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module 1 subtitle
Placing the ADRT Specialist Guidance
in Context
1.Introduction
2.Mental Capacity Act 2005
3.Duty of Care and Legal Requirements
4.Frequently Asked Questions
a. The Format of an ADRT?
b. Ethical Dilemma - 2
c. Refusing Life - Sustaining Treatment?
d. Personal Reflection - 4
e. Distributing an ADRT?
f. Relationship of the Mental Capacity Act to the Mental Health Act?
g. Is an ADRT legal?
h. Handling Emergencies?
i. Clinical Scenario - 4: Consent to healthcare treatment-blood transfusion
j. Conscientious Objection?
5.End of Module Quiz
Section 4 - Frequently Asked Questions  
Relationship of the Mental Capacity Act to the Mental Health Act?
It must be clearly understood that the Mental Capacity Act 2005 does not replace the Mental Health Act 1983. These Acts refer to different circumstances. The Mental Health Act 1983 applies to the assessment, admission, and treatment of patients with a mental disorder, or guardianship of clients under the Act.

If the person retains capacity and is not under compulsory treatment (Part IV) for their mental disorder they still have the right to make an ADRT. If the person is detained under Part IV of the Mental Health Act treatment of the mental disorder cannot be refused even if it is mentioned in the ADRT. An ADRT for a physical disorder could still be valid and applicable despite being detained under Part IV of the Mental Health Act. A person subject to detention under other components of the Mental Health Act cannot have their ADRT for any reasons overridden.

In cases of uncertainty further guidance should be obtained.

Mental Health Act 1983 is currently subject to amendment by the proposed Mental Health Bill. This has specific implications to actions that might restrict civil liberties.
Additional Information: ADRT National Guide - p20 - 9.37
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