Mental Health Care Act, 2002 (Act No. 17 of 2002)RegulationsRegulations for Licensing Community Mental Health Day Care and Residential Care Facilities for People with Mental Illness and or Severe or Profound Intellectual Disability, 2025 - effective 20 December 202619. Clinical care and treatment |
The licensee must ensure that:—
| (a) | admissions of users are carried out according to the procedures of the Act; |
| (b) | all assessments (physical, functional, mental, and social) must be carried out by authorized and qualified staff; |
| (c) | regular vital signs are recorded in user's file; |
| (d) | records of the history, initial clinical assessment, and diagnosis of the users when they presented at the health establishment must be available and completed prior to or within 48hrs of admission; |
| (e) | record of the signature, name, qualification and subsequent assessments and intervention conducted by any healthcare provider is available in the user's file; |
| (f) | details of the user's care plan, daily treatment interventions and accounts of the user's response to treatment is recorded in the user's files by a registered professional; |
| (g) | user's clinical records are protected and comply with the legal and statutory requirements for record keeping; |
| (h) | periodic reviews of users in terms of sections 30 and 37 of the Act are conducted after every six months and reports are available in user's files; |
| (i) | psychiatric medication is reviewed every six months by an authorised mental health care practitioner who is designated to provide medication and review psychiatric treatment; |
| (j) | there is a system in place to prevent users from accessing dangerous materials, weapons, or drugs; |
| (k) | there is a register for recording users that have been secluded or restrained as prescribed; |
| (I) | the level of medical, nursing and healthcare professionals' intervention needed for each user and the source or place of this intervention is clearly indicated in the individualised management plan. |