Explains what may happen if you are charged with committing a crime, what happens when you to go court, and how your mental health is taken into account.
Section 48 can only be used before you have been sentenced. After that you can be transferred from prison to hospital under section 47.
If the prison or Immigration Removal Centre think you are unwell and need to go to hospital, they can ask the Ministry of Justice to agree. They must send reports from two doctors saying that:
The Ministry of Justice can add section 49 restrictions if they think it's appropriate. This means that your responsible clinician will need the permission of the Ministry of Justice before:
If your responsible clinician thinks that you no longer need treatment in hospital, the Ministry of Justice can send you back to prison.
If you want to go back to prison, you can apply to the Mental Health Tribunal (see our pages on leaving hospital for more information on how to do this). If the tribunal doesn't think you need to be in hospital, it will tell the Ministry of Justice, who may transfer you back to prison.
If you don't go back to prison, you will stay in hospital until you are sentenced. The criminal courts will then decide the most appropriate way to deal with your case.
Once you are discharged from section 48, you will be eligible for free section 117 aftercare.
The Ministry of Justice is responsible for deciding whether you should be transferred to hospital or from hospital back to prison. You can potentially challenge these decisions, including a decision not to transfer you, by judicial review. See our pages on complaining about health and social care decisions for more information on how to do this.
This is a type of court procedure where a judge reviews a public authority’s decision, policy, practice, act or failure to act, and decides whether it is lawful or not.
If it is not lawful, the court may cancel the decision or action (‘quash’ it), and require the public authority to reconsider it, lawfully. The court can order the authority to do or not do something.See our full list of legal terms.
Some people who have been kept in hospital under the Mental Health Act can get free help and support after they leave hospital. The law that gives this right is section 117 of the Mental Health Act, and it is often referred to as 'section 117 aftercare'.
Health authorities and local social services have a legal duty to provide you with section 117 aftercare if:
This is a special court that deals with cases relating to the Mental Health Act 1983. The Tribunal decides whether you can be discharged from your section. It can sometimes make recommendations about matters such as hospital leave, transfer to another hospital, guardianship and community treatment orders (CTOs).
The court is made of a panel, which normally includes:
Where you see a reference to the Mental Health Tribunal in this guide, it means:
Certain decisions, such as applying for someone who is sectioned to go onto a community treatment order (CTO), can only be taken by the responsible clinician.
All responsible clinicians must be approved clinicians. They do not have to be a doctor, but in practice many of them are.See our full list of legal terms.
When the Mental Health Act talks about someone with mental health problems and whether or not they should be sectioned, it often uses the term 'mental disorder'. The Act says that this can include "any disorder or disability of mind".
Mental disorder can include:
This information was published in July 2018. We will revise it in 2021.
References are available on request. If you would like to reproduce any of this information, see our page on permissions and licensing.