TREATMENT GUIDELINE FOR BIPOLAR MOOD DISORDER (BMD)
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GO TO ALGORITHM BMD MANAGEMENT LEVEL 3
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THE MENTAL HEALTH CARE ACT, 17 OF 2002 AND THE MENTAL HEALTH CARE USER
   
VOLUNTARY MENTAL HEALTH CARE USER SECTION 25 ASSISTED MENTAL HEALTH CARE USER SECTION 26, 27, 28, 29, 30 AND 31 INVOLUNTARY MENTAL HEALTH CARE USER SECTION 32, 33, 34, 35, 36, 37 AND 38 EMERGENCY INVOLUNTARY MENTAL HEALTH CARE USER SECTION 9(1)©
               
CAPABLE TO CONSENT INCAPABLE OF MAKING INFORMED DECISION  WITHOUT CONSENT WITHOUT CONSENT
               
ADMIT TO ANY PRIVATE HOSPITAL (OR STATE FACILITY) REGISTERED AS A HOSPITAL BY THE PROVINCIAL DEPARTMENT OF HEALTH REGULATION 42(1) AND TO BE LICENCED TO PERFROM ELECTRO CONVULSIVE TREATMENT BY THE HEAD OF THE PROVINCIAL DEPARTMENT OF HEALTH  ADMIT TO PRIVATE HOSPITAL (OR STATE HOSPITAL) LICENCED BY THE NATIONAL DEPARTMENT OF HEALTH TO ADMIT ASSISTED OR INVOLUNTARY MENTAL HEALTH CARE USERS REGULATION 42(2) AND TO BE LICENCED TO PERFROM ELECTRO CONVULSIVE TREATMENT BY THE HEAD OF THE PROVINCIAL DEPARTMENT OF HEALTH REGULATION 33(4) ECT REGISTER TO BE SUBMITTED TO REVIEW BOARD QUATERLY ON FORM MHCA 47 ADHERE TO RULES RELATED TO ECT REGULATION 33 NO SLEEP THERAPY TO BE PERFORMED REGULATION 34
               
    APPLICATION BY THE NEXT OF KIN WHO HAS SEEN THE USER WITHIN 7 DAYS ON FORM MHCA 02 TO THE HEAD OF THE LICENCED ESTABLISHMENT SECTION 26(A) REGULATION 9(1) APPLICATION BY THE NEXT OF KIN SHO HAS SEEN THE USER WITHIN 7 DAYS ON FORM MHCA 04 TO THE HEAD OF THE LICENCED ESTABLISHMENT SECTION 32(A), 33(1)(2)(3), REGULATION 10(1)(4) MENTAL HEALTH CARE USER CAN ONLY BE ADMITTED FOR 24 HOURS AS EMERGENCY TO LICENCED PRIVATE HOSPITAL (OR STATE HOSPITAL) SECTION 9(2)(B)
   
   
   
   
               
    HEAD OF THE ESTABLISHMENT TO INSTRUCT 2 MENTAL HEALTH CARE PRACTITIONERS TO REPORT ON THE PATIENT’S MENTAL STATE NO TIME LIMIT SECTION 27(4)(A)  HEAD OF THE ESTABLISHMENT TO INSTRUCT 2 MENTAL HEALTH CARE PRACTITIONERS TO REPORT ON THE PATIENT’S MENTAL STATE NO TIME LIMIT SECTION 33(4)(A)(B)  REPORT TO REVIEW BOARD IN 24 HOURS ON FORM MHCA 01 SECTION 9(2)(A) REGULATION 8
   
   
   
   
               
    MENTAL HEALTH PRACTITIONERS TO REPORT FINDINGS ON FORM MHCA 05 NO TIME LIMIT SECTION 27(5) REGULATION 9(5) MENTAL HEALTH PRACTITIONERS TO REPORT FINDINGS ON FORM MHCA 05 NO TIME LIMIT SECTION 33(5)()(B) REGULATION 10(5) IF THE MENTAL HEALTH CARE USER IS BROUGHT IN BY A MEMBER OF THE SOUTH AFRICAN POLICE SERVICE, THE USER MUST BE TAKEN TO AN APPROPRIATE HEALTH ESTABLISHMENT UNDER THE AUSPICES OF THE STATE AND  COMPLETE FORM MHCA 22, SECTION 40(1)
   
   
   
           
    THE 2 PRACTITIONERS TO CONCUR OR A 3RD INSTRUCTED NO TIME LIMIT SECTION 27(6)(A) THE 2 PRACTITIONERS TO CONCUR OR A 3RD INSTRUCTED NO TIME LIMIT SECTION 33(6)(A)
   
   
               
    HEAD OF THE ESTABLISHMENT TO REPORT ON THE DECISION TO THE APPLICANT NO TIME LIMIT ON FORM MHCA 07 SECTION 27(9)  HEAD OF THE ESTABLISHMENT TO REPORT ON THE DECISION TO THE APPLICANT NO TIME LIMIT ON FORM MHCA 07 SECTION 33(8) REGULATION 10(7)  INITIATE PROCESS IF PATIENT ASSISTED OR INVOLUNTARY USER
   
       
       
       
               
    USER TO BE ADMITTED WITHIN 5 DAYS SINCE THE APPLICATION SECTION 27(10) USER TO BE ADMITTED WITHIN 48 HOURS SINCE THE APPLICATION SECTION 33(9)(A)    
       
       
               
    THE HEAD OF THE ESTABLISHMENT TO GIVE NOTICE TO REVIEW BOARD AND SEND COPIES OF FORMS MHCA 05 AND 07 WITHIN 7 DAYS SECTION 28(1) REGULATION 9(8) USER TO BE ASSESSED FOR 72 HOURS AND PRACTITIONER TO REPORT ON FORM MHCA 06 TO THE HEAD OF THE ESTABLISHMENT EVERY 24 HOURS AND WITHIN 12 HOURS AFTER THIS PERIOD SECTION 34(1)(B) REGULATION 11(5)(6)     
       
       
       
       
       
               
    REVIEW BOARD TO REPORT ITS FINDINGS TO THE HEAD OF THE ESTABLISHMENT, THE APPLICANT AND THE HEAD OF THE PROVINCIAL DEPARTMENT OF HEALTH WITHIN 30 DAYS ON FORM MHCA 14 SECTION 28(2), REGULATION 9(9) THE HEAD OF THE ESTABLISHMENT TO REPORT TO THE APPLICANT THE FINDINGS OF THE ASSESSMENT WITHIN 24 HOURS AFTER THE ASSESSMENT SECTION 34(2)    
       
       
       
       
           
    THE HEAD OF THE ESTABLISHMENT TO REPORT TO THE REVIEW BOARD AFTER THE 72 HOUR ASSESSMENT ON FORM MCA 09 SECTION 34(5) REGULATION 11(8) IF USER TO BE AN OUTPATIENT    
           
    HEAD OF THE ESTABLISHMENT TO REPORT ON THE PATIENT TO THE REVIEW BOARD WITHIN 6 MONTHS AND THEN YEARLY ON FORM MHCA 13A SECTION 30(1)(2)(3)     
       
       
           
    THE HEAD OF THE ESTABLISHMENT TO REPORT TO THE REVIEW BOARD WITHIN 7 DAYS AFTER THE 72 HOUR ASSESSMENT ON FORM MCA 07  AS WELL AS A COPY OF THE APPLICATION, THE NOTICE TO THE APPLICANT, THE COPY OF THE ASSESSMENT IF USER TO BE AN INPATIENT SECTION 34(3)(B) REGULATION 11(9)     
           
           
           
           
           
           
           
           
               
        THE REVIEW BOARD TO REPORT WITHIN 30 DAYS TO THE HEAD OF THE ESTABLISHMENT AND THE APPLICANT ON FORM MHCA 14 SECTION 34(7) REGULATION 11(10)    
           
           
           
           
               
        HEAD OF THE ESTABLISHMENT TO REPORT ON THE PATIENT TO THE REVIEW BOARD WITHIN 6 MONTHS AND THEN YEARLY ON FORM MHCA 13A SECTION 30(1)(2)(3)     
           
           
           
           
               
        REVIEW BOARD TO REPORT BACK TO MENTAL HEALTH CARE USER, THE APPLICANT, THE HEAD OF THE ESTABLISHMENT, THE HEAD OF THE PROVINCIAL DEPARTMENT OF HEALTH WITHIN 30 DAYS ON FORM MHCA 17, SECTION 30(4)    
           
           
           
           
           
           
               
HEAD OF THE ESTABLISHMENT TO ISSUE DISCHARGE REPORT MHCA 03 TO THE USER SECTION 16  REGULATION 17 HEAD OF THE ESTABLISHMENT TO ISSUE DISCHARGE REPORT MHCA 03 TO THE USER AND THE REVIEW BOARD SECTION 16  REGULATION 17 REPORT TO REVIEW BOARD IN 24 HOURS ON FORM MHCA 01 SECTION 9(2)(A) REGULATION 8