What is a Mental Health Act assessment?

A Mental Health Act assessment helps us ensure a person receives the right care and medical treatment for a mental disorder. This could include helping us decide whether we should detain a person in hospital.

This is different to an assessment under the Care Act 2014.

There can be many different outcomes from an assessment. The Approved Mental Health Professionals (AMHP) will explain these during the process. Not all of them will result in a detention under the Mental Health Act (1983).

Before arranging an assessment AMHPs should make sure the least restrictive options have already been considered.

Who carries out an assessment

Assessments are carried out by:

  • an Approved Mental Health Professional (AMHP)
  • a section 12 approved doctor (a doctor who has had special training)
  • a registered medical practitioner (also a doctor) who knows the patient (if this is not possible then it will be another section 12 approved doctor)

The assessment will, within the boundaries of the law, involve:

  • interviewing the person
  • speaking to other professionals who know the person
  • speaking to the person's family

When a person might be detained in a psychiatric hospital

Situations when a person might be detained under the Mental Health Act in a psychiatric hospital against their will could be:

1. Under Section 2 if their mental disorder is of a nature or degree which requires detention in hospital for up to 28 days in the interest of their health, safety or with a view to protecting others:

  • for an assessment
  • or an assessment followed by treatment


2. Under Section 3 if their mental disorder is of a nature or degree which makes it:

  • appropriate for them to receive medical treatment in hospital
  • necessary for their health or safety, or for the protection of other people that they should receive treatment which cannot be provided unless they are detained

Nearest Relative role and patient rights

Nearest Relative is a critical role within the process of a Mental Health Act assessment.  It is not the same as next of kin.

The person who is the Nearest Relative has their role set out in the Mental Health Act:

  • they have some legal rights, mostly whilst the patient is detained in hospital
  • they can ask for a Mental Health Act assessment if they are worried about the patient's mental health deterioration

A patient has rights too. These include:

  • having the right to information about their section
  • the ability to appeal to a tribunal against their section
  • getting support from an advocate

Mind explains what the nearest relative is and what powers and rights they have Nearest relative - legal information - Mind