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Absolute Discharge from Section 41 — MRCPsych Paper B MCQ

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ModerateForensic PsychiatryAbsolute Discharge from Section 41MRCPsych Paper B

In England, a man subject to a section 37 hospital order with a section 41 restriction order has been conditionally discharged for 3 years. He has not applied to the Tribunal during his current statutory application period. Reports describe sustained adherence, a stable mental state and a risk formulation suggesting that liability to recall may no longer be required. Which statement most accurately describes how his restricted status can end?

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Reveal the answer and explanation

Correct answer: BThe Tribunal may direct absolute discharge on his application, and the Secretary of State may separately grant absolute discharge or lift the restrictions.

B is correct. Under section 75, a conditionally discharged restricted patient may apply to the Tribunal during the relevant statutory application period, and the Tribunal may direct absolute discharge. The Secretary of State may also consider a request for absolute discharge or lift the restrictions under section 42. Three years of stability and adherence provide relevant evidence but do not automatically end the order: the decisive issue is whether continued restrictions and liability to recall remain necessary in light of the patient's mental disorder and risk. Absolute discharge removes the conditional-discharge requirements, statutory reporting and the Secretary of State's recall power. The responsible clinician may support or initiate a request but cannot independently remove section 41 restrictions. There is no general 10-year threshold or automatic expiry after 3 years. Absolute discharge also does not necessarily terminate section 117 aftercare.

Reference: Ministry of Justice, Mental Health Casework Section. Conditionally Discharged Patients: Supervision and Reporting, paragraphs 19–21, October 2025. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1170264/Guidance-_Conditionally_Discharged_patients_-_supervision_and_reporting_Final.pdf