Legal Issues Related to Psychological Disorders

The Mental Healthcare Act 2017:
The Mental Healthcare Act 2017 also known as MHCA 2017 covers a broad range of topics regarding the rights of a mentally ill person or the rights of patients with mental illness (PWMI). It also formulated the various ethical roles and legal responsibilities of professionals of mental health and also the government. The rights of PWMI are in sync with the fundamental rights of humans. Such rights should be specific, defines and elaborate as they deal with the vulnerability of the patients. These rights of patients with mental illness can be correlated with the ethics in care of mentally ill people which can be related to respect for autonomy, the concept of non-maleficence, beneficence, and justice; confidentiality (and disclosure); informed consent (and involuntary treatment);boundary violations; etc.

The suicide of a patient can be with a heavy toll on the medical practitioner emotionally. It may also have certain strong legal effects. A study was conducted by Cantor and McDermott in 1992. They collected data and evidence data for a total of 20 studies. Even though the number of studies was relatively small, the observations were very useful. At the time of their suicides nineteen out of the 20 subjects were inpatients. Four claims were concerning fatalities, while thirteen were concerning non-fatalities. In 3 cases, the result of the suicide was not mentioned. Of the thirteen non-fatal cases, paraplegia happened in 7 cases. Out of these thirteen in six cases there were certain serious injuries. In 13 cases, the patient jumped from the hospital while one outpatient killed themselves right on the hospital grounds. While settling the cases, the 11 cases were in the favor of the plaintiff before or after the trial, while only two cases settled in the favor of the defendant.

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Legal Insinuation:
A legal insinuation is that clinicians are more responsible while inpatients are less likely to feel responsible for their welfare. This effect is amplified where the patients are involuntary. The principle is to put the needs of the patients first and supply them with all the necessary care. The one trick that the practitioner can be applied with justification is the complete record concerning the risk assessments, the efforts of the clinics to decreases the risk associated with suicide and the underlying reasons for this.

Certain suicide risk assessment forms are used by state services. They consist of certain questionnaires that can be proved beneficial for those practitioners who have little experience. They can provide the patients with a relevant question. The benefits are based on the validity of the risk assessment and also the degree used to measure the impact. Risk assessment considers various factors that are population-derived along with an intimate assessment of the individual. Although certain issues arrive from the risk assessment which is undertrained, there is no supervisor present, no professionalism, keeping the needs of the hospital in front of that of the patients, asking their patients to get in touch with their general practitioner is also an issue.

DSM-IV and Posttraumatic Stress Disorder:
The DSM-IV doesn’t cover the milder conditions. When the bombing happened in Oklahoma City, around 167 people died. All the survivors experienced some amount of symptoms of PTSD, but only 25% met the criteria to the maximum. If full care is to be provided, financially or in other terms, one should not be entangled with these kinds of law and wrong labeling of mild problems as the non-problems. This can also lead to certain legal problems. One practitioner has reported that his patient has developed PTSD after her accident, in which she was physically not even harmed. After two years, the symptoms that she showed did not even meet the criteria for PTSD. Due to this, she was diagnosed again as a person who suffers from. For this, there are various treatment options as well as there are certain legal implications.

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