IE
S.I. No. 202/1946 - Department of Local Government and Public Health. Mental Treatment (Regulations) Order, 1946.
Table of Provisions (15)
Statutory Text (15 Articles)
1. Applicant
(a) Name and Surname in full......................................................
(b) Address............................................................ ....................
(c) Profession or Occupation..........................................................
(d) Particulars of estate or interest in institution................................
2. Person in charge
(a) Name and Surname in full......................................................
(b) Address............................................................ ....................
(c) Profession or Occupation..........................................................
The following additional particulars shall be furnished in the case of an institution which is not already a mental institution
3. Description of Institution
(a) Situation............................................................ ....................
(b) Total acreage of land included in premises...................................
(c) Particulars of buildings............................................................
(d) Condition of repair of buildings..................................................
(e) Number and dimensions of wards and sleeping apartments in institution............................................................ ........................
(f) Number of beds in institution for the accommodation of patients............................................................ ..............................
(g) Particulars of water supply........................................................
(h) Particulars of system of sanitation...............................................
(i) System of heating............................................................ .....
(j) System of lighting............................................................ .....
(k) Particulars of general equipment...............................................
4. Patients to be accommodated in institution
Male.
Female.
Total.
(a) Number of temporary patients
..................
..................
..................
(b) Number of voluntary patients
..................
..................
..................
(c) Number of other patients
..................
..................
..................
(d) Methods of segregation
..................
..................
..................
5. Por ion of premises to be used for purposes for which it is approved
(a) Whether whole of premises is to be so used............................................................ .......................
(b) If only part of premises is to be so used give full particulars of such part and the number of beds therein
............................................................ ..........................
6. Medical Staff of Institution
(a) Name of registered medical practitioner who is to be chief medical officer of institution
............................................................ ............................
(b) Date of registration............................................................ ............................................................ ..........
(c) Special qualifications............................................................ ............................................................ .......
(d) Names, dates of registration and special qualifications of assistant medical officers (if any)
............................................................ .............................
7. Particulars of Nursing Staff to be employed
(a) Matron
(i) Name............................................................ ..............
(ii) Age..........................
(iii) Qualifications............................................................ ....
(b) Assistant Matron
(i) Name............................................................ ..............
(ii) Age..........................
(iii) Qualifications............................................................ ....
(c) Head Nurse (Male)
(i) Name............................................................ ..............
(ii) Age..........................
(iii) Qualifications............................................................ ....
(d) Head Nurse (Female)
(i) Name............................................................ ..............
(ii) Age..........................
(iii) Qualifications............................................................ ....
(e) Number of other nurses (male)..................................................
(f) Name and qualifications of each..............................................
(g) Number of other nurses (female)...............................................
(h) Name and qualifications of each..................................................
Signature of Applicant............................................................
Date.............................................
GIVEN under the Official Seal of the Minister for Local Government and Public Health, this third day of April, One Thousand Nine Hundred and Forty-six.
(Signed) F. C. WARD,
Parliamentary Secretary to the Minister for Local Government and Public Health.
The Minister for Finance hereby consents to the provisions of Article 61 of this Order.
(Signed) PROINNSÍAS MAC AODHAGÁIN,
GIVEN under the Official Seal of the Minister for Finance, this sixteenth day of April, One Thousand Nine Hundred and Forty-six.
8. Whether a voluntary patient, a temporary patient or a person of unsound mind............................................................ ...............................
9. Whether chargeable patient or private patient.......................................
10. Date and time of death............................................................ ..............
11. Cause of death............................................................ ......................
12. Whether cause of death was verified by post-mortem examination................ ............................................................ ......................................
13. Duration of disease from which person died.............................................
14. Name or names of person or persons present at the time of death............. ............................................................ .........................................
Signed...........................................................
Person in Charge of Mental Institution
Date.......................................................
To The Minister for Local Government and Public Health.
FORM NO. 28.
MENTAL TREATMENT ACT, 1945
.
FORM OF COMPULSORY ACQUISITION ORDER.
Whereas the (a)............................................................ ............................(hereinafter referred to as " the local authority ") in the exercise and performance of their powers and duties as a mental hospital authority require to take compulsorily the lands described in the Schedule hereto for the purpose (b)............................................................ ..........................................
Now therefore the local authority in pursuance of the
Mental Treatment Act, 1945
, do hereby make the following order, that is to say :—
STATUTORY RULES AND ORDERS. 1946. No. 202.
DEPARTMENT OF LOCAL GOVERNMENT AND PUBLIC HEALTH. MENTAL TREATMENT (REGULATIONS) ORDER, 1946.
ARRANGEMENT OF ARTICLES.
PART I.
PRELIMINARY.
Article
Page
1.
Short title and commencement
17
2.
Interpretation
17
PART II.
APPLICABLE TO EVERY MENTAL INSTITUTION.
Records.
3.
Form of records
17
4.
Records to be kept in institutions
19
5.
Register of receptions
19
6.
Register of discharges, removals and deaths
19
7.
Register of patients
19
8.
Case book
19
Forms relating to Reception of Patients.
9.
Reception of chargeable patients as persons of unsound mind
23
10.
Report by public assistance authority under Section 231 of the Act
23
11.
Application for reception of private patient as person of unsound mind
23
12.
Particulars to accompany application
23
13.
Order for reception of private patient as person of unsound mind
23
14.
Reception of temporary patients
23
15.
Reception of chargeable patient as voluntary patient
23
16.
Notice of reception of chargeable patient as voluntary patient
23
17.
Notice of reception of private patient as voluntary patient
23
Treatment of Patients.
18.
Classification of patients
25
19.
Examination of patient on reception
25
Treatment of Patients.
Article
Page
20.
Prohibited articles
25
21.
Accommodation of patients
25
22.
Bathing of patient on reception
25
23.
Rules in regard to baths
25
24.
Report of chief medical officer after reception of patient
25
25.
Sleeping hours of patients
25
26.
Dietary of patients
27
27.
Meal hours
27
28.
Treatment of patients
27
29.
Employment of patients
27
30.
Visitation of patients
27
31.
Correspondence of patients
27
32.
Notification of illness of patient
27
Restraint and Seclusion.
33.
Mechanical means of restraint and seclusion
27
34.
Additional means of restraint
29
Departure of Patients.
35.
Notice of escape, removal or discharge of patient
31
36.
Notice of return of patient who has escaped or is removed
33
37.
Notice of departure of voluntary patient
33
38.
Notice to relatives of death
33
39.
Notice to Minister of death
33
40.
Report of death to coroner
33
PART III.
APPLICABLE TO MENTAL HOSPITAL AUTHORITIES.
Acquisition of Land.
41.
Prescribed forms
33
42.
Prescribed map
35
Care of Institutions.
43.
Repair of defects
35
44.
Insurance of institutions
35
Records.
Article
Page
45.
Additional prescribed records
37
Visiting Committees.
46.
Rules for visiting committees
37
Religious services in Institutions.
47.
Religious services and chaplains
39
Patients in Mental Institutions.
48.
Clothes of patients
39
49.
Escort for patient being transferred
39
50.
Procedure on death of a patient
41
Boarding-out of Patients in Private Dwellings.
51.
Boarding-out requirements
41
52.
Prohibitions in regard to boarding-out
43
53.
Clothes of boarded-out patients
43
54.
Visiting committees for boarded-out patients
43
Accounts of Mental Hospital Authorities.
55.
Application of Public Bodies Order to mental hospital authorities
45
56.
Determination of net cost of maintenance of chargeable patients
45
57.
Calculation of cost of care, maintenance and treatment
47
PART IV.
APPLICABLE TO PRIVATE INSTITUTIONS.
58.
Form of application for registration
47
59.
Maps to accompany application for registration
49
60.
Form of application for renewal of registration
49
61.
Prescribed fees
49
62.
Certificate of registration
51
63.
Additions and alterations to institutions
51
64.
Change in medical staff
51
65.
Visitation of institution by medical practitioner
51
66.
Duties of visiting registered medical practitioner
51
67.
Medical visitation of single patients
53
PART V.
APPLICABLE TO PRIVATE CHARITABLE INSTITUTIONS.
Article
Page
68.
Form of application for registration
53
69.
Maps to accompany application for registration
55
70.
Form of application for renewal of registration
55
71.
Certificate of registration
57
72.
Additions and alterations to institutions
57
73.
Change in medical staff
57
74.
Visitation of institution by medical practitioner
57
75.
Duties of visiting registered medical practitioner
57
PART VI.
APPLICABLE TO APPROVED INSTITUTIONS.
76.
Form of application for approval of institution
59
77.
Change in medical staff
61
78.
Medical visitation of patients
61
79.
Duties of medical officer
61
SCHEDULE.
RELATING TO REGISTERS TO BE KEPT IN MENTAL INSTITUTIONS.
FORM
1.
Register of Receptions
65
2.
Register of discharges, removals and deaths
67
3.
Register of patients
69
4.
Register of mechanical restraint and seclusion
71
RELATING TO CHARGEABLE PATIENT RECEPTION ORDERS.
5.
Application for recommendation for reception of a person as a person of unsound mind and as a chargeable patient
73
6.
Application under Section 165 of the Act by member of Gárda Síochána for recommendation for reception
77
7.
Application under Section 166 of the Act by the appropriate assistance officer for recommendation for reception
79
Relating to Chargeable Patients Reception Orders.
Form
Page
8.
Statement of particulars to accompany application for reception as a person of unsound mind
81
9.
Recommendation for reception of a person as a person of unsound mind and as a chargeable patient
85
10.
Order for the reception of a person as a person of unsound mind and a chargeable patient
87
11.
Report by public assistance authority for the purposes of Section 231 of the Act
89
RELATING TO PRIVATE PATIENT RECEPTION ORDERS.
12.
Application for a private patient reception order
95
13.
Order for reception of a person as a person of unsound mind and a private patient
99
RELATING TO TEMPORARY PATIENT RECEPTION ORDERS.
14.
Application for reception of a person as a temporary patient and a chargeable patient
103
15.
Certificate of authorised medical officer to accompany application for reception as temporary patient and chargeable patient
107
16.
Order for reception of person as temporary patient and chargeable patient
109
17.
Application for reception of person as temporary patient and private patient
111
18.
Certificate of registered medical practitioners to accompany application for reception as temporary patient and private patient
113
19.
Order for reception of person as temporary patient and private patient
115
RELATING TO VOLUNTARY PATIENTS.
20.
Application for reception of person as voluntary patient and chargeable patient
117
21.
Notice of reception of person as a voluntary patient and a chargeable patient
119
22.
Notice of reception of person as a voluntary patient and a private patient
121
RELATING TO NOTICES AND REPORTS TO MINISTER.
Form
Page
23.
Report to Minister by chief medical officer of mental institution upon the expiration of twenty-one days after the reception of a person under a reception order
121
24.
Notice to Minister of escape, removal or discharge from mental institution of a person detained under a reception order
123
25.
Notice to Minister of return to a mental institution of a person detained under a reception order who has escaped or been removed
125
26.
Notice to Minister of departure from approved institution of a person who had been treated therein as a voluntary patient
125
27.
Notice to Minister of death in mental institution of a patient who had been detained therein under a reception order or who was being treated therein as a voluntary patient
127
RELATING TO ACQUISITION OF LAND BY MENTAL HOSPITAL AUTHORITIES.
28.
Compulsory acquisition order
129
29.
Advertisement of making of compulsory acquisition order
131
30.
Notice to owners or reputed owners, lessees or reputed lessees and occupiers of the making of a compulsory acquisition order
133
31.
Advertisement of notice of confirmation of compulsory acquisition order
135
32.
Notice to objector who appeared at local inquiry of confirmation of compulsory acquisition order
137
RELATING TO BOARDING-OUT OF PATIENTS.
33.
(i) Contract for a chargeable patient boarded-out
139
(ii) Contract for a private patient boarded-out
141
RELATING TO PRIVATE INSTITUTIONS.
34.
Application for registration of a private institution
143
35.
Application for renewal of registration of a private institution
147
36.
Certificate of registration of a private institution
147
37.
Statement of registered medical practitioner as to health of a person of unsound mind in a private institution
149
RELATING TO PRIVATE CHARITABLE INSTITUTIONS.
Form
Page
38.
Application for registration of a private charitable institution
151
39.
Application for renewal of registration of a private charitable institution
155
40.
Certificate of registration of a private charitable institution
155
RELATING TO APPROVED INSTITUTIONS.
41.
Application for approval of an institution for the reception of temporary or voluntary patients
157
S.I. No. 202. 1946.
DEPARTMENT OF LOCAL GOVERNMENT AND PUBLIC HEALTH.
THE MENTAL TREATMENT ACT, 1945.
THE MENTAL TREATMENT (REGULATIONS) ORDER, 1946.
The Minister for Local Government and Public Health in exercise of the powers vested in him by the
Mental Treatment Act, 1945
, and of all other powers in this behalf enabling him, by this his Order, makes the regulations hereinafter appearing and hereby orders and declares as follows, that is to say :—
PART I. PRELIMINARY.
1 Short title and commencement
1.
—(1) This Order may be cited as the Mental Treatment (Regulations) Order, 1946.
(2) This Order shall come into operation on the commencement of the
Mental Treatment Act, 1945
.
2 Interpretation.
2.
—(1) In this Order unless the context otherwise requires
the expression " the Act " means the
Mental Treatment Act, 1945
;
the expression " patient " means a person suffering from illness of a mental or kindred nature and receiving care and treatment in a mental institution and a person receiving advice or treatment at a consulting room or clinic in pursuance of the provisions of the Act ;
the expression " intern patient " means a patient residing in a mental institution and receiving care and treatment therein.
(2) A reference in this Order to an officer in relation to any function shall be construed to include a person authorised to discharge and discharging such function during the absence or inability to act of such officer.
PART II. APPLICABLE TO EVERY MENTAL INSTITUTION.
RECORDS.
3 Form of records.
3.
Where in this Order any book, record, report or other document is directed to be kept or made in connection with a mental institution and the form thereof is not prescribed, such book, record, report or document shall be kept or made in such form as the person in charge shall determine.
4 Records to be kept in institutions.
4.
In addition to any other records prescribed in this Order there shall be kept in each mental institution for the accommodation of intern patients the following records :—
(
a
) a register of receptions ;
(
b
) a register of discharges, removals and deaths ;
(
c
) a register of patients ;
(
d
) case books ;
(
e
) a medical journal ;
(
f
) a diet book ;
(
g
) an epileptic record ;
(
h
) a casualty record ;
(
i
) a register of mechanical restraint and seclusion ;
(
j
) chaplains' books.
5 Register of receptions.
5.
—(1) The register of receptions to be kept in a mental institution shall be in the Form No. 1 in the Schedule to this Order.
(2) A separate register of receptions shall be kept for persons of unsound mind, temporary patients and voluntary patients maintained in a mental institution.
6 Register of discharges, removals and deaths.
6.
—(1) The register of discharges, removals and deaths to be kept in a mental institution shall be in the Form No. 2 in the Schedule to this Order.
(2) A separate register of discharges, removals and deaths shall be kept for persons of unsound mind, temporary patients and voluntary patients maintained in a mental institution.
7 Register of patients.
7.
The register of patients to be kept in a mental institution shall be in the Form No. 3 in the Schedule to this Order and shall contain the following particulars in regard to every patient taken care of in the institution :—
(
a
) full name, address, profession or occupation, age and sex of the patient, with date of reception, and information as to whether patient is married, single or widowed, whether a person of unsound mind, a temporary patient or a voluntary patient, whether a chargeable patient or a private patient, with particulars as to mental illness and bodily condition of patient, particulars of previous treatment in an institution, and names of medical practitioners recommending or ordering reception,
(
b
) particulars of discharge, removal or death.
8 Case book
8.
—(1) A case book to be kept in a mental institution may be either in book form or in loose-leaf form.
(2) An entry in the case book in relation to a patient shall be made at the following times :—
(
a
) immediately after the patient is examined on reception ;
(
b
) at the expiration of each week during the first four weeks after the patient's reception ;
(
c
) at the expiration of each month for the next three months ;
(
d
) once in each quarter afterwards ; and also
(
e
) at any time when there is a change in the patient's condition or when anything unusual occurs in relation to the patient.
(3) Entries of the following particulars shall be made in the case book in regard to each patient :—
(
a
) the name, date of reception, age, sex, religion, occupation, whether married, single or widowed, nationality, whether subject to epilepsy, whether suicidal or dangerous to others, whether chargeable or private, whether a former member of Defence Forces, whether a prisoner, address of nearest relatives ;
(
b
) the family history of the patient, with special attention to the presence or absence of mental or nervous disorder in the relatives ;
(
c
) the personal history of the patient including particulars of previous attacks of mental or nervous disorders ;
(
d
) the history of the illness for which patient is being treated including the aetiological factors of the disease in so far as they are ascertainable ;
(
e
) a description of the phenomena of the mental illness ;
(
f
) a record of a complete physical examination of the patient ;
(
g
) a diagnosis of the case.
(4) A copy of the following document shall be made or attached to the case book :—
(
a
) in the case of a chargeable patient, the recommendation for reception ;
(
b
) in the case of a private patient, the reception order ;
(
c
) in the case of a temporary patient, the reception order, and
(
d
) in the case of a voluntary patient, the medical recommendation.
(5) In the case of a temporary patient particulars of any extension of the period of detention shall, immediately on receipt of notification of extension by the Minister, be entered in the case book with the reasons therefor.
(6) In the event of any change in the classification of the patient or of the departure, discharge or transfer of the patient the fact shall be noted in the case book with the date thereof and particulars of the destination of the patient.
(7) In the event of the death of a patient particulars from the notice of death sent to the Minister shall be entered in the case book.
(8) In a mental institution in which temporary patients and voluntary patients are maintained as well as persons of unsound mind separate case books shall be kept in relation to each of these classes of patients.
RECEPTION OF PATIENTS.
9 Reception of chargeable patients as persons of unsound mind.
9.
Forms Nos. 5 to 10 in the Schedule to this Order shall be the prescribed forms for the purpose of Chapter I of Part XIV of the Act and shall be used for the purpose for which they are respectively expressed to be applicable.
10 Report by public assistance authority under section 231 of the act.
10.
The particulars to be furnished by a public assistance authority to a mental hospital authority in pursuance of section 231 of the act shall be sent in the Form No. 11 in the Schedule to this Order.
11 Application for reception of private patient as person of unsound mind.
11.
An application for the reception of a person as a person of unsound mind and a private patient shall be in the Form No. 12 in the Schedule to this Order.
12 Particulars to accompany application.
12.
The statement of particulars to accompany an application for the reception of a person as a person of unsound mind and a private patient shall be in the Form No. 8 in the Schedule to this Order.
13 Order for reception of private patient as person of unsound mind.
13.
An Order for the reception of a person as a person of unsound mind and a private patient shall be in the Form No. 13 in the Schedule to this Order.
14 Reception of temporary patients.
14.
Forms Nos. 14 to 19 in the Schedule to this Order shall be the prescribed forms for the purposes of Chapter III of Part XIV of the Act and shall be used for the purpose for which they are respectively expressed to be applicable.
15 Reception of chargeable patient as voluntary patient.
15.
An application for the reception of a person in an approved institution as a voluntary patient and a chargeable patient shall be in the Form No. 20 in the Schedule to this Order.
16 Notice of reception of chargeable patient as voluntary patient.
16.
The notice to the Minister of the reception of a person in an approved institution as a voluntary patient and a chargeable patient shall be in the Form No. 21 in the Schedule to this Order.
17 Notice of reception of private patient as voluntary patient.
17.
The notice to the Minister of the reception of a person in an approved institution as a voluntary patient and a private patient shall be in the Form No. 22 in the Schedule to this Order.
TREATMENT OF PATIENTS.
18 Classification of Patients.
18.
Patients in a mental institution shall be classified and suitable accommodation assigned to each class.
19 Examination of patient on reception.
19.
Each patient shall, after reception for intern treatment in a mental institution, be examined by appropriate members of the staff and any contusions or injuries on the person of the patient shall be carefully noted and the attention of the person who conveyed the patient to the institution shall be called to any such contusions or injuries.
20 Prohibited articles.
20.
A patient shall not be allowed to bring into a mental institution any intoxicating liquors or other articles the introduction of which to the institution is forbidden by the person in charge of the institution.
21 Accommodation of Patients.
21.
Each patient on reception in a mental institution shall be assigned to the division of institution appropriate to him.
22 Bathing of patient on reception.
22.
Unless the chief medical officer of the institution shall otherwise direct each patient on reception for intern treatment in a mental institution shall be bathed.
23 Rules in regard to baths.
23.
—(1) Except on the order of a medical officer of the institution the temperature of a bath for a patient in a mental institution shall not be less than 88 nor more than 98 degrees, Fahrenheit.
(2) Except where a medical officer of the institution otherwise directs each intern patient in a mental institution shall be bathed at least once a week.
(3) Every bath given to a patient shall be a separate bath with clean water and clean towels.
(4) At least one nurse shall be present while a patient is being bathed.
(5) A nurse present at the bathing of a patient shall make a note of any contusions or marks on the body of the patient and make a report in regard to them to the person in charge of the institution.
(6) A copy of this regulation shall be posted up in each bathroom in a mental institution.
24 Report of Chief Medical Officer after reception of patient.
24.
The report to the Minister by the chief medical officer of a mental institution upon the expiration of twenty-one days after the reception of a person in the institution under a reception order shall be in the Form No. 23 in the Schedule to this Order.
25 Sleeping hours of patients.
25.
The hours during which patients in a mental institution shall be confined to bed for sleep each night shall be fixed by the person in charge who may vary the hours in any particular case.
26 Dietary of patients.
26.
—(1) The dietary of intern patients in a mental institution shall be in accordance with such scale or scales as may be drawn up by the chief medical officer of the institution with the approval of the mental hospital authority in the case of an institution maintained by them or of the person in charge in any other case.
(2) A medical officer of a mental institution may in any particular case in which he may deem it necessary so to do prescribe articles of diet additional to or in substitution for those provided in the approved dietary scales.
27 Meal hours.
27.
The hours at which meals shall be served to intern patients in a mental institution shall be those fixed by the person in charge.
28 Treatment of patients.
28.
Patients in a mental institution shall be treated with all gentleness compatible with their condition ; and restraint, when necessary, shall be as moderate, both in extent and duration, as is consistent with the safety and advantage of the patients.
29 Employment of patients.
29.
Patients in a mental institution shall in so far as suitable employment can be provided for them be kept employed according to their capacity and ability.
30 Visitation of patients.
30.
The chief medical officer of a mental institution may, with the approval of the person in charge, fix certain days on which patients in the institution may be visited by relatives and friends and may prescribe hours during which such visits may take place, provided that the chief medical officer may prohibit a visit in any particular case.
31 Correspondence of patients.
31.
All correspondence or letters to or from an intern patient in a mental institution shall pass through the person in charge of the institution but letters to which section 266 of the act refers shall not be opened.
32 Notification of illness of patient.
32.
In case of dangerous illness or serious injury of an intern patient in a mental institution notification shall be sent forthwith to any relative or friend whom the patient may desire to see, or, if the patient does not express any desire in this respect, to the applicant for the reception order or the person who made the last payment in respect of the patient or to such relative as the person in charge of the institution thinks proper.
RESTRAINT AND SECLUSION.
33 Mechanical means of restraint and seclusion.
33.
—(1) Mechanical means of bodily restraint of patients in mental institutions means and includes all instruments and appliances whereby the movements of the body or any part of the limbs of a patient are restrained or impeded.
(2) Seclusion of a patient in a mental institution means the placing of a patient (except during the hours fixed generally for the patients in the institution to retire for sleep) in any room alone and with the door of exit locked or fastened or held in such a way as to prevent the egress of the patient.
(3) Mechanical means of bodily restraint or seclusion shall not be used except on an order signed by a medical officer of the institution or by the registered medical practitioner who is attending the patient.
(4) In every case where mechanical means of bodily restraint or seclusion is applied particulars describing the means of restraint or seclusion used and the grounds therefor shall be entered in the Register of Mechanical Restraint and Seclusion in the Form No. 4 in the Schedule to this Order. The entry shall be made and signed by the medical officer or registered medical practitioner who ordered the restraint or seclusion each day throughout the whole period during which the restraint or seclusion is used.
(5) A copy of the entries, if any, in the Register of Mechanical Restraint and Seclusion shall be forwarded to the Minister at the end of each quarter.
(6) The following instruments and appliances only shall be made use of for the purpose of mechanical restraint :—
(
a
) a jacket or dress laced or buttoned down the back, made of strong linen, with long outside sleeves fastened to the dress only at the shoulders, and having closed ends to which tapes may be attached for tying behind the back when the arms have been folded across the chest ; or
(
b
) a jacket with blind sleeves forming part of the dress ;
(
c
) gloves without fingers, fastened at the wrists with buttons or locks, and made of strong linen or chamois leather, padded or otherwise ;
(
d
) sheets or towels, when tied or fastened to a bed or other object.
(7) During the use of any of the mechanical appliances specified in the preceding sub-article the patient shall be kept under special supervision continuously, and shall under no circumstances be left unattended and shall be visited frequently by the nurse in charge of the department in which the patient is accommodated and at regular intervals by the medical officer or registered medical practitioner who ordered the use of such appliances.
(8) A patient in seclusion shall be visited once in every fifteen minutes by the nurse in charge of the department in which the patient is accommodated and at regular intervals by the medical officer or registered medical practitioner who ordered the seclusion.
34 Additional means of restraint.
34.
The following shall not be considered as mechanical means of bodily restraint for the purposes of the next preceding article, but they may be used only on the order of a medical officer or registered medical practitioner and a record shall be made of their use in the clinical records :—
(
a
) a continuous bath the cover of which shall not be used unless the aperture therein for the patient's head is large enough to allow his body to pass through ;
(
b
) dry and wet pack in which the patient shall be swathed in sheet and blankets only, the outer sheet being, if necessary, sewn or pinned ; straps or ligatures of any kind shall not be used and the patient shall be released for necessary purposes at intervals not exceeding two hours ;
(
c
) splints, bandages and other like appliances used in accordance with recognised surgical practice for operations or the treatment of fractures or other local injuries. They shall not be applied so as to interfere with the free movement of the body or limbs more than is necessarily incident to their use for such purpose ;
(
d
) gloves if fastened so as to be removable by the wearer ;
(
e
) sheets and towels for the purposes of artificial feeding when held by nurses and not tied or fastened ;
(
f
) trays or rails fastened to the front of chairs to prevent young persons, cripples or aged infirm adults from falling out and thereby injuring themselves ; provided that in the case of an adult it is within the patient's power to undo the fastening ;
(
g
) any restraint which is necessary for the sole purpose of enabling electrical or other special treatment to be given to a patient.
DEPARTURE OF PATIENTS.
35 Notice of escape, removal of discharge of patient.
35.
The notice to be given to the Minister of the escape, removal or discharge from a mental institution of a patient who had been detained therein under a reception order shall be in the Form No. 24 in the Schedule to this Order and shall contain the following particulars :—
(
a
) the name of the institution, the full name and address of the person who had been detained, whether he was a temporary patient or a person of unsound mind, a chargeable patient or a private patient ;
(
b
) the date of the escape, removal or discharge ;
(
c
) (i) if escape—particulars of mental condition on escape and circumstances of escape,
(ii) if removal—place to which removed and purpose of removal,
(iii) if discharge—particulars of mental condition on discharge and circumstances of discharge if not improved.
36 Notice of return of patient who has escaped or is removed.
36.
Where a patient who had been detained in a mental institution under a reception order escapes or is moved therefrom and is again admitted to or brought back to the institution the notice given to the Minister of the return of the patient to the institution shall be in the Form No. 25 in the Schedule to this Order and shall contain the following particulars :—
(
a
) the name of the institution, the full name and address of the patient, whether he is a temporary patient or a person of unsound mind, a chargeable patient or a private patient ;
(
b
) date of reception preceding escape or removal, date of escape or removal, date of return to the institution, and the circumstances under which the patient is brought back.
37 Notice of departure of voluntary patient.
37.
The notice to the Minister of the departure of a voluntary patient from an approved institution shall be in the Form No. 26 in the Schedule to this Order.
38 Notice to relatives of death.
38.
In the event of the death of a patient in a mental institution immediate notice of the death shall be given to the nearest relatives of the deceased who may be known to the person in charge.
39 Notice to Minister of death.
39.
The notice to be given to the Minister of the death in a mental institution of a patient who has been detained therein under a reception order or who was being treated therein as a voluntary patient shall be in the Form No. 27 in the Schedule to this Order and shall contain the following particulars :—
(
a
) the name of the institution, the full name, address, sex, age and profession or occupation of patient, whether he was a voluntary patient, a temporary patient or a person of unsound mind, a chargeable patient or a private patient, and whether the patient was married, single or widowed,
(
b
) the time, cause and circumstances of the death, the duration of the illness leading up to death and the name or names of any persons present at the death.
40 Report of death to Coroner.
40.
The report on the death of a patient to be given to the coroner shall contain the particulars prescribed in the next preceding article.
PART III. APPLICABLE TO MENTAL HOSPITAL AUTHORITIES.
ACQUISITION OF LAND.
41 Prescribed forms.
41.
Forms Nos. 28 to 32 set forth in the Schedule to this Order shall be prescribed forms for the purposes of Part VII of the Act and shall be used for the purposes for which they are respectively expressed to be applicable.
42 Prescribed map.
42.
The map by reference to which the lands to which a compulsory acquisition order relates are required to be described shall comply with the following conditions :—
(1) The map shall be upon a scale of not less than one inch to every 220 feet, and unless the whole of such map shall be upon a scale of not less than one inch to every 100 feet an enlarged map shall be added of any building, yard, or garden upon a scale of not less than one inch to every 100 feet.
(2) Each field, enclosure, road, passage, house, building, stream, well or spring, which is to be taken, wholly or in part, shall be clearly shown on the map and coloured pink thereon, with fences of the lands abutting thereon accurately indicated and with the areas to be taken marked in acres, roods and perches, statute measure, and clearly defined by boundaries.
(3) Each separate parcel of land or property of any kind shall be indicated and marked on the map by a distinctive number corresponding to a number assigned to such property in the schedule to the compulsory acquisition order.
(4) The map shall show all townland boundaries, so far as they intersect or closely adjoin the lands scheduled in the compulsory acquisition order, and either (
a
) in respect of each scheduled parcel of land in a rural area, the names of the townland, district electoral division, electoral area, and county ; or (
b
) in respect of each scheduled parcel of land in a municipal area, the electoral area, parish, street and number.
(5) The scale of the map shall be clearly marked thereon and the points of the compass and a portion of any closely adjoining street or road shown, with the name thereof, or with words indicating the towns or villages to or from which the street or road leads.
(6) The map shall be sealed with the seal of the mental hospital authority, duly authenticated, and shall be marked by endorsement thereon of the short title of the compulsory acquisition order to which it relates.
CARE OF INSTITUTIONS.
43 Repair of defects.
43.
A mental hospital authority shall keep in good and substantial repair the premises and fixtures of their district mental hospital and of any other institution maintained by them, and shall from time to time remedy without delay any defect in the repair of such hospital or institution, its water supply, drainage, heating or ventilation, or in the furniture or fixtures thereof.
44 Insurance of Institutions.
44.
A mental hospital authority shall insure and keep insured in such manner as they shall determine the premises of their districtmental hospital and of any other institution maintained by them against any loss or damage by fire, for such sum as shall be reasonably sufficient to cover any probable loss.
RECORDS.
45 Additional prescribed records.
45.
In addition to any other records prescribed in this Order there shall be kept in each institution maintained by a mental hospital authority for intern patients the following records :—
(
a
) a surgeon dentist's book ;
(
b
) a stimulant's book ;
(
c
) extra diet books ;
(
d
) a postmortem book ;
(
e
) a morning statement book ;
(
f
) a matron's clothing, materials and conversion book ;
(
g
) a requirements book ;
(
h
) books for reports of the various officers required to make daily reports ;
(
i
) a visitors' book ;
(
j
) a gatekeeper's book.
VISITING COMMITTEES.
46 Rules for visiting committees.
46.
The following rules shall apply to the visiting committee of a district mental hospital or other institution maintained by a mental hospital authority and to the visiting committee of an auxiliary mental hospital :—
(
a
) the visiting committee or any two or more members thereof shall inspect the hospital or institution at least once in each month ;
(
b
) on the occasion of each visit of inspection to a hospital or an institution the visiting members of a visiting committee shall be accompanied on their visit by the chief medical officer of the institution or by an assistant medical officer acting on his behalf ;
(
c
) on the occasion of each visit of inspection the visiting members of a visiting committee shall do the following things, that is to say :—
(i) inspect the premises including the buildings, out-offices, yards and farm buildings ;
(ii) inquire into the need for repairs to the buildings ;
(iii) inspect the different wards and apartments and see whether cleanliness is observed therein ;
(iv) inspect the furnishing of the different apartments in the buildings and inquire as to the state of repair of the furniture ;
(v) examine the heating, ventilation, lighting, sanitation and water supply of the buildings and see whether any repairs or improvements are required ;
(vi) inquire into the health and general condition of the patients ;
(vii) make inquiries as regards the dietary of the patients ;
(viii) make inquiries into and examine the occupations pursued by the patients and see whether any improvements can be suggested ;
(ix) afford patients an opportunity of seeing them and making complaints if they desire to do so ;
(x) inspect the work on the farms and in the gardens and ascertain whether any improvements can be effected ;
(xi) enter in the visitors' book any remarks which they think proper in regard to the condition and management of the hospital or institution and the patients therein ;
(
d
) within one week after a visit by the visiting members of a visiting committee to a hospital or institution the committee shall submit a report on the visit to the mental hospital authority.
RELIGIOUS SERVICES IN INSTITUTIONS.
47 Religious services and Chaplains.
47.
—(1) In each district mental hospital, auxiliary mental hospital and other institution maintained by a mental hospital authority for intern patients provision shall be made for the holding of religious services on each Sunday and at other suitable times for patients and in particular for the celebration of Mass on each Sunday and each Holy-day of Obligation at such time or times as will permit of the attendance at Mass of all the Catholic patients whose condition of health does not prevent their attendance.
(2) A mental hospital authority shall appoint such number of persons to be Chaplains of the district mental hospital and any other institution maintained by them as shall in the opinion of the Minister be requisite for affording religious aid to the patients.
PATIENTS IN MENTAL INSTITUTIONS.
48 Clothes of patients.
48.
A patient in a mental institution maintained by a mental hospital authority may, if the person in charge so approves, be permitted whilst in the institution to wear or use any clothing or other articles belonging to him.
49 Escort for patient being transferred.
49.
Where it is proposed in the case of an intern patient in a mental institution maintained by a mental hospital authority to transfer the patient to another institution the person in charge of the institution from which the patient is being transferred shall provide such suitable escort for the patient as he considers necessary.
50 Procedure on death of patient.
50.
On the death of a patient in an institution maintained by a mental hospital authority the following steps shall be taken :—
(
a
) a member of the medical staff of the institution shall inspect the body and carefully note any contusions, injuries, bedsores, or other marks, and enter particulars thereof in the post-mortem register ;
(
b
) particulars from the notice of the death sent to the Minister shall be entered in the case book within forty-eight hours of the death ;
(
c
) immediate notice of the death shall be sent to the nearest relatives of the patient who may be known to the person in charge of the institution ;
(
d
) if the relatives of the patient fail within thirty-six hours of the death to give notice of their intention to arrange for the burial of the remains, or give notice refusing to make any such arrangements, or fail to make or carry out within a reasonable time any such arrangements the remains shall be interred in an authorised place of burial in the presence of the Chaplain of the religious denomination to which the patient belonged and with the usual rites, if any, of that denomination ;
(
e
) on his next visit to the institution the Chaplain shall enter in the Chaplain's Book the date and place of the interment and the fact of his having performed or not the funeral service thereat ;
(
f
) if the patient belonged to a religious denomination in respect of which there is no chaplain for the institution at the time of the interment the person in charge of the institution shall, if possible, procure the services of a clergyman of that denomination, and such clergyman shall attend at the funeral in the same manner as a chaplain, and on receiving from him a certificate that he has attended the funeral and performed the funeral rites (if any), the mental hospital authority shall pay him suitable remuneration for his attendance.
BOARDING-OUT OF PATIENTS IN PRIVATE DWELLINGS.
51 Boarding-out requirements.
51.
The following conditions shall be complied with in connection with the boarding-out of a patient in a private dwelling :—
(
a
) the person with whom the patient is boarded-out shall before receiving the patient enter into a contract with the mental hospital authority in the Form No. 33 (i) or 33 (ii) in the Schedule to this Order binding such person to observe all the conditions therein contained so long as the patient shall continue to be boarded-out with such person ;
(
b
) before signing the contract the mental hospital authority shall :—
(i) satisfy themselves by the report and personal inspection of one of their medical officers that the proposed dwelling is in a healthy situation and is otherwise suitable ; that the dwelling contains more than one room, and admits of the segregation of the sexes ; that a supply of pure and wholesome drinking water is at all times readily accessible to the inmates of the dwelling ; that good food and milk are easily obtainable and that the dwelling otherwise complies with this Order ;
(ii) arrange for a suitable escort to accompany the patient to the dwelling.
52 Prohibitions in regard to boarding-out.
52.
A mental hospital authority shall not board-out any patient :—
(
a
) in any dwelling in which none of the adult inmates belongs to the sex of the patient ;
(
b
) with a person who does not belong to the same religion as the patient ;
(
c
) in any dwelling which is a premises licensed for the sale of intoxicating liquors by retail ; or
(
d
) in any dwelling in which there is resident a person suffering from a disease likely to be prejudicial to the health of the patient.
53 Clothes of boarded-out patients.
53.
The clothes to be provided for a patient boarded-out by a mental hospital authority shall not be of such shape, material or colour as to indicate connection with any institution, or to denote that the patient is a patient of the mental hospital authority.
54 Visiting committees for boarded-out patients.
54.
The following provisions shall apply to any committee appointed by a mental hospital authority to visit patients boarded-out by the authority :—
(
a
) not less than two nor more than four members of the committee shall visit a patient at the same time ;
(
b
) where the patient to be visited is a woman at least one of the members of the committee visiting the patient shall be a woman ;
(
c
) on the occasion of each visit the visiting members of the committee shall :—
(i) make inquiries and satisfy themselves in regard to the quality and suitability of the food provided for the patient ;
(ii) make inquiries as to the supplies of milk and water to the dwelling ;
(iii) personally inspect the sanitation of the dwelling ;
(iv) personally inspect the bed and bedding provided for the patient ;
(v) inquire as to the religious aid given to the patient ;
(vi) make inquiries as regards the occupations provided for the patient and satisfy themselves that any work provided for the patient is suitable having regard to the condition and capacity of the patient ;
(vii) inquire as to the health of the patient since the previous visit and satisfy themselves as to whether the requisite medical aid was summoned, when needed ;
(
d
within one week of their visit the visiting members shall report in detail to the mental hospital authority on the condition of the patient and the dwelling at the time of the visit.
ACCOUNTS OF MENTAL HOSPITAL AUTHORITIES.
55 Application of Public Bodies Order to mental hospital authorites.
55.
The relevant provisions of the Public Bodies Order, 1942, shall, with the necessary modifications, apply to mental hospital authorities and the accounts of mental hospital authorities.
56 Determination of net cost of maintenance of chargeable patients.
56.
—(1) For the purposes of sub-sections (3) and (4) of section 43 of the act the net cost of the maintenance during any year by the mental hospital authority of a mental hospital district consisting of two or more counties or of a county borough and one or more counties of the chargeable patients from each such county borough and county shall be determined as follows, that is to say :—
(
a
) from the total expenditure of the mental hospital authority on revenue account during the year there shall be deducted the total of the sums received by the mental hospital during the year by way of revenue other than sums in respect of the maintenance of any patients ;
(
b
) the amount arrived at under paragraph (
a
) of this article shall be divided between the several contributory areas in proportion to the average daily number of all the patients from each such area maintained by the mental hospital authority during the year ;
(
c
) from the amount assigned to any contributory area on the division under paragraph (
b
) of this article there shall be deducted the total sum received by the mental hospital authority during the year in respect of the maintenance of all patients from that area ; and the remainder after the said deduction shall be taken to be the net cost of the maintenance of the chargeable patients from that area during the year.
(2) In this article the expression " contributory area " means a county borough, or county forming part of the relevant mental hospital district.
57 Calculation of the cost of care, maintenance and treatment.
57.
—(1) For the purposes of section 108 of the act the full cost of the care, maintenance and treatment of a patient on any day in a district mental hospital or other institution maintained by a mental hospital authority shall be taken as :—
(
a
) the average daily cost of each patient in such hospital or other institution determined in accordance with Article 91 of the Public Bodies Order, 1942, for the accounting period including such day, or where it is necessary to make the determination before the end of such accounting period, the preceding accounting period, together with
(
b
) the full cost of any specialist medical assistance employed solely in connection with the patient.
(2) For the purposes of section 212 of the act the average cost of the maintenance of a patient on any day in a district mental hospital shall be taken to be the average daily cost of each patient in such hospital determined in accordance with Article 91 of the Public Bodies Order, 1942, for the accounting period including such day, or where it is necessary to make the determination before the end of such accounting period, the preceding accounting period.
PART IV. APPLICABLE TO PRIVATE INSTITUTIONS.
58 Form of application for registration.
58.
An application for registration of a private institution shall be made in the Form No. 34 in the Schedule to this Order, and shall be sent in an envelope addressed to the Minister and shall contain the following particulars :—
(1) the full name and address and the profession or occupation of the applicant ;
(2) particulars of the applicant's estate or interest in the institution ;
(3) the full name and profession or occupation of the person to be in charge of the institution and a statement whether such person proposes to reside in the institution ;
(4) particulars of the registered medical practitioner or practitioners to be in charge of the patients in the institution ;
(5) details of the nursing staff to be employed in the institution and their qualifications ;
(6) a full description of the institution including its situation, acreage of land included in the premises, particulars of buildings and their condition of repair, number anddimensions of wards and sleeping apartments in the institution, number of beds for patients to be provided in the institution, particulars of water supply, sanitation, heating and lighting and equipment ;
(7) the number of patients of either sex proposed to be received into the institution and an indication of the method of segregation to be adopted both in the buildings and in the grounds.
59 Maps to accompany application for registration.
59.
An application for registration of a private institution shall be accompanied by :—
(1) an ordnance sheet to the scale of four inches to one mile showing the premises of the institution, the buildings, the exercise grounds, gardens and roads of approach and indicating by colour the land and buildings to be included in the premises to be registered, and distinguishing the buildings to be occupied by patients ; and
(2) a sketch plan to a scale of not less than one-sixteenth of an inch to one foot of each floor of the buildings, having the sizes and floor areas of all the rooms and apartments clearly indicated thereon and a schedule thereon showing the purpose for which each room or apartment is to be used.
60 Form of application for renewal of registration.
60.
An application for renewal of registration of a private institution shall be made in the Form No. 35 in the Schedule to this Order and shall contain the following particulars :—
(1) the full name and address of the applicant ;
(2) the situation of the institution ;
(3) the number of patients of either sex accommodated in the institution at time of application ;
(4) the number of patients of either sex proposed to be accommodated in the institution during the period for which the application is made ;
(5) any variation in the particulars given in relation to the institution in the application for registration.
61 Prescribed fees.
61.
—(1) The prescribed fee to accompany an application to the Minister for registration or renewal of registration of a private institution shall be as follows, that is to say :—
(
a
) where the maximum number of patients proposed to be taken care of in the institution at any one time does not exceed ten, the fee shall be five pounds ten shillings ;
(
b
) where the maximum number of patients proposed to be taken care of in the institution at any one time exceeds ten, the fee shall be five pounds ten shillings together with a sum of ten shillings for each patient in excess of ten proposed to be taken care of in the institution.
(2) The prescribed fee to accompany an application to the Minister by the person (if any) who carries on a private institution following the cesser by the registered proprietor to carry on the institution consequent upon any transfer, death or other event shall be one pound.
62 Certificate of registration.
62.
A certificate of registration or renewal of registration issued by the Minister to the proprietor of a private institution shall be in the Form No. 36 of the Schedule to this Order, or in a form to the like effect.
63 Additions and alterations to institutions.
63.
Notice to the Minister of any addition to or structural alteration of the premises of a private institution shall be accompanied by sketch plans to a scale of not less than one-sixteenth of an inch to one foot of each floor of the buildings with the addition or alteration in a distinct colour and the sizes and floor areas of the different rooms and apartments clearly indicated.
64 Change in medical staff.
64.
The person in charge of a private institution shall inform the Minister of any change in the medical staff of the institution.
65 Visitation of institution by medical practitioner
65.
—(1) A private institution which is registered in the register and in which two or more patients are taken care of shall be visited at least once in each day before twelve o'clock, noon, by the registered medical practitioner who is the medical officer of the institution.
(2) The institution shall also be visited by such registered medical practitioner when sent for by the person in charge, or the head nurse or other responsible officer of the institution in any case of sudden illness, accident, or other emergency and at all such other times as the state of the patients in the institution may render necessary.
66 Duties of visiting registered medical practitioner.
66.
The duties of a visiting registered medical practitioner of a private institution shall be :—
(
a
) to enter on the occasion of each attendance at the institution his name in a book to be provided for that purpose by the registered proprietor of the institution together with the time of his arrival and the time of his departure ;
(
b
) to be responsible for the medical treatment of patients in the institution ;
(
c
) to examine each patient on reception to the institution ;
(
d
) to examine the state of all patients in the institution as often as may be required by their mental or bodily state of health ;
(
e
) to give all necessary directions as to the dietary, classification, treatment, and nursing of patients in the institution ;
(
f
) to enter appropriate particulars of directions given by him in regard to the patients in the institution in a book to be provided for the purpose by the registered proprietor ;
(
g
) to see that a suitable clinical chart is provided in any case requiring one, that the required particulars are dulyand properly entered thereon and that such charts when completed are bound together and preserved with the records of the institution ;
(
h
) to be responsible for the due observance of the regulations in relation to the restraint and seclusion of patients in the institution ;
(
i
) to report to the person in charge of the institution any case of infectious or suspected infectious disease in the institution and to take all such steps as may be necessary to prevent the spread of the disease ;
(
j
) to examine at least once in each week and also when requested by the person in charge the milk, meat and other provisions supplied for use in the institution and to report in writing any defect in the same to the person in charge ;
(
k
) to supervise the general hygienic and sanitary conditions of the institution ;
(
l
) to report in writing to the person in charge immediately as and when occasion arises :—
(i) any matter affecting the health of the patients in the institution,
(ii) any defect in the drainage, ventilation, heating or other arrangements of the institution and
(iii) any defect in the nursing and attendance of the patients in the institution or in the supply of medical or other requirements ;
(
m
) to make in writing to the person in charge such recommendations as he considers necessary for the introduction of improvements in the management of the institution.
67 Medical visitation of single patients.
67.
When one patient only is taken care of in a private institution such person shall be visited by a registered medical practitioner at least twice in each week and at each such visit such practitioner shall sign a statement in the Form No. 37 in the Schedule to this Order as to the health of the person visited.
PART V. APPLICABLE TO PRIVATE CHARITABLE INSTITUTIONS.
68 Form of application for registration.
68.
An application for registration of a private charitable institution shall be made in the Form No. 38 in the Schedule to this Order, and shall be sent in an envelope addressed to the Minister and shall contain the following particulars :—
(1) the full name and address and the profession or occupation of the applicant ;
(2) particulars of the applicant's estate or interest in the institution ;
(3) the full name and profession or occupation of the person to be in charge of the institution and a statement whether the person proposes to reside in the institution ;
(4) particulars of the registered medical practitioner or practitioners to be in charge of the patients in the institution ;
(5) details of the nursing staff to be employed in the institution and their qualifications ;
(6) a full description of the institution including its situation, acreage of land included in the premises, particulars of buildings and their condition of repair, number and dimensions of wards and sleeping apartments in the institution, number of beds for patients to be provided in the institution, particulars of water supply, sanitation, heating and lighting and equipment ;
(7) number of patients of either sex proposed to be received into the institution and an indication of the method of segregation to be adopted both in the buildings and in the grounds.
69 Maps to accompany application for registration.
69.
An application for registration of a private charitable institution shall be accompanied by :—
(1) an ordnance sheet to the scale of four inches to one mile showing the premises of the institution, the buildings, the exercise grounds, gardens and roads of approach and indicating by colour the land and buildings to be included in the premises to be registered, and distinguishing the buildings to be occupied by patients ; and
(2) a sketch plan in a scale of not less than one-sixteenth of an inch to one foot of each floor of the buildings, having the sizes and floor areas of all the rooms and apartments clearly indicated thereon and a schedule thereon showing the purpose for which each room or apartment is to be used.
70 Form of application for renewal of registration.
70.
An application for renewal of registration of a private charitable institution shall be made in the Form No. 39 in the schedule to this Order and shall contain the following particulars
(1) the full name and address of the applicant ;
(2) the situation of the institution ;
(3) the number of patients of either sex accommodated in the institution at time of application;
(4) the number of patients of either sex proposed to be accommodated in the institution during period for which application is made ;
(5) any variation in the particulars given in relation to the institution in the application for registration.
71 Certificate of registration.
71.
A certificate of registration or renewal of registration issued by the Minister to the proprietor of a private charitable institution shall be in the Form No. 40 in the Schedule to this Order, or in a form to the like effect.
72 Additions and alterations to institutions.
72.
Notice to the Minister of any addition to or structural alteration of the premises of a private charitable institution shall be accompanied by sketch plans to a scale of not less than one-sixteenth of an inch to one foot of each floor of the buildings with the addition or alteration in a distinct colour and the sizes and floor areas of the different rooms and apartments clearly indicated.
73 Change in medical staff.
73.
The person in charge of a private charitable institution shall inform the Minister of any change in the medical staff of the institution.
74 Visitation of institution by medical practitioner.
74.
—(1) A private charitable institution which is registered in the register shall be visited at least once in each day before twelve o'clock, noon, by the registered medical practitioner who is the medical officer of the institution.
(2) The institution shall also be visited by such registered medical practitioner when sent for by the person in charge, or the head nurse, or other responsible officer of the institution in any case of sudden illness, accident or other emergency and at all such times as the state of the patients in the institution may render necessary.
75 Duties of visiting registered medical practitioner.
75.
The duties of a visiting registered medical practitioner of a private charitable institution shall be :—
(
a
) to enter on the occasion of each attendance at the institution his name in a book to be provided for that purpose by the registered proprietor of the institution together with the time of his arrival and the time of his departure ;
(
b
) to be responsible for the medical treatment of patients in the institution ;
(
c
) to examine each patient on reception to the institution ;
(
d
) to examine the state of all patients in the institution as often as may be required by their mental or bodily state of health ;
(
e
) to give all necessary directions as to diet, classification, treatment, and nursing of patients in the institution ;
(
f
) to enter appropriate particulars of directions given by him in regard to the patients in the institution in a book to be provided for the purpose by the registered proprietor ;
(
g
) to see that a suitable clinical chart is provided in any case requiring one and that the required particulars are duly and properly entered thereon and that such charts when completed are bound together and preserved with the records of the institution ;
(
h
) to be responsible for the due observance of the regulations in relation to the restraint and seclusion of patients in the institution ;
(
i
) to report to the person in charge of the institution any case of infectious or suspected infectious disease in the institution and to take all such steps as may be necessary to prevent the spread of the disease ;
(
j
) to examine at least once in each week and also when requested by the person in charge the milk, meat and other provisions supplied for use in the institution and to report in writing any defect in the same to the person in charge ;
(
k
) to supervise the general hygienic and sanitary conditions of the institution ;
(
l
) to report in writing to the person in charge immediately as and when occasion arises :—
(i) any matter affecting the health of the patients in the institution ;
(ii) any defect in the drainage, ventilation, heating or other arrangements of the institution and
(iii) any defect in the nursing and attendance of the patients in the institution or in the supply of medical or other requirements ;
(
m
) to make in writing to the person in charge such recommendations as he considers necessary for the introduction of improvements in the management of the institution.
PART VI. APPLICABLE TO APPROVED INSTITUTIONS.
76 Form of application for approval of institution.
76.
An application for approval of an institution for the reception of persons as temporary patients or for the reception of persons as voluntary patients or for the reception of persons as temporary patients and the reception of persons as voluntary patients shall be made in the Form No. 41 in the Schedule to this Order and shall be sent in an envelope addressed to the Minister and shall contain in every case the following particulars :—
(1) the full name and address and the profession or occupation of the applicant ;
(2) particulars of the applicant's estate or interest in the institution ;
(3) the full name and profession or occupation of the person to be in charge of the institution ;
and in the case of an institution which is not already a mental institution shall contain the following additional particulars :—
(4) particulars of the registered medical practitioner or practitioners to be in charge of the patients in the institution ;
(5) details of the nursing staff to be employed in the institution and their qualifications ;
(6) a full description of the institution including its situation, acreage of land included in the premises, particulars of buildings and their condition of repair, number and dimensions of wards and sleeping apartments in the institution, number of beds for temporary patients and voluntary patients to be provided in the institution, particulars of water supply, sanitation, heating and lighting and equipment ;
(7) a statement of the number of persons of either sex proposed to be received into the institution as temporary patients and the number of persons of either sex proposed to be received into the institution as voluntary patients and an indication of the method of segregation to be adopted ;
(8) a statement as to whether the whole of the institution is to be devoted to the care of temporary patients or the care of voluntary patients or to the care of both temporary patients and voluntary patients, or only part of the institution is to be so devoted and, if the latter, particulars of the part of the institution and the number of beds to be so devoted.
77 Change in medical staff.
77.
The person in charge of an approved institution shall inform the Minister of any change in the medical staff of the institution.
78 Medical visitation of patients.
78.
(1) Each patient in an approved institution shall be visited at least once in each day before twelve o'clock, noon, by a medical officer of the institution ;
(2) A patient in an approved institution shall be visited by a medical officer of the institution in case of sudden illness, accident, or other emergency and at all such other times as the state of the patient may render necessary.
79 Duties of medical officer.
79.
The duties of a medical officer of an approved institution which is not an institution maintained by a mental hospital authority shall be :—
(
a
) to enter on the occasion of each attendance at the institution his name in a book to be provided for that purpose by the proprietor of the institution together with the time of his arrival and the time of his departure ;
(
b
) to be responsible for the medical treatment of the patients under his care in the institution;
(
c
) to examine patients on reception in the institution ;
(
d
) to examine the state of all patients in the institution as often as may be required by their mental or bodily state of health ;
(
e
) to give all necessary directions as to the diet, classification, treatment, and nursing of patients in the institution ;
(
f
) to enter appropriate particulars of directions given by him in regard to the patients in the institution in a book to be provided for the purpose by the proprietor ;
(
g
) to see that a suitable clinical chart is provided in any case requiring one and that the required particulars are duly and properly entered thereon and that such charts when completed are bound together and preserved with the records of the institution ;
(
h
) to be responsible for the due observance of the regulations in relation to the restraint and seclusion of patients under is care in the institution ;
(
i
) to report to the person in charge of the institution any case of infectious or suspected infectious disease in the institution and to take all such steps as may be necessary to prevent the spread of the disease ;
(
j
) to examine at least once in each week and also when requested by the person in charge, the milk, meat and other provisions supplied for use in the institution and to report in writing any defect in the same to the person in charge ;
(
k
) to supervise the general hygienic and sanitary conditions of the institution ;
(
l
) to report in writing to the person in charge immediately as and when occasion arises :—
(i) any matter affecting the health of the patients in the institution :—
(ii) any defect in the drainage, ventilation, heating or other arrangements of the institution, and
(iii) any defect in the nursing and attendance of patients in the institution or in the supply of medical or other requirements ;
(
m
) to make in writing to the person in charge such recommendations as he considers necessary for the introduction of improvements in the management of the institution.
SCHEDULE.
FORM NO. 1.
MENTAL TREATMENT ACT, 1945
.
REGISTER OF RECEPTIONS.
Registered No.
Date of Reception
Full name of person received
Religion
Age on reception
Sex
Whether married single or widowed
Whether chargeable patient or private patient
Mental condition on reception
Bodily condition on reception
Observations
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
FORM NO. 2.
MENTAL TREATMENT ACT, 1945
.
REGISTER OF DISCHARGES, REMOVALS AND DEATHS
Registered No.
Name of Patient
Religion
Date of Reception
Sex
Whether married single or Widowed
Whether chargeable patient or private patient
Age on discharge removal or death
Discharge
Removal
Death
Observations
Date of discharge
Reason for discharge
Mental condition on discharge
Date of removal
Reason for removal
Place to which removed
Mental condition on removal
Date of death
Cause of death
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
FORM NO. 3
MENTAL TREATMENT ACT, 1945
.
REGISTER OF PATIENTS.
Registered No.
Full Christian name and surname of patient
Religion
Home address of patient
Rank, profession or occupation of patient
Age of patient on reception
Sex
Whether married, single or widowed
Whether person of unsound mind, a temporary patient or a voluntary patient
Whether a chargeable patient or a private patient
If a chargeable patient, name of medical practitioner who recommended reception
If a private patient names of medical practitioners who made reception order
Date of reception
Nature of mental illness on reception
Probable cause of mental illness
Bodily condition on reception
If previously in an institution, give name of institution, nature of illness and period of treatment
Discharge or Removal
Death
Observations of medical attendant.
Signature of medical attendant
Date
Mental and bodily condition
Date
Cause
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
(20)
(21)
(22)
(23)
FORM NO. 4.
MENTAL TREATMENT ACT, 1945
.
REGISTER OF MECHANICAL RESTRAINT AND SECLUSION.
Registered No.
Date on which restraint or seclusion was used
Particulars of Patient
Particulars of Restraint
Particulars of Seclusion
Signature of medical officer who ordered restraint or seclusion
Name
Sex
Whether chargeable or private patient
Means of restraint employed
Duration of restraint
Purpose of restraint
Hours of seclusion
Reasons for seclusion
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
FORM NO. 5.
MENTAL TREATMENT ACT, 1945
.
Application under section 162 of the act for Recommendation for Reception of Person as a Person of Unsound Mind and as a Chargeable Patient.
1.
Full name of person in respect of whom the application is made
............................................................ .................................
2.
Address of person ............................................................ ............................................................ ........
3.
Full name of applicant ............................................................ ............................................................ ...
4.
Address of applicant ............................................................ ............................................................ .....
............................................................ ............................................................ ......
5.
Relationship (if any) of applicant to person in respect of whom the application is made.
............................................................ ..................................
6.
Whether applicant is the appropriate assistance officer.
............................................................ ...................................