This brochure explains some key points about the new Mental Health Act and how you can keep up-to-date with what’s happening. The Mental Health Act is the legislation that governs the treatment and care of people receiving public mental health services in Victoria. The new Act will: replace the current Mental Health Act 1986 be based on the Summary of Proposed Reforms, which outlines the intended changes. Consumers and carers were consulted in the development of the reforms acknowledge and promote the importance and value of including families/carers require services to involve families/carers in decisions about treatment and care, if the consumer consents allow information to be shared with families/carers as required to enable the ongoing support and care of consumers establish a Mental Health Complaints Commissioner to investigate and respond to complaints about mental health treatment and care in the public system focus on recovery empower and support consumers to make decisions about their treatment and care commence at a date to be set when the Mental Health Bill is passed. Passage of the Bill is expected to be in early 2014. Where can I get more information? The Mental Health Act reform website www.health.vic.gov.au/mentalhealth/mhactreform/ A new Mental Health Act for Victoria – Summary of Proposed Reforms can be found on this website. The Mental Health Act reform enquiry line 1300 656 692 mhactreform@health.vic.gov.au Your local Mental Health Act Implementation Officer Jim Reid 03 5454 6292 jreid@bendigohealth.org.au www.bendigohealth.org.au Victorian Mental Health Carers Network (VMHCN) David White 03 8803 5501 david.white@carersnetwork.org.au www.carersnetwork.org.au Information for carers What you need to know about Victoria’s new Mental Health Act How will the new Act impact me and the person I care for? The new Act is expected to change how mental health services are delivered. It will require services to: promote your engagement and involvement in the ongoing support of the person you care for include you in decisions about treatment and care if the person you care about consents or you need that information to perform your caring role provide you with the information you require to provide ongoing care and support to the person you care for continually improve the quality and safety of the services provided. The new Act will also: support you and the person you care for to make decisions about treatment and care by providing access to second psychiatric opinions and establishing advance statements and nominated persons in the Act ensure personal recovery goals are part of decision-making strengthen your ability to make a complaint if you are not satisfied with how assessment, treatment or care has been provided establish the Mental Health Tribunal, which will be responsible for making compulsory treatment orders and determining whether to approve applications for electroconvulsive treatment (ECT) for compulsory patients who do not have capacity to make a decision about ECT and all young persons under the age of 18 years. The Tribunal will also periodically review the orders of prisoners (security patients). What happens if the person I care for becomes unwell? The new Act will include a presumption of capacity. A presumption of capacity recognises that even if the person you care for is unwell, they may be able to make decisions about their treatment and care. The Act will require mental health services to support the person you care for to make or participate in decisions about their treatment. Under the new Act, the person you care for will be able to appoint a nominated person. If they appoint you as their nominated person, and then become unwell and require treatment, services will be required to share information and consult with you about decisions about their treatment. When the person you care for is well, they will be able to formally set out their preferences for treatment and care in an advance statement. You may be able to encourage and assist with this. The new Act sets out clear criteria for when and how long a compulsory treatment order can be made. Compulsory orders will comprise: an Assessment Order a Temporary Treatment Order (maximum 28-day order) a Treatment Order (inpatient maximum 6 months and community maximum 12 months) For more information on the criteria for compulsory orders, refer to the Summary of Proposed Reforms. The authorised psychiatrist of a designated mental health service will be able to make a Temporary Treatment Order if all of the criteria apply. The Mental Health Tribunal will make Treatment Orders if all of the criteria apply. The Tribunal is an independent body that will replace the Mental Health Review Board. What other changes can I expect? The new Act will also set up the Mental Health Complaints Commissioner, an independent body that receives and deals with complaints about public mental health services. If you are unhappy with how an assessment, treatment or care has been provided, you will be able to make a complaint to the Commissioner. They will then investigate the complaint and work with the service to fix any problems. Once the new Act has commenced, the person you care for may be able to seek a second psychiatric opinion about their treatment. This means that they can have their treatment reviewed by another psychiatrist. The second psychiatric opinion report will be taken into account by the authorised psychiatrist when they are providing treatment to the person you care for. How will changes be implemented? Each mental health service has employed an Implementation Officer to help prepare for the new Act. This will include making sure carers and families are kept up-to-date on the progress of the changes. Information and training will be provided to mental health workers to inform them about the changes and what will be expected under the new Act. The Implementation Officer will include information on the new requirements and how they should be applied.