Abstract
In the course of psychiatric training, doctors learn how to prepare a wide range of reports including those for Mental Health ReviewTribunals. There are specific demands peculiar to this area of clinical work, particularly the challenge to clinicians to justify their diagnosis, current treatment, or future management of their patients in a public forum in front of the patient. The Tribunal is a quasi court with legal powers but evidence is given while seated, and the Respon sible Medical Officer's (RMO) written evidence is examined on average by four individuals, only one of whom is medically trained. For doctors not used to acting as expert witnesses in the courts, the Tribunal process can be an uncomfortable area of work. This article is designed to aid the RMO or inde pendent doctor in the preparation of written tri bunal reports, highlight common problems posed when making recommendations, and assist in the preparation of oral evidence.
Highlights
The Tribunal is a quasi court with legal powers bsiubtleevMideedniccealisOgfifviecner'ws h(iRleMseOa)tedw, riatntedn theeviRdeenscpeonis examined on average by four individuals, only one of whom is medically trained
In the course of psychiatric training, doctors learn how to prepare a wide range of reports including those for Mental Health Review Tribunals
The aftercare plan should contain details of the residence including details of type of supervision if the residence is in a hostel
Summary
Under normal circumstances the patient has full access to the documents submitted by the managers detaining authority or trust to the Tribunal and it is important to discuss the report with the patient before its formal submission. (a) Introduction Name Status Admission date Index offence Information sources Special regard should be paid to the 1991 Access to Medical Records Act, and issues of confidentiality, the need to protect third party sources in certain circumstances. Antecedents to current detention (b) Personal history (c) Family history (d) Psychiatric history (e) Medical history (f) Past criminal history (where relevant) (g) Course of current admission.
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