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Section 58 Forms — MRCPsych Paper B MCQ

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ModerateMental Health LawSection 58 FormsMRCPsych Paper B

A 30-year-old man in England is detained under section 3 of the Mental Health Act 1983. He has received olanzapine continuously for 5 months. A valid section 58 certificate was in place after the initial 3-month period. He now has capacity to consent to treatment but clearly withdraws consent to further olanzapine. The responsible clinician considers continued medication necessary, and no section 62 urgent-treatment exception applies. Which document is required before olanzapine can continue?

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Correct answer: B — Form T3

The correct answer is **A, Form T3**. For a detained patient, medication becomes subject to section 58 safeguards once 3 months have elapsed since medication for mental disorder was first given during the current period of detention. A Form T2 records that a capacitous patient consents to treatment; it cannot authorise ongoing treatment after that consent is withdrawn. Continued non-emergency medication despite a capacitous refusal requires a second-opinion appointed doctor (SOAD) certificate, recorded on Form T3. Form H3 relates to detention paperwork rather than section 58 treatment authority. CTO1 concerns a community treatment order, which is not applicable to a patient detained under section 3 in hospital. Section 17 documentation authorises leave, not medication. The section 62 emergency exception is expressly excluded.

Reference: Department of Health and Social Care, Treatment forms for use under the Mental Health Act, 2020. https://www.gov.uk/government/publications/treatment-forms-for-use-under-the-mental-health-act