Treatment and Confinement of Mentally-ill Residents who Destroy Neighbours' Properties or Display Signs of Violence
Ministry of HealthSpeakers
Summary
This question concerns Miss Cheng Li Hui’s inquiry on expediting treatment for mentally ill residents exhibiting violence or property destruction and the specific criteria for their release from the Institute of Mental Health (IMH). Minister for Health Gan Kim Yong responded that the Agency for Integrated Care coordinates community support, while police can bring dangerous individuals to IMH under Section 7 of the Mental Health (Care and Treatment) Act. Admission is determined by clinical assessments for inpatient management, with discharge occurring once acute conditions have stabilized to promote reintegration through home-based recovery. IMH monitors discharged patients for medication compliance and works with community partners to provide care coordination, case management, and caregiver education. Ultimately, the Minister highlighted that recovery depends on a collaborative effort between families, social service agencies, and healthcare organizations to support the patient's long-term stability.
Transcript
44 Miss Cheng Li Hui asked the Minister for Health with regard to the mentally ill who harass their neighbours, destroy properties and display signs of violence (a) whether their treatment and confinement at the Institute of Mental Health (IMH) can be expedited; and (b) what criteria have to be met for their release from IMH.
Mr Gan Kim Yong: We have been strengthening our community mental health services to better support persons with mental health conditions in the community and enhance their access to care services. For persons who display disturbing behaviours in the community, the Agency for Integrated Care (AIC) will serve as a first touchpoint to coordinate care and a link to healthcare and social service agencies. AIC can be contacted at careinmind@aic.sg for assistance and referral.
In cases where a person is behaving in a manner that is dangerous to self or others, members of the public can call 999 for urgent Police assistance. Under section 7 of the Mental Health (Care and Treatment) Act (MHCTA), persons who are at risk of harm to self and/or others and are reported to be mentally disordered, can be brought by a Police Officer to the Institute of Mental Health (IMH) for mental health treatment. The person will be warded, if assessed to require management in an inpatient setting.
Patients will be discharged from the IMH inpatient ward when the doctors assess that their acute psychiatric condition have stabilised and improved. Longer-term recuperation at home amongst supportive family will be better for the patients’ full recovery and reintegration with society.
IMH monitors the patients discharged to ensure that they remain compliant with their follow-up appointments and medication. IMH also works with families and community-based organisations on care coordination, case management, caregiver support and education, and other forms of social support, for the discharged patients. Overall, in supporting the patients’ recovery and reintegration, families, community and social and healthcare organisations all have a part to play.