Lacking Insight - Community Law

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Lacking Insight• What format did that take? Was it valuable?Were you easily able to understand its contents?• Were you given notice of the hearing/s? Was thisadequate / helpful?• Were you informed of your right to legalrepresentation?• Were you able to access legal representation?• What issues were a part of your decision toattend / not attend the hearing/s; reasons, issuesand how you were assisted in these decisions?• What access did you have to your caseinformation – right to inspect documents, casefile, doctor’s report.• What experiences did you have that provided fora forward-looking approach to your treatment?• What was your understanding of theBoard’s process?• How easy was this to understand?• Did you feel your privacy / confidentiality wasrespected? Reasons given for breaches if any?2. Environment and conduct of hearings• Can you describe the waiting area pre-hearing?• What was the order of those speaking duringthe hearing?• Can you describe the physical environment andlayout of hearing space?• Did you feel any ownership of the space?By whom, why and how?• Can you tell me about the Board membersmanner, eye contact, warmth or civility?• What was the level of formality of proceedings?• Explore any gender issues – were there anygender issues?• Did you experience any cultural and/or languagedifficulties during the hearing, including use ofjargon and use of interpreters• Did you feel you had a right to be listened to? –Explore appearance of a token effort, havinga fair say• Issue of appeals and reviews being held bythe same Board members as the previoushearing – discuss.• Did you understand the Board’s weighting ofevidence? How was this explained to you / howdid you understand this?3. Outcomes of hearings• Was there any exploration and examination ofleast restrictive treatment options for you throughthe hearing?• Do you see the Board as being able to be usedas a forum to discuss treatment plans and theadministration of these? If so why and/or howwould you like to see this work?• Did anyone explain to you what would happenif you were to be discharged from involuntarystatus - prior to and after hearing?• Do you know of the consumer complaintsmechanisms? Would you use these? Are theseuseful avenues?• Did you understand the decisions being madeabout your treatment as voluntary or involuntary,by the Board?• Reviews are scheduled at 8 weeks, which isthe equal longest time in Victoria as anywhereis Australia, and appeals within 14 days oflodgement. How did these time frames affectyour experience?• What was the emotional experience of thehearing for you?90
Appendices• Did you feel that you were taken seriously? Wereyour viewpoints adequately heard by the Board?• Did the Board explain to you why they had madetheir decision? How was this done?• Did you request a Statement of Reasons?Why / why not?• Did anyone talk the process / decision made bythe Board / through with you afterwards?4. Role of the Mental Health Review Board• What level of confidence do you hold in the Boardas upholding the law and protecting the rights ofinvoluntary patients?• What support did you receive from the Board?DHS? Area Mental Health Service?• What would you recommend should be includedin the training and induction of Board members?• How do you understand the different roles of theBoard members? Community member, lawyer,doctor? For example, what is the effectiveness /reason for / of community members?5. Advocates and legalrepresentatives – as appropriate• What do you see is the role of legalrepresentation?• How do you think legal representation isinterpreted by Board members?• How did you access advocacy?• Do you believe advocacy creates a fairerprocess? How?• Why do you think the level of legal representationof involuntary patients is so low?• How effective are the community members? Whydo you think this?91
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Lacking InsightInvoluntary Patient
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Lacking InsightInvoluntary Patient
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14 years. Making the point that she
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ForewordWe have now ushered in a ne
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1 > Summary“[I felt] disempowered
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Lacking Insight• Encouraging cons
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Lacking Insight• The Board must g
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Lacking Insightmust, if a person ha
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Lacking Insight• Key participants
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Lacking Insight−−−−−−
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2 > The ContextMental Health Review
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Lacking InsightThe Charter provides
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Lacking InsightThree cries for help
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Lacking Insightdeinstitutionalisati
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Lacking InsightThe Negative consequ
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Lacking Insightfor 8 weeks, the res
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Lacking InsightDuring my recent adm
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Lacking Insightthat they are treate
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3 > The Involuntary Patient Experie
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Page 48 and 49: Lacking Insightgive me your names?
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Page 67 and 68: One of the issues that I constantly
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Page 95 and 96: Office of the Chief Psychiatrist 20
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Lacking Insight - Community Law

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