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Updated: Oct 24, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
A review of 100 applications of section 5(4) Mental Health Act
Abstract:
Section 5(4) of the Mental Health Act (1983) allows nurses to detain a psychiatric inpatient for up to six hours before a doctor arrives. This article reviews the use of Section 5(4) in 100 cases in North Cheshire between 1985 and 1992. Doctors supported every nurse's decision to detain a patient. Patients detained under Section 5(4) were more likely to be converted to other sections. This suggests that the nurse's decision to detain the patient is a useful predictor of outcome.
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