ABSTRACT
The Mental Capacity Act 2005 was revised from 1983 and came fully into force on 1 October 2007. The act defines ‘mental disorder’ as ‘any disability or disorder of the mind or brain whether permanent or temporary which results in an impairment or disturbance of mental functioning.' The reformed act goes some way towards addressing difficult issues but it is important to remember there is a distinct difference in treating mental disorders and in exercising social control. The recommendations are presented in a practical stepped care starting with recognition of depression and going through treatment options based on severity of symptoms. The key priorities for implementation build upon the National Service Framework for Mental Health. Screening for depression would be in keeping with the National Screening Committee criteria; however, screening alone cannot improve management and outcome of depression and the cost would be significant.
