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What is the Mental Health Review Tribunal?
The Tribunal is an independent body established under the Mental Health Act 2000 to protect the rights of people receiving involuntary treatment for mental illness. It provides an independent review, and makes decisions about whether the involuntary treatment will continue or not. It also decides whether the treatment will be given in hospital or in the community. In making these decisions, the Tribunal must balance the rights of the patient with the rights of others and the protection of the community.
What does the Tribunal do?
The Tribunal conducts review hearings and may make orders and recommendations about a patient's involuntary treatment. The Tribunal automatically reviews Involuntary Treatment Orders (ITO) or Forensic Orders (FO), and young persons with mental illness who are detained in high security for treatment. The Tribunal also hears applications for involuntary patients to move out of Queensland, and applications to appeal against a decision made at the mental health service not to allow a person to visit a patient. In addition, if a person is not able to consent to treatment and needs electroconvulsive therapy (ECT), the Tribunal will review the psychiatrist’s application to give ECT.
What decisions does the Tribunal make?
The Tribunal can:
- Confirm (continue) or revoke (cease) an ITO or FO
- If you are on an ITO, allow you to leave the hospital for short periods (approve limited community treatment) or order you to return to hospital (change your treatment order category)
- If you are on a FO, approve the extent to which you may be absent from the hospital (approve or order limited community treatment including anything from short escorted absences to full community treatment)
- Approve or refuse a psychiatrist’s application to give ECT
- Order your transfer from one authorised mental health service to another
- If you are on a FO because you are not fit for trial, find you fit for trial or permanently unfit for trial
What else does the Tribunal do?
- If you are on an FO, the Tribunal may order certain information about your case be given to another person who has sufficient personal interest (the Tribunal makes a Notification Order)
- If your FO is ceased, the Tribunal may order that you have no contact with the victim (or a relative or associate of the victim) for two years (the Tribunal makes a Non-Contact Order)
Who sits on the Tribunal?
Three members usually sit on each Tribunal panel, although sometimes there may be five members. Urgent cases may be decided by less than three members if it is in the patient's best interests to do so. Each panel must have a lawyer, a psychiatrist or other doctor, and a community member. The community member is an experienced mental health worker or someone with other relevant skills and experience.
How often will my case be reviewed?
- If you are on an ITO, reviews are within 6 weeks of the order being made and then at least once every 6 months
- If you are on an FO, reviews are within 6 months of the order having been made and then at least once every 6 months
- If you have been found unfit for trial (but not permanently unfit) the Tribunal must review your fitness for trial every 3 months for the first year. Then if you continue to be not fit for trial reviews will happen every 6 months. 6-monthly reviews will continue until you become fit for trial or the charges against you are discontinued. FO and fitness for trial reviews may occur together
- If you are under 17 years old and are detained in a high security unit the Tribunal will review your case within 7 days of admission, and then at least every three months. You (or someone on your behalf) may apply to the Tribunal to have your case reviewed. There is no limit to the number of times a person may apply. The application form is attached to this brochure, or may be obtained from the mental health service, the Tribunal office, or by downloading from the Tribunal website.
The jurisdiction of the MHRT includes:
- Reviewing the application of treatment criteria for patients (ie. determining whether a person should continue to be subject to involuntary treatment and/or detention as provided under an Involuntary Treatment Order)
- Reviewing the detention of young patients in high security units
- Reviewing the mental condition of forensic patients (ie. determining whether a person should continue to be subject to involuntary treatment and/or detention as provided under a Forensic Order)
- Reviewing fitness for trial in relation to person found unfit for trial by a jury or the Mental Health Court (excluding those found permanently unfit)
- Deciding applications for notification orders (ie. determining whether a person should be advised of certain matters in relation to a patient, such as the date of the MHRT review or MHRT decisions)
- Deciding treatment applications (e.g. determining whether ECT is the most appropriate treatment in relation to a patient who is unable to consent)
- Deciding applications for approval of patients to move out of Queensland
- Deciding appeals against decisions to refuse persons to visit an involuntary patient
As such the MHRT represents a critical safeguard in protecting the rights and interests of those individuals.
The review of involuntary detention and/or treatment of persons are done through the establishment of Tribunal panels.
Panels typically consist of three Tribunal members – one must be a lawyer (of at least five years standing), one must be a psychiatrist (or another doctor if a psychiatrist is not readily available) and one must be a person with relevant experience or qualifications, for example a mental health professional or mental health consumer.
Members are appointed by the Governor-in-Council for a term of no longer than 3 years.
In special cases, one member panels may be constituted where the President is satisfied that it is in the patient’s best interests and it is appropriate and expedient to do so or treatment is required urgently.
In cases of a contentious or complex nature five member panels may be constituted.
Approximately 75 part-time members are appointed across the State to enable panels to be constituted in a number of different locations.
Download 'A Brief Guide to the MHRT' brochure