Management of People Subject to Section 309 of ... - | Health



Canberra Hospital and Health Services

Operational Procedure

Management of People Subject to Section 309 of the Crimes Act 1900 Transferred to the Canberra Hospital (MHJHADS)

|Contents |

Purpose 2

Scope 2

Section 1 – Section 309 of the Crimes Act 1900 3

Section 2 – Assessment Procedures 4

2.1 Court Assessment 4

2.2 Transfer to the Canberra Hospital Emergency Department (ED) 5

2.3 Arrival at Canberra Hospital ED 5

2.4 Role of ACT Health Security Services 7

2.5 No Immediate Treatment, Care and Support: Reporting and Return to Custody 9

Section 3 – Involuntary detention and treatment under the Mental Health Act 2015 of a Person Subject to s.309 10

3.1 Authorisation of Emergency Detention – 3 Days 10

3.2 Bed-booking to AMHU or MHSSU 11

3.3 Transfer to AMHU or MHSSU 12

3.4 Inpatient Assessment and Treatment 13

3.5 Returning the Person to Custody Following Inpatient Treatment 15

3.6 Attempted or actual escape or of person subject to s.309 16

Implementation 17

Related Policies, Procedures, Guidelines, Frameworks, Standards and Legislation 17

Search Terms 18

Attachments 18

Attachment 1 - Process Flowchart for Enacting Section 309 of the Crimes Act 1900 19

Attachment 2 – S309 Initial Examination Report – Not detained under the Mental Health Act 2015 20

Attachment 3 - S309 – Final Discharge report 22

Attachment 4 – S309 Handover to the AFP from ACT Health 24

Attachment 5 – Switchboard Action Card – S309 Activation 25

Attachment 6 – Transfer of Custody Form 26

Attachment 7 – ACT Health Security Services Risk Assessment Form 28

|Purpose |

The purpose of this document is to provide information for all Canberra Hospital and Health Services (CHHS) staff and contractors in relation to the arrival, assessment, involuntary detention, treatment, care, support and transfer of people subject to an order under Section 309 of the Crimes Act 1900 (s.309) at the Canberra Hospital.

The Canberra Hospital is declared as an Approved Mental Health Facility under the Mental Health Act 2015. The Crimes Act 1900 empowers the Magistrates Court (the Court) to order under s.309 that an accused person be transferred to an approved mental health facility for a clinical examination for the purpose of deciding whether the accused person needs immediate treatment or care because of mental impairment.

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|Scope |

This document pertains to all staff and contractors involved in the treatment, care and transfer of people to the Canberra Hospital subject to s.309.

s.309 is an order of the Court requiring an accused person is to be conveyed to an approved mental health facility for a clinical examination for the sole purpose of deciding whether they need immediate treatment or care because of mental impairment.

s.309 does not expressly authorise the accused to be detained at the approved mental health facility. Rather, section 81 of the Mental Health Act 2015 requires the “person in charge” of the facility to detain a person who is brought there under s.309, and allows the person in charge (or delegate) to subject the person to the minimum confinement or restraint necessary and reasonable to prevent them from escaping custody or causing harm to themselves or someone else.

Similarly, s.309 does not authorise the treatment and care of the accused. The outcome of the initial assessment will determine whether the person is to be detained under s.85 of the Mental Health Act 2015 (i.e. authorisation of a 3-day period of Emergency Detention, ‘ED3’).

For this procedure, the delegation of the person in charge of the facility is:

• For the purpose of detainment, ACT Health Security Services (Security Services); and

• For clinical care, the doctors who sign the Emergency Detention Order under section 85 of the Mental Health Act 2015.

Security Services are authorised to detain a person subject to s.309 at Canberra Hospital for the purpose of the initial examination. Following the examination, and if an Emergency Detention Order under the Mental Health Act 2015 is made, the doctor under s85 of the Mental Health Act 2015 authorises Security Services to continue to detain the person.

This document will outline the procedure for

• the initial assessment (pursuant to s.84 of the Mental Health Act 2015)

• Involuntary treatment and care in the Adult Mental Health Unit (AMHU) or Mental Health Short Stay Unit (MHSSU) (pursuant to s.87(1)(b)(ii), s.85 and Chapter 5 of the Mental Health Act 2015)

• Admission for medical purposes when a person is not detained under the Mental Health Act 2015.

• Discharge into the custody of the Australian Federal Police (AFP) if not detained for treatment, care or support, or after being detained (pursuant to s.87(1)(b)(ii) or s.91(2) of the Mental Health Act 2015)

• The role of ACT Health Security Officers in maintaining the custody and detention of a person subject to s.309

• Responding to an attempted or actual escape of a person subject to s309.

The patient group primarily relates to persons aged 18 years and above who are referred under s.309. On occasion however, young people can also be transferred to Canberra Hospital pursuant to this legislation. The Clinical Director of Child and Adolescent Mental Health Services, or Director on Call (after business hours, contactable through TCH Switchboard) should be notified to oversee the assessment and admission process as indicated.

The procedures for assessment and admission are set out separately in this document. A flowchart is in Attachment 1 and report templates are at Attachments 2-7.

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|Section 1 – Section 309 of the Crimes Act 1900 |

All CHHS staff and contractors must comply with the legislative responsibilities of s.309, which is as set out below:

1) If, in a proceeding at the Magistrates Court, the court has reasonable grounds for believing that an accused person needs immediate treatment or care because of mental impairment, the court may, without requiring the accused to submit to the jurisdiction of the ACT Civil & Administrative Tribunal (ACAT), order that—

a) the accused person be taken by ACT Corrective Services Court Transport Service to an approved mental health facility for clinical examination for the purpose of deciding whether the accused needs immediate treatment or care because of mental impairment; and

b) the accused may only be released into the custody of a police officer—

i. by the person in charge of the approved mental health facility; or

ii. if the accused is found to need detention and care because of mental impairment—by the person who is in charge of an approved mental health facility where the accused is detained for care; and

c) on being so released, the accused be dealt with in 1 of the following ways:

i. subject to subsection (2) and despite the Bail Act, be admitted to bail by an authorised officer;

ii. despite the Bail Act, be held in the custody of a police officer who shall cause the accused to be brought before a court as soon as practicable for the purpose of the court determining whether or not to grant bail;

iii. be dealt with by an authorised officer in accordance with the Bail Act.

2) If, when making an order under subsection (1) (c) (i), the Magistrates Court specifies terms and conditions on which bail is to be granted, an authorised officer may only grant bail subject to those terms and conditions.

3) If, under this section, an accused who is taken to an approved mental health facility—

a) is released or discharged from the facility, otherwise than into the custody of a police officer; or

b) leaves the facility, otherwise than in the custody of a police officer; a police officer may arrest the accused without warrant for the purposes of the terms of the order being satisfied.

4) In this section:

approved mental health facility—see the Mental Health Act 2015, dictionary.

authorised officer—see the Bail Act 1992, dictionary.

Bail Act means the Bail Act 1992.

All CHHS staff and contractors must also comply with the corresponding provisions of the Mental Health Act 2015.

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|Section 2 – Assessment Procedures |

2.1 Court Assessment

The Forensic Services Court Liaison Officer (CLO) is located at the Court and completes preliminary mental health assessments of people when indicated or when requested to do so by the Court. Following the preliminary assessment, the CLO will consult with the Psychiatrist/Senior Manager/Operational Director of Forensic Mental Health Services and discuss the suitability of s.309 order being sought or recommended to the Court. Practicably the CLO may not always be able to undertake a preliminary mental health assessment of all people indicated.

If the CLO believes that s.309 is plausible (i.e. there are reasonable grounds that the person needs immediate treatment or care due to mental impairment) the CLO will present the information to the Court. The preliminary assessment will also be documented in the Electronic Clinical Record (ECR).

If the Court has made s.309 order, and the CLO is aware of this order, the CLO will provide a handover to the Adult Acute Mental Health Services (AAMHS) Patient Flow manager on 0466 356 139. On Saturdays, this handover occurs with the ED Nurse Navigator on 6244 2347.

2.2 Transfer to the Canberra Hospital Emergency Department (ED)

The ACT Corrective Services Court Transport Unit (Corrective Services) will contact Canberra Hospital Switchboard to notify that a person is being transported to Canberra Hospital under a s309 order. In accordance with the Switchboard Action Card section 309 activation (Attachment 5), Switch will notify the people identified on that Action Card.

As the single point of contact for security, Security Services will receive a Transfer of Custody form (Attachment 6) and verbal handover from Corrective Services regarding the person’s risk level, escape history, level of violence and aggression and if a search has occurred and belongings removed. This information will inform the formal risk assessment that Security Services will undertake when the person arrives at Canberra Hospital. The formal risk assessment completed by Security Services will include the person’s risk, recommendations for the number of Security Services Officers and any other security related arrangements. This formal risk assessment and each reviewed risk assessment is to be provided to clinical staff and scanned into the ECR in business hours (BH) by admin staff in MHSSU and after hours (AH) by the Mental Health Clinician in the ED.

When a person is transferred to the ED by Corrective Services for an initial examination, a copy of the Court’s orders (including the s.309 order) and any accompanying paperwork must be placed on the person’s ECR (s. 82, Mental Health Act 2015). The person responsible in BH is the MHSSU admin staff and AH by the Mental Health Clinician in the ED.

In accordance with the Canberra Hospital and Health Services Operational Procedure Emergency Department and Mental Health Interface, if necessary, a Grey Response can be considered as a clinical option however is not mandatory. The aim of a Grey Response is to provide a rapid, collaborative approach to clinical decision making with regard to clinical care, management and location of a person in the ED. A Code Black should always be activated if there is an assault, violence or risk of violence that is deemed unmanageable and dangerous.

2.3 Arrival at Canberra Hospital ED

On arrival at the Canberra Hospital, a person subject to s.309 should be considered to be detained under s. 81 of the Mental Health Act 2015 and in the custody of the person in charge of the facility pursuant to the Crimes Act 1900. As such, a person subject to a s.309 cannot be allowed to leave the hospital except in the custody of AFP (s.84 (5)(b), Mental Health Act 2015).

2.3.1 Placement within the ED

Following Triage on arrival of the person on s.309, unless a person requires urgent sedation in ED Resuscitation area, a person on s.309 will be escorted into the ED De-escalation Suite (DES) by Corrective Services and transfer of detention will occur to Security Services. The area will be secured by closing the main doors to the DES from the main ED corridor. The person will then remain in the DES until admitted or be transferred back into the custody of the AFP.

The ED wards person and the ED nurse allocated to mental health (stationed in ED Fast-track) will immediately attend the DES with the Mental Health Consultation Liaison (MHCL) clinician to accept a handover from the Corrective Services Officers. Once the handover has occurred, Correctional Services Officers are not required to remain with the person and care is transferred to clinical, support and Security Services at the Canberra Hospital.

An ED Fast-Track medical officer will be promptly allocated even if the patient does not need a “medical” review as their oversight can assist in expediting disposition decisions. 

 

The Psychiatry Registrar working in the ED, in consultation with a Consultant Psychiatrist must make every effort to complete the person’s initial assessment within four hours after arriving at the ED (s.84, Mental Health Act 2015) and to facilitate the person’s prompt return to custody or inpatient admission. If the assessment has not been undertaken within four hours, the an additional two hour assessment period can be authorised by the Chief Psychiatrist (or delegate) and documented in the ECR if:

• The person’s health or safety would be, or be likely to be, substantially at risk if released without an examination;

• The person would do, or be likely to do, serious harm to others if released without an examination; or

• The person would seriously endanger, or be likely to seriously endanger, public safety if released without an examination.

An explanation to the Public Advocate is required if a two-hour extension of time is sought, or if no assessment has been conducted with or without the extension of time.

During that assessment period, the person remains detained in accordance with the s.309 and the risk assessment of Security Services.

2.3.2 Medical Admission required and not detained under the Mental Health Act 2015

All s.309 presentations will be medically screened at ED triage using the Psychiatric Triage Checklist (available on the Clinical Forms Register) to identify or exclude any underlying medical issues. If the person subject to s.309 has a primary and immediate medical condition requiring inpatient care, and is not assessed as requiring immediate treatment, care and support under s.85 of the Mental Health Act 2015, the AFP are to be contacted and advised a person subject to s.309 does not require detention for treatment of a mental illness or disorder but that require medical care.

The responsibility for detention of the person subject to s.309 must be handed over from Security Services to the AFP as soon as possible. The medical team should advise AFP of the person’s condition and treatment required however, it is AFP’s decision as to whether they are to remain at TCH under police guard. If there is deterioration or concern for the mental state of the person on s.309 undergoing medical admission, Mental Health Consultation Liaison can attend for mental health assessment and planning.

2.3.3 Visitors and Phone calls in the ED

While in the ED, a person subject to s.309 must be allowed to contact and be visited by their lawyer or the Public Advocate (s. 89(6) & s. 90, Mental Health Act 2015). If the person requests to make a phone call to a family member, relative or friend, or if a clinician considers it clinically necessary, the AFP Operations Sergeant must be contacted first on 6256 7714 to advise if that contact can be made. Contact with the AFP will be made by the Mental Health Clinician in the ED and the decision regarding contact is to be documented in the ECR. Security Services will monitor the phone call at all times.

2.4 Role of ACT Health Security Services

Security Services accept handover from ACT Corrective Services when a person subject to s.309 arrives in the ED and ensures a search has occurred and that any items such as sharps items, money or electronic devices have been removed. Security Services are also responsible for the transfer of custody to the AFP for the person to return to Court.

The primary role of Security Services is to ensure the safe detention and confinement of the person subject to s.309 by maintaining close visual observation at all times. Security Services will lead the decision making regarding the level of detainment i.e. how many security guards are required based on a risk assessment.

The safe detention and confinement provided by Security Services is to prevent the person from leaving, or attempting to leave the facility, property damage by the person on s309 and if necessary prevent personal injury to any other person. Security Services role is not to be involved in the clinical care of the person, and is not to be asked to use force for the administration of medications, or clinical de-escalation.

A security risk assessment (Attachment 7) will be undertaken to ascertain escape risk, violent or threatening behaviour risk, alert risks on the electronic clinical record and any other pertinent information provided by Corrective Services, AFP or the clinical team to assist in determining the requirement for security services presence including number of guards required to appropriately manage the detention of the person.

Each time Security Services undertakes a new or revised risk assessment, the form is to be scanned into the person’s ECR in BH by the MHSSU admin staff and AH by the Mental Health clinician in the ED. Each new or revised risk assessment is accompanied by a request for Security Guarding Services found on the ACT Health Intranet at the following link:

The request for Security Guarding Services is completed in the ED by the Mental Health Clinician or Nurse Navigator. At AMHU/MHSSU, this form is completed by the ADON in BH and AH by the Nurse in Charge. When the person on s.309 is assessed as high security risk for escape, violent or threatening behaviour, at least one Security Services Officer must be assigned at all times to maintain the detention of the person.

When a person on s.309 has been assessed as a low security risk for escape, violent or threatening behaviour, a Security Services Officer and Wards person can supervise up to two people in the same area at a time.

The person will be confined to the DES at all times throughout the assessment period. A minimum of two staff (either an ED Wards person or ED nurse) and a Security Services Officer should be present at all times. If the person is required to be moved within the ED, they are to be escorted by the ED wards person or ED nurse and a Security Services Officer will accompany the person at all times.

In the event of two or more people subject to s.309 in the ED, it is a clinical decision in collaboration with a Security Services as to where people on s.309 are to be located in the ED to ensure their safe detention and confinement.

Where the person has been assessed as a high security risk, Security Services may recommend to the person in charge (or delegate) that the interim application of mechanical restraints (such as a body belt and head protection) is advisable to ensure staff and patient safety until the initial assessment can be conducted. The person in charge (or delegate) may then authorise the use of mechanical restraints. Only Security Services Officers may apply mechanical restraints, and may only do so if safe and if trained to do so. Any use of restraint must be using the least restrictive means and for the shortest possible duration which is necessary for keeping the person and other people safe, or for ensuring that the person remains in custody (s 81(3), Mental Health Act 2015). See also the Use of Force by ACT Health Security Officers Policy and Procedure.

The approval for use of mechanical restraints and application must be documented in the ECR and register to ensure legislative responsibilities are upheld in accordance with section 81 of the Mental Health Act 2015.

For the safety of the person on s.309 or for the safety of others an episode of seclusion can be initiated by a Medical Officer. This must be documented in the ECR and Seclusion Register and the person’s ARC amended to ensure continual observations. In the event of an episode of aggression or violence and restraint is required, the clinical staff must document the episode in the ECR, Restraint register and notify the Public Advocate.

All uses of force, by either Security Services for the purposes of detainment or by ACT Health staff for clinical purposes are to be reviewed by the Adult Mental Health Unit Seclusion Restraint & Review Meeting.

Where extenuating operational responsibilities require the Security Services Officer to attend an emergency (i.e. Code Black), two staff members should remain at all times with the person on s.309 in the DES. In the AMHU / MHSSU Security Services are to remain with the s309 persons while other security officers respond to the code.

2.5 No Immediate Treatment, Care and Support: Reporting and Return to Custody

2.5.1 Reports

ACT Health must notify the Court of the result of the initial examination of the person sent to TCH on s.309 (s.84, Mental Health Act 2015). Should the person subject to s.309 be assessed as not requiring immediate treatment and care by being detained in an approved mental health facility, the Section 309 – Initial Examination Report: Not detained under the Mental Health Act 2015 (Attachment 2) must be completed by a Psychiatrist and/or Psychiatry Registrar under the guidance of a Consultant Psychiatrist. The report is not to address any other issues such as fitness to stand trial or recommendations.

The finalised report must be printed, signed and scanned into the ECR by the MHSSU admin (in business hours (BH) and after hours (AH) by the Mental Health Clinician in the ED. The report must also be emailed to the group box #S309 which includes: MCCriminal.JACS@courts..au, TribunalLiaison@.au and JHSadmin@.au.

A Section 309 Handover to the AFP from ACT Health report (Attachment 4) must also be completed by the Psychiatric Registrar or Consultant Psychiatrist. This report provides the necessary handover information to the AFP to ensure safe handover of the person subject to s.309, including requirement for medication and if there is any risk of harm to self or others whilst being transferred and in the custody of the AFP at the ACT Regional Watch House. The finalised handover report must be printed and scanned into the ECR. In BH by the MHSSU admin staff and AH by the mental health Clinician in the ED. This report is to be place in an envelope and handed to the AFP officer when they attend to collect the person.

2.5.2 Returning the Person to AFP Custody

Alert:

Under no circumstances is the person in-custody to be released from the Canberra Hospital back to the community: they must be returned to the custody of the Police (AFP).

To return a person back to the custody of the AFP following assessment at the Canberra Hospital, the following steps should be taken and documented in the ECR by a member of the treating team:

• Contact the AFP Operations Sergeant on 6256 7714 (Please note, the AFP may not be aware that the person at TCH is subject to s.309).

• Inform the AFP the person is subject to a Court Ordered Assessment under s.309 and needs to be returned to Police custody for reappearance in Court.

• Verbally provide the detail as stated in the completed Section 309 Handover to the AFP from ACT Health template

• Request a job reference number, the officer’s name and number

• Within business hours contact the CLO on 0417 251 864 to advise of the above. Send a copy of the signed report to the CLO on fax number provided, 6205 1042.

• Contact the ACT Health Security Services on 6244 2222 and inform them that a person subject to s.309 will be returning to AFP custody.

Alert

If there are delays in returning the person to custody, staff must escalate this immediately to the attention of the ED Consultant, the Adult Acute Mental Health Services (AAMHS) Operational Director and after hours, the MHJHADS Director on call, and ACT Health Security Services on 6244 2222.

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|Section 3 – Involuntary detention and treatment under the Mental Health Act 2015 of a Person Subject to s.309 |

3.1 Authorisation of Emergency Detention – 3 Days

If, following the initial examination under s.84 of the Mental Health Act 2015, a person on s.309 is assessed as requiring immediate treatment or care because of mental impairment, the involuntary detention and treatment of the person may be provided through the authorisation of Emergency Detention for an initial period of three days (ED3).

This should be initiated as per the Emergency Detention in the Inpatient Setting and a Person’s Rights under the Mental Health Act 2015 Procedure. This requires that the initial examination found that:

• the person requires immediate treatment, care or support,

• the person has refused to receive that treatment, care or support,

• detention is necessary for the person’s health or safety, social or financial wellbeing, or for the protection of someone else or the public, and

• adequate treatment, care or support cannot be provided in a less restrictive environment.

The person should be notified, when clinically appropriate, that ACT Health will provide a report to the Court upon their discharge, and the report will include information relevant to their diagnosis and recommended post discharge treatment plan.

The discussion should include the following information, but is not limited to:

You have been sent to ACT Health by order of the Court for an examination to assess if you require immediate treatment or care because of a mental impairment. We are required to conduct an assessment and notify the Court of the outcome of the examination and the reasons for any ongoing detention. At the end of your examination and period of involuntary detention we will provide a report to the Court to assist it in making a decision about your bail or remand. The report will address your diagnosis, recommended treatment plan following your discharge and any risk concerns relating to your behaviour or diagnosis. It is not mandated that you engage with our service however the information you provide to our service will not remain confidential.

This discussion is to be documented in the person’s ECR by the assessing doctor.

|Alert |

|Involuntary treatment to a person on s.309 can only be provided if Emergency Detention has been authorised for the person, or if the |

|person is on a mental health order under the Mental Health Act 2015. Section 309 itself does not authorise the involuntary treatment |

|of the person. |

ACT Health must notify the Court of the reasons for detention if a person on s.309 is detained at the Canberra Hospital on an ED3. This notification is to occur when the detention commences. The Psychiatric Registrar is to print and sign the report. The MHSSU admin staff (BH) or Mental Health Clinician in the ED (AH) will scan the report into the ECR and email a copy of the completed ED 3 form to #S309 which includes: MCCriminal.JACS@courts..au, TribunalLiaison@.au and JHSadmin@.au.

The MHSSU admin or Mental Health Clinician in the ED is to include the below standardised email text:

An order was made under section 309 of the Crimes Act 1900 with respect to the (insert name) on (insert date).

Pursuant to ACT Health’s obligations to notify the Court of the results of the initial examination and the reasons for detention under section 87 of the Mental Health Act 2015, please see attached a copy of the Authorisation/Notification Involuntary Detention form completed for (insert name). The form states that the person has been examined and satisfies the criteria for involuntary treatment and detention under section 85 of the Mental Health Act 2015 and that the period of detention will expire on (insert date and time), at the latest.  

Section 87(2) of the Mental Health Act 2015 requires ACT Health to notify the Court of the reasons for detention, not the outcome of the treatment provided to the person subject to s.309 during the period of detention or the mental health condition at the time of discharge.

3.2 Bed-booking to AMHU or MHSSU

The person should be bed booked through the ED Nurse Navigator at the first indication that admission is required and flagged with the ED Nurse Navigator that the person is subject to s.309. The determination to admit to the Adult Mental Health Unit (AMHU) or Mental Health Short Stay Unit (MHSSU) is subject to a clinical determination of the persons’ At Risk Category (ARC) in consultation of the level of containment required as advised by Security Services. The ED Nurse Navigator will liaise with Bed Management Unit and convey the bed request for a person subject to s.309 requires priority transfer.

In the event of a delay in transferring the person on s.309 into MHSSU or AMHU, Bed Management will liaise with the Adult Acute Mental Health Services leadership team or out-of-hours, the MHJHADS Director on Call.

A Comprehensive Risk Assessment (CRA) takes into account the person’s current mental state, their past history, their risk of absconding, and the current charges must be conducted to inform the most appropriate bed allocation (MHSSU/AMHU - LDU/HDU).

The allocation of an acute inpatient mental health bed will be facilitated through the Canberra Hospital Bed Management Unit in collaboration with MHSSU/AMHU/ and Security Services.

The assessing medical officer will provide a verbal handover to the admitting Psychiatrist either on call or on duty in MHSSU or the AMHU and the reasons for admission.

3.3 Transfer to AMHU or MHSSU

The transfer of a person subject to a section 309 from ED to MHSSU is facilitated by Security Services and may include the assistance of Ward persons. A Security Services Officer must remain within the person subject to s.309 in the MHSSU and provide the required level of detention and containment necessary.

A transfer of a person from ED to the AMHU must comply with the Transport of People Admitted to Mental Health, Justice Health and Drug and Alcohol Services (MHJHADS) Bed Based Units across the Canberra Hospital Campus Operational procedure. The risk assessment prior to transfer and determination of the number of staff required to safely transfer the person to AMHU is conducted by the Security Services.

A Security Services Officer must remain within the person subject to s.309 in AMHU or MHSSU and provide the required level of containment necessary. How many Security Officers are required at any one time is indicated by the risk assessment in collaboration with clinical staff. The Risk assessment (Attachment 7) must be scanned into the person’s ECR.

The decision to increase or decrease Security Services Officers in accordance with the security risk assessment is to be communicated and agreed in business hours with the Assistant Director of Nursing of the unit or the Operational Director. Out of hours, approval should be sought by Security Services with the Nurse in Charge and confirmed by the MHJHADS Director on Call.

The clinical assessment and personal recovery planning should be consistent with admission requirements specific to each unit (refer to the Emergency Department and Mental Health Interface Clinical Guidelines).

Transportation of the person on s.309 will be conducted by a Wards person, a Security Services Officer and a clinician in a suitable escort vehicle. Where restraints need to be applied for transport, a security officer from Dhulwa Mental Health Unit may be engaged to conduct the escort. The transport is to occur as securely as possible, based on the assessment and arrangement of Security Services, including the positioning of the transport vehicle. A search of the transport vehicle is to be undertaken by security staff prior to the transport. The risk assessment completed by Security Services regarding the safe transport of the person is to be added into the ECR by admin staff (BH) or the Nurse in Charge (AH).

Security Services must notify the Switchboard prior to any transfer in order to maintain the situational awareness of Security Services staff.

Alert:

A person admitted to either AMHU or MHSSU must be on no less than 30 minute observations whilst subject to s.309, regardless of their clinical At Risk Category (ARC).

3.4 Inpatient Assessment and Treatment

The admitted person subject to s.309 under ED3, ED11 or a PTO is to be engaged in the full range of recovery and discharge planning, including in-patient treatment and therapeutic group programs, with the exception they are NOT to be granted any form of leave for the duration of their stay whilst they remain under s.309.

If required, a referral may be made to Dhulwa Mental Health Unit for consideration of the admission panel. Admission to Dhulwa is determined by the admission panel and is based on if the person requires safe and structured clinical care, they have an acute or persistent severe mental illnesses, who require secure inpatient care as they are unable to be safely or adequately treated in a less restrictive setting.

Where a person is assessed to require further treatment and care longer than the period of the ED3, an extension of Emergency Detention – 11 Days (ED11) must be applied for in a timely manner. A copy of the ED 11 granted by the ACT Civil and Administrative Tribunal (ACAT) is to be emailed by admin staff (BH) or the Nurse in Charge (AH) to #S309 which includes: MCCriminal.JACS@courts..au, TribunalLiaison@.au and JHSadmin@.au

The MHSSU admin or Mental Health Clinician in the ED is to include the below standardised email text:

An order was made under section 309 of the Crimes Act 1900 with respect to the (insert name) on (insert date).

Pursuant to ACT Health’s obligations to notify the Court of the results of the initial examination and the reasons for detention under section 87 of the Mental Health Act 2015, please see attached a copy of the Emergency Detention 11 that has been granted by the ACT Civil and Administrative Tribunal (ACAT). The form states that the person has been examined and satisfies the criteria for involuntary treatment and detention under section 85 of the Mental Health Act 2015 and that the period of detention will expire on (insert date and time), at the latest.  

If the person is to be detained for an extended period of time, the CLO is to be informed by AMHU Staff (in most cases this will be by the CNC) at their earliest convenience. This will enable Forensic Mental Health Services to advise the Court that the person has been hospitalised and for the persons’ court matters to be adjourned until further notice is received.

During the person’s inpatient admission and treatment, Security Services will maintain contact with the Assistant Director of Nursing/Operational Director/Consultant Psychiatrist to advice of any changes in the risk assessment regarding the detainment or any other issues concerning the detainment of the person. The Security Services risk assessment is to be completed when any changes are made and included in the person’s ECR.

After hours or on the weekend any changes to the person’s risk assessment or detainment requirements is to be escalated and confirmed with the MHJHADS Director on Call by the Nurse in Charge.

Alert:

Under no circumstances are in-custody persons to be released from AMHU or MHSSU back to the community, they must be returned to the custody of the AFP.

3.4.1 Psychiatric Treatment Order (PTO)

If the clinical decision has been made that the person on the s.309 order requires further detention for treatment, care or support beyond the maximum period of time they may be detained under section 85 of the Act, and if they satisfy the criteria for a Psychiatrist Treatment Order (PTO) under section 58 of the Mental Health Act 2015, then an application for a PTO must be made to and heard by ACAT before the expiry of the ED11.

Immediately after the PTO has been granted by ACAT, a Consultant Psychiatrist must sign a Treatment Plan and Location Determination Form, located on the clinical forms register, stating that the person requires admission and detention at the Canberra Hospital. Once this form has been signed, the person will be detained in accordance with the PTO until such time as they no longer need to be detained for treatment, care or support, or the PTO is otherwise revoked, and they can be released into the custody of police.

Administration staff (during business hours) or the Nurse in Charge (after hours) must email a copy of the PTO granted by ACAT to #S309 which includes: MCCriminal.JACS@courts..au, TribunalLiaison@.au and JHSadmin@.au

Alert:

If ACAT does not grant the PTO, the person is not able to be detained in accordance with the provision of the Mental Health Act 2015 once the ED11 expires and must immediately be returned to the custody of AFP.

3.4.2 Visitors and Phone

After admission, a person subject to s.309 must be allowed to contact and be visited by their lawyer or the Public Advocate and to notify a relative or friend of their detention (s. 89(6) & s. 90, Mental Health Act 2015). If the person requests to make a phone call or see a family member, relative or friend, the AFP Operations Sergeant must be contacted on 6256 7714 to advise if that contact can be made. Contact with the AFP will occur by the ADON, CNC or if AH, the Nurse in Charge. The decision regarding contact is to be documented in the ECR. Clinical judgement can be applied if a call is considered clinically necessary to contact a government agency or non-governmental organisation for the purposes of discharge planning, organising of accommodation etc. Security Services will monitor phone calls or visit at all times.

3.5 Returning the Person to Custody Following Inpatient Treatment

If a person subject to s.309 and also subject to an ED3, does not does not require an ED11 and no longer requires treatment and care at an approved mental health facility, the person must be returned to AFP custody. The ED3 must be revoked as soon as practicable following handover of custody to the AFP.

When the person subject to s.309 and also subject to an ED11 and the Consultant Psychiatrist is satisfied that the person no longer requires treatment and care at an approved mental health facility, the person on s.309 must, as soon as practicable be discharged into the custody of the AFP.

In accordance with the Discharge Policy and prior to discharge, all arrangements are to be made including making appropriate referrals and medication scripts.

The treating team must complete Section 309 – Final Discharge Report (Attachment 3). Refer to Attachment 3 as a template for completion to ensure extraneous personal sensitive personal health information is not released. The finalised report must be printed, signed and scanned into the ECR. Admin (BH) or Nurse in Charge (AH) is to email a copy of completed Final Discharge Report to #S309 which includes: MCCriminal.JACS@courts..au, TribunalLiaison@.au and JHSadmin@.au.

A Section 309 Handover to the AFP from ACT Health report (Attachment 4) must also be completed by the Psychiatric Registrar or Consultant Psychiatrist. This report provides the necessary handover information to the AFP to ensure safe handover of the person subject to s.309, including requirement for medication and if there is any risk of harm to self or others whilst being transferred and in the custody of the AFP at the ACT Regional Watch House. This report is to be place in an envelope and handed to the AFP officer when they attend to collect the person.

To return a person back to the custody of the AFP following admission to the MHSSU or AMHU, the following steps should be taken before 2.00 pm on Monday-Friday and documented in the ECR:

• Contact the AFP Operations Sergeant on 6256 7714 (Please note, the AFP may not be aware that the person at TCH is subject to s.309).

• Inform the AFP the person is subject to a Court Ordered Assessment under s.309 and needs to be returned to Police custody for reappearance in Court.

• Verbally provide the detail as stated in the completed Section 309 Handover to the AFP from ACT Health template

• Request a job reference number, the officer’s name and number

• Within business hours contact the CLO on 0417 251 864 to advise of the above to re-list the Court matter; and for legal personnel to adequately prepare the relevant paperwork.

• Contact the Security Services on 6244 2222 and inform them that a person subject to s.309 will be returning to AFP custody.

• The person must remain at the MHSSU or the AMHU until the AFP arrive and collect them.

Alert

If there are delays in returning the person to custody, staff must escalate this immediately to the attention of the ED Consultant, the Adult Acute Mental Health Services (AAMHS) Operational Director and after hours, the Director on call and Security Services on 6244 2222.

3.6 Attempted or actual escape or of person subject to s.309

No person subject to an s.309 is permitted to take leave. For this reason Security Services will remain at AMHU/MHSSU providing support for the safe containment of the person subject to s.309.

All persons admitted to inpatient units subject to an s.309 must be on minimum 30 minute observations by the clinical staff. Assessment by the treating team and daily consultation with Security Services, or more frequently as required, will help determine what reasonable measures can be put in place to mitigate the risk of escape, noting AMHU/MHSSU is locked but not secure facilities. Any change to the management plan including security measures must be documented in the ECR.

As a person on s.309 order is in the lawful custody of the person in charge of the approved mental health facility, escape from the facility is a criminal offence (s. 160, Crimes Act 1900).

Alert:

If a person subject to s.309 attempts to escape, or succeeds in escaping from any part of the Canberra Hospital, (0)000 must be called.

The incident must also be immediately escalated to the Mental Health Executive Director through the Operational Director (MH Director on Call out of business hours).

Switchboard is to be notified using a Code Black and asked to page the s.309 group regarding the escape.

Additionally:

1. A global Code Black is to be raised for urgent assistance to be provided by Wards persons

2. In the event of an escape, Security Services will arrange an immediate preliminary search of TCH grounds whilst the AFP respond.

3. Usual unauthorised leave procedures must be followed (refer to the Unauthorised Leave of Admitted People from MHJHADS Inpatient Units Procedure).

4. The CLO must also be notified.

Back to Table of Contents

|Implementation |

This procedure will be communicated to all staff via the clinical policy register, as an element of the ED, MHJHADS’ program orientation, and through staff meetings and emails.

Back to Table of Contents

|Related Policies, Procedures, Guidelines, Frameworks, Standards and Legislation |

Procedures

• Admission Discharge – Adults, Pregnant Women and Neonates

• Emergency Department and Mental Health Interface Clinical Guideline

• Emergency Detention in the Inpatient Setting and a Person’s Rights under the Mental Health Act 2015 Procedure

• Transport of People Admitted to MHJHADS Bed Based Units across the Canberra Hospital Campus Procedure

• Unauthorised Leave of Admitted People from MHJHADS Inpatient Units Procedure

• AMHU Security Officer Post Order

Frameworks

• ACT Health Consumer and Carer Participation Framework

Standards

• National Standards for Mental Health Service 2010

• National Safety and Quality Health Services Standards 2012

Legislation

• Mental Health Act 2015

• Crimes Act 1900

• Human Rights Act 2004

• Bail Act 1992

Back to Table of Contents

|Search Terms |

s.309, Crimes Act, Mental Health Act, Custody, Mental Health, Court, Assessment, Forensic

Back to Table of Contents

|Attachments |

Attachment 1 – Process Flowchart for Enacting Section 309 of the Crimes Act 1900

Attachment 2 – S309 Initial Examination Report – Not detained under the Mental Health Act 2015

Attachment 3 - S309 – Final Discharge report

Attachment 4 – S309 Handover to the AFP from ACT Health

Attachment 5 – Switchboard Action Card – S309 Activation

Attachment 6 – Transfer of Custody Form

Attachment 7 – ACT Health Security Services Risk Assessment Form

Disclaimer: This document has been developed by ACT Health, Canberra Hospital and Health Services specifically for its own use. Use of this document and any reliance on the information contained therein by any third party is at his or her own risk and Health Directorate assumes no responsibility whatsoever.

Policy Team ONLY to complete the following:

|Date Amended |Section Amended |Divisional Approval |Final Approval |

|21/12/2017 |Complete Review |Tina Bracher, ED MHJHADS |CHHS Policy Committee |

|15/03/2018 |Information in section 3.4.1 |Bruno Aloisi, A/g ED, MHJHADS |Bruno Aloisi, A/g ED, MHJHADS |

| |clarified | | |

This document supersedes the following:

|Document Number |Document Name |

|CHHS14-014 |Adult Consumers on Custodial Orders (s309 Crimes Act 1900) |

|CHHS14/036 |Persons on Custodial Orders at the Canberra Hospital Section 309 of the Crimes Act 1900 Policy |

Attachment 1 - Process Flowchart for Enacting Section 309 of the Crimes Act 1900

[pic]

Attachment 2 – S309 Initial Examination Report – Not detained under the Mental Health Act 2015

|[pic] | |Surname: |

| | |Given name: |

| | |DOB: |

| | |Gender: |

Section 309 – Initial Examination Report

Not detained under the Mental Health Act 2015

The information provided is consistent with the Health Records (Privacy & Access) Act 1997.

Date of report

To the Magistrate,

Re: name of person

Date of Birth:

Purpose of the Assessment

The accused was referred under section 309 of the Crimes Act 1900 (section 309 order), for the purpose of determining whether they require immediate treatment or care because of mental impairment.

I respectfully submit this Initial Examination Report to the Court as my assessment and recommendations made today (date) at the Canberra Hospital (TCH). The assessment was made with the assistance of (name of doctor).

Reasons for referral

The accused was brought to TCH by ACT Corrective Services Court Transport Services [or police] under a section 309 order because xxx

Diagnosis

← The person has a mental illness diagnosis

← Yes

← No

← The person has a mental disorder diagnosis

← Yes

← No

Outcome of Initial Examination

The results of the examination is that the accused does not satisfy the criteria for emergency detention under section 85 of the Mental Health Act 2015 (the Act), because they (pick one of the categories below):

← do not require immediate treatment, care or support;

← has not refused to receive that treatment, care or support;

← Detention is not necessary for their health or safety; social or financial wellbeing; or for the protection of someone else or the public (include further details and describe the risk if not detained); and

← Adequate treatment, care or support can be provided in a less restrictive environment (explain how and why).

Medication

Is on prescribed medication

← Yes

← No

RISK OF SELF HARM OR SUICIDE AT TIME OF EXAMINATION

For example - X did not disclose any current suicidal thoughts/intentions or plans.

RISK OF HARM TO OTHERS AT TIME OF EXAMINATION

For example - Unpredictable risk of violence to others.

I AM THEREFORE RELEASING THE ACCUSED INTO THE CUSTODY OF THE POLICE.

RECOMMENDATIONS FOR ONGOING TREATMENT

1) Options for ongoing treatment or services in the COMMUNITY

For example - if the accused is to be granted bail, a referral will be made for XXXX (for example - community mental health follow up with the Mobile Intensive Treatment Team for medication management and ongoing psychiatric review).  

For example - No ongoing treatment is required

2) Options for ongoing treatment in CUSTODY

If the accused is remained into custody, they will be reviewed on induction by Justice Health Services.  

Yours sincerely,

Dr (Insert Name)

Attachment 3 - S309 – Final Discharge report

|[pic] | |Surname: |

| | |Given name: |

| | |DOB: |

| | |Gender: |

Section 309 – Final Discharge Report

Still requires ongoing treatment

The information provided is consistent with the Health Records (Privacy & Access) Act 1997.

Date of report

From:

Doctors Names

FRANZCP

To the Magistrate,

Re: name of person

Date of Birth:

Purpose of the Assessment

The accused was referred under section 309 of the Crimes Act 1990 (section 309 order), for the purpose of determining whether they required immediate treatment or care because of mental impairment.

I respectfully submit this Final Discharge Report – requires ongoing treatment to the Court as my assessment and recommendations made today (date) at Canberra Hospital (TCH). The assessment was made with the assistance of (name of doctor) and, as a second opinion required by the Mental Health Act 2015 (the Act), (name of doctor).

Reasons for referral

The accused was brought to TCH by ACT Corrective Services Court Transport Services [or police] under a section 309 order because xxx

Diagnosis

← The person has a mental illness diagnosis

← Yes

← No

← The person has a mental disorder diagnosis

← Yes

← No

Detention

The accused has been discharged from the Adult Mental Health Unit (AMHU) / Mental Health Short Stay Unit (MHSSU) at TCH into police custody as the maximum period of time they may be detained under section 85 of the Act has expired and they do not satisfy the criteria for the making of a psychiatrist Treatment Order (PTO) under section 58 of the Act as they have consented to treatment, care or support.

As the accused is subject to a section 309 order, there is no lawful basis for the accused to remain at the AMHU/MHSSU as a voluntary patient and therefore, they must be discharged into the custody of a police officer.

I consider the accused still requires ongoing treatment in the form of (describe the treatment required and why necessary to be provided in an inpatient facility v community)

The accused is able to be admitted to AMHU as a voluntary patient without a PTO, after the expiration of the period of emergency detention. If, as a voluntary patient, they were to leave at a time it is considered they still required immediate treatment, care and support, they may be apprehended under section 80 of the Act and required to continue their treatment as an involuntary patient under section 85 of the Act.

Medication

Is on prescribed medication

← Yes

← No

RISK OF SELF HARM OR SUICIDE

For example - . X did not disclose any current suicidal thoughts/intentions or plans.

RISK OF HARM TO OTHERS

For example - Unpredictable risk of violence to others.

I AM THEREFORE DISCHARGING THE ACCUSED FROM AMHU INTO THE CUSTODY OF THE POLICE.

RECOMMENDATIONS FOR ONGOING TREATMENT

1) Options for ongoing treatment or services in the COMMUNITY

For example - if the accused is to be granted bail, a referral will be made for XXXX (for example - community mental health follow up with the Mobile Intensive Treatment Team for medication management and ongoing psychiatric review).  

2) Options for ongoing treatment in CUSTODY

If the accused is remained into custody, they will be reviewed on induction by Justice Health Services.  

Yours sincerely,

Dr (Insert Name)

Attachment 4 – S309 Handover to the AFP from ACT Health

|[pic] | |Surname: |

| | |Given name: |

| | |DOB: |

| | |Gender: |

Section 309 Handover to the AFP from ACT Health

The information provided is consistent with the Health Records (Privacy & Access) Act 1997.

Introduction: (Insert Name) was referred to ACT mental health services by the ACT Magistrates Court via a s309 assessment request on the (Insert Date).

Situation: (Insert Name) no longer requires immediate care and treatment via an inpatient admission and has been deemed suitable to return to court.

Background: (Insert Name) has remained under the care of ACT mental health services since the (Insert Date).

Assessment: (Insert Name) has been prescribed medication which is dispensed (Insert Frequency) and will require a health professional to dispense this should they remain in your custody overnight/however will not require administration should they remain in your custody overnight.

Recommendation: (Insert Name) denies current plan or intent to harm themselves or others. (Insert Recent History).

Plan: Suitable to return to court.

|Absconding risk identified |No |Yes | |

|Violence risk identified |No |Yes | |

|Self-harm/ Suicide risk identified |No |Yes | |

|Property provided to AFP |No |Yes | |

|Medical risk identified |No |Yes | |

|Medication provided to AFP |No |Yes | |

|Section 309 report has been provided to the Court |No |Yes | |

Yours Sincerely

Dr (Insert Name)

Attachment 5 – Switchboard Action Card – S309 Activation

|PERSONS AUTHORISED TO ACTIVATE NOTIFICATIONS |

|Agency Security Officer (Business Hours) and CSSE On Call Officer (After Hours) |

Definition: A person on a section 309 order is a detainee from ACT Corrective Services or ACT Policing that is required by the Magistrates Court to have a Mental Health Assessment.

THE SWITCHBOARD OPERATOR RECEIVING THE CALL SHALL IMPLEMENT NOTIFICATION VIA THE FOLLOWING STEPS:

|STEP 1 |Call received from ACT Corrective Services or ACT Policing to activate Section 309 |

| |Operator to transfer call to dedicated Mobile ”Business Hours or After Hours |

| |Business Hours to Agency Security Officer |

| |After Hours to CSSE on call officer |

|STEP 2 |Dependent on time of day Agency Security Officer/CSSE On call officer to advise switchboard to activate |

| |Section 309. |

|STEP 3 |SMS to be sent to SMS Group “Section 309” |

| |SMS to read: Section 309 Mental Health Assessment incoming (or transferred to AMHU/DMHU/police) - ETA XX |

| |hours. |

| |SMS Group as below |

| |Agency Security Officer |

| |Agency Security Advisor |

| |Assistant Director, Client Services, Security & Emergency |

| |Director, Client Services, Security & Emergency |

| |Operational Director, Adult Acute Mental Health Service. Out of hours, contact MHJHADS Director on call |

| |TCH Shift Coordinator |

| |TCH Security Supervisor |

| |Clinical Director, Adult Acute Mental Health Services |

| |Mental Health Clinician in the ED |

| |ED Admitting Officer |

| |Mental Health patient Flow Manager |

|STEP 4 |Notify SMS Section 309 group of movement of detainee (e.g. Section 309 Mental Health Assessment |

| |transferred to DMHU/AMHU or return to police custody) |

| |Stand down Section 309 Activation |

|STEP 5 |Record details in Code Incident Book: |

| |Time of notification (using satellite clock) |

| |Type of emergency e.g. Section 309 Activated |

| |Name of person calling the code |

Attachment 6 – Transfer of Custody Form

|[pic] |Transfer of Custody Form |

| |Health Security Services |

All sections must be completed by the transferring agency before the ACT Health will accept custody of the person subject to s.309.

|SECTION 1 – PERSON’S DETAILS |

|First name: | |Last name: | |

|Date of Birth: | / / |Sex: |Male / Female / Other |

|SECTION 2 – TRANSFER OF CUSTODY DETAILS |

|Transfer time: | |Transfer date: | |

|Transferring agency: |ACT Corrective Services / ACT Policing / Other – specify |

|Escort officer name and rank:| |

|SECTION 3 – INITIAL RISK ASSESSMENT |

|Risk category |Yes |No |Rating |

|Has the person been involved in, or threatened any violence within the last 12 hours? | | |5 |

|Has the person previously escaped custody or attempted to escape custody? | | |5 |

|Is the person emotionally upset or behaviourally disturbed? | | |5 |

|Does the person have any outstanding court matters or warrants not related to this issue? | | |5 |

|Has the person suffered any injury within the last 12 hours? | | |3 |

|Has the person attempted or threatened self-harm within the last 12 hours? | | |3 |

|Has the person stated that they are pregnant? | | |1 |

|Overall risk rating: | |

□ A copy of the warrant or order has been attached to this form.

□ The person has been searched by ACT Corrective Services prior to arrival at ED

□ Belongings have been handed over

|SECTION 4 – SECURITY OFFICER ACKNOWLEDGEMENT |

|I acknowledge that I have accepted custody of the person at _________ hours and will detain them on behalf of the person in charge of the|

|facility until otherwise notified. |

|I am aware that I can use reasonable and necessary force to prevent the person-in-custody from escaping from detention, assaulting people|

|or destroying property. |

|Security Officer’s name: | |Security Officer’s signature: | |

Instructions for the Security Officer

The Security Officer who is detaining the person -in-custody must:

• complete all sections of this form before accepting custody of the person from ACT Corrective Services or ACT Policing;

• inform Switchboard to send a Section 309 notification for any transfer of the person as soon as practicable:

o Section 309 [insert person name] transferred to MHSSU/AMHU at [insert time]; or

o Section 309 [insert person name] returned to police custody at [insert time].

• inform Switchboard to page or contact the Clinical Director in business hours and after-hours the MHJHADS Director on Call that the person has not been assessed within four hours of arrival; and

• ensure that the warrant or order is kept with this form.

Initial risk assessment

The overall risk rating in Section 3 will determine the risk level assigned to the person.

|Risk level |Overall rating |Requirements |

|LOW |4 or under |One security officer present until assessed or returned to police custody; and |

| | |One security officer to remain with the person after transfer to MHSSU or AMHU unless another |

| | |security officer is already present at that location. |

|MODERATE |5 to 9 |One security officer present until assessed or returned to police custody; and |

| | |One security officer to remain with the person after transfer to MHSSU or AMHU unless another |

| | |security officer is already present at that location. |

|HIGH |10 or over |Two security officers present until assessed or returned to police custody; |

| | |At a minimum, one security officer to remain with the person after transfer to MHSSU or AMHU to |

| | |specifically observe person; and |

| | |Transferred to AMHU with use of mechanical restraints. |

Attachment 7 – ACT Health Security Services Risk Assessment Form

|[pic] | |Surname: |

| | |Given name: |

| | |DOB: |

| | |Gender: |

Section 309 Security Risk Assessment

The information provided is consistent with the Health Records (Privacy & Access) Act 1997.

Date and time of Risk Assessment and report

The person has been assessed as a _____________ risk to the safety and/or security of the facility.

This security risk assessment has been determined in consultation between clinical staff and security services based on the person:

□ being involved in, or threatened violence within the last 12 hours;

□ previously escaping custody or attempting to escape custody;

□ is, or appears to be, under the influence of alcohol and/or illicit drugs;

□ having non-related outstanding court matters or warrants;

□ appearing emotionally upset or disturbed; and/or

□ attempting or threatening self-harm within the last 12 hours.

Security Plan

The person must:

□ be in the presence of at least ______ Security Officer(s) at all times;

□ have at least ____ secure physical barriers between them and public areas at all times;

□ have their movement limited to the immediate common area of their accommodation;

□ not have access to courtyards without the presence of at least ________ Security Officer(s); and/or

□ have mechanical restraints applied at all times while in public areas.

If the person is assessed as a LOW security risk, a Security Officer and a Wardsperson can supervise up to four people in the same area at a time.

This security risk assessment was conducted by the people below and will be reviewed in __________ hours/days. A security incident involving the person must trigger a review of this Security Plan.

□ An electronic request for Guarding Services has been completed by the ADON, NIC or Operational Director.

|Signatory |Signature |Date |

|ADON or NIC or Operational Director | | |

|Security Manager | | |

-----------------------

SWITCHBOARD ACTION CARD

Section 309 Activation

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