Feb. 29.] THE NEW ZEALAND GAZETTE. 891

Regulations under the Mental Defectives Act, 1911.

ISLINGTON, Governor.

ORDER IN COUNCIL.

At the Government House, at Wellington, this twenty-sixth day of February, 1912.

Present:

His Excellency the Governor in Council.

IN pursuance and exercise of the powers conferred upon him by section one hundred and thirty-eight of the Mental Defectives Act, 1911 (hereinafter referred to as “the said Act”), and of all other powers enabling him in that behalf, His Excellency the Governor of the Dominion of New Zealand, acting by and with the advice and consent of the Executive Council of the said Dominion, doth hereby make the regulations hereinafter set forth.

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REGULATIONS.

1. THE forms numbered 1 to 12 in the Schedule hereto, or forms to the like effect, shall be used in all proceedings under the said Act to which they are respectively applicable.

2. The following fees shall be payable to medical practitioners in pursuance of section 13 of the said Act :—

For each certificate, £1 1s.

An additional amount, to be allowed in the discretion of the Magistrate, in respect of travelling-expenses : Not exceeding 5s. per mile, counted one way only.

Provided that no allowance shall be made for travelling-expenses within the limits of the city or borough in which a medical practitioner resides, or in any other case within an area having a radius of one mile from the residence of the practitioner.

3. The Register of Patients and Book of Admissions now in use shall continue to be used as a Register of Admissions of Patients, consequential entries (such as date of reception-order, classification of patient determined in accordance with definition of “mentally defective person,” name of applicant and of person to whom official communications should be sent) being entered in appropriate spaces. The entries in this register for which the Superintendent is responsible shall be made within twenty-four hours of the admission of the patient, the entries for which the Medical Officer is responsible within fourteen days.

Any entry made after such period, whether the fact entered was learned subsequently or not, shall be indorsed with the date of the entry.

4. The Register of Boarders shall contain the following particulars in respect of each boarder :—

(1.) Name of voluntary boarder :

(2.) Date of provisional admission under request :

(3.) Date of receipt of Minister’s order under subsection (5) of section 39, and the purport thereof, whether (a) requiring boarder to be discharged forthwith, or (b) consenting to the further detention of the boarder :

(4.) Number in Register of Boarders :

(5.) Sex :

(6.) Age :

(7.) Condition as to marriage :

(8.) Condition of life, and previous occupation :

(9.) Place of abode :

(10.) Disorder for which admission sought :

(11.) Supposed cause :

(12.) Duration of disorder :

(13.) Number of previous attacks :

(14.) Age at first attack :

(15.) Where resident at first attack :

(16.) Bodily health and condition :

(17.) Name of person to whom official communications should be sent.

In addition to the foregoing, particulars shall also be entered as to the following (if applicable) :—

Date and circumstances of escape :

Date and circumstances of return from escape :

Absence on leave, date :

Return from leave, date :

Date of discharge :

Condition on discharge : [Recovered, or Relieved, or Not improved].

Method of discharge (whether by order of Minister, Inspector-General, or Medical Officer, or on personal application) :

Whether placed under reception-order :

Date of death :

Age at death :

Persons present at death :

Assigned cause of death :

Date and finding of Coroner’s inquest :

Observations :

The periods within which entries are to be made in this register shall conform to the periods prescribed in the case of the corresponding registers for patients.

5. The Register of Discharges, Removals, and Deaths now in use shall continue to be used as—

(a.) A Register of Discharges (including transfers), and

(b.) A Register of Deaths.

Entries in these registers shall be made within twenty-four hours of the discharge or transfer or death of a patient. Any entry made after such period, whether the fact entered was learned subsequently or not, shall be indorsed with the date of the entry.

6. The Register of Patients absent on Trial now in use shall continue to be used as a Register of Absences on Leave (including Returns from Leave). Entries shall be made within twenty-four hours of the departure or return of a patient, and after extension or cancellation of leave, as the case may be.

7. The Register of Escapes (including Returns from Escape) shall contain the following particulars :—

(1.) Name of patient :

(2.) Number in Register of Admission :

(3.) Date and hour of escape :

(4.) Whether patient was at time of escape deemed to be (a) suicidal or (b) dangerous :

(5.) Circumstances of escape :

(6.) Date and hour of return :

(7.) Circumstances of return :

(8.) Period during which patient was absent on escape :

(9.) Bodily condition on return :

(10.) [If absent more than fourteen days] Mental condition on return :

8. The Medical Journal and Weekly Report now in use shall continue to be used as a Weekly Report Book. The entries herein are to be made at or before noon on Monday of each week, in respect of the week concluding at midnight of the preceding Saturday.

9. (1.) The Case-book now in use shall continue to be used. The facts as to personal and family history and the history of the case are to be entered as soon after admission as possible. A full entry of particulars as to the bodily and mental condition of the patient is to be made within fourteen days, together with a summary of the salient features, and within a month a prognosis should be entered. The frequency and fullness of the notes made throughout the patient’s detention is to be determined by the nature of his mental and bodily state, and all important events occurring at any time are to be recorded.

(2.) In the case of every patient a note is to be made in the Case-book once at least in each week for the first month. Thereafter, when the prognosis is favourable, a note is to be made at least once in each month for the next five months, and when the prognosis is unfavourable at least two notes should be entered during that period. During the next six months one note at least should be made in each period of three months. During the next and succeeding years after admission one note at least should be entered in each period of six months.

10. The Prescription-book now in use shall continue to be used.

11. (1.) The Register of Medical Restraint now in use shall be amended by the addition of the words “seclusion or” before the words “means of restraint” in the second last space, and also before the word “restraint” in the last space, and the register as so modified shall be used as the Register of Restraint and Seclusion.

(2.) Entries are to be made therein and signed by the Medical Officer within twenty-four hours of the employment of mechanical restraint or seclusion, as the case may be.

12. The Post-mortem Book now in use shall continue to be used. Any part of the autopsy (for example, any chemical analysis or microscopic examination) not completed within twenty-four hours may be entered thereafter, and indorsed with the date when the entry is made.

13. The statement as to the mental and bodily condition of a patient or boarder, required by subsection (3) of section 66 of the said Act to be sent to the Inspector-General within fourteen days after admission, shall be in the form of the statement at present in use and required to be forwarded within seven days of admission.

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SCHEDULE.

[Form No. 1.

APPLICATION FOR A RECEPTION-ORDER.

Under the Mental Defectives Act, 1911.

To a Stipendiary Magistrate acting at

I, [Full name], a [Occupation], of [Address in full], being a person not under twenty-one years of age, hereby apply for an order for the reception and detention of [Full name], a [Occupation], of [Address in full] (hereinafter in this application referred to as “the said person”), in the [Name of institution], situate at [or at the house of (Full name of householder), situate at (Full address)], or in such other institution under the Act as may be directed.