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Practising the Mental Health Care Act: Algorithmic Decisions Case by Case
Authors: Gerhard Grobler, Werdie van Staden, Pierre Joubert, Carla Kotzé & Gian Lippi
2025
ISBN: 978-1-0672372-2-6
Pages: 232
Print version: Available
Electronic version: Free PDF available

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About the publication

This book is written for physicians, medical students, and mental health professionals in South Africa, providing the Incapacity and Legal Status Assessment Algorithm (ILSAA) by which the assessment of someone’s legal status in terms of the South African Mental Health Care Act (MHCA) may be practised among actual patients as well as on a set of clinical case narratives published in this book. ‘Practise’ in the title of the book thus invokes two senses of the word. First, it refers to professional practice for which the algorithm is meant to aid and bring about legally and ethically accountable and sequential decision-making. Second, it refers to exercising and improving professional assessment skills and knowledge through application of the algorithm on clinical case narratives that capture a variety of authentic clinical presentations.


Table of Contents

1 The Incapacity and Legal Status Assessment Algorithm and Clinical Case Narratives 

1 Introduction  
2 Requirements of the Mental Health Care Act (Act 17 of 2002)  
3 Incapacity to give informed consent to care, treatment and/or rehabilitation must be assessed clinically  
4 Good process and criteria for assessing incapacity to give informed consent  
5 Using the algorithm to aid good process  
6 The Incapacity and Legal Status Assessment Algorithm and its validity and reliability 
7 Derivation of the Clinical Case Narratives  

2 Clinical Case Narratives 

1 Introduction  
1.1 Ms BaSe  
1.2 Mr QaBa  
1.3 Ms BeHg 
1.4 Dr LuKo  
1.5 Ms SaKe 
1.6 Mr FeRu  
1.7 Ms BeSo  
1.8 Ms BaNe  
1.9 Mr JaLo  
1.10 Prof LuCe  
1.11 Ms BaCe  
1.12 Ms HuCe  
1.13 Mr HiSu  
1.14 Ms BeCi  
1.15 Ms QaBo  
1.16 Ms Zala  
1.17 Ms QaBe 
1.18 Mr QaBi  
1.19 Ms HeRo 
1.20 Mr ZaLe  
1.21 Ms HeVa  
1.22 Mr WiGo 
1.23 Mr ZaLo 
1.24 Ms HuBe  
1.25 Ms SuKo  
1.26 Ms HeLa  
1.27 Ms VeFa 
1.29 Ms SeKa  
1.30 Ms HeCa  
1.31 Mr SeFu 
1.32 Ms SaLe  
1.33 Mr FuKi  
1.34 Mr FeRh  
1.35 Mr HeKa 
1.36 Ms SaNe 
1.37 Mr HaSe 
1.38 Mr MaFe  
1.39 Ms HaMe  
1.40 Ms NePu  
1.41 Ms GaTo 
1.42 Mr SaKu  
1.43 Ms HaLo 
1.44 Ms SaFo  
1.45 Mr FuSo 
1.46 Ms FuRa 
1.47 Mr PoTa 
1.48 Ms PeNi  
1.49 Mr FoVu  
1.50 Mr FoSe  
1.51 Ms ReBh  
1.52 Ms FoRe  
1.53 Ms PaNu  
1.54 Mr PaGo  
1.55 Ms FoKu  
1.56 Ms NuRa  
1.57 Mr FiKu  
1.58 Mr NuKa  
1.59 Mr NiKu 
1.60 Ms FeMu  
1.61 Ms NeLu  
1.62 Mr NaRe  
1.63 Ms FeCo 
1.64 Mr FaVo  
1.65 Mr BhCe  
1.66 Ms NaPo  
1.67 Ms BhJe  
1.68 Ms BeNo 
1.69 Mr FeVi  
1.70 Mr FaSo  
1.71 Mr FoVe  
1.72 Ms HaVi  
1.73 Mr FaVe  
1.74 Ms HiLu 
1.75 Ms NaLu  
1.76 Mr MoHa  
1.77 Mr FaRi 
1.78 Ms FaMo  
1.79 Ms FaKo  
1.80 Mr DeKo  
1.81 Ms DaKe 
1.82 Ms BhMo  
1.83 Ms BuCa 
1.84 Ms BoSe  
1.86 Mr KaNu  
1.87 Mr HuKu  
1.88 Ms KoFi  
1.89 Ms KoSe 
1.90 Ms MoFi  
1.91 Ms RoHu 
1.92 Mr FaKe  
1.93 Mr RoBh 
1.94 Ms FaCe 
1.95 Ms LiKa  
1.96 Mr LuJe  
1.97 Ms CuRa 
1.98 Ms LeKi  
1.99 Mr CuNa 
1.100 Ms LiCa  
1.101 Ms LeNi  
1.102 Mr MiHu  
1.103 Ms CiRu 
1.104 Ms CuGi 
1.105 Mr CiNu  
1.106 Ms CeKu  
1.107 Ms CaRe  
1.108 Mr LeJi  
1.109 Ms LaKe  
1.110 Ms CiKe 
1.111 Mr LaNu 
1.112 Ms LaCu  
1.113 Mr KuSo  
1.114 Mr BoMh  
1.115 Ms KuFi  
1.116 Ms BoNi  
1.117 Ms KuBh  
1.118 Ms BiNu  
1.119 Ms KiLa  
1.120 Ms KeSo  
1.121 Mr BiCu  
1.122 Mr BhMe  
1.123 Mr JiLa  
1.124 Ms BhKu  
1.125 Ms BeHj  
1.126 Mr BhGe  
1.127 Mr KeNi  
1.128 Mr KeBh 
1.129 Ms GeCi  
1.130 Ms ToPa  
1.131 Ms NoRi 
1.132 Ms NeRo  
1.133 Ms FaCi  
1.134 Ms CeRi  
1.135 Ms CaKu  
1.136 Mr KeFa  
1.137 Ms MuFa  
1.138 Mr HeSo  
1.139 Ms KuLe  
1.140 Mr FoRh  
1.141 Mr SaCe  
1.142 Ms WoPe  
1.143 Mr KaSo 

3 Solutions for each Case Narrative 

1 Introduction 
2 Explanation of Table 

List of South African Statutes  & Bibliography  

Annexure A  

Annexure B  


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