In Toronto, TTY 416-327-4282 Hours of operation : 8:30am - 5:00pm 0000028957 00000 n 0000003416 00000 n Introduction to Ontario's Mental Health Laws. OR on the appropriateness of the treatment of first and last name of patient who is an involuntary patient at . 0000019745 00000 n It governs the admission process, the different categories of patient admission, as well as directives around assessment, care and treatment. Updated July 2020 Page 1 of 2 . 0000001615 00000 n In this section, "former Act" means The Mental Health Act, R.S.M. 0000001957 00000 n Form 1 Mental Health Act (address of physician) (print name of physician) Physician address Name of physician On I personally examined You may only sign this Form 1 if you have personally examined the person within the past seven days. 0000041827 00000 n Links to all forms can be found below. Form 2 . 0000042069 00000 n The Mental Health Act sets out the powers and obligations of psychiatric facilities in Ontario. 0000009940 00000 n %PDF-1.4 %���� OR on the appropriateness of the treatment of first and last name of patient who is an involuntary patient at . 0000007466 00000 n THe PPAO also provides advocacy services to some 3,400 in-patients every year at the 10 primary mental health hospitals in Ontario. Disponible en français Page 1 of 2. The Mental Health Act (the Act) is an Ontario law which regulates the administration of Mental health care. Ministry of Health and Long-Term Care. 0000016665 00000 n The HCCA states that a person has the right to consent to or refuse treatment if they have mental capacity.In order to have capacity, a person must have the "ability" to understand and appreciate the consequences of the treatment decision. Mental Health Act & Community Treatment Order (MHA & CTO) MHA & CTO Provincial Team, mhaandcto.enquiries@ahs.ca August 14, 2020 Guide to the Alberta Mental Health Act and Community Treatment Order Legislation . HOW DOES A PERSON GET ADMITTED TO A P SYCHIATRIC FACILITY? Chapter 1: Overview of Legislation Relevant to Mental Health Care in Ontario 1. Committees continued. The PPAO supports and protects the rights of persons with mental illness in Ontario. Resources: Ontario Hospital Association, A Practical Guide to Mental Health and the Law in Ontario, October 2012 Center for Addiction & Mental Health, Appendix C: Common legal forms, 2012 Every year, the PPAO provides rights advice to some 25,000 persons who are placed on involuntary admission to hospital or declared incapable of consenting to their care. 0000002661 00000 n Applicant’s full professional address 6. The Ontario Mental Health Act. They include quality and safety notifications forms, statutory forms and clinical practice forms. 0000042804 00000 n In this Act- Interprets- tion. The statutory authority for a Form 1 is found in section 15 of the Mental Health Act The full name of the form is available on the top of the form itself. •Provincial legislation regulating mental health care in Ontario •Regulates the assessment, admission & treatment of a person with a mental disorder in a psychiatric facility •Defines the rights of patients in The Mental Health Act; Guide to the Mental Health Act (PDF, 5.1MB) The Mental Health Review Board; Facilities Designated under the Mental Health Act (PDF, 115KB) Provincial Quality, Health & Safety Standards and Guidelines for Secure Rooms in Designated Mental Health Facilities (PDF, 5.2MB) 0000003884 00000 n MENTAL HEALTH CARE ACT 17 OF 2002 [ASSENTED TO 28 OCTOBER 2002] [DATE OF COMMENCEMENT: 15 DECEMBER 2004] (English text signed by the President) as amended by Institution of Legal Proceedings against Certain Organs of State Act 40 of 2002 Judicial Matters Amendment Act 55 of 2002 Regulations under this Act GENERAL REGULATIONS (GN R1467 in GG 27117 of 15 December 2004) ACT … 6428–41 (00/12) 7530–4973 Ministry of Health Order for Examination under Section 16 Form 2 Mental Health Act To the police officers of Ontario. 0000028060 00000 n 0000003333 00000 n 0000005473 00000 n Admission forms. Medical Certificate for Involuntary Psychiatric Assessment - Part 1 (Section 9 - Involuntary Psychiatric Treatment Act) I, Dr. (full name), a physician, personally examined (full name of person) of (address of person) on (dd/mm/yyyy) at at (location of examination). Form 15: Option 1: Nomination of Near Relative (Fill and Print PDF, 508KB) Form 15: Option 2: Nomination of Near Relative (Print PDF, 47KB) 3516 . 1996, c. 2, Sched. 1987, c. M110. 0000001427 00000 n Introduction 1-1 2. 0000039596 00000 n To: (print name of patient) of (home address) Under Section 20. %PDF-1.4 %���� In Toronto, TTY 416-327-4282 Hours of operation : 8:30am - 5:00pm In deciding if a Form 1 is appropriate, you must complete either Box A (serious harm test) or Box B (persons R.S.O. 1996, c. 288 ] NOTIFICATION TO NEAR RELATIVE (REQUEST FOR A REVIEW PANEL HEARING) This is to notify first and last name of near relative (please print) address of near relative being a near relative of , who is an involuntary patient first and last name of patient (please print) in or through , MENTAL HEALTH CARE ACT 17 OF 2002 [ASSENTED TO 28 OCTOBER 2002] [DATE OF COMMENCEMENT: 15 DECEMBER 2004] (English text signed by the President) as amended by Institution of Legal Proceedings against Certain Organs of State Act 40 of 2002 Judicial Matters Amendment Act … patients of psychiatric facilities. 0000013591 00000 n 0000041218 00000 n 2. Mental Health Act. * The first Form 4 lasts one month (add one month, minus a day) * About; You are here; Home. F-2975 (1-2019) Page 1 of 2 Referral Date: DD / MM / YYYY / 76 Grenville Street Toronto, Ontario M5S 1B2 Tel: 416-323-6230 Fax: 416-323-6356 MENTAL HEALTH REFERRAL FORM 0000051265 00000 n Key Legislation 1-6 The Mental Health Act 1-6 The Health Care Consent Act 1-6 The Substitute Decisions Act 1-6 The Personal Health Information Protection Act 1-6 Part XX.I of the Criminal Code of Canada 1-7 Name of Employer: 8. Personal Health Information Property (check Form 21 and/or Form 24) Form 21 - Certificate of Incapacity Form 24 - Certificate of Continuance. 0000006858 00000 n Every year, the PPAO provides rights advice to some 25,000 persons who are placed on involuntary admission to hospital or declared incapable of consenting to their care. 0000043154 00000 n 6430–41 (00/12)7530–4975 0000003601 00000 n If you, or someone you know, has a mental illness and has come into contact with the law, this book will help you to understand what is happening. 0000009390 00000 n 0000042412 00000 n 6429–41 (2000/12) Queen’s Printer for Ontario, 2000 7530–4974 Ministry of Health Certificate of Involuntary Admission Form 3 Mental Health Act (print name of physician) (print name of patient) Name of physician Name of patient Date of examination I hereby certify that the following three pieces of information are correct: 1. 34 0 obj <> endobj xref 34 66 0000000016 00000 n Mental Health Act forms 1–27. 1996, c. 288 ] REQUEST FOR SECOND MEDICAL OPINION I, , request a second medical opinion first and last name (please print) Note: check one box only on the appropriateness of my treatment. 0000000976 00000 n 0000051078 00000 n Form 53 - Application to Board to Vary or Cancel Orders of the Board (MHA 39(9)) Note: (4) Despite subsection 39 (15) of this Act and subsection 75 (2) of the Health Care Consent Act, 1996, the hearing of an application made under subsection 39 (6) or of this Act before June 21, 2016 shall begin within 28 days after the day the Board receives the application, unless the parties agree to a postponement. FORM 11 MENTAL HEALTH ACT [ Section 31, R.S.B.C. 0000002056 00000 n 1996, c. 288 ] REQUEST FOR SECOND MEDICAL OPINION I, , request a second medical opinion first and last name (please print) Note: check one box only on the appropriateness of my treatment. A Form 2 is an “Order for Examination” under the Mental Health Act of Ontario, signed by the Justice of the Peace. 0000050858 00000 n Treatment Form 52 - Application to the Board for an Involuntary Patient's Transfer to another Psychiatric Facility. THe PPAO also provides advocacy services to some 3,400 in-patients every year at the 10 primary mental health hospitals in Ontario. 0000050895 00000 n Every year, the PPAO provides rights advice to some 25,000 persons who are placed on involuntary admission to hospital or declared incapable of consenting to their care. 1996, c. 288 ] APPLICATION FOR WARRANT (APPREHENSION OF PERSON WITH APPARENT MENTAL DISORDER FOR PURPOSE OF EXAMINATION) HLTH 3509 Rev. H��Wˎ\���Wܥ��+�X��2���ؐ {a �R�Ɍ�H��O�*�6o�z�F���g.�z�:|�����׿|��w˓�߄���,�R\s]��BK��V��P�khyy�����Vg=�㋰����*�A�E�:�����F��qF��W�QV��d������O˓7a�p��%Ty2�ĵ�gM�m���n|�1��G$�����Q[�����?�C��� K\^�9��R���1N��� Mental Health and the Law The purpose of this publication is to help you understand the Mental Health Act and parts of the Substitute Decisions Act and the Health Care Consent Act. 126(2) On the coming into force of this Act, (a) a person who is a committee of the estate of a person under the former Act is deemed to be a committee of property appointed under this Act; and 0000010510 00000 n 0000036222 00000 n 0000041488 00000 n 0000019680 00000 n 1076–41 (2010/05) Queen’s Printer for Ontario, 2010 7530–4275 Ministry of Health Notice to Patient under Subsection 38(1) of the Act Form 30 Mental Health Act (print name of patient) This is to inform you that you are being detained under the authority of a (date) I completed this certificate on (Disponible en version française) See reverse. 0000014263 00000 n mental health system in Ontario An information guide Shannon Bettridge, MA Howard Barbaree, PhD, C.Psych. Key Legislation 1-6 The Mental Health Act 1-6 The Health Care Consent Act 1-6 The Substitute Decisions Act 1-6 The Personal Health Information Protection Act 1-6 Part XX.I of the Criminal Code of Canada 1-7 6441–41E (2013/10) Queen’s Printer for Ontario, 2013 7530–4986 Ministry of Health Form 22 Mental Health Act 1. 0000003154 00000 n THe PPAO also provides advocacy services to some 3,400 in-patients every year at the 10 primary mental health hospitals in Ontario. 0000007049 00000 n 0000025885 00000 n 0000002520 00000 n 0000012659 00000 n Applicant’s full name First name: Surname: Eircode: 5. 0000009841 00000 n 4 2015 Guide to The Mental Health Services Act CHAPTER 1 INTRODUCTION • “Old” forms (e.g. 0000042489 00000 n This material does not give an official interpretation of the law and is not a replacement for professional advice or a substitute for reading the legislation. 0000008664 00000 n Mental Health Acts 2001 to 2018 Section 9 FORM 2 Revised July 2019 PLEASE OMPLETE IN LO K APITALS 3. A Form 2 is valid seven days from and including the day it is made or at conclusion of physician’s examination. 0000042888 00000 n 0000019948 00000 n 0000043442 00000 n 0000004593 00000 n 0000013415 00000 n We have issued various forms under provisions in the Mental Health Act 2001 and associated rules and codes of practice. 0000031994 00000 n 0000042146 00000 n /��ZE������w���-����_����������ٿ_������_߽]>�K�˻7�Ǜ����o?��]�����Ǜ�����. Gender: 3. 0000043973 00000 n PART I. Preiiminary 1. Personal Health Information Protection Act, 2004, S.O. Statutory Forms under the Mental Health Act 2001. 0000050983 00000 n PAGE 2 OF 2 A Form 2 is based on sworn statements from a family member or someone who closely knows your loved one. FORM 18 MENTAL HEALTH ACT [ Section 34.2, R.S.B.C. This Act may be cited as the Mental Health Act. At this time, the MHA & CTO Provincial Team is reviewing, reworking, and updating all Mental Health Act & Community Treatment Order information … 1076–41 (2010/05) Queen’s Printer for Ontario, 2010 7530–4275 Ministry of Health Notice to Patient under Subsection 38(1) of the Act Form 30 Mental Health Act (print name of patient) This is to inform you that you are being detained under the authority of a (date) I completed this certificate on (Disponible en version française) See reverse. Please note abbreviated form names are used in some cases in the table below. 0000041411 00000 n Most Mental Health Act forms below were updated on September 30, 2020 to align with changes made to the act under Bill 17.. Be sure to destroy old unused copies of forms. If you are concerned that a family member is a risk to themself or others, you can request a Form 2 from a justice of the peace. What is the Mental Health Act? Form 13: Option 1: Notification to Involuntary Patient of Rights Under the Mental Health Act (Fill and Print PDF, 508KB) Form 13: Option 2: Notification to Involuntary Patient of Rights Under the Mental Health Act (Print PDF, 60KB) 3514. FORM 11 MENTAL HEALTH ACT [ Section 31, R.S.B.C. 6429–41 (2000/12) Queen’s Printer for Ontario, 2000 7530–4974 Ministry of Health Certificate of Involuntary Admission Form 3 Mental Health Act (print name of physician) (print name of patient) Name of physician Name of patient Date of examination I hereby certify that the following three pieces of information are correct: 1. Form 1: Criteria for Application for Psychiatric Assessment 32 • “Box A” 32 • “Box B” 33 Date of Birth and Place of Birth: 6. 0000042727 00000 n This book is a guide to the forensic mental health system in Ontario. h�b```f``�f`e`�db@ !��M�F��� {�*>``�ڭ�a����T��s(�_e���M��A�/�������ka090df�f�E���. Mental Health Act, RSNB 1973, c M-10, < ... (2) may file an application on a form provided by the Minister with the chairman of the review board having jurisdiction for an inquiry into whether a person referred to in subsection (1) or (2) is mentally competent to give or refuse to give consent for the purposes referred to in subsection (1) or (2). Editable versions of the PDF forms might be added if the demand is there - let me know. 0000002238 00000 n c. M110. Call ServiceOntario, Info line at: 1-866-532-3161 (Toll-free in Ontario only) TTY 1-800-387-5559. This form must be completed if you need to detain a patient, against their will, for up to 72 hours, to allow an assessment under the Mental Health Act with a view to an application under section 2 (compulsory psychiatric assessment) or 3 (compulsory psychiatric treatment). Health Form 4 Mental Health Act (print name of physician) (print name of patient) Name of physician Name of patient ... You must complete one or more of Box A or Box B for this form to be valid. Editable versions of the PDF forms might be added if the demand is there - let me know. I am of the opinion that. 0000001774 00000 n 0000042228 00000 n the Mental Health Act 1. 0000042542 00000 n Form 30. Form 1 Assessments Under the Mental Health Act Frequently Asked Questions Deciding that a person no longer meets the criteria for a Form 1 may be made in consultation with a psychiatrist via the OTN. 0000003220 00000 n Statutory Forms under the Mental Health Act 2001. 0000002294 00000 n Introduction 1-1 2. 0000043712 00000 n A A current statute October 1, 2020 – (e-Laws currency date) Any questions you have about this form may be addressed to the Clerk of the Court. • Forms are available on the Queen’s Printer website. Date of birth ORage ~if date of birth not known Age: Gender: M F 4. Historical Development and Context 1-2 3. 0000035412 00000 n Forms Under the Mental Health Act..... 37 Forms Under the Health Care Consent Act..... 43 Forms Under the Substitute Decisions Act..... 45 (1) Introduction ABOUT THE LEGISLATION Mental health, consent, and substitute decision-making laws provide the legal framework for the care, treatment and hospitalization of those who are suffering from mental health problems, or who are incapable of … 0000029401 00000 n Medical Certificate for Involuntary Psychiatric Assessment - Part 1 (Section 9 - Involuntary Psychiatric Treatment Act) I, Dr. (full name), a physician, personally examined (full name of person) of (address of person) on (dd/mm/yyyy) at at (location of examination). The main purpose of the law is to regulate the involuntary admission of people into a psychiatric hospital. 0000011024 00000 n Note: Earlier consolidated versions are not available online. 0000043077 00000 n 0000031122 00000 n The Mental Health Act provides another way, known as a “Form 2,” to have your family member assessed. 0000006477 00000 n Name of Psychiatric Facility: 4. 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MENTAL HEALTH THE MENTAL HEALTH ACT AC~S 6 of 1997, 1 of 2006 7th Seh., 12 of 2009 [I st September, 1999.1 3rd Sch., 7 201 I Seh. Teaching Files. (2) Subsection (1) does not apply to a decision to consent on the person’s behalf to the person’s admission to a psychiatric facility as an informal patient, as defined in the Mental Health Act, if the person is at least 12 years old but less than 16 years old. The Health Care Consent Act (HCCA) is an Ontario law that has to do with the capacity to consent to treatment. 2.The patient is not suitable for continuation as an informal or voluntary patient. 2004, c. 3, Sched. Form 1 Mental Health Act (address of physician) (print name of physician) Physician address Name of physician On I personally examined You may only sign this Form 1 if you have personally examined the person within the past seven days. Admission forms. Keep yourself safe. 0000051633 00000 n 0000051352 00000 n 0000039857 00000 n Form 2 (Order For Examination) Primer A Form 2, or Order For Examination, is a form that any member of the public (or family member) can fill out when they are concerned about the mental well-being of an individual. Home Address: 5. The Ontario Mental Health Act. This is to inform you that you are being detained under the authority of a Certificate of Involuntary Admission (Form 3) or 28 • Voluntary Patients 29 • Informal Patients 31 3. 0000020284 00000 n Notice to Patient under Subsection 38(1) of the Act . Occupation: 7. 0000043519 00000 n 0000024198 00000 n 0000031359 00000 n FORM 9 MENTAL HEALTH ACT [ Section 28, R.S.B.C. 0000008090 00000 n mental health system in Ontario An information guide Shannon Bettridge, MA Howard Barbaree, PhD, C.Psych. It is an order for an assessment by a doctor. If the psychiatric team finds that the person is a risk to themself or others, they may be held in hospital under other Forms in the Mental Health Act until they are found to be safe to leave. 0000016782 00000 n 0000043249 00000 n A Justice of the Peace is required to initiate the process, and the member of the public must contact them to issue the Form 2. 0000031548 00000 n 501 0 obj <> endobj xref 501 34 0000000016 00000 n Menu. Address of Employer: 9. 0000016142 00000 n Review the Mental Health Act Have a look at the Forms Ask questions . The statutory guardian of property will be the Public Guardian and Trustee unless a family member or other authorized person applies to the Public Guardian and Trustee to assume this role. See also: informed consent. Explain that it is a mental health emergency, in case there is a mental health crisis response team. 0000051447 00000 n The Mental Health Act; Guide to the Mental Health Act (PDF, 5.1MB) The Mental Health Review Board; Facilities Designated under the Mental Health Act (PDF, 115KB) Provincial Quality, Health & Safety Standards and Guidelines for Secure Rooms in Designated Mental Health Facilities (PDF, 5.2MB) It governs the admission process, the different categories of patient admission, as well as directives around assessment, care and treatment. The Mental Health Act sets out the powers and obligations of psychiatric facilities in Ontario. If you, or someone you know, has a mental illness and has come into contact with the law, this book will help you to understand what is happening. Please note abbreviated form names are used in some cases in the table below. This book is a guide to the forensic mental health system in Ontario. 2005/06/01 I, , make application under section 28 (3) of first and last name of applicant (please print) the Mental Health Act with respect to , first and last name of person about whom … Review the Mental Health Act Have a look at the Forms Ask questions ... disorder in a psychiatric facility •Defines the rights of patients in psychiatric facilities What is the Mental Health Act? 0000008847 00000 n Form 14: Option 2: Notification of Patient Under 16, Admitted by a Parent or Guardian, of Rights Under the Mental Health Act (Print PDF, 58KB) 3515. Form 4 (Certificate of Renewal) Menu . 0000012035 00000 n 3. If your family member is agitated, threatening or aggressive, call 911 while making sure you and others are safe. trailer <]/Prev 609304/XRefStm 1427>> startxref 0 %%EOF 534 0 obj <>stream 0000028500 00000 n 0000010253 00000 n Act 39(4) Officer-in-Charge of psychiatric facility On completion of every 4th Certificate of Renewal Not applicable 97/01 18 Application to the Board to Review a Finding of Incapacity to Manage Property under Section 60 of the Act 60 Patient or outpatient While on a Form 21 or Form 24 but only every 6 months No statutory time restriction 96/01 Form A) may be valid after the amendments come into effect but every effort must be made to use the new forms. The PPAO supports and protects the rights of persons with mental illness in Ontario. The main purpose of the law is to regulate the involuntary admission of people into a psychiatric hospital. 0000002406 00000 n A Form 1 is an application by a physician for a person to undergo a psychiatric assessment to determine whether that person needs to be admitted for further care in a psychiatric facility, as an involuntary or voluntary patient, or if they should be discharged. 0000041750 00000 n MH12614 Form 2.1 - Cancellation of Admission Certificate or Renewal Certificate. Short title. h�b``�d``�����p�� ��X8f 9nO�+0 �2�D. Call ServiceOntario, Info line at: 1-866-532-3161 (Toll-free in Ontario only) TTY 1-800-387-5559. Forms under provisions in the Mental Health Act 1 – ( e-Laws currency date ) Mental Health services chapter. Process, the different categories of patient who is a guide to the Board for an assessment by a.! Property ( check form 21 - Certificate of Incapacity form 24 - Certificate of Continuance Overview Legislation! 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These procedures are described in the table below services Act chapter 1 introduction “. A psychiatric hospital and others are safe a PERSON GET ADMITTED to a P SYCHIATRIC Facility currency!