________ Signature of the Constable                   Name Printed                        Badge No.                  Telephone No. ________________ Date Contact information of Medical Officer\/Medical Doctor receiving: _____________________________________                               ______________________ Signature of the Medical Officer\/Medical Doctor Name Printed _______________________ _________________________           _____________ License No. Telephone No. Date SCHEDULE Mental Health Regulations (2024 Revision) FORM 7 - ORDER TO SEND PATIENT OVERSEAS (Section 14 of the Mental Health Act (2023 Revision)) Medical Record Number\u2026\u2026\u2026\u2026\u2026\u2026\u2026 In the matter of: First, Middle, Last Names: DOB (DD\/MM\/YY): Gender: \u25a1F \u25a1M District: \u25a1 WB  \u25a1 GT  \u25a1 BT  \u25a1 EE  \u25a1NS  \u25a1 CYB  \u25a1 LYB To: [insert name of hospital] of [insert country] This is to require you to take charge of [insert name of person] detained at [name place] and to convey that person to [insert country to which to be conveyed] by [insert means of conveyance] and there deliver the said person into the custody of [insert name and designation of receiving practitioner] of [insert name of receiving facility] aforesaid with the enclosed duplicate copy of this Order. Dated the      day of                                  , 20_ _ Governor Publication in consolidate and revised form authorised by Cabinet the 30th day of January, 2024. Kim Bullings Clerk of the Cabinet. Mental Health Regulations (2024 Revision) ENDNOTES ENDNOTES Table of Legislation history: SL # Act\/Law # Legislation Commencement Gazette 4\/2023 Mental Health (Amendment) Regulations, 2023 26-Jan-2023 LG5\/2023\/s2 56\/2020 Citation of Acts of Parliament Act, 2020 3-Dec-2020 LG89\/2020\/s1 39\/2013 1-Nov-2013 GE87\/2013\/s4 ENDNOTES Mental Health Regulations (2024 Revision) Mental Health Regulations (2024 Revision) ENDNOTES ENDNOTES Mental Health Regulations (2024 Revision) (Price: $6.40)\", \"element\": \"section\", \"heading\": null}], \"meta\": {\"notes\": null, \"workflow\": null, \"lifecycle\": {\"source\": \"#cilegis\", \"eventRef\": [{\"eId\": \"e_commence_2024_01_01\", \"date\": \"2024-01-01\", \"type\": \"generation\", \"source\": \"#cilegis\"}]}, \"references\": {\"source\": \"#canary\", \"TLCRole\": [], \"TLCEvent\": [{\"eId\": \"ev_commencement\", \"href\": \"\/akn\/ontology\/canary\/event\/commencement\", \"showAs\": \"commencement\"}], \"TLCPerson\": [], \"TLCConcept\": 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2013\", \"longTitle\": null}}, \"doc\": null, \"bill\": null, \"judgment\": null}}","akn_full_text":"CAYMAN ISLANDS\n\nMental Health Act\n(2024 Revision)\n\nMENTAL HEALTH REGULATIONS\n(2024 Revision)\n\nSupplement No. 5 published with Legislation Gazette No. 7 of 8th February, 2024.\n\nPage 2\nRevised as at 31st December, 2023\nc\n\nPUBLISHING DETAILS\n\nRevised under the authority of the Law Revision Act (2020 Revision).\n\nThe Mental Health Regulations, 2013 made 22nd October, 2013 as amended by the\nCitation of Acts of Parliament Act, 2020 [Act 56 of 2020].\n\nConsolidated with \u2014\nMental Health (Amendment) Regulations, 2023 made 25th January, 2023.\n\nConsolidated and revised this 31st day of December, 2023.\n\nMental Health Regulations (2024 Revision)\nArrangement of Regulations\n\nc\nRevised as at 31st December, 2023\nPage 3\n\nCAYMAN ISLANDS\n\nMental Health Act\n(2024 Revision)\n\nMENTAL HEALTH REGULATIONS\n(2024 Revision)\nArrangement of Regulations\nRegulation\nPage\n1.\nCitation ......................................................................................................................................5\n2.\nDefinitions ..................................................................................................................................5\n3.\nReference to a place of safety ...................................................................................................5\n4.\nFunctions of Commission: Quasi- judicial ...................................................................................6\n5.\nGrounds of appeal to the Commission .......................................................................................6\n6.\nConduct of appeals ....................................................................................................................6\n7.\nPlaces of safety .........................................................................................................................7\n8.\nDecision of Commission ............................................................................................................7\n9.\nForms ........................................................................................................................................7\nSCHEDULE\n9\nFORM 1 - ASSESSMENT\n10\nFORM 2 - REQUEST FOR AN EMERGENCY DETENTION ORDER\n14\nFORM 3 - OBSERVATION ORDER\n16\nFORM 4 - REQUEST FOR REVIEW\n18\nFORM 5 - TREATMENT ORDER\n23\nFORM 6 - ASSISTED OUTPATIENT TREATMENT ORDER\n25\nFORM 6A - ORDER FOR PROTECTIVE CUSTODY\n26\nFORM 7 - ORDER TO SEND PATIENT OVERSEAS\n28\n\nArrangement of Regulations\nMental Health Regulations (2024 Revision)\n\nPage 4\nRevised as at 31st December, 2023\nc\n\nENDNOTES\n29\nTable of Legislation history: ............................................................................................................... 29\n\nMental Health Regulations (2024 Revision)\nRegulation 1\n\nc\nRevised as at 31st December, 2023\nPage 5\n\nCAYMAN ISLANDS\n\nMental Health Act\n(2024 Revision)\n\nMENTAL HEALTH REGULATIONS\n(2024 Revision)\n\n1.\nCitation\n1.\nThese Regulations may be cited as the Mental Health Regulations (2024 Revision).\n2.\nDefinitions\n2.\nIn these Regulations \u2014\n\u201cCommission\u201d means the Mental Health Commission established by section 3\nof the Mental Health Commission Act (2024 Revision);\n\u201cpatient\u201d means a person who is suffering from or is suspected to be suffering\nfrom a mental impairment or serious mental illness; and\n\u201cprincipal Act\u201d means the Mental Health Act (2023 Revision).\n3.\nReference to a place of safety\n3.\n(1) Where a patient is detained in a place of safety following the issuance of an\nEmergency Detention Order, Observation Order or Treatment Order,\nparagraphs (2) to (6) shall apply.\n(2) The person making the order shall as soon as it is reasonably practicable inform\nthe patient or that patient\u2019s nearest relative, in writing, of the rights of appeal\ncontained in section 6(3), 8(4) or 9(5) of the principal Act.\n\nRegulation 4\nMental Health Regulations (2024 Revision)\n\nPage 6\nRevised as at 31st December, 2023\nc\n\n(3) Where an emergency detention order has been made and the patient is held in a\nhospital ward but the patient is too disturbed to remain in the ward, the\nresponsible medical officer, after consultation with the Chief Medical Officer\nshall cause the patient to be removed to another place of safety.\n(4) Where an inpatient in a mental health unit of a hospital presents a danger to\nthemselves or others to the extent that the level of risk is not reasonably\nmanageable, the responsible medical officer, after consultation with the Chief\nMedical Officer may cause the patient to be removed to another place of safety.\n(5) The patient\u2019s files shall, at least once every 12 hours, be reviewed by a medical\nofficer or an appropriate designate, who shall act in accordance with such\ngeneral or specific directives as the medical officer may give.\n(6) For patients on Cayman Brac and Little Cayman, the review of the patient may\nbe carried out by a medical doctor after consultation with a medical officer.\n4.\nFunctions of Commission: Quasi- judicial\n4.\nThe functions of the Commission shall be to \u2014\n(a)\nhear and determine appeals made under sections 6(3), 8(4) and 9(5) of the\nprincipal Act;\n(b) conduct reviews under section 6(4) of the principal Act;\n(c)\nexercise the powers referred to in section 9(3) of the principal Act in\nrelation to treatment orders;\n(d) hear and determine appeals made under section 12(7) of the principal Act;\nand\n(e)  hear and determine appeals made under section 16(4) of the principal Act.\n5.\nGrounds of appeal to the Commission\n5.\nAn appeal made in the instances referred to in regulation 4 may be made \u2014\n(a)\non the grounds that there were no reasonable grounds for the making of\nthe order concerned or extension of the order concerned by a similar or\nother order;\n(b) on the grounds that the procedure set out in the principal Act was not\ncomplied with; or\n(c)\nany other grounds recognised by law.\n6.\nConduct of appeals\n6.\n(1) Appeals against the orders referred to in regulation 4 shall be made within the\nrespective time limits provided in the principal Act.\n(2) Appeals shall be by notice in writing addressed to the Secretary to the\nCommission and the notice shall set out \u2014\n\nMental Health Regulations (2024 Revision)\nRegulation 7\n\nc\nRevised as at 31st December, 2023\nPage 7\n\n(a)\nthe decision against which the appeal is made;\n(b) the grounds of appeal; and\n(c)\nwhether or not the appellant wishes to be heard personally, or through a\nnearest relative or any other person.\n(3) On receipt of a notice of appeal, the Commission shall, if the appellant has\napplied to be heard personally, or through a nearest relative or any other person,\nfix a time for such hearing and inform the appellant.\n(4) At the hearing of an appeal, the Commission shall allow all parties to be heard\nand may, in its discretion, call upon any party or witness to address it again or\nto return to give further evidence.\n(5) Representatives appearing on behalf of either party need not be qualified to\npractice law.\n(6) Parties shall be notified of decisions of the Commission as soon as reasonably\npracticable but in not more than twenty-eight days.\n7.\nPlaces of safety\n7.\nThe following are declared to be places of safety \u2014\n(a)\ngovernment hospitals;\n(b) police stations; and\n(c)\nprisons.\n8.\nDecision of Commission\n8.\n(1) On appeal the Commission may make such order (including an order for costs\nof damages) as it thinks fit and it may either confirm, modify or quash the\ndecision against which the appeal is made, or any part of such decision.\n(2) The Commission shall render its decision within a reasonable time after the\nhearing and such period shall not exceed twenty-eight days.\n(3) Where a decision is confirmed, the confirmation shall take effect from the date\non which the original decision was made.\n9.\nForms\n9.\nFor purposes stated in the principal Act and these Regulations, the forms set out in\nthe Schedule shall be used.\n\nMental Health Regulations (2024 Revision)\n\nSCHEDULE\n\nc\nRevised as at 31st December, 2023\nPage 9\n\n SCHEDULE\n(Regulation 9)\nFORMS\n1.\nAssessment\n2.\nRequest for an Emergency Detention Order\n3.\nObservation Order\n4.\nRequest for Review\n5.\nTreatment Order\n6.\nAssisted Outpatient Treatment Order\n6A.  Order for Protective Custody\n7.\nOrder to Send Patient Overseas\n\nSCHEDULE\nMental Health Regulations (2024 Revision)\n\nPage 10\nRevised as at 31st December, 2023\nc\n\nFORM 1 - ASSESSMENT\n(For possible issuance of an emergency detention order under section 6, 7\nor 12 of the Mental Health Act (2023 Revision))\n\nMedical Record Number......................................\n\n1. TO THE EXAMINER: The following is a statement that must be read, where\npossible, to the individual before proceeding with any questions.\nI am a \u25a1 medical doctor: registered to practise in accordance with the\nHealth Practice Act (2021 Revision)\n\u25a1 medical doctor who has consulted with a medical officer within\n12 hours: Name of Medical Officer\n\n(time______) or\n\u25a1 medical officer: a psychiatrist or a clinical psychologist\nregistered to practise in accordance with the Health Practice Act\n(2021 Revision)\nI am authorised under the Mental Health Act (2023 Revision) to examine you with\na view to determining whether you are suffering from a mental impairment or\nserious mental illness.\n\nI am empowered to order your detention in a hospital or other place of safety for\nup to 72 hours. (only applicable where the examiner is a medical officer)\n\nIf an emergency detention order is made, you or your nearest relative may, within\n24 hours of the order being made, request a second opinion from another medical\nofficer. If it is the opinion of that medical officer that an emergency detention\norder should not have been made, the order will be revoked and you will be\nreleased. Further, the matter, together with all records, will be referred to the\nMental Health Commission, which will make such decision as it thinks fit.\n\nYou may, at any time after the making of the order and up to 14 days from the\nexpiration of the order, personally or through a nearest relative, file an appeal with\nthe Mental Health Commission and the Commission may affirm or expunge the\norder.\n\n\u25a1\nI certify that on this date I read the above statement to the\nindividual before asking any questions or conducting any\nexamination.\n\nMental Health Regulations (2024 Revision)\n\nSCHEDULE\n\nc\nRevised as at 31st December, 2023\nPage 11\n\n\u25a1\nI certify that on this date I was unable to read the above statement\nto the individual before asking any questions or conducting any\nexamination\nfor\nthe\nfollowing\nreasons:_____________________________________________\n____________________________________________________\n____________________________________________________\n____________________________________________________\n____________________________________________________.\n\n2. I further certify that I, ______________________________ personally\nexamined____________________________at____________________________\non__________________ starting at ______a.m.\/p.m., and continuing for\n_______________ minutes.\n\n3. I believe the person concerned is or may be suffering from: (check applicable box)\n\na) \u25a1 mental impairment and I base the conclusion on the following facts:\n__________________________________________________________\n__________________________________________________________\n__________________________________________________________\n\nb)  \u25a1 serious mental illness and I base the conclusion on the following facts:\n__________________________________________________________\n__________________________________________________________\n__________________________________________________________\n\nc) \u25a1 inability to attend to basic physical needs and I base the conclusion\non the following facts:\n__________________________________________________________\n__________________________________________________________\n__________________________________________________________\n\nd) \u25a1 inability to understand need for treatment and I base the conclusion\non the following facts:\n__________________________________________________________\n__________________________________________________________\n__________________________________________________________\n\nSCHEDULE\nMental Health Regulations (2024 Revision)\n\nPage 12\nRevised as at 31st December, 2023\nc\n\ne) \u25a1 danger to self or others and I base the conclusion on the following\nfacts:\n__________________________________________________________\n__________________________________________________________\n__________________________________________________________\n\nf) \u25a1 other (specify):\n__________________________________________________________\n__________________________________________________________\n__________________________________________________________\n\n4. My determination is that the person is:\na) \u25a1 suffering from a serious mental illness or mental impairment as defined\nin the Mental Health Act (2023 Revision)\n\nb) \u25a1 not suffering from a serious mental illness or mental impairment as\ndefined in the Mental Health Act (2023 Revision)\n\n5. My diagnosis is:\n____________________________________________________\nPlease insert the relevant Diagnostic Statistical Manual \/International\nClassification of Diseases (DSM\/ICD) code or clinical term\n\n6. Additional facts serving as the basis for my determination are:\n__________________________________________________________________\n__________________________________________________________________\n__________________________________________________________________\n__________________________________________________________________\n\n7. I conclude that the individual \u25a1 is \u25a1 is not               a person requiring treatment\n\n8. I recommend \u25a1 hospitalisation       \u25a1 alternative treatment as follows:__________\n\nMental Health Regulations (2024 Revision)\n\nSCHEDULE\n\nc\nRevised as at 31st December, 2023\nPage 13\n\nName_____________________     Signature__________________  Date_________\nExaminer\n\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.\nTO BE COMPLETED BY MEDICAL OFFICER\nI certify that I am a person authorised by the Mental Health Act (2023 Revision) to certify\nas to the individual\u2019s mental condition. I declare that this certificate has been examined by\nme and that its contents are true to the best of my information, knowledge and belief.\n________________________________________________________________________\nDate (DD\/MM\/YY)                                                Time                                                     Signature\n\n_______________________________          ____________________________________\nTitle \u25a1Psychiatrist \u25a1Clinical Psychologist                                 Print Name & Business Telephone Number\n\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.\nEMERGENCY DETENTION ORDER\n(Medical Officer Use Only)\n\nI declare that in addition to the diagnosis that is made above, I hereby order that\n____________________________ be detained under an emergency detention order for\n___________ hours under [section 6 of the Mental Health Act (2023 Revision)] or [section7\nof the Mental Health Act (2023 Revision)] or [section 12 of the Mental Health Act (2023\nRevision)\n\n________________________________________________________________________\nDate (DD\/MM\/YY)                                                         Time                                                               Signature\n\n__________________________________        __________________________________\nTitle \u25a1Psychiatrist \u25a1Clinical Psychologist                               Print Name & Business Telephone Number\n\nSCHEDULE\nMental Health Regulations (2024 Revision)\n\nPage 14\nRevised as at 31st December, 2023\nc\n\nFORM 2 - REQUEST FOR AN EMERGENCY DETENTION ORDER\n(By a constable of the Royal Cayman Islands Police Service under section\n7 of the Mental Health Act (2023 Revision))\n\nMedical Record Number........................................\n\nName:_________________________________________________ DOB:____________\n           First                          Middle                                    Last                                       (DD\/MM\/YY)\n\nGender: \u25a1 M      \u25a1 F\n\nPerson\u2019s street address: ____________________________________________________\n\nDistrict: \u25a1 WB    \u25a1GT   \u25a1BT   \u25a1EE   \u25a1NS   \u25a1CYB     \u25a1LYB     \u25a1OTHER_____________\n\n\uf0b7\nFile this statement with the receiving medical doctor immediately.\n\uf0b7\nPlease print or type all information below. All blanks must be filled in.\n\nI am a constable in the Royal Cayman Islands Police Service and have cause to believe,\npursuant to section 7 of the Mental Health Act (2023 Revision), that the person named\nabove is \u2014\n\u25a1\nby reason of suspected mental impairment or serious mental illness, an immediate\ndanger, or is likely to become a danger to themselves, or others; or\n\n\u25a1\nthreatening, attempting or preparing to harm themselves.\n\nMy belief is based on specific and recent dangerous acts, attempts, threats or omissions by\nthe person named above as observed by me or reliably reported to me as stated below:\n\nWhen the behaviour occurred: _____________________________________________\nWhere the behaviour occurred: ____________________________________________\nDescription of the behaviour:______________________________________________\n________________________________________________________________________\n________________________________________________________________________\n________________________________________________________________________\n________________________________________________________________________\n\nMental Health Regulations (2024 Revision)\n\nSCHEDULE\n\nc\nRevised as at 31st December, 2023\nPage 15\n\nThe witnesses (including other constables) who observed the behaviour are as follows:\n\nName of witness\nTelephone No.\nMailing Address\nE-mail address\nRelationship of\nwitness to the\nperson to be\ndetained\n\nNote: Witnesses are not a requirement under section 7 of the Mental Health Act (2023\nRevision) but where there are witnesses this should be stated and witness statements,\nif any, should be attached to this form.\n\nThe\nperson\nwas\nbrought\nto\n________________________________________________________________________\n(Name of facility)\n\non ____________________________________ at ______________________________.\n                                  Date (DD\/MM\/YY)\nTime (a.m.\/p.m.)\n\n__________________________   ________________   _____________     ___________\nSignature of the Medical Doctor                        Name Printed                        License No.              Telephone No.\n\n________________________   ________________   _____________  ___________\nSignature of the Constable                             Name Printed                      Badge No.             Telephone No.\n\nSCHEDULE\nMental Health Regulations (2024 Revision)\n\nPage 16\nRevised as at 31st December, 2023\nc\n\nFORM 3 - OBSERVATION ORDER\n(Under section 8 of the Mental Health Act (2023 Revision))\n\nMedical Record Number\u2026\u2026\u2026\u2026\u2026\u2026\u2026\nIn the matter of:\nFirst, Middle, Last Names:\nDOB (DD\/MM\/YY):\nGender: \u25a1F \u25a1M\nDistrict: \u25a1 WB  \u25a1 GT  \u25a1 BT  \u25a1 EE  \u25a1NS  \u25a1 CYB  \u25a1 LYB  \u25a1 Outside the\nCayman Islands: [Specify town, state, country]\nEmergency Detention Order has been made in relation to [insert name of patient] initiated\npursuant to section 6 of the Mental Health Act (2023 Revision) and who was brought to\n[Insert hospital or other designated place of safety] for evaluation.\n\u25a1 I have conducted an examination of the above person, including documenting\nobservations of the person\u2019s recent behaviour, reviewing the form initiating this\nexamination and this person\u2019s functioning while being treated under the Emergency\nDetention Order; this has been completed by conducting a brief psychiatric history,\nconducting a face-to-face examination of the person or in consultation with a medical\nofficer who has conducted a face-to-face examination in consultation with me.\nTick applicable boxes:\nThis person suffers from a serious mental illness or mental impairment as defined in the\nMental Health Act (2023 Revision) and I have determined that the person does meet the\ncriteria for continued involuntary inpatient placement in a hospital or other place of safety\nbased upon one or more of the following reasons (Tick as applicable):\n1.\u25a1 Person has refused placement or is unable to determine for themselves that placement\nis necessary\n2.\u25a1 Person is likely to suffer from neglect posing a real and present threat of substantial\nharm, or there is the substantial likelihood that in the near future that person will\ninflict serious bodily harm on self or others as evidenced by recent behaviour causing,\nattempting, or threatening such harm\n3.\u25a1 Person suffers from mental impairment or serious mental illness, as defined in the\nMental Health Act (2023 Revision) and exhibits active symptoms\n4.\u25a1 Person is NOT likely to survive safely in the community without supervision, based\non my clinical determination\n\nMental Health Regulations (2024 Revision)\n\nSCHEDULE\n\nc\nRevised as at 31st December, 2023\nPage 17\n\n5.\u25a1  Person has history of non-compliance with treatment for a serious mental illness or\nmental impairment\n6.\u25a1 Person has within the preceding 36 months been involuntarily admitted to a treatment\nfacility, or received mental health services in a forensic correctional facility or\nengaged in one or more acts of serious violent behaviour toward self or others, or\nattempts serious bodily harm to themselves or others\n7.\u25a1 Person has been found to be unlikely to voluntarily participate in recommended\ntreatment and has either refused voluntary placement or been found to be unable to\ndetermine whether placement is necessary\n8.\u25a1 Person has been found, based upon that person\u2019s treatment history and current\nbehaviour, to need involuntary outpatient placement to prevent a relapse or\ndeterioration that would be likely to result in serious bodily harm to self or others, or\na substantial harm to that person\u2019s well-being\n9.\u25a1 There have been clinical findings that it is likely the person will benefit from\ninvoluntary outpatient placement\n10.\u25a1There are no less restrictive treatment alternatives available that offer an opportunity\nfor improvement of that person\u2019s condition\n11.\u25a1Other (please specify)\nThis examination was conducted at [insert time, date and place of examination]\nAs a medical officer registered to practice under the Health Practice Act (2021 Revision),\neligible to perform the involuntary examination, I have:\n\u25a1 Recommended continued involuntary placement of this person; or\n\u25a1 Recommended immediate placement in an approved place of safety as per the\nMental Health Act (2023 Revision)\nSection 8 of the principal Act\n\u25a1 has been read to the patient\n\u25a1 a copy of the relevant section has been provided\n[Insert name of Responsible Medical Officer, designation, licence number, organisation,\ndate and time]\n\nSCHEDULE\nMental Health Regulations (2024 Revision)\n\nPage 18\nRevised as at 31st December, 2023\nc\n\nFORM 4 - REQUEST FOR REVIEW\n(Under section 5 of the Mental Health Act (2023 Revision))\n\nMedical Record Number\u2026\u2026\u2026\u2026\u2026\u2026\u2026\nIn the matter of:\nFirst, Middle, Last Names:\nDOB (DD\/MM\/YY):\nGender: \u25a1F \u25a1M\nDistrict: \u25a1 WB  \u25a1 GT  \u25a1 BT  \u25a1 EE  \u25a1NS  \u25a1 CYB  \u25a1 LYB  \u25a1 Outside the\nCayman Islands: [Specify town, state, country]\nI, [insert name], being a nearest relative of the above-named patient (herein referred to as\n\u201cthe person\u201d) hereby request the involuntary examination of the person.\nThis request for review will be included in the person\u2019s clinical record and may be viewed\nby the person.\nI understand that by filling out this form, the person may be taken by law enforcement to a\nhealth care facility for an examination.\nI SWEAR that the answers to the following questions are given honestly, in good faith, and\nto the best of my knowledge.\n1\n(a)\nI live at [Print your full residential address (or, if nearest relative is acting in a\nprofessional capacity, the place of business), phone number, email address and\ndistrict\/town, state and country]\n1\n(b) I work as [Insert your occupation, work street address, email address, work\nphone number and district (or, if from outside the country, the town, state and\ncountry)]\n1\n(c)\nThe person lives at, or may be found at, the following address (es) [Insert home\naddress and district; and work address and district]\n2.\nI am a [insert relationship] to the person.\n3.\n(Tick those that apply)\n3\n(a) \u25a1 I have or \u25a1 I have not previously made allegations to law enforcement\ninvolving this person in relation to things such as domestic violence, trespassing,\nbattery, child abuse or neglect, or neighbourhood disputes: [Insert description\nand dates allegations were made]\n\nMental Health Regulations (2024 Revision)\n\nSCHEDULE\n\nc\nRevised as at 31st December, 2023\nPage 19\n\n3\n(b) A family member \u25a1 has or \u25a1 has not previously made allegations to law\nenforcement involving the person in relation to things such as domestic\nviolence, trespassing, battery, child abuse or neglect, or neighbourhood\ndisputes: [Insert description and dates allegations were made]\n3\n(c)\nThis   person    has  or    has not previously made allegations to law enforcement\nabout me or my family for things such as domestic violence, trespassing, battery,\nchild abuse or neglect, or neighbourhood disputes: [Insert description and dates\nallegations were made]\n4.\n(Tick ONE box that applies)\n4\n(a) \u25a1 I have been or \u25a1 I have never been involved in a court case with the person.\n4\n(b) I am aware that a family member \u25a1 has or \u25a1 has not been involved in a court\ncase with the person.\nIf yes, explain: [Insert explanation here]\n5.\nI have known the person for [State for how long] and (Tick as applicable):\n5\n(a) The person has only recently displayed unusual kinds of behaviour \u25a1Y \u25a1N\n5\n(b) The person has, over a period of time, acted in a strange manner \u25a1Y \u25a1N\n5\n(c) The person's behaviour has deteriorated over a period of time \u25a1Y \u25a1N\nCOMPLETE THE FOLLOWING ONLY IF THE SECTION APPLIES TO THIS\nCASE:\n6.\nI have seen the following behaviours, which cause me to believe that there is a good\nchance that the person will cause serious bodily harm to themselves or others. On [date] at\napproximately [time] I saw the person: [Insert behaviours].\n\n7.\nOther behaviour of concern that I have personally seen is as follows:\n[Insert]\n8.\nTo my knowledge I believe these actions were a result of \uf031developmental disability \uf031\nintoxication \uf031conditions resulting from antisocial behaviour or \uf031substance abuse\nimpairment or \uf031none of the above.\nCIRCLE AND\/OR ANSWER APPLICABLE SECTIONS\n9.\n(Indicate as applicable)\n9\n(a)\nY\/N I have attempted to get the person to agree to seek assistance for a mental\nor emotional problem(s). (Describe when, who was present, and whether you or\nanother person explained the need for the examination): [Insert]\n\nSCHEDULE\nMental Health Regulations (2024 Revision)\n\nPage 20\nRevised as at 31st December, 2023\nc\n\nNote: At the time of issuing the Mental Health Regulations (2024 Revision), of which this\nform is a part, the Mental Health Act (2023 Revision), contained the following definitions:\n\u201cmental impairment\u201d means a state of arrested or incomplete development of\nmind, which may or may not be due to a trauma or injury and includes\nsignificant impairment of intelligence and social functioning and which may\nor may not manifest itself in abnormally aggressive or seriously irresponsible\nconduct.\n\u201cserious mental illness\u201d means a substantial disorder of thought, mood,\nperception, orientation or memory which  \u2014\n(a) grossly impairs a person\u2019s  \u2014\n(i)\njudgement;\n(ii) behaviour;\n(iii) capacity to recognise reality; or\n(iv) ability to meet the ordinary demands of life; or\n(b) poses a danger to the person concerned or others,\nbut does not include a sole diagnosis of alcoholism or drug abuse, that is, a\ndiagnosis of alcoholism or drug abuse without any other ailment of a mental\nnature.\n9\n(b) Y\/N I have attempted to get the person to agree to a voluntary examination\nbecause: [Insert explanation]\n9\n(c)\nY\/N The person refused a voluntary examination because: [Insert explanation]\n10. Have you taken any steps to get the person to go to a hospital for mental health care?\n\u25a1YES (If yes, provide details)\n\u25a1NO\n\u25a1DON\u2019T KNOW\n11. Do you believe that the person is unable to determine for themselves, why the\nexamination is necessary?\n\u25a1YES (If yes, provide details)\n\u25a1NO\n\u25a1DON\u2019T KNOW\n12. Do you believe that the person has a mental impairment or serious mental illness as\ndefined in the Mental Health Act?\n\u25a1YES (If yes, provide details)\n\u25a1NO\n\u25a1DON\u2019T KNOW\n13. Do you believe that without care or treatment, the person is likely to suffer from\nneglect or refuse to care for themselves or others?\n\u25a1YES (If yes, provide details)\n\u25a1NO\n\u25a1DON\u2019T KNOW\n14. Do you believe that this lack of care or neglect will lead to the person hurting\nthemselves or others?\n\nMental Health Regulations (2024 Revision)\n\nSCHEDULE\n\nc\nRevised as at 31st December, 2023\nPage 21\n\n\u25a1YES (If yes, provide details)\n\u25a1NO\n\u25a1DON\u2019T KNOW\n15. Are family or close friends able to provide enough care to avoid harm to the person\nor others?\n\u25a1YES (If yes, provide details)\n\u25a1NO\n\u25a1DON\u2019T KNOW\nProvide the following identifying information about the person (if known)\nHeight:\nWeight: Hair Color:\nEye Color:\nDoes the person have access to any weapons? \u25a1NO\n\u25a1YES  \u25a1DON\u2019T KNOW\nIf yes, describe: [Insert description]\nIs the person violent now? \u25a1NO\n\n\u25a1YES  \u25a1DON\u2019T KNOW\nHas the person been violent in the recent past? \u25a1NO\n\u25a1YES  \u25a1DON\u2019T KNOW\nIf yes, describe: [Insert description]\nDoes the person have any pending criminal charges against the said person?\n\u25a1NO\n\u25a1YES  \u25a1DON\u2019T KNOW\nIf yes, describe: [Insert description]\nDescribe: [Insert description]\nGUARDIANSHIP:\n(1) Does the person have a legal guardian \u25a1NO \u25a1YES  \u25a1DON\u2019T KNOW\n(2) Is there a pending petition to determine the person\u2019s capacity and for the appointment\nof a guardian? \u25a1NO \u25a1YES  \u25a1DON\u2019T KNOW\nIf yes to either of the above, provide the name, address and phone number of the current or\nproposed guardian.\nName:\nPhone:\nAddress:\nDistrict:\nPost Code:\nPhysician: [Name, phone]\nMedications: [Provide name of medications if known]\n\nCase management: Provide name and phone number of case manager or case management\nagency, if known. (Social Worker\/Probation Officer\/Mental Health Professional)\n\nSCHEDULE\nMental Health Regulations (2024 Revision)\n\nPage 22\nRevised as at 31st December, 2023\nc\n\nI understand that if in this form I have made a statement which I do not believe to be true\nI may be exposed to criminal penalties under section 21 of the Mental Health Act (2023\nRevision).\n\nI declare that I have read the foregoing document and that the facts stated in it are true to\nthe best of my knowledge.\n\nSignature of Nearest Relative:\n\nPrinted Name of Nearest Relative:\n\nDate:\n\nSignature of Person assisting Nearest Relative:\n\nPrinted Name of Person assisting Nearest Relative:\n\nDate:\n\nSignature of Person acting on behalf of Nearest Relative:\n\nPrinted name of Person acting on behalf of Nearest Relative:\n\nDate:\n\nMental Health Regulations (2024 Revision)\n\nSCHEDULE\n\nc\nRevised as at 31st December, 2023\nPage 23\n\nFORM 5 - TREATMENT ORDER\n(Under section 9 of the Mental Health Act (2023 Revision))\n\nMedical Record Number\u2026\u2026\u2026\u2026\u2026\u2026\u2026\nIn the matter of:\nFirst, Middle, Last Names:\nDOB (DD\/MM\/YY):\nGender: \u25a1F \u25a1M\nDistrict: \u25a1 WB  \u25a1 GT  \u25a1 BT  \u25a1 EE  \u25a1NS  \u25a1 CYB  \u25a1 LYB  \u25a1 Outside the\nCayman Islands: [Specify town, state, country]\nI, [name] the Responsible Medical Officer have personally examined [insert full name of\nperson, that person\u2019s date of birth] under an Observation Order issued under section 8 of\nthe Mental Health Act (2023 Revision) and find from such examination that the person\nmeets the following criteria for the initiation of a Treatment Order under section 9.\n1.\nThe said person is (tick one) \u25a1mentally impaired or \u25a1has a serious mental illness\nand for that reason:\n1\u25a1 (a)\nThe said person has been treated under an Observation Order and persists in that\nsaid person\u2019s mental impairment or serious mental illness to an extent that\nrenders that person unfit.\nOR\n1\u25a1  (b)\nThe said person is unable to determine for themselves whether placement is\nnecessary.\nAND\n2.\nEither (tick one or both):\n2\u25a1 (a)\nThe said person is manifestly incapable of surviving alone or without the help\nof willing and responsible family or friends, including available services, and\nwithout treatment, the said person is likely to suffer from neglect or refuse to\ncare for themselves and such neglect or refusal poses a real and present threat\nof substantial harm to that person\u2019s well-being; OR\n2\u25a1 (b) There is substantial likelihood that in the near future the said person will inflict\nserious bodily harm on themselves or another person as evidenced by recent\nbehaviour causing, attempting, or threatening such harm.\nAND\n\nSCHEDULE\nMental Health Regulations (2024 Revision)\n\nPage 24\nRevised as at 31st December, 2023\nc\n\n2\u25a1 (c)\nAll available less restrictive treatment alternatives which would offer an\nopportunity for improvement of the said person's condition have been judged to\nbe inappropriate based on a treatment discussion with the following medical\nofficer:\n[Name of Medical Officer]\nThis person should be detained for treatment until [insert date and time] or until such time\nas that person is deemed to be fit for release.\nDate:\nSignature of Responsible Medical Officer\nTime:\nPrinted Name of Responsible Medical Officer:\nLicence Number\nNOTE: THIS ORDER MAY BE RENEWED UNDER SECTION 9(2) OF THE MENTAL\nHEALTH ACT (2023 REVISION) AND IN THAT REGARD THE PROCEDURE\nSHALL BE THE SAME AS THE PROCEDURE FOR AN INITIAL ORDER\nCONSULTATION REPORT\n(Opinion of second medical officer under section 9 of the Mental Health Act (2023\nRevision)\nI [print name] , medical officer authorised to provide a second opinion on this matter\npursuant to section 9, have personally examined [full name of person, date of birth] on\n[date], (within 72 hours of the signing of the above Treatment Order) and find that the said\nperson meets the criteria for involuntary inpatient placement as stated in this matter.\n[Insert signature, print name and insert also the date]:\n\nMental Health Regulations (2024 Revision)\n\nSCHEDULE\n\nc\nRevised as at 31st December, 2023\nPage 25\n\nFORM 6 - ASSISTED OUTPATIENT TREATMENT ORDER\n(Under section 12 of the Mental Health Act (2023 Revision))\n\nMedical Record Number\u2026\u2026\u2026\u2026\u2026\u2026\u2026\nIn the matter of:\nFirst, Middle, Last Names:\nDOB (DD\/MM\/YY):\nGender: \u25a1F \u25a1M\nDistrict: \u25a1 WB  \u25a1 GT  \u25a1 BT  \u25a1 EE  \u25a1NS  \u25a1 CYB  \u25a1 LYB  \u25a1 Outside the\nCayman Islands: [Specify town, state, country]\n\nTHE RESPONSIBLE MEDICAL OFFICER (RMO) FINDS:\n1.\u25a1 By clear and convincing evidence, the individual is a person requiring treatment\nbecause the individual has a serious mental illness or mental impairment, and as a\nresult of that serious mental illness or mental impairment, the individual\u2019s\nunderstanding of the need for treatment is impaired to the point that individual is\nunlikely to participate in treatment voluntarily.\n2.\u25a1 The individual is currently noncompliant with treatment which has been\nrecommended by a mental health professional registered under a mental health\ncategory under the Health Practice Act (2021 Revision) and which treatment has been\ndetermined by that mental health professional to be necessary to prevent a relapse or\nharmful deterioration of the individual\u2019s condition, and the individual\u2019s\nnoncompliance with this treatment has been a factor in that individual\u2019s placement in\na place of safety.\n3.\u25a1 The individual \u25a1is \u25a1is not scheduled to begin a course of assisted outpatient\ntreatment as defined under the Mental Health Act (2023 Revision).\nThe undersigned Responsible Medical Officer therefore recommends that the person be\nplaced on an Assisted Outpatient Treatment Order from [date and time] for a period of\n[insert] months, ending on [insert date and time]\n\u25a1 PROPOSED TREATMENT PLAN IS AS FOLLOWS [Insert]\n\u25a1 SEE ATTACHED PAGE(S) FOR PROPOSED TREATMENT PLAN\n[Insert signature of Responsible Medical Officer, print that person\u2019s name and insert also\nthe date]\n\nSCHEDULE\nMental Health Regulations (2024 Revision)\n\nPage 26\nRevised as at 31st December, 2023\nc\n\n\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\nSubmitted to the Mental Health Commission on [date]\nSubmitted to the court on [date]\nFORM 6A - ORDER FOR PROTECTIVE CUSTODY\n(By a Medical Officer under section 6 or section 12 of the Mental Health\nAct (2023 Revision))\n\nMedical Record Number........................................\n\nName:_________________________________________________ DOB:____________\n                  First                             Middle                                Last                                     (DD\/MM\/YY)\n\nGender: \u25a1 M      \u25a1F\n\nDistrict: \u25a1 WB    \u25a1GT   \u25a1BT   \u25a1EE   \u25a1NS   \u25a1CYB     \u25a1LYB     \u25a1OTHER_____________\n\nI am a Medical Officer and have cause to believe that pursuant to:\n\n\u25a1 section 6 of the Mental Health Act (2023 Revision), that the patient above may be\nsuffering from a mental impairment or serious mental illness; or\n\n\u25a1 section 12 of the Mental Health Act (2023 Revision), that the patient named above has\nfailed to comply with the assisted outpatient treatment order made on the _______ day\nof ___________________20____ by ___________________________________.\n\nThe PATIENT lives at, or may be found at, the following address(es):\n\nHome Address:_________________________________ District: __________________\n\nWork Address:_________________________________ District:___________________\nThe Patient MUST be brought to:\n\n\u25a1 Accident and Emergency (H.S.A)                                         \u25a1 Other place of safety\n\n__________________________   ________________   _____________     ___________\n    Signature of the Medical Officer                    Name Printed                    License No.                Telephone No.\n\n________________\nDate\n\nMental Health Regulations (2024 Revision)\n\nSCHEDULE\n\nc\nRevised as at 31st December, 2023\nPage 27\n\n__________________________   ________________   _____________   ___________\n           Signature of the Constable                   Name Printed                        Badge No.                  Telephone No.\n\n________________\nDate\n\nContact information of Medical Officer\/Medical Doctor receiving:\n\n_____________________________________                               ______________________\nSignature of the Medical Officer\/Medical Doctor\nName Printed\n\n_______________________\n_________________________           _____________\nLicense No.\n\nTelephone No.\n\nDate\n\nSCHEDULE\nMental Health Regulations (2024 Revision)\n\nPage 28\nRevised as at 31st December, 2023\nc\n\nFORM 7 - ORDER TO SEND PATIENT OVERSEAS\n(Section 14 of the Mental Health Act (2023 Revision))\n\nMedical Record Number\u2026\u2026\u2026\u2026\u2026\u2026\u2026\nIn the matter of:\nFirst, Middle, Last Names:\nDOB (DD\/MM\/YY):\nGender: \u25a1F \u25a1M\nDistrict: \u25a1 WB  \u25a1 GT  \u25a1 BT  \u25a1 EE  \u25a1NS  \u25a1 CYB  \u25a1 LYB\n\nTo: [insert name of hospital] of [insert country]\nThis is to require you to take charge of [insert name of person] detained at [name place]\nand to convey that person to [insert country to which to be conveyed] by [insert means of\nconveyance] and there deliver the said person into the custody of [insert name and\ndesignation of receiving practitioner] of [insert name of receiving facility] aforesaid with\nthe enclosed duplicate copy of this Order.\nDated the      day of                                  , 20_ _\nGovernor\n\nPublication in consolidate and revised form authorised by Cabinet the 30th day of\nJanuary, 2024.\nKim Bullings\nClerk of the Cabinet.\n\nMental Health Regulations (2024 Revision)\n\nENDNOTES\n\nc\nRevised as at 31st December, 2023\nPage 29\n\nENDNOTES\nTable of Legislation history:\nSL #\nAct\/Law #\nLegislation\nCommencement\nGazette\n4\/2023\n\nMental Health (Amendment) Regulations, 2023\n26-Jan-2023\nLG5\/2023\/s2\n\n56\/2020\nCitation of Acts of Parliament Act, 2020\n3-Dec-2020 LG89\/2020\/s1\n39\/2013\n\nMental Health Regulations, 2013\n1-Nov-2013 GE87\/2013\/s4\n\nENDNOTES\nMental Health Regulations (2024 Revision)\n\nPage 30\nRevised as at 31st December, 2023\nc\n\nMental Health Regulations (2024 Revision)\n\nENDNOTES\n\nc\nRevised as at 31st December, 2023\nPage 31\n\nENDNOTES\nMental Health Regulations (2024 Revision)\n\nPage 32\nRevised as at 31st December, 2023\nc\n\n(Price: $6.40)","akn_extracted_at":"2026-06-22 15:38:59.114606+00","cms_id":"2013-0039","law_type":"subordinate","year":"2013","number":"39","title":"Mental Health Regulations","status":"in_force"},"provenance":{"files":[{"file_id":"5575","expr_id":"545","kind":"akn_xml","filename":"2013-0039_2024 Revision.akn.xml","source_url":null,"storage_path":"\/Users\/q\/kyleg-data\/working\/SUBORDINATE\/2013\/2013-0039\/2013-0039_2024 Revision.akn.xml","content_md5":"b5e92026b01fbe405e1906b5d403cbb7","byte_size":"41572","http_last_modified":null,"fetched_at":"2026-06-22 15:38:59.280744+00"},{"file_id":"1089","expr_id":"545","kind":"pristine_pdf","filename":"2013-0039_2024 Revision.pdf","source_url":"\/cms\/images\/LEGISLATION\/SUBORDINATE\/2013\/2013-0039\/2013-0039_2024 Revision.pdf","storage_path":"\/Users\/q\/kyleg-data\/pristine\/SUBORDINATE\/2013\/2013-0039\/2013-0039_2024 Revision.pdf","content_md5":"1c57e48caaaae478590ea886c5d3ac61","byte_size":"1248376","http_last_modified":null,"fetched_at":"2026-06-21 23:09:35.985838+00"},{"file_id":"1090","expr_id":"545","kind":"working_pdf","filename":"2013-0039_2024 Revision.pdf","source_url":"\/cms\/images\/LEGISLATION\/SUBORDINATE\/2013\/2013-0039\/2013-0039_2024 Revision.pdf","storage_path":"\/Users\/q\/kyleg-data\/working\/SUBORDINATE\/2013\/2013-0039\/2013-0039_2024 Revision.pdf","content_md5":"1c57e48caaaae478590ea886c5d3ac61","byte_size":"1248376","http_last_modified":null,"fetched_at":"2026-06-21 23:09:35.985838+00"}],"paragraph_count":15,"latest_history":null},"quality":{"expr_id":"545","doc_id":"545","quality_state":"needs_review","quality_score":"76","needs_human_review":"t","deterministic_categories":"{duplicate_text,page_header_footer_noise}","llm_categories":"{truncated_text,other}","repair_actions":"{collapse_duplicate_text,manual_review,reextract_full_text,strip_page_furniture}","finding_severity_counts":"{\"low\": 1, \"medium\": 1}","finding_summary":"Sample ends with an omission marker and includes a stray price line; likely missing regulatory content after Reg\u202f6.","assessed_at":"2026-06-22 15:29:45.802931+00","updated_at":"2026-06-22 15:29:45.802931+00"}}