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  "title": "MENTAL HEALTH ORDINANCE FOR PAKISTAN 2001",
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  "text": "THE MENTAL HEALTH ORDINANCE, 2001 \r\n(VIII of 2001) \r\nCONTENTS \r\nCHAPTER-I \r\nPRELIMINARY  \r\n1. Short title, extent and commencement \r\n2. Definition s \r\nCHAPTER-II \r\nESTABLISHMEN T OF [PUNJAB MENTAL HEALTH AUTHORITY ] \r\n3. Punjab Mental Health Authority  \r\n4. Constitution of Board of Visitors \r\n5. Powers and functions of the Board \r\n6. Establishmen t of psychiatric facilities by the Government \r\nCHAPTER-III \r\nASSESSMENT AND TREATMENT  \r\n7. Care in the Community \r\n8. Care and Treatment on an informal or voluntary basis \r\n9. Duration for periods of detention for assessment, treatment, urgent \r\nadmission and emergency holding \r\n10. Admission for assessment \r\n11. Admission for treatment \r\n12. Admission for assessment in cases of urgency \r\n13. Emergency Holding \r\n14. Emergency Powers \r\n15. Application by whom to be presented \r\n16. Effect  of  application  for  admission \r\n17. General provisions as to applications and medical recommendation s \r\n18. Rectification of applications and recommendations \r\n19. Mentally disordered persons found in public places \r\nCHAPTER-IV \r\nLEAVE AND DISCHARGE  \r\n20. Order of leave \r\n21. Discharge of a patient \r\n22. Application by a patient for discharge \r\n23. Discharge of a detained person found not to be mentally disordere d after \r\nassessment \r\n24. Duty of hospital management to inform relatives of the discharge \r\n25. Application for discharge to Magistrate \r\n26. Notice about serious illness or death \r\n27. Transfer and removal \r\n28. Foreign nationals \r\nCHAPTER-V \r\nJUDICIAL PROCEEDINGS FOR APPOINTMENT OF GUARDIAN OF PERSON \r\nAND MANAGER OF THE PROPERTY OF THE MENTALLY DISORDERED  \r\n29. Judicial proceedings \r\n30. Regulation of proceedings of the Court of Protection \r\n31. Inquiry by subordinate Court on commission issued by the Court of \r\nProtection and proceedings thereon \r\n32. Appointment of guardian \r\n33. Management of property of mentally disordered person \r\n34. Responsibilit y of manager \r\n35. Allowanc e payable to guardian \r\n36. Powers of manager of property of mentally disordered person \r\n37. Furnishing of inventory of immovable property, etc \r\n38. Inquiry by Court of Protection in certain cases. \r\n39. Disposal of business premises under the direction of Court of Protection \r\n40. Investment of assets of mentally disordered person \r\n41. Appointment of a new manager or guardian \r\n42. Dissolution of partnership \r\n43. Securities, etc., of mentally disordered person \r\n44. Maintenance during temporary mental disorder \r\n45. Inquiry by Court of Protection into cessation of mental disorder \r\n46. Appeal to High Court \r\nCHAPTER-VI \r\nLIABILITY TO MEET COST OF MAINTENANCE OF MENTALLY DISORDERE D \r\nPERSON ADMITTED IN A PSYCHIATRIC FACILITY  \r\n47. Liability to meet cost of maintenance of a patient admitted in a psychiatric \r\nfacility \r\n48. Maintenance out of pay, pension, etc \r\nCHAPTER-VII \r\nPROTECTION OF HUMAN RIGHTS OF MENTALLY DISORDERE D PERSONS  \r\n49. Cases of attempted suicide \r\n50. Confidentiality \r\n51. Informed consent \r\nCHAPTER VIII \r\nOFFENCES AND INDEMNITY  \r\n52. Penalty for making false statement, etc \r\n53. Indemnity \r\nCHAPTER-IX \r\nINSPECTION OF MENTALLY DISORDERE D PRISONERS  \r\n54. Inspection of mentally disordered prisoners \r\nCHAPTER-X \r\nFORENSIC PSYCHIATRI C SERVICES  \r\n55. Forensic psychiatric services \r\nCHAPTER-XI \r\nMISCELLANEOUS \r\n56. Specialized Psychiatric Treatments \r\n57. Provisions for public and private sector psychiatric facilities \r\n58. Removal of difficultie s \r\n59. Power to make rules \r\n60. Ordinance to override \r\n61. Repeal and saving \r\nTEXT \r\n1\r\nTHE MENTAL HEALTH ORDINANCE, 2001 \r\n(VIII of 2001) \r\n[20th February , 2001] \r\nAn \r\nOrdinance  \r\nto consolidate and amend the law relating to the mentally disordered persons with \r\nrespect to their care and treatment, the management of their property and other \r\nrelated matters \r\nWHEREAS it is expedient  to consolidate and amend the law relating to the \r\ntreatment  and care of mentally disordered persons, to make better provisions for \r\ntheir care, treatment, management of properties and affairs and to provide for \r\nmatters connected therewith or  incidental thereto and to encourage  community \r\ncare of such mentally disordered persons  and  further  to  provide  for  the promotion \r\nof mental health and prevention of mental disorder; \r\nAND WHEREAS the National Assembly and the Senate stand suspended  in \r\npursuanc e of the Proclamation of Emergency of the fourteenth day of October, 1999, \r\nand the Provisional Constitution Order No. 1 of 1999; \r\nAND WHEREAS the President is satisfied that circumstances exist which \r\nrender it necessary to take immediate action; \r\nNOW, THEREFORE, in pursuance of the Proclamation of Emergency of the \r\nfourteent h day of October, 1999 , and  the  Provisional Constitution Order No. 1 of \r\n1999, read with the Provisional Constitution (Amendment) Order No. 9 of 1999, and \r\nin exercise of all powers enabling him in that behalf, the President of the Republic \r\nof Pakistan is pleased to make and promulgate the following Ordinance:– \r\nCHAPTER I \r\nPRELIMI NARY \r\n1. Short title, extent and commencement.– (1) This Ordinance may be called the \r\nMental Health Ordinance, 2001. \r\n(2) It extends to the whole of \r\n2\r\n[the Punjab]. \r\n                                                           \r\n1Pursuant to the Proclamation of Emergency of the fourteenth day of October, 1999, and the Provisional Constitution Order No. 1 of \r\n1999, read with the Provisional Constitution (Amendment) Order No. 9 of 1999, and in exercise of all powers enabling him in t hat \r\nbehalf, the President of the Republic of Pakistan prom ulgate this Ordinance on 20 February 2001 ; and, was published in the Punjab \r\nGazette (Extraordinary), Pt I, dated 20 February 2001, pages 115-48. \r\nThis Ordinance was originally in the Federal ambit, however, the subject on which this law was enacted, devolved to the provinces by \r\nvirtue of 18th Amendment in the Constitution, hence it was adopted, with amendments, for the province of the Punjab by the Punjab \r\nMental Health (Amendment) Act 2014 (XI of 2014) ; and published in the Punjab Gazette (Extraordinary), da ted 29.5.2014, pages \r\n3991-3993. \r\n(3) It shall come into force with effect from the 20th day of February, 2001. \r\n2. Definition s.– (1) In this Ordinance, unless there is anything repugnant in the \r\nsubject or context,– \r\n(a) “approved psychiatrist” means a medical practitione r possessin g a \r\nrecognized  postgraduate qualification and registered with the Pakistan \r\nMedical  and  Dental  Council  and  also approved by the Authority; \r\n(b) “Authority” means the \r\n3\r\n[ Punjab Mental Health Authority ] constituted \r\nunder section 3; \r\n(c) “cost of maintenance”  in relation to a mentally disordered  person, \r\nincludes the cost of lodging, maintenance,  clothing,  medicine and care \r\nof a mentally disordered person and any expenditure incurred in  \r\nremoving   such  mentally  disordered   person  to  and  from  a \r\npsychiatric facility together with any other charges specified in this \r\nbehalf by the Government;  \r\n(d) “Court of Protection” means a  District  Court  having  jurisdiction under \r\nthis Ordinance in matters specified herein and designated as such by \r\nthe Government;  \r\n(e) “Court” means a Court of Protection; \r\n4\r\n[(f) “Government” means Government of the Punjab;] \r\n(g) “health facility” means any basic health unit, rural health   centre, \r\nTehsil hospital, district hospital, teaching hospital and  any private \r\nmedical facility, supervised by a medical practitioner;  \r\n(h) “hospital management” means personnel operating and or managing  \r\nany  psychiatric facility or a health  facility that has provision for indoor \r\ntreatment for the mentally disordered;  \r\n(i) “informed consent” means voluntary and continuing permission of the \r\npatient or if the patient is a minor his nearest relative or guardian, as the \r\ncase may be, for assessment or to receive a particular treatment based \r\non an adequate knowledge of the purpose, nature, likely effects, and \r\nrisks of that treatment including the likelihood of its success and any \r\nalternatives to it and the cost of treatment; \r\n(j) “Magistrate” means a Judicial Magistrate of the first class specially \r\nempowered by the Government to perform functions and  exercise \r\npowers of a Magistrate under this Ordinance;  \r\n                                                                                                                                                                                           \r\n2Substituted by the Punjab Mental Health (Amendment) Act 2014 (XI of 2014); and published in the Punjab Gazette (Extraordinary), \r\ndated 29.5.2014, pages 3991-3993, s.3. \r\n3Substituted for the words “Federal Mental Health Author ity” by the Punjab Mental Health (Amendment) Act 2014 (XI of 2014) ; and \r\npublished in the Punjab Gazette (Extraordinary), dated 29.5.2014, pages 3991-3993, s.2(b). \r\n4Substituted by the Punjab Mental Health (Amendment) Act 2014 (XI of 2014); and published in the Punjab Gazette (Extraordinary), \r\ndated 29.5.2014, pages 3991-3993, s.4. \r\n(k) “medical officer” means a medical graduate serving in a Government \r\nhealth facility and registered with the Pakistan Medical and Dental \r\nCouncil; \r\n(l) “medical practitioner” means a medical graduate registered with the \r\nPakistan Medical and Dental Council with good standing; \r\n(m) “mental disorder” means mental illness, including mental impairment, \r\nsevere personality disorder, severe mental impairment and any other \r\ndisorder or disability of mind and “mentally disordered”  shall be \r\nconstrued accordingly and as explained hereunder: \r\n(i) “mental impairment” means a state of arrested or incomplete \r\ndevelopment  of  mind (not amounting to severe mental \r\nimpairment) which includes significant impairment of intelligence  \r\nand  social  functioning  and  is  associated  with abnormally  \r\naggressive  or seriously irresponsible conduct on the  part  of  the  \r\nperson  concerned  and  “mentally  impaired” shall be construed \r\naccordingly;  \r\n(ii) “severe personality  disorder” means a persistent  disorder  or \r\ndisability of mind (whether or not including significant impairment \r\nof intelligence) which results in abnormally aggressive or seriously \r\nirresponsible conduct on the part of the person concerned;  \r\n(iii) “severe mental impairment” means a state of arrested or \r\nincomplete   development of mind which includes severe \r\nimpairment of intelligence and social functioning and is associated \r\nwith abnormall y aggressive or seriously irresponsible conduct on \r\nthe part of the person concerned and “severely mentally \r\nimpaired” shall be construed accordingly;  \r\nExplanation:– Nothing contained  in clause (m), sub- clauses (i),  (ii)  and  (iii)  above  \r\nshall be construed  as  implying  that  a person may  be dealt  with  under  this  \r\nOrdinance as suffering from mental  disorder  or from any  other  form of such  \r\nmental disorder defined in this section,  by reason only of promiscuity or other \r\nimmoral conduct,  sexual deviancy or dependence on alcohol or drugs. \r\n(n) “mentally disordered prisoner” means a person, who is a  prisoner for \r\nwhose detention in or removal to a psychiatric facility or other place of \r\nsafety, an order has been made in accordance with the provisions of \r\nsection 466 or section 471  of  the Code of Criminal Procedure, 1898 \r\n(Act V of 1898), section 30 of the Prisoners Act, 1900  (III  of  1900),  \r\nsection  130  of  the  Pakistan  Army  Act,  1952 (XXXIX of 1952) \r\nsection 143 of the Pakistan Air Force Act,  1953 (VI o f 1953) or \r\nsection 123 of the Pakistan Navy Ordinance, 1961 (XXXV of 1961); \r\n(o) “minor” means a child or adolescent not having attained the age of \r\neighteen years; \r\n(p) “patient” means a person who is under treatment and care; \r\n(q) “place  of  safety”  means  a  Government   run  health  facility,   a \r\npsychiatric  facility,  or  residence  of  any  suitable  relative  who  is \r\nwilling to temporarily receive the patient; \r\n(r) “prescribed” means prescribed by rules or regulations as the case may \r\nbe, made under this Ordinance; \r\n(s) “psychiatric facility” means a hospital, institute, ward, clinic, nursing \r\nhome,  day-care  institution,  half-way  house,  whether  in  public  or \r\nprivate sector involved in the care of mentally disordered persons; \r\n(t) “psychiatrist” means a medical practitioner possessing a recognized \r\npostgraduate qualification in psychiatry and  registered with the \r\nPakistan Medical and Dental Council; \r\n(u) “relative” means and  includes  any  person  related  by  blood  or \r\nmarriage  or  adoption  under  the  personal  law,  with  the  mentally \r\ndisordered person; \r\n(v) “rules” means the rules made under this Ordinance; \r\n(w) “specialized psychiatric treatments” means electro-convulsive treatment, \r\nanti-psychotic depot injection , psychosurgery, and such other form of \r\ntreatment  as may be  specified  for the purposes  of this Ordinance; \r\nand \r\n(x) “treatment of mentally disordered person” means the assessment and \r\ntreatment of a mentally disordered person and shall include \r\nassessment, care, training, habilitation as well as rehabilitation \r\ntechniques or measures, as the case may be. \r\nCHAPTER II \r\nESTABLISHMEN T OF \r\n5\r\n[PUNJAB MENTAL HEALTH AUTHORITY ] \r\n3. \r\n6\r\n[Punjab Mental Health Authority].– (1) For the purposes  of  this  Ordinance, \r\nthe \r\n7\r\n[Government] shall constitute, by notification in the official Gazette, the \r\n8\r\n[Punjab \r\nMental Health Authority]. \r\n9\r\n[(2) The Authority shall consist of a Chairperson and not more than ten \r\nmembers to be appointed by the Government.] \r\n                                                           \r\n5Substituted for the words “Federal Mental Health Authority” by the Punjab Mental Health (Amendment) Act 2014 (XI of 2014) ; and \r\npublished in the Punjab Gazette (Extraordinary), dated 29.5.2014, pages 3991-3993, s.2(b). \r\n6Substituted for the words “Federal Mental Health Authority” by the Punjab Mental Health (Amendment) Act 2014 (XI of 2014) ; and \r\npublished in the Punjab Gazette (Extraordinary), dated 29.5.2014, pages 3991-3993, s.2(b). \r\n7Substituted for the words “Federal Government” by the Punjab Mental Health (Amendment) Act 2014 (XI of 2014) ; and published \r\nin the Punjab Gazette (Extraordinary), dated 29.5.2014, pages 3991-3993, s.2(a) \r\n8Substituted for the words “Federal Mental Health  Authority” by the Punjab Mental Health (Amendment) Act 2014 (XI of 2014) ; and \r\npublished in the Punjab Gazette (Extraordinary), dated 29.5.2014, pages 3991-3993, s.2(b). \r\n9Substituted by the Punjab Mental Health (Amendment) Act 2014 (XI of 2014); and published in the Punjab Gazette (Extraordinary), \r\ndated 29.5.2014, pages 3991-3993, s.5(a). \r\n10\r\n[(3) The members of the Authority shall be as follows: \r\n(i) Secretary to the Government, Health Department; \r\n(ii) Chief Consultant Psychiatrist, Punjab Institute of Medical Health, Lahore; \r\nand  \r\n(iii) three eminent psychiatrists and two eminent psychologists of at least ten \r\nyears’ standing.] \r\n (4) The  Chairperson  and  the  members  of  the  Authority,  other  than  ex-\r\nofficio members, shall be appointed on such terms and conditions  as may be \r\ndetermined  by  the \r\n11\r\n[ Government]. \r\n (5) The Chairperson and the members of the Authority shall be appointed \r\nfor a tenure of fours years. The  Chairperson  and  a  member  may  resign  from  his  \r\noffice  in  writing addressed to the \r\n12\r\n[Government]. \r\n (6) The Chairperson  or a member  of the Authority  may  be removed  \r\nfrom  his office by the \r\n13\r\n[Government], for reasons of misconduct, or if he is unable to \r\nperform functions of his office, on account of mental or physical incapacity or for any \r\nother reason. \r\n(7) The Authority established under sub-section (1) shall carry out the \r\nfollowing  functions,– \r\n(a) advise the Government  on all matters relating to promotion of  mental \r\nhealth and prevention of mental disorder; \r\n(b) develop and establish new national standards for care and treatmen t of \r\npatients; \r\n(c) recommend measures to improve existing mental health services  and \r\nsetting up of child and adolescence,  psychogeriatric , forensic , learning \r\ndisability and community based services;  \r\n(d) prescribe procedures with respect to setting up and functioning of  the \r\nmental health services and facilities;  \r\n(e) prescribe  a  code  of  practice  to  be  implemented  for  achieving  the \r\npurposes and objects of this Ordinance as well as to be followed by all \r\nthe mental  health personnel  involved  with the care of  patients  under \r\nthis Ordinance; \r\n(f) provide for regular review by the Board of Visitors to ensure that  the \r\n                                                           \r\n10Substituted by the Punjab Mental Health (Amendment) Act 2014 (XI of 2014)  ; and published in the Punjab Gazette \r\n(Extraordinary), dated 29.5.2014, pages 3991-3993, s.5(b). \r\n11Substituted for the words “Federal Government” by the Punjab Mental Health (Amendment) Act 2014 (XI of 2014) ; and published \r\nin the Punjab Gazette (Extraordinary), dated 29.5.2014, pages 3991-3993, s.2(a) \r\n12Substituted for the words “ Secretary, Ministry of Health, Government of Pakistan ” by the Punjab Mental Health (Amendment) Act \r\n2014 (XI of 2014) ; and published in the Punjab Gazette (Extraordinary), dated 29.5.2014, pages 3991-3993, s.5(c). \r\n13Substituted for the words “Secretary, Ministry of Health, Gove rnment of Pakistan” by the Punjab Mental Health (Amendment) Act \r\n2014 (XI of 2014) ; and published in the Punjab Gazette (Extraordinary), dated 29.5.2014, pages 3991-3993, s.5(c). \r\nprovisions of this Ordinance  for assessment  and treatment  are  being \r\nproperly  carried  out,  whether  or  not  requested  by  any   individual, \r\npatient or his relative; \r\n(g) prescribe  for  care,  aftercare  or  rehabilitation,  under  supervision  or \r\notherwise; \r\n(h) provide for and regulate the setting up of help lines and crisis  centres \r\nfor the general public with regard to mental health; \r\n(i) provide  for,  organize  and  regulate  public  awareness  programs  and \r\npromote  research,  publish  journals,  bulletins,  magazines ,  and  other \r\neducational material on mental health issues; \r\n(j) discharge  such  other  functions  with  respect  to  matters  relating  to \r\nmental health as the Government may require; \r\n(k) register psychiatrists  for  the  purposes  of  this  Ordinance,  in   such \r\nmanner as may be prescribed; and \r\n(l) arrange and organize such courses and training programs as may  be \r\nnecessary for carrying out the purposes and objects of this Ordinance. \r\n(8) The Authority may, by notification in the official gazette, make \r\nregulation s in respect of functions specified in subsection (7). \r\n4.  Constitution of Board of Visitors.– (1) The Authority shall, in consultation \r\nwith the Government \r\n14\r\n[***] establish Boards of Visitors for carrying out the \r\npurposes of this  Ordinance as hereinafter provided. \r\n(2) There shall be a Board of Visitors \r\n15\r\n[***] which shall consist of– \r\n(a) A  Chairperson  who  is  or  has  been  a  Judge  of  the  High Court; \r\n(b) two psychiatrists,  one having a minimum  experience  of  ten years in \r\nGovernment service; \r\n(c) one prominent citizen of good standing; \r\n(d) two medical practitioners of repute with a minimum standing of twelve \r\nyears, one of whom shall be a nominee of Pakistan Medical and Dental \r\nCouncil; and \r\n(e) Director General Health Services \r\n16\r\n[***] or  his nominee. \r\n(3) The Chairperson and members of the Board shall be appointed for a \r\ntenure of two years. \r\n(4) No member shall be deputed to perform any duty as a visitor to a \r\n                                                           \r\n14Omitted the word “concerned” by the Punjab Mental Health (Amendment) Act 201 4 (XI of 2014)  ; and published in the Punjab \r\nGazette (Extraordinary), dated 29.5.2014, pages 3991-3993, s.6(a). \r\n15Omitted the words “at the Provincial level” by the Punjab Mental Health (Amendment) Act 2014 (XI of 2014) ; and published in the \r\nPunjab Gazette (Extraordinary), dated 29.5.2014, pages 3991-3993, s.6(b). \r\n16Omitted the words “of the Province” by the Punjab Mental Health (Amendment) Act 2014 (XI of 2014); and published in the Punjab \r\nGazette (Extraordinary), dated 29.5.2014, pages 3991-3993, s.6(b). \r\npsychiatric facility wherein he has a direct or indirect conflict of interest. \r\n5. Powers and functions of the Board.– (1) The Board  may,  at any time,  \r\nenter and inspect any psychiatric facility within its area of responsibility and require \r\nthe  production of any records and documents for inspection to ensure that they are \r\nin proper order. \r\n(2) The Board shall periodically  inspect  every part of a psychiatric  \r\nfacility  and examine as far as possible every patient and mentally disordered \r\nprisoner. The Board  shall  inspect records and documents relating to the patients \r\nand mentally disordered prisoners since last visitation by the Board. \r\n(3) The Board may make recommendations to a psychiatric facility, the \r\nAuthority and the Government, concerning improvement of conditions of such facility. \r\n(4) The Authority  may  order  the Board  to visit  any patient  in case  it  \r\nappears necessary for the purpose of investigating any particular matter, or matters \r\nrelated to the capacity of the patient to manage his property and affairs, or \r\notherwise, relating to the exercise of its functions. In compliance of this order, the \r\nBoard may visit the facility or nominate a sub-committee of not less than two \r\nmembers: – \r\n(a) the Board or the sub-committee,  making a visit under this sub-section  \r\nshall make such report on the visit as the Authority may order; \r\n(b) the Board or the sub-committee,  making a visit under this sub-section  \r\nmay interview and examine a patient in private and may require the \r\nproduction of and inspect any documents and/or medical records \r\nrelating to the patient; \r\n(c) where the sub-committee  visits a facility it shall report to the Board \r\nand  the Board shall make its final report to the Authority; and \r\n(d) where  the  Board  or  a  sub-committee   is  to  visit  a  mentally   \r\ndisordered prisoner,  it  shall  also  include  the  Inspector  General  of   \r\nPrisons,  or  his nominee. \r\n(5) Where the Board is satisfied that any patient in a psychiatric facility is \r\nnot receiving proper care or treatment, it may report the matter to the Authority \r\nwhich may  issue such directions as it may deem fit to the medical practitioner,  or \r\npsychiatrist  in charge of  the psychiatric facility, as the case may be, who shall be \r\nbound to comply with such directions. \r\n(6) The Board shall enter remarks  in a register  to be kept for that  \r\npurpose  in regard to the management and condition of a psychiatric facility and the \r\ninmates therein. \r\n(7) Any information obtained by any member of the Board in the course \r\nof  his duties or which comes to the knowledge  otherwise, shall not be disclosed \r\nexcept to the  authorised person(s). \r\n6. Establishmen t of psychiatric facilities by the Government.– \r\n17\r\n[(1) The \r\nGovernment may establish or maintain psychiatric facilities for the assessment, \r\nadmission, treatment, rehabilitation , care and after care of mentally disordered patients \r\nat such places, as it deems fit.] \r\n(2) The psychiatric facilities established under sub-section  (1) may \r\norganize  or maintain separate units for– \r\n(a) persons who are above the age of eighteen years; \r\n(b) child and adolescence psychiatric units; \r\n(c) psychogeriatric units for the elderly; and \r\n(d) persons who have been convicted of any offence and are  mentally \r\ndisordered for whom special security measures shall be required. \r\n(3) Where drug dependence units need to be established, they shall be \r\nset up separately which may be within the premises of the psychiatric facility for \r\npeople who are not mentally disordered but have drug dependence or patients with \r\ndrug induced behavioura l changes.  \r\nCHAPTER III \r\nASSESSMENT AND TREATMENT  \r\n7. Care in the Community.– (1) Community based mental health services shall \r\nbe set up for providing  mentally  disordered  persons,  their  families  and  others  \r\ninvolved  in their  care  with guidance, education, rehabilitation, after care and \r\npreventive measures and other support services on an informal basis. \r\nExplanation :– For the purposes of this  section, community shall include, family, \r\nhome, workplace, educational institutions and other places where care and after care \r\ncan be provided on an informal or voluntary basis. \r\n8. Care and Treatment on an informal or voluntary basis.– Any person who \r\nhimself seeks or is brought by a relative or is referred by a medical practitioner or is \r\nreferred by any authority for  forensic  psychiatric  assessment,  shall  be  examined  \r\nby  a  psychiatrist  or   a   medical  officer nominated by him who shall record his \r\nfindings in writing and decide that the patient be treated on an out-patient basis or \r\notherwise. Any such person on withdrawal of his consent may be discharged in \r\naccordance with the provisions of this Ordinance.  \r\n9. Duration for periods of detention for assessment, treatment, urgent \r\nadmission and emergency holding.– For the purposes of this Ordinance, there \r\nare four types of detention of a patient, namely; (1) admission for assessment, (2) \r\nadmission for treatment, (3) urgent admission, and (4) emergency holding. The \r\nduration for each type of detention shall be as follows :– \r\n(a) The period of detention  for the purposes  of assessment  shall be up \r\n                                                           \r\n17Substituted by the Punjab Mental Health (Amendment) Act 2014 (XI of 2014); and published in the Punjab Gazette (Extraordinary), \r\ndated 29.5.2014, pages 3991-3993, s.7. \r\nto  28 days from the date of application made under section 10; \r\n(b) The  period  of  detention  for  the  purposes  of  treatment  shall  be  up  \r\nto  six months from the date of application made under section 11, and \r\nis renewable under the provisions of the said section; \r\n(c) The period of detention for the purposes of urgent admission shall be \r\nup  to 72 hours from the time of application made under section 12; and \r\n(d) The  period  of  detention  in  the  case  of  a  patient  for  the  \r\npurposes   of emergency holding already in hospital, shall be up to 24 \r\nhours from the time of application made under section 13. \r\n10. Admission for assessment.– (1) A patient may be admitted to a Psychiatri c \r\nFacility and detained there for the period allowed by subsection (4) in pursuance of \r\nan  application made in accordance with subsections (2) and (3). \r\n(2) An application for admission for assessment may be made in respect  \r\nof  a patient on the grounds that– \r\n(a) he  is  suffering  from  mental  disorder  of  a  nature  or  degree  which \r\nwarrants  the  detention  of  the  patient  in  a  psychiatric  facility  for \r\nassessment (or for assessment  followed  by initial  treatment)  for at \r\nleast a limited period; and \r\n(b) he ought to be so detained in the interests of his own health or safety or \r\nwith a view to the protection of other persons; and \r\n(c) specifying that care and treatment in the community and on an informal \r\nand voluntary basis is not possible. \r\n(3) An application for admission for assessment shall be founded on the \r\nwritten recommendations in the  prescribed  form  of  two  medical  practitioners,  one  \r\nof  whom  should  be  a medical officer and one should be a psychiatrist, or where a \r\npsychiatrist is not  available, a medical practitioner with experience in psychiatry, \r\nincluding in each case a  statement that in the opinion of such medical practitioners \r\nthe conditions set out in sub-section (2) above are complied with. \r\n(4) A patient admitted to a psychiatric facility in pursuance of an \r\napplication  for admission for assessment  may be detained for a period not \r\nexceeding 28 days beginning  with the day on which application was made under \r\nthis section, but shall not be detained after the expiration of that  period  unless  \r\nbefore  it  has  expired  he  has  become  liable  to  be  detained  by  virtue  of  a \r\nsubsequent application, order or direction under the provisions of this Ordinance.  \r\n(5) Where a psychiatrist deems it fit he may discharge the patient from \r\ndetention and advise the patient to continue treatment on voluntary basis. \r\n(6) The patient, his relative or guardian shall have the right  of filing only  \r\none appeal against the order of detention under this section to a Court of Protection \r\nwithin a period of 14 days from the day on which the application was made. The \r\ndecision of the Court of Protection shall be final for the period of detention under this \r\nsection. \r\n11. Admission for treatment.– (1) A patient may be admitted to a psychiatric \r\nfacility and detained there for the period allowed by the following provisions, in \r\npursuance of an application made in accordance with this section. \r\n(2) An  application  for  admission  for  treatment  may  be  made  in  respect  \r\nof  a patient on the grounds that– \r\n(a) he is suffering from mental illness, severe mental impairment, severe \r\npersonality disorder or mental impairment and his mental disorder is of \r\na nature or degree which makes it appropriate for  him to receive \r\nmedical treatment in a psychiatric facility; and \r\n(b) it  is  necessary  for  the  health  or  safety  of  the  patient  or  for  the \r\nprotection of other  persons  that  he should  receive  such  treatment \r\nand it cannot be provided unless he is admitted under this section. \r\n(3) An application  for admission  for treatment  shall be founded  on the  \r\nwritten recommendations, on the prescribed form of two medical officers, one of \r\nwhom shall be an approved psychiatrist,  including  in  each  case  a  statement  that  \r\nin  the  opinion  of  such  medical  officers  the conditions set out in sub-section (2) \r\nabove are complied with; and each such recommendation shall include– \r\n(a) such particulars as may be prescribed of the grounds for that opinion \r\nso far as it relates to the conditions set out in clause (a) of that sub- \r\nsection; and \r\n(b) a statement of the reason for that opinion so far as it relates to  the \r\nconditions  set  out  in  clause  (b)  of  that  sub-section,   specifying, \r\nwhether other methods of dealing with the patient are available and, if \r\nso, why they are not appropriate.  \r\n(4) A  patient  admitted  to  a  psychiatric  facility  in  pursuance  of  an  \r\napplication under this section may be detained  in a psychiatric  facility, for a period \r\nnot  exceeding  six months allowed by clause (b) of section 9 but shall not be so \r\ndetained or kept for any longer period unless the authority for his detention is \r\nrenewed under this section– \r\n(a) the authority for detention  of a patient may, unless the patient  has \r\npreviously been discharged,  be renewed  from the expiration  of the \r\nperiod of six months referred to in sub-section  above, for  a further \r\nperiod of six months; \r\n(b) from the expiration of any period of renewal under clause (a) above, for \r\na further period of one year, if necessary and so on for periods of one \r\nyear at a time. \r\n(5) The patient, his relative or guardian may file an appeal against the  \r\norder  of detention under this section to a Court of Protection: \r\nProvided  that  only  one  appeal  shall  lie  during  the  subsistence  of  each  \r\nperiod  of detention. \r\n12. Admission for assessment in cases of urgency.– In any case of urgent \r\nnecessity, an application for admission for assessment may be made in respect of a \r\npatient in accordance with the following provisions– \r\n(i) an  urgent  application  may  be  made  either  by  a  relative  of  the  \r\npatient  or medical officer; and every such application shall include a \r\nstatement that it is of urgent  necessity  for the patient  to be admitted  \r\nand  detained  under  this section and that compliance with the \r\nprovisions relating to an application for treatment, under section 11 \r\nwould involve undesirable delay; \r\n(ii) an urgent application shall be sufficient in the first instance if founded \r\non the medical  recommendation   of  an  approved   psychiatrist   or  \r\nhis   nominated medical officer and if practicable, the nominated \r\nmedical  officer  shall not be the same medical officer referred to in sub-\r\nclause (i) above; \r\n(iii) an urgent application shall cease to have effect after 72 hours from the \r\ntime when  the  patient  is  admitted  under  this  section  to  the  \r\npsychiatri c  facility unless– \r\n(a) the second medical recommendation required by section 11 \r\nabove is given and received by the psychiatrist in-charge of the \r\nfacility within the said period of 72 hours; and \r\n(b) that  such  recommendation  and  the  recommendation  referred  \r\nto  in sub-clause (ii) above together  comply  with all the  \r\nrequirement s  as contained in  section 17. \r\n13. Emergency Holding.– If in the case of a patient who is receiving treatment for \r\nmental disorder as an inpatient in a psychiatric facility who wishes or attempts to \r\nleave and it  appears to a medical officer– \r\n(i) that the patient is suffering from mental disorder to such a degree \r\nthat  it  is necessary for his health or safety or for the protection of \r\nothers, for him to be prevented from leaving the facility, and \r\n(ii) that it is not practicable to secure   the  immediate   attendance   of   the \r\npsychiatrist in  charge  or  his  nominated  medical  officer  for  the  \r\npurpose  of furnishing a medical recommendation ,  \r\nthe medical officer shall record that fact in writing and in that event the \r\npatient may be detained in the hospital for a period of 24 hours from \r\nthe time when the fact is so recorded or until the earlier arrival of the  \r\npsychiatrist in charge or his nominated medical officer. \r\n14. Emergency Powers.– Where  in  case  of  an  emergency  a  medical  \r\npractitione r  is unable to obtain informed consent in writing,  he  may  administer  \r\ntreatment ,  notwithstandin g the provisions of section 51, that in his professional \r\nopinion, is necessary for:– \r\n(i) saving the patient’s life; or \r\n(ii) preventing serious deterioration of his condition; or \r\n(iii) alleviating serious suffering by the patient; or \r\n(iv) preventing the patient from behaving violently or being a danger  to \r\nhimself or to others. \r\n15. Application by whom to be presented.– (1) Subject to the provisions of \r\nsubsection (3) the application on a prescribed form shall be presented by the \r\nhusband or wife of the patient or, if there  is  no  husband  or  wife  or  the  husband  \r\nor  wife  is  prevented  by  reason  of  mental  disorder, absence  from  Pakistan  or  \r\notherwise  from  making  the  presentation,  by  the  nearest  relative  of  the patient. \r\n(2) If the application is not presented by the husband or wife, or, where \r\nthere is no husband or wife, by the nearest relative of the patient, the application \r\nshall contain a statement of the reasons  why  it  is  not  so  presented,  by  the  \r\nhusband,  wife  or  the  nearest  relative  and  of  the connection of the applicant  with  \r\nthe patient,  and  the circumstances  under  which  he presents  the application. \r\n(3) No person  shall present  an application  unless he  has  attained  the  \r\nage  of majority and has within fourteen days before the presentation of the \r\napplication, personall y seen the said patient. \r\n(4) The  application  shall  be  signed  and  verified  by  the  applicant,  \r\nand   the statement of prescribed particulars by the person making such statement. \r\n16. Effect of application for admission.– (1) An application for the admission  of  \r\na patient to a psychiatric facility under this Ordinance, duly completed in \r\naccordance with the section under which he is being admitted, shall be sufficient \r\nauthority  for  the applicant or any person authorized by the applicant, to take the \r\npatient and convey him to a psychiatri c  facility at any time within the following \r\nperiods, that is to say– \r\n(a) in the case of an application made other than an emergency \r\napplication within the period of 14 days beginning with the date from \r\nwhich the patient was last examined by an  approved Psychiatrist or \r\nmedical  officer,  as  the  case may be, before giving a medical \r\nrecommendation for the purposes of the application;  \r\n(b) in the case of an emergency application, under section 12, the period of \r\n24 hours beginning at the time when the patient was examined by an \r\napproved psychiatrist or his nominated medical  officer giving the \r\nmedical recommendation which is referred to in section 11 above, or at \r\nthe time when the application is made, whichever is the earlier. \r\n(2) Where a patient is admitted within the said period to a psychiatric \r\nfacility as mentioned in sub-section (1), on an application made under  sections 10,  \r\n11 or 12, as the  case may be, the application shall be sufficient authority for the \r\nhospital management to detain the patient in the said facility in accordance with the \r\nprovisions of this Ordinance.  \r\n(3) Any application for the admission of a patient under sections 10, 11 or \r\n12, as the case may be, and which appears to be duly made and is founded  on \r\nthe necessary medical recommendations, may be acted upon without further proof \r\nof the signature or qualification  of the person by whom the application  or any such \r\nmedical recommendation  is made or given or of  any matter of fact or opinion stated \r\ntherein. \r\n(4) Once a patient is admitted to a psychiatric facility in pursuance of an \r\napplication for admission  for treatment,  any previous  application  under this \r\nOrdinance by virtue of which he was detained in a psychiatric facility shall cease to \r\nhave effect. \r\n17. General provisions as to applications and medical recommendation s.– \r\n(1) General provisions as to applications:– \r\n(a) subject to provisions of this section, an application for admission for \r\nassessment  or  for  treatment may be made either  by  the  nearest \r\nrelative  of  the  patient,  by  an approved  psychiatrist  or  nominated \r\nmedical officer; and every such application shall specify the qualification \r\nof the applicant to make such an application;  \r\n(b) every application for  admission shall  be addressed  to the  hospital \r\nmanagement to which admission is sought; \r\n(c)  before  or  within a  reasonable time after  an  application  for   the \r\nadmission  of  a patient for  assessment  is  made  by  an  approved \r\npsychiatrist or a nominated medical officer, as the case  may be, he \r\nshall take such steps as are practicable to inform the person (if any) \r\nappearing   to   be   the   nearest   relative   of   the   patient,   that   the \r\napplication is to be or has been made; \r\n(d) none of the applications mentioned in sub-section (1) above shall be \r\nmade by any person in respect of a patient unless that  person  has \r\npersonally seen the patient within the period of 14  days ending with \r\nthe date of application;  \r\n(e) any  recommendation given for the purposes  of  an  application  for \r\nadmission for treatment, may describe the patient as  suffering  from \r\nmore  than  one  form  of mental disorder, namely,  severe  mental \r\nimpairment, severe personality  disorder,  mental impairment,  or any \r\nother disorder or disability of mind: \r\nProvided that the application shall be of no effect unless the patient  is  \r\ndescribed in each of the  recommendations  as  suffering from the  same  form  of  \r\nmental disorder whether  or  not  he  is also described  in  either  of  those  \r\nrecommendations  as  suffering  from another form. \r\n(f) each of the applications mentioned in subsection (1) above shall  be \r\nsufficient if the recommendations on which it is founded  are  given \r\neither as separate recommendations,  or as a joint  recommendation \r\nsigned by the medical officer and a psychiatrist. \r\n(2) General provisions as to medical recommendations:– \r\n(a) where   recommendations   are   required   for   the   purposes   of   an \r\napplication under this Ordinance,  they shall be signed on or  before \r\nthe date of the application, and shall be given by a medical officer or an  \r\napproved  psychiatrist  who  have  examined  the  patient   either \r\ntogether or separately,  but  where  they  have  examined  the  patient \r\nseparately not more than five days must have  elapsed  between the \r\ndays on which those separate examination s took place; \r\n(b) Of  the  medical  recommendations  given  for  the  purposes  of  any \r\napplication as referred under clause (a) above, one shall be given by an \r\napproved  psychiatrist  and unless  that psychiatrist  has previous \r\nacquaintance with the patient, the other such recommendation shall, if \r\npracticable,  be given by a medical  officer who has such previous \r\nacquaintance. \r\n18. Rectification of applications and recommendations.– (1) If within the \r\nperiod of 14 days beginning with the day on which application was made in respect \r\nof the patient to be admitted to a psychiatric facility for assessment or for treatment \r\nthe application or any medical recommendation given for the purposes  of  the  \r\napplication, is found to in any respect  incorrect or defective, the recommendation or \r\napplication may, within that period and with the consent of the management  of the \r\npsychiatric facility, be amended by the person by whom it was signed; and upon such \r\namendment being made the application or recommendation  shall have  effect and \r\nshall be deemed to have had effect as if it had been originally made as so amended. \r\n(2) Without prejudice to sub-section (1) above, if within the period \r\nmentioned in that sub-section it appears to the management of the psychiatric \r\nfacility that one of the two medical recommendations on which  the application  for \r\nadmission  of a patient  is founded  is  insufficient  to warrant the detention of the \r\npatient in pursuance of the application, they may, within that period, give notice in \r\nwriting to that effect to the applicant;  and where any such notice is  given in \r\nrespect of a medical recommendation,  that recommendation  shall  be disregarded,  \r\nbut  the application  shall  be, deemed always to have been, sufficient if– \r\n(a) a fresh recommendation complying with the relevant provision s  of this  \r\nOrdinance  (other  than  the  provisions  relating  to  the  time  of \r\nsignature and the interval between examinations) is furnished to the \r\nhospital management within that period; and \r\n(b) the fresh recommendation, and  the other recommendatio n given \r\nearlier on which the application is  founded, together comply with those \r\nprovisions.  \r\n(3) Where the medical recommendations  upon which an application   for \r\nadmission  is  founded are, taken  together,  insufficient to warrant the detention  of  \r\nthe  patient  in pursuance of the application, notice under subsection (2) above may \r\nbe given in respect of either of those recommendations;  but this subsection shall \r\nnot apply in a case where the application is of no effect by virtue of clause (e) of \r\nsub-section (1) of section 17 above. \r\n(4) Nothing in this section shall be construed as authorizing the giving of \r\nnotice in respect of an application made as an emergency application, or the \r\ndetention of a patient admitted in pursuance of such an application after the period \r\nof 72 hours referred to in clause (iii) of section 12 above unless the conditions set \r\nout in clauses (a) and (b) of that section are complied with or would be complied \r\nwith apart from any error or defect to which this applies. \r\n19. Mentally disordered persons found in public places.– (1) If an officer in  \r\ncharge of a police station finds in a place to which the public have access, a person \r\nwhom he has reason to believe, is suffering from a mental disorder and to be in \r\nimmediate need of care  or control the said officer may, if he thinks it necessary to \r\ndo so in the interest of that person or for the protection of other persons, remove that \r\nperson to a place of safety, which means only a Government run health facility, a  \r\ngovernment  run  psychiatric  facility, or hand  him  over  to  any  suitable  relative  \r\nwho  is  willing  to temporarily receive the patient. \r\n(2) A person removed to a place of safety under this section may be  \r\ndetained there for a period  not  exceeding  72 hours  for the purpose  of enabling  \r\nhim to be  examined  by a psychiatrist or his nominated  medical  officer  and  for \r\nmaking  any  necessar y  arrangements  for his treatment or care. \r\nCHAPTER IV \r\nLEAVE AND DISCHARGE  \r\n20. Order of leave.– (1) An application in the prescribed form, for leave of \r\nabsence in regard to any mentally disordered person (not being a mentally \r\ndisordered prisoner) who is formally admitted in any psychiatric  facility  may be \r\nmade  to the psychiatrist  in charge  of the  facility,  by a relative who is desirous of \r\ntaking care and custody of such mentally disordered person for a specified period, \r\nrequesting  that he may be allowed  on his application  to take  care and custody  \r\nof such a patient and subject to the assessment by a psychiatrist, in charge of the \r\nsaid facility, who may allow or deny  the said application: \r\nProvided that no application under this sub-section shall be made by a \r\nperson who has not attained the age of majority. \r\n(2) Every application under sub-section (1) shall be accompanied by an \r\nundertaking – \r\n(a) to take proper care of the mentally ill patient; \r\n(b) to prevent the mentally ill patient from causing injury to himself  or to \r\nothers; and \r\n(c) to bring back the mentally ill patient to the said facility on the expiry of \r\nthe period of leave. \r\n(3) On receipt of the application under sub-section (1), the psychiatrist in \r\ncharge may grant leave of absence to the mentally ill person for such period as he \r\nmay deem necessary and subject to such conditions as may, in the interests of the \r\npersonal safety of the mentally ill patient or for the protection of others, be specified \r\nin the order. \r\n(4) In case a patient is not returned by the relative after a specified  \r\nperiod  of leave, the said psychiatrist shall report to the magistrate, in whose \r\njurisdiction the psychiatri c facility is situated, and the referring authority and the \r\nMagistrate if satisfied, may direct the  police to recover and return the said patient \r\nto the psychiatric facility. \r\n(5) In any case where a patient is absent from a psychiatric facility in \r\npursuance of order of leave granted under this section and it appears to the \r\npsychiatrist that is it necessary to do so in the interest of the patients’ safety or for \r\nthe protection of other persons, he may by notice in writing given to the patient or \r\nto the person for the time being in-charge of the patient, revoke the leave of \r\nabsence and recall the patient to the psychiatric facility. \r\n(6) If after the passage of reasonable time after the notice as given under \r\nsub- section (5) above, the patient does not return or is not returned, then the \r\npsychiatrist may report to the Magistrate and the referring authority of the reasons of \r\nrevoking the leave of absence. \r\n(7) If  the  Magistrate  is  satisfied  with  the  report  of  the  psychiatrist  \r\nand  the reasons as mentioned  in this section,  he may direct  the police  to locate  \r\nand produce  the  patient before him on a specified date and the Magistrate after \r\nhearing the patient, the person in charge and the concerned  psychiatrist  or their  \r\nrepresentatives, may make an order  placing  the  patient  in the psychiatric facility or \r\nallow him to continue being in the care and custody of the person in charge or may \r\nmake such other orders as he may deem fit. \r\n(8) Without prejudice to what has been stated above in this section, the \r\nperiod of detention under provisions of section 10 or 11 shall continue  during the \r\nperiod for which  order of leave was granted: \r\nProvided that a patient in whose  favour order of leave has been granted \r\nunder  this section shall not be recalled, after he has ceased to be liable to be \r\ndetained for the periods specified under section 10 or 11, unless he is absent, at \r\nthe expiration of period specified  under the above referred sections, without leave \r\nfrom the psychiatric facility. \r\n21. Discharge of a patient.– (1)The psychiatrist in-charge of the treatment  of  a \r\npatient, may by order in writing, direct discharge of the patient at any time he deems \r\nit appropriate.  \r\n(2) Where any order of discharge is made under sub-section (1), in \r\nrespect of a person who has been admitted or is undergoing treatment as a patient \r\nin pursuance of an order of a referring authority, a copy of such order shall  be  \r\nimmediately  forwarded  to that authority by the psychiatrist in charge. \r\n(3) Any person admitted in a psychiatric  facility under an order  made in \r\npursuance of an application made under this Ordinance, may be discharged on an \r\napplicatio n made to the psychiatrist in charge: \r\nProvided that no patient shall be discharged under this section if the \r\npsychiatrist  in charge certifies in writing that the patient is unfit to be discharged for \r\nreasons of his own health and safety or the safety of others. \r\n22. Application by a patient for discharge.– (1)  Any  patient,  not  being  a  \r\nmentally disordered prisoner, who  feels  that  he  has  recovered  from  his  mental  \r\ndisorder, may make  an application to the Magistrate for his discharge from the \r\npsychiatric facility. \r\n(2) The Magistrate may after making such inquiry as he may deem fit, \r\npass  an order discharging the person or dismiss the application.  \r\nProvided that no subsequent application for discharge shall be made by the \r\npatient during the said period of detention. \r\n23. Discharge of a detained person found not to be mentally disordere d after \r\nassessment.– If any person admitted in a psychiatric facility is subsequently found \r\nnot to be mentally disordered and is capable of taking care of himself  and  \r\nmanaging  his  affairs, an approved psychiatrist, of the said facility shall forthwith, \r\ndischarge such person from the psychiatric facility and notify the fact to the referring \r\nauthority and the nearest relative. \r\n24. Duty of hospital management to inform relatives of the discharge.– \r\nWher e a patient detained under this Ordinance in a psychiatric facility is to be \r\ndischarged, the management of the psychiatric facility shall take such steps as are \r\npracticable to inform the  relative (if any), of the patient and  or  the  applicant  (if  \r\nany),  and  or  any suitable person who is willing to accept  the responsibility to take \r\ncare and custody of the said patient; and that information shall, if practicable, be \r\ngiven at least seven days before the date of discharge. \r\n25. Application for discharge to Magistrate.– Where any patient is admitted \r\nunder section 10 or 11, his relatives may apply to the Magistrate within the local \r\nlimits of whose jurisdiction the psychiatric facility is situated for his discharge  and  the  \r\nMagistrate may, in consultation with psychiatrist in charge of the treatment, after \r\ngiving notice to the person at  whose instance he was admitted and after making \r\nsuch inquiry as he may deem fit, either allow or dismiss the application:  \r\nProvided that no subsequent application for discharge shall be made during \r\nthe said period of detention. \r\n26. Notice about serious illness or death.– If a patient becomes  seriously ill \r\nor  dies, that fact shall be notified to his nearest relatives, if known or on whose \r\napplication the  patient was admitted and also to the authority by whom the patient \r\nwas referred to the psychiatric facility. \r\n27. Transfer and removal.– Transfer  and  removal  of  patient  placed  in  a  \r\npsychiatric facility to another such facility in \r\n18\r\n[ any other Province or territory of \r\n                                                           \r\n18Substituted for the words “the same Province or some other Province” by the Punjab Mental Health (Amendment) Act 2014 (XI of \r\n2014); and published in the Punjab Gazette (Extraordinary), dated 29.5.2014, pages 3991-3993, s.8 \r\nPakistan] shall  be  carried out in accordance with any general or special order of \r\nthe \r\n19\r\n[ Government with the consent of the Government of that Province or territory]   \r\nprovided that a notice of such intended transfer or removal has  been given to the \r\napplicant. \r\n28. Foreign nationals.– (1) When an arrangement has been made with any \r\nforeign state with respect to the placement of a patient, the Federal Government  \r\nmay issue a notification under this Ordinance directing the \r\n20\r\n[Government for such \r\nplacement of the patient]. \r\n(2) On publication of a notification under sub-section (1), the agent of the \r\nforeign state in which the alleged mentally disordered person ordinarily resides may \r\nmake an application for an order to the \r\n21\r\n[Government]. \r\n(3) The functions of the Magistrate  shall  be performed  by such  officer  \r\nas  the \r\n22\r\n[***] Government may by general or special order appoint in this behalf, \r\nand such  officer shall be deemed to be the Magistrate having jurisdiction over the \r\nalleged mentally  disordered person for the purposes of this section. \r\n(4) The \r\n23\r\n[***] Government   may specify approved psychiatrists for the \r\npurposes of this section. \r\nCHAPTER V \r\nJUDICIAL PROCEEDINGS FOR APPOINTMENT OF GUARDIAN OF PERSON \r\nAND MANAGER OF THE PROPERTY OF THE MENTALLY DISORDERED  \r\n29. Judicial  proceedings.– Whenever any person is possessed  of  property  \r\nand  is alleged to be mentally disordered, the Court of Protection, within whose \r\njurisdictio n  such  person is residing may, upon  application by any  of  his  relatives  \r\nhaving obtained consent  in  writing of the \r\n24\r\n[Advocate Ge neral Punjab]    by  order  \r\ndirect  an inquiry for the purpose of ascertaining whether  such  person  is mentally  \r\ndisordered and incapable of managing himself,  his property and his affairs. \r\n30. Regulation of  proceedings of the Court of Protection.– (1) The following \r\nprovisions shall regulate the proceedings of the Court of Protection with regard to \r\nthe matter to which they relate, namely:– \r\n                                                           \r\n19Substituted for the words “Provincial Government with the consent of the other Provincial Government” by the Punjab Menta l \r\nHealth (Amendment) Act 2014 (XI of 2014) ; and published in the Punjab Gazette (Extraordinary), dated 29.5.2014, pages  3991-\r\n3993, s.8. \r\n20Substituted for the words “Provincial Government concerned within which such order may be made” by the Punjab Mental He alth \r\n(Amendment) Act 2014 (XI of 2014)  ; and published in the Punjab Gazette (Extraordinary), dated 29.5.2014, pages 3991 -3993, \r\ns.9(a). \r\n21Substituted for the words “Provincial Government concerned” by the Punjab Mental Health (Amendment) Act 2014 (XI of 201 4); \r\nand published in the Punjab Gazette (Extraordinary), dated 29.5.2014, pages 3991-3993, s.9(b). \r\n22Omitted the word “Provincial” by the Punjab Mental Health (Amendment) Act 2014 (XI of 2014)  ; and published in the Punjab \r\nGazette (Extraordinary), dated 29.5.2014, pages 3991-3993, s.9(c). \r\n23Omitted the word “Provincial”  by the Punjab Mental Health (Amendment) Act 2014 (XI of 2014) ; and published in the Punjab \r\nGazette (Extraordinary), dated 29.5.2014, pages 3991-3993, s.9(c). \r\n24Substituted “Advocate General of the Province concerned” by the Punjab Mental Health (Amendment) Act 2014 (XI of 2014) ; and \r\npublished in the Punjab Gazette (Extraordinary), dated 29.5.2014, pages 3991-3993, s.10. \r\n(a) Notice shall be given to the mentally disordered person of the time and \r\nplace at which it is proposed to hold the inquiry; \r\n(b) if it appears that personal service on the alleged mentally disordered \r\nperson would be ineffectual, the Court may direct such substituted \r\nservice of notice as it thinks fit; \r\n(c) the Court may also direct copy of such notice to be served  upon any \r\nrelative  of the alleged  mentally  disordered  person  and upon any \r\nother person to whom in the opinion of the Court notice of the \r\napplication should be given; \r\n(d) the Court may require the alleged mentally  disordered  person  to \r\nattend, at such convenient time and place as it may appoint for the \r\npurpose  of  being  personally  examined  by the Court, or to any person \r\nfrom whom the Court may desire to have a  report of the mental \r\ncapacity and condition of such mentally disordered person; \r\n(e) the Court may likewise make an order  authorising  any person  or \r\npersons  therein named to  have  access to  the alleged  mentally \r\ndisordered person for the purpose of personal examination; and \r\n(f) the attendance and examination of the alleged mentally disordered \r\nperson under the provisions of clause (d) and clause (e) shall, if the \r\nalleged mentally disordered person be a woman who, according to \r\ncustoms of the country, ought not to be compelled to appear in public, \r\nbe regulated by the law and practice  for  the examination of such \r\npersons in other civil cases. \r\n(2) The  Court,  if  it  thinks  fit,  may  appoint  two  or  more  persons  to  \r\nact  as assessors to the Court in the said proceedings.  \r\n(3) Upon the completion  of the inquiry,  the Court shall determine  \r\nwhether  the alleged mentally disordered person is suffering from mental disorder \r\nand is incapable of  managing himself and  his  affairs, or may  come  to a special  \r\nfinding  that  such  person  lacks  the  capacity  to manage his affairs, but is capable \r\nof managing himself and is not dangerous to himself or to others, or may make any \r\nsuch order it deems fit, in the circumstances  of the  case,  in the best interests of \r\nsuch person. \r\n31. Inquiry by subordinate Court on commission issued by the Court of \r\nProtection and proceedings thereon.– (1) If the alleged mentally disordered  \r\nperson resides  at  a distance of more than fifty miles from the place where the Court \r\nis held to which the application is made, the said Court may issue a Commission to \r\nany sub-ordinate court to make the inquiry, and such subordinate court shall \r\nthereupon conduct the inquiry in the manner hereinbefore provided. \r\n(2) On the completion of inquiry the subordinate court shall transmit the \r\nrecord of its proceedings with the opinion of the assessor, if any have been \r\nappointed, and its own opinion on the case; and the Court shall thereupon proceed \r\nto dispose the application in the manner provided in sub-section (3) of section 30: \r\nProvided  that the Court  may direct  the subordinate  court  to make  such  \r\nfurther  or other inquiry as it thinks fit before disposing of the application.  \r\n32. Appointment of guardian.–  Where  a  mentally  disordered  person  is  \r\nincapable  of taking care of himself, the Court may appoint any suitable person to be \r\nhis guardian, or order him to be looked after in a psychiatric facility and order for his \r\nmaintenance.  \r\n33. Management of property of mentally disordered person.– (1) Where the \r\nproperty of the mentally disordered person who is  incapable  of  managing  it,  the  \r\nCourt shall appoint any suitable person to be the manager of such property. \r\n(2) No  person, who  is a  legal heir  of a mentally  disordered  person,  shall  \r\nbe appointed under section 32 to be the guardian of such a person or the manager \r\nof his property, as the case may be, unless the Court  for  reasons  to  be  recorded  \r\nin  writing considers that such appointment is for the benefit of the mentally \r\ndisordered person. \r\n(3) The guardian of a mentally  disordered person and the manager of his \r\nproperty appointed under this Ordinance shall be paid, from out of the property of the \r\nmentally disordered person, such allowance as the Court may determine. \r\n34. Responsibilit y of manager.– A person appointed as a manager of the \r\nproperty of a, under this Ordinance, shall be responsible  for the care, cost of \r\ntreatment  and  maintenance  of the mentally disordered person and of such \r\nmember(s) of his family as are dependent on him. \r\n35. Allowanc e payable to guardian.– The manager of the property of the \r\npatient  shall pay to the guardian of the patient such allowances  as may be fixed \r\nby the Court for the  care and maintenance of the patient and of such members of \r\nhis family as are dependent on him. \r\n36. Powers of manager of property of mentally disordered person.– (1) Every \r\nmanager appointed under this Ordinance shall, subject to the provisions of this  \r\nOrdinance, exercise the same power in regard to the management  of the property \r\nof the  mentally disordered person in respect  of  which  he  is  appointed  as  \r\nmanager,  as  the  mentally  disordered  person  would  have exercised as owner of \r\nthe property, had he not been mentally disordered and shall realize all claims due \r\nto the estate of the mentally  disordered  person  and pay all debts and discharge  \r\nall liabilities legally due from that estate and in exercise of powers under this section \r\nregard shall be had first of all to the requirements of the mentally disordered person \r\nand the rights of the creditors, if any:– \r\nProvided that no manager so appointed shall without the permission of the \r\nCourt– \r\n(a) mortgage, create any charge on, or transfer by sale, gift,  exchange or  \r\notherwise,  any  movable  or  immovable  property  of  the  mentally \r\ndisordered person; or \r\n(b) lease out or give on bailment any such property.  \r\n(2) The permission under proviso to sub-section (1) may be granted \r\nsubject to such conditions or restrictions as the Court may think fit to impose. \r\n(3) The Court shall cause notice of every application for permission to be \r\nserved on any relative or friend of the mentally disordered person and after \r\nconsidering objections, if any, received from the relatives  or friends  and after \r\nmaking  such inquiries  as it  may deem necessary, grant or refuse permission \r\nhaving regards to the interest of the mentally disordered person. \r\n37. Furnishing of inventory of immovable property, etc.– (1) Every manager \r\nappointed  under  this  Ordinance shall, within a period  of  three  months  from  the \r\ndate of his appointment, deliver to the Court an inventory of the immovable \r\nproperty  belonging  to the mentally disordered person and of all assets and other \r\nmovable property  received on behalf of the mentally disordered person, together \r\nwith a statement of all claims due on and all debts and liabilities due by such a \r\nperson. \r\n(2) All transactions under this Ordinance shall be made through a bank \r\nauthorized by the Court. \r\n(3) Every such manager shall also furnish to the Court within a period of  \r\nthree months of the closure of every financial year, an account of the property and \r\nassets in his charge, the sums  received  and  disbursed  on  account  of  the  \r\nmentally  disordered person and the balance remaining with him. \r\n(4) If any relative of a mentally disordered person impugns, by a petition \r\nto the Court, the accuracy of the inventory or statement referred to in sub-section (1) \r\nor as the case may be, any annual account referred to in sub-section (3), the Court  \r\nmay summon the manager  and summarily inquire into the matter and make such \r\norder thereon as it thinks fit. \r\n(5) Any relative of a mentally disordered person may, with the leave of the \r\nCourt, sue for an account from any manager appointed under this Ordinance or \r\nfrom any such person after his removal from office or trust, or from his legal \r\nrepresentatives in the case of his death, in respect of any property then or formerly \r\nunder his management or of any sums of  money  or other property received by him \r\non account of such property. \r\n38. Inquiry by Court of Protection in certain cases.– Where  a  mentally  \r\ndisordered person had, before the onset of his mental disorder, contracted to sell \r\nor otherwise  disposed of his property  or  any  portion  thereof,  the  Court  may,  \r\nafter  conducting  an  inquiry,  direct  the  manager appointed under this Ordinance to \r\nperform such contract and to do such other acts in fulfillment of the contract  as  the  \r\nCourt  considers  necessary  and  thereupon  the  manager  shall  be  bound  to  act \r\naccordingly. \r\n39. Disposal of business premises under the direction of Court of \r\nProtection.– Where a mentally disordered person had been engaged  in business \r\nbefore  he  became mentally disordered the Court may, if it appears to be in the best \r\ninterest of such a person, after proper hearing notices have been issued to \r\ndependants, relatives for hearing to  dispose of his business premises, direct the \r\nmanager appointed under this Ordinance in relation to property of such person to \r\nsell and dispose of such premises and to apply the sale proceeds thereof in such \r\nmanner as the Court may direct and thereupon the manager shall be bound to act \r\naccordingly.  \r\n40. Investment of assets of mentally disordered person.– All sums receive d by \r\na manager on account of any estate in excess of what may be required for the \r\ncurrent  expenses of a mentally disordered person or for the management of his \r\nproperty, shall be paid into the public treasury on account of the estate, and shall  be \r\ninvested, from time to  time,  through state owned investment agencies, in the \r\ninterest of the mentally disordered person. \r\n41. Appointment of a new manager or guardian.– (1) The manager of the \r\nproperty of a mentally disordered person may resign with the permission of the \r\nCourt, or for sufficient cause and for reasons to be recorded in writing, be removed \r\nby the Court and such Court may  appoint a new manager in his place. \r\n(2) Any manager removed under sub-section (1) shall be bound to deliver \r\nthe charge of all property of such a person to the new manager, and to account for \r\nall monies received or disbursed by him. \r\n(3) The guardian of the person of a mentally disordered person may \r\nresign with the permission  of the Court,  or for sufficient  cause  and for reasons  to \r\nbe recorded  in  writing,  be removed by the Court and such Court may appoint a new \r\nguardian in his place. \r\n42. Dissolution of partnership.– (1) Where a person, being a member of a \r\npartnership firm, is found to be mentally disordered, the Court may, on the \r\napplication of any other partner, order for the dissolution of the partnership or on the \r\napplication of any person who appears to that Court to be entitled to seek such \r\ndissolution dissolve the partnership in accordance with the provisions of the \r\nPartnership Act, 1932 (IX of 1932). \r\n(2) Upon dissolution a partnership firm to which sub-section (1) applies, the \r\nmanager appointed under this Ordinance may, in the name and on behalf of the \r\nmentally disordered person, join with the other partners in disposing of the \r\npartnership property upon such terms, and shall do all such acts for carrying into \r\neffect the dissolution of the partnership as the Court may direct. \r\n(3) Notwithstanding anything detained in the foregoing  provisions, the \r\nCourt may, instead of appointing a manager of the estate, order that in the case of \r\ncash, or in the case of any other property, the produce thereof, shall be realized \r\nand paid or delivered to  such person as may be appointed by the Court in this  \r\nbehalf, to be applied  for the  maintenance  of the mentally disordered person and of \r\nsuch members of his family as are dependent on him. \r\n43. Securities, etc., of mentally disordered person.– (1) Where  any   stock   or \r\nGovernment securities o r any share in a company  are  standing  in  the  name  of,  or  \r\nvested in , a mentally disordered person  beneficially  entitled  thereto,  or  in  the  \r\nmanager  dies in  the estate or himself becomes  mentally  disordered,  or  is  out  of  \r\nthe  jurisdiction of the Court,  or  it  is  uncertain whether the manager  is living  or \r\ndead,  or neglects or refuses to transfer  the  stock,  securities  or shares, or to receive \r\nand pay over thereof the dividends to a new manager  appointed in his place, within  \r\nfourteen  days  after being required by the Court  to  do  so,  then  the  Court  may  \r\ndirect  the  company or \r\n25\r\n[the Government]  to make such transfer, or to transfer the \r\nsame, and to receive an pay over the dividends in such manner as it may direct. \r\n(2) The Court may direct  those  dividends,  the  profit  of  shares,  stock   \r\nand Government securities shall be deposited in the mentally disordered person’s \r\nbank account. \r\n(3) Where any stock or Government securities or shares in a company is \r\nor are standing in the name of, or vested in, any person residing out of Pakistan,  \r\nthe Court upon being satisfied that such person has been declared to be mentally \r\ndisordered and that his personal estate has been vested in a person appointed for \r\nthe management thereof, according to the law of the place where he is residing \r\nmay direct the company  or \r\n26\r\n[ the Government]   to  make transfer  of such stock, \r\nsecurities or shares or of any part thereof, to or into the name  of the person so \r\nappointed or otherwise, and also to receive and pay over the dividends and \r\nproceeds, as the Court thinks fit. \r\n44. Maintenance during temporary mental disorder.– If it appears to the Court \r\nthat the mental illness of a mentally disordered person is in its nature temporary \r\nand that it is  expedient to make provision for a temporary period, for his \r\nmaintenance or for the maintenance of such members of his family as are \r\ndependent on him, the Court may direct his property or a sufficient part thereof to be \r\napplied for the purpose specified therein. \r\n45. Inquiry by Court of Protection into cessation of mental disorder.– (1) \r\nWhere the Court has reason to believe that any person who was found to be \r\nmentally disordered has ceased to be mentally disordered, it may direct any court \r\nsubordinate to it to inquire whether such person has ceased to be mentally \r\ndisordered.  \r\n(2) An inquiry under sub-section (1) shall, so far as may be, conducted \r\nunder this Ordinance. \r\n(3) If after an inquiry under this section, it is found that the mental \r\ndisorder of a person has  ceased,  the  Court  shall  order  all  actions  taken  in \r\nrespect  of  such  person  under  this Ordinance to be set aside on such terms and \r\n                                                           \r\n25Substituted for the words “government concerned”  by the Punjab Mental Healt h (Amendment) Act 2014 (XI of 2014) ; and \r\npublished in the Punjab Gazette (Extraordinary), dated 29.5.2014, pages 3991-3993, s.11. \r\n26Substituted for the words “Government concerned” by the Punjab Mental Health (Amendment) Act 2014 (XI of 2014) ; and \r\npublished in the Punjab Gazette (Extraordinary), dated 29.5.2014, pages 3991-3993, s.11. \r\nconditions as that Court thinks fit to impose. \r\n(4) Without prejudice to the generality powers given above, the court shall \r\nhave powers to make such orders and give such directions as the Court thinks fit, \r\nfor the  betterment  of such a person. \r\n46. Appeal to High Court.– An appeal shall lie to the High Court from an order \r\nmade by a Court of Protection under this Chapter, within a period of sixty days \r\nfrom the date of  order  of the said Court. \r\nCHAPTER VI \r\nLIABILITY TO MEET COST OF MAINTENANCE OF MENTALLY DISORDERE D \r\nPERSON ADMITTED IN A PSYCHIATRIC FACILITY  \r\n47. Liability to meet cost of maintenance of a patient admitted in a psychiatric \r\nfacility.– (1) The cost of maintenance of a patient admitted in a Government owned \r\npsychiatric facility shall be borne by the Government:  \r\nProvided that– \r\n(a) the authority which made the order has not taken an undertaking from  \r\nany person to bear the cost of maintenance of such a person; and \r\n(b) there is no provision for bearing the cost of maintenance  of such \r\nperson by the Court of Protection under this Ordinance.  \r\n(2) Person holding public office or a public servant who is paid by the \r\nGovernment and is mentally disordered shall continue to receive benefit as per \r\nentitlement even after he retires  voluntarily or  on  attainment of the age of  \r\nsuperannuation  or  on the basis of medical invalidation. \r\n(3) In case of defence personnel, the paymaster of the military circle within \r\nwhich any psychiatric facility is situated shall pay to the officer in charge of such \r\nfacility the cost of maintenance of such a mentally disordered person received  and  \r\ndetained therein  under this Ordinance. \r\n(4) Where any such person  admitted  in a psychiatric  facility  has an \r\nestate  or where any person legally bound to maintain such person has the means to \r\nmaintain such person, the Government or local authority liable to bear the cost of \r\nmaintenance of such a person under any law, for the time being in force, may make \r\nan application to the Court within whose jurisdiction the estate of such a person is \r\nsituated or the person legally bound to maintain the said person and having the \r\nmeans  therefore  resides, for an order authorizing  it  to  apply   his   estate  towards  \r\nthe  cost  of maintenance or directing the legally bound person to bear the cost of \r\nmaintenance.  \r\n(5) Nothing contained in the foregoing provisions shall be deemed to \r\nabsolve a person legally bound to maintain a mentally disordered person from \r\nmaintaining such a person. \r\n48. Maintenance out of pay, pension, etc.– (1) Where any sum is payable in \r\nrespect of pay, pension, gratuity or any allowance to any person by the \r\nGovernment and the  person to whom the sum is payable  if certified  by a \r\nMagistrate  under  this Ordinance  to be a  mentally  disordered person, the officer \r\nunder whose authority such sum would be payable, may pay to the person having \r\ncharge of the mentally disordered person so much of the said sum, as he thinks fit, \r\nhaving regard to the cost of maintenance of such person and may pay to such \r\nmembers of the family of the mentally disordered person as are dependent on him \r\nfor maintenance, the surplus, if any, or such part thereof, as he thinks fit, having \r\nregard to the expenses of maintenance of such member. \r\n(2) Where there is any further surplus amount available out of the funds \r\nspecified sub-section (1) after  making payments as provided in that sub-section, the \r\nGovernment shall hold the same to be dealt with as follows, namely:- \r\n(a) where a mentally disordered person  is  certified  to  have ceased   to   \r\nbe   mentally disordered by the Court of Protection within the local limits \r\nof whose jurisdiction such person  resides  or  is  admitted,  the  whole  \r\nof  the  surplus amount shall be paid back to that person; \r\n(b) where a mentally disordered person dies before payment, the  whole  \r\nof  the  surplus  amount  shall  be  paid  over  to those of his heirs  who \r\nare legally  entitled  to receive  the same; and \r\n(c)  where a mentally disordered  person dies during his  mental disorder   \r\nwithout   leaving   any   person   legally   entitled   to succeed to his \r\nestate, the whole of the surplus amount shall be paid into the State \r\nTreasury. \r\nCHAPTER VII \r\nPROTECTION OF HUMAN RIGHTS OF MENTALLY DISORDERE D PERSONS  \r\n49. Cases of attempted suicide.– A person who attempts suicide shall be \r\nassessed by an  approved  psychiatrist  and  if  found  to  be  suffering  from  a  \r\nmental  disorder  shall  be  treated appropriately under the provisions of this \r\nOrdinance. \r\n50. Confidentiality.– No patient shall be publicized nor his identity disclosed to \r\nthe public through press or media unless such person chooses to publicise his own \r\ncondition. \r\n51. Informed consent.– (1) Before  commencing  any  investigation  or  \r\ntreatmen t  a psychiatrist or nominated medical officer shall obtain written informed \r\nconsent, on a prescribed form, from the patient or if the patient is a minor, his \r\nnearest relative or a guardian, as the case may be. \r\n(2) Where the consent of a patient to any form of investigation(s ) and  or \r\ntreatment(s) has been given the patient or if the patient is a minor, his nearest \r\nrelative or a guardian, as the case may be, may withdraw his consent in writing at \r\nany time before the  completion of the treatment. \r\n(3) Without prejudice to the application of sub-section (2) above to any \r\ntreatment given under the plan of treatment to which a patient or if the patient is a \r\nminor, his nearest relative or a guardian, as the case may be, who has consented, \r\nto such a plan may, at  any time withdraw his consent in writing to further \r\ntreatment,  or to further treatment  of any  description  under the plan of treatment. \r\nCHAPTER VIII \r\nOFFENCES AND INDEMNITY  \r\n52. Penalty for making false statement, etc.– (1) Any person who  willfully  \r\nmakes a false entry or statement in any application,  recommendation, report, record \r\nor other document required or authorized to be made for any of the purposes of \r\nthis Ordinance, with an intent to get someone to be detained  for assessment  or \r\nfor treatment of mentally  disordered; or with intent  to deceive, makes use of any \r\nsuch entry or statement which he knows to be false, shall be guilty of an offence \r\nunder this Ordinance. \r\n(2) Any person employed in a psychiatric facility, who strikes, ill-treats,  \r\nmaltreat or willfully neglects any patient confined in such psychiatric facility or \r\nwillfully violates or neglects any of the provisions of this Ordinance shall be guilty of \r\nan offence. \r\n(3) Any manager of estate of a patient who willfully neglects or refuses to \r\ndeliver his accounts or any property in his possession within the time fixed by the \r\nCourt shall be guilty of an offence. \r\n(4) Without prejudice to criminal  prosecution  under any other law for the  \r\ntime being in force, whoever is guilty of an offence under sub-section (1), (2) or \r\n(3), shall be  punishable with imprisonment for a term which may extend to one year \r\nor with fine which may extend to twenty thousand rupees, or with both. \r\n(5) Any person who carries out any form of inhumane treatment, on a  \r\nmentally disordered person which includes: trepanning, branding, scalding, beating, \r\nexorcising ,  chaining to a tree etc. of any such person or subjecting a child to the \r\ncultural practice of  rendering him mentally retarded, by inducing microcephaly, or \r\nsubjecting any such person to physical, emotional or sexual abuse, shall be guilty \r\nof an offence, punishable with rigorous imprisonment which may extend to five \r\nyears or with fine extending up to Rs.50,000 or with both. \r\n(6) Any person who contravenes any of the provisions of this Ordinance  \r\nor of any rule or regulation made thereunder, for the contravention of which no penalty \r\nis expressly provided in this Ordinance, shall be punishable with imprisonment for a \r\nterm which may extend to six months, or with fine which may extend to ten thousand \r\nrupees, or with both. \r\n53. Indemnity.– (1) No suit, prosecution or other legal proceedings shall lie \r\nagainst any person for anything which is in good faith done or intended to be done in \r\npursuance of this Ordinance or the rules made thereunder.  \r\n(2) No suit or other legal proceedings shall lie against the Government for \r\nany damage caused or likely to be caused for anything which is in good faith done \r\nor intended to be done in pursuance of this Ordinance or the rules or orders made \r\nthereunder.  \r\nCHAPTER IX \r\nINSPECTION OF MENTALLY DISORDERE D PRISONERS  \r\n54. Inspection of mentally disordered prisoners.– (1) Where any person is  \r\ndetained under the provisions of section 466 or section 471 of the Code of Criminal \r\nProcedure 1898 (Act V of 1898), section 130 of the Pakistan Army Act, 1952 \r\n(XXXIX of 1952), section 143 of the Pakistan Air Force Act, 1953 (VI of 1953, or \r\nsection 123 of the Pakistan Navy Ordinance, 1961 (XXXV of  1961), the Inspector-\r\nGeneral of Prisons, if the accused person is detained in a jail, and the Board of \r\nVisitors or any two members of such Board, if the accused person is detained in a  \r\npsychiatric facility, may visit him in order to ascertain his state of mind and such a \r\ndetainee shall be visited once at least in every six months by the Inspector-General \r\nof Prisons or, as the   case may be, the Board or any two members of such Board, \r\nshall make a report as to the state of mind of such person to the authority under \r\nwhose order the accused person is detained and  the Inspector-General  of Prisons \r\nor, as the case may be, the Board of Visitors or any two members of such Board, \r\nshall make a report as to the state of mind of such person to the authority under \r\nwhose order the accused person is detained. \r\n(2) The Government may empower the officer in charge of the jail in which \r\nsuch accused person is detained to discharge all or any of the functions of the \r\nInspector General of Prisons under sub-section (1). \r\nCHAPTER X \r\nFORENSIC PSYCHIATRI C SERVICES  \r\n55. Forensic psychiatric services.– (1) Special security forensic psychiatri c \r\nfacilities shall be developed by the Government to house mentally disordered \r\nprisoners ,  mentally disordered offenders, as may be prescribed. \r\n(2) Admission, transfer or removal of patients concerned with criminal \r\nproceedings in such facilities shall be under the administrative control of the \r\nInspector General of Prisons. \r\n(3) The Board of Visitors shall have an access to such  persons  admitted in \r\nforensic psychiatric facility in accordance with the provisions of this Ordinance. \r\nCHAPTER XI \r\nMISCELLANEOUS \r\n56. Specialized Psychiatric Treatments.– (1) Specialized psychiatric treatment \r\nmay be carried out with the informed consent of the patient, on the orders in \r\nwriting by the psychiatrist  in charge of the treatment of the patient or his relative or \r\nguardian, if the patient is a minor. \r\n(2) All electro-convulsive treatments shall preferably be administered \r\nunder general anesthesia.  \r\n(3) All electro-convulsive treatments shall be advised by a psychiatrist, in \r\ncharge of the patient, recording the reasons for such advice and stating the \r\nreasons as to why  the alternative available methods of treatment are not \r\nappropriate.  \r\n(4) Administration of long acting anti-psychotic depot injections shall only \r\nbe carried out upon the advice of a psychiatrist for a period as specified in the \r\nprescription and such cases shall be reviewed periodically.  \r\n(5) No person shall advise and carry  out psychosurgery or make any \r\ndecision to carry out psychosurgery, except in cases where it is decided to be \r\nnecessary and appropriate in a meeting in this regard, attended by a \r\nneurosurgeon, a  neurophysician, a physician, two approved psychiatrists and a \r\nclinical psychologist.  \r\n57. Provisions for public and private sector psychiatric facilities.– The \r\nprovisions  of this Ordinance shall apply to all psychiatric facilities whether in public \r\nand or private sector. \r\n58. Removal of difficulties.– If any difficulty arises in giving effect to any of the \r\nprovisions of this Ordinance, the \r\n27\r\n[Government] may make such order, not \r\ninconsistent with the provision of this Ordinance, as may appear to \r\n28\r\n[it] to be \r\nnecessary for the purpose of removing the difficulty: \r\nProvided that no such power shall be exerci sed after the expiry of two years \r\nfrom the coming into force of this Ordinance.  \r\n59. Power to make rules.– \r\n29\r\n[(1) The Government may, by notification in the official \r\nGazette, make rules for carrying out the purposes of this Ordinance.] \r\n(2) Without prejudice to the generality of the foregoing power, the rules may \r\nprovide for all or any of the following matters, namely:– \r\n(a) to prescribe forms for any proceedings under this Ordinance;  \r\n(b) to prescribe places of admission, places of safety and regulation of \r\ntreatment of mentally disordered persons; \r\n(c) to regulate the admission, care and treatment of under  trial persons or \r\nconvicted prisoners;  \r\n(d) to regulate the management of a mental health facility; and \r\n(e) to prescribe conditions subject to which a psychiatr ic facility may be \r\n                                                           \r\n27Substituted for the word “President” by the Punjab Mental Health (Amendment) Act 2014 (XI of 2014); and published in the Punjab \r\nGazette (Extraordinary), dated 29.5.2014, pages 3991-3993, s.12. \r\n28Substituted for the word “him”  by the Punjab Mental Health (Amendment) Act 2014 (XI of 2014) ; and published in the Punjab \r\nGazette (Extraordinary), dated 29.5.2014, pages 3991-3993, s.12. \r\n29Substituted by the Punjab Mental Health (Amendment) Act 2014 (XI of 2014); and published in the Punjab Gazette (Extraordinary), \r\ndated 29.5.2014, pages 3991-3993, s.13. \r\nlicensed. \r\n60. Ordinance to override.– The provisions of this Ordinance shall have effect \r\nnotwithstanding anything inconsistent therewith contained in any other law for the \r\ntime being in force. \r\n61. Repeal and saving.– (1) The Lunacy Act, 1912 (IV of 1912), is hereby \r\nrepealed. \r\n(2) Notwithstanding the repeal of Lunacy Act, 1912 (IV of 1912), hereinafter \r\nreferred to as the repealed Act,– \r\n(a) all orders made, acts done and powers exercised under the repealed \r\nAct shall be deemed to have been validly made, done and exercised \r\nand deemed always to have had effect accordingly; and \r\n(b) nothing contained in this Ordinance shall be deemed to apply to \r\nproceedings, suits or appeals and applications pending under the \r\nrepealed Act before any court immediately before the commencement of \r\nthis Ordinance and  such proceedings, suits, appeals and applications \r\nshall continue to be heard and disposed of in accordance with the \r\nprovisions of the repealed Act.",
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