People sometimes go into hospital for their mental health, to help them get the right level of care and support to help them on their way to recovery. There are many different reasons why a person might need, or want to stay in hospital. The important thing to remember is that your journey is unique, but you are not alone. If you are staying in hospital, in a mental health ‘unit’, this means that a team of mental health professionals will be working with you to find out what care and support is right for you.
What rights and freedom do I have?
What does ‘being sectioned’ mean?
Being ‘sectioned’ means that you have to go into hospital so that you can get the urgent treatment you need to help you get better. This happens when a team of mental health professionals (usually including two doctors) have looked at all your options and decided that hospital is the best place for you to be. According to the law, you have to go into hospital even if you do not want to, or if you disagree with the doctors’ decision. This is also known as being ‘detained’.
You will only be sectioned if doctors think you are very unwell. They might be worried that your behaviour is dangerous to yourself or might be dangerous for others around you, even if you do not intend it to be.
The Mental Health Act 1983 is the law that gives mental health professionals the ability to ‘section’ someone. It also sets out the different types of ‘sectioning’ and your rights as a patient.
Tip: You can ask to speak to your ‘Independent Mental Health Advocate’ to help you understand your rights while you are in hospital. Look out for a poster on your ward, or ask a nurse for more information.
Can I go into hospital even if I haven’t been ‘sectioned’?
You and your doctor might agree that it is a good idea for you to go into hospital, without the need for you to be ‘sectioned’. If this happens, you will be known as an ‘informal patient’. As an informal patient, you will be expected to take part in your treatment plan, but you do have the right to refuse any treatment you do not want. You can also leave the hospital when you want.
If you want to leave, but mental health professionals think that you are too unwell to do so, they may consider whether to keep you in hospital under section.
Tip: If you are an informal patient, no one is allowed to threaten you with being detained to force you to stay in hospital against your will, according to the Mental Health Act Code of Practice.
What if I don’t want to go into hospital?
It may not be possible to challenge the health professionals' opinion while you are being sectioned. The decision to section someone is never taken lightly, but, once you are in hospital here are some possible ways you can get discharged:
- Ask your hospital managers to consider discharging you.
- Ask your responsible clinician to discharge you.
- Ask your nearest relative to discharge you.
- Apply to the Mental Health Tribunal to be discharged.
What is a Mental Health Review Tribunal?
This is a special type of court, which deals with mental health cases. They will read reports written by your care team and hear your views. Then they will decide if you can go home or not.
Tip: If you do not think you should be in hospital talk to a member of your care team, or the hospital manager. You can also speak to an ‘Independent Mental Health Advocate’ who can tell you what your options are.
Download our Guide to Mental Health Tribunals (pdf) for more information.
How long will I be in in hospital for?
You will stay in hospital for the length of time needed to allow you to get well enough to go home. The amount of time you spend in hospital will depend on your individual circumstances.
There are different types of section with different rules about how long you need to stay. Some people stay for a few days, while others can be in hospital for much longer. The two most common ‘sections’ are section 2, which means you can be detained for up to 28 days, and section 3, which means you can be detained for a maximum of six months. This can be extended if doctors think you are still too unwell to go home.
Download this guide to what the different types of section mean.
Are there special rules I will have to follow?
Each hospital will have rules on what you can and cannot do during your stay. These will include things to protect your safety and wellbeing, and the safety and wellbeing of those around you.
If you are not following the rules and expectations of the hospital, staff are likely to speak with you about your behaviour and find out why you are struggling. They should try to work with you to find a solution. But if you are risking your own health and safety, or the health and safety of anyone around you, they may have to remove you from the ward you are on and place you in another unit.
What confidentiality do I have?
Every unit should have a confidentiality policy outlining what information about you can be kept confidential, and when confidentiality can be broken. Things that you say may be logged and shared by staff to help them support you. What information is shared, and with whom, may depend on your age, support needs and risk level.
You are entitled to know what information will be shared, with whom, and for your opinion to be taken into account in such decisions about whether or not to share your information.
There are laws on data protection that your unit has to follow. Your information should be kept safe if it is stored online.
What about my things, friends and family?
What stuff can I take in with me?
It’s a good idea to bring in with you comfortable clothes and something to read. Think carefully before taking in anything valuable, and avoid taking in anything you wouldn’t want to get broken or lost.
Different units have different rules on what you are and are not allowed to bring with you. In many cases you will not be able to bring anything you could use to harm yourself with, or that someone else on your ward might try to harm themselves with.
Your hospital ward will have a policy on mobile phones and devices – in some places these are not allowed. You should tell staff about any electrical items you have to make sure you are allowed to bring them in. Sometimes electrical items may need to be safety tested.
Alcohol is not allowed in hospital. Some higher security wards have restrictions on alcoholic mouthwash, aerosols, glass containers, perfume, aftershave, dental floss and nail varnish remover.
A list of things you could take
Here are some things you could think about taking in, or asking someone to bring you:
- Comfy clothes
- Socks and underwear
- Notebook or journal (not wirebound)
- Colouring book
- Playing cards
- Wireless headphones
- Sports clothes in case there are any opportunities for you to get active
- Sleep mask
- Ear plugs
- Puzzle book
- Your favourite cuddly toy
- Flip flops
- Blanket and pillow
- Textbooks for school
Tip: If you go into hospital in an emergency, you might not have time to think about taking things in with you. If you don't take all the things you need, you could ask someone to bring things in for you.
Will I still get to see my family and friends? What about my social life?
Yes, you will be allowed visitors. Generally there will be allocated visiting times in which your friends and family can come and see you on the unit. They may be able to take you out during these times depending on what whether your hospital agrees that this is a good idea for you.
Don’t forget, you will not be alone. You will be in a unit with other young people who are also struggling with their mental health, and while you might sometimes find this difficult, you are likely to make new friends, take part in group activities and have fun.
Most units have a general timetable that will show you what activities are happening and when. Usually within the first few days of being in hospital a member of staff will meet with you to talk through how the timetable will apply to you, as well as to talk through your personal treatment plan, which may include individual and group therapy tailored to your needs.
Will I be able to watch TV, make phone calls and use the Internet?
The amount of access you have to the Internet and TV depends on the type of unit you are in. You might be in a unit where your care team is trying to keep your stimulation to a minimum so you can focus on recovery and this might mean no Internet access or TV.
Even if you are not allowed your mobile phone, units often have alternative phones you can use. Your unit should have a policy on phone use that makes it clear whether and when mobile phones can be used, and what your alternatives are.
Can I go on day trips? What is section 17 leave?
Your doctor can allow you to leave your unit for a specified time period. This could be for a few hours up to a few days, depending on how well you are and whether the doctor feels you would benefit from spending some time away from the unit. If you are under a section permission must be given in writing, and can only be given by the doctor in charge of your care. This is often referred to as ‘section 17 leave’.
Your doctor might attach special conditions to your leave, for example, you might have to be accompanied by hospital staff or family, or you might only be allowed to go to certain places.
What care and support will I get?
What treatment will I receive?
Your care will involve lots of people. On the unit nurses will look after your day to day needs and you will have meetings with specialist doctors and other mental health professionals. Take a look at our who’s who guide.
Your treatment will be based on your individual needs and might include things like:
- Cognitive behavioural therapy (CBT)
- Group therapy
- Group activities
- Occupational therapy
- Family therapy
- Many other types of therapy based on your individual needs and what works for you, like art or drama activities
Staff at your unit will try to make you feel as included as possible in decisions about your care and treatment. Any decision about your treatment and care should be made in your best interests, and you should be kept informed of your treatment plan (often referred to as a care plan) and any changes to your care at every stage.
Do I get a say in my treatment?
Your opinion matters. Your voice is important. You have the right to express yourself and to be listened to properly. Where it is possible, your treatment should be discussed with you and your views heard, before anyone can decide if you should have the treatment. This does not mean that your care team have to agree with you, but they should consider your views.
Your progress and care plan should be reviewed regularly, so that you and your team can decide whether there need to be any changes to your treatment.
Tip: Only you know how you are feeling, so do not be afraid to speak up and let people know what you think would be best for you. It is really important to ask questions if you have any. This will help you make decisions and can make you feel clearer and calmer about what is going on around you.
Tips on speaking out
Not everyone finds it easy to speak their mind. Here are some things which can really help:
- Write things down. Keep a record of things people say about your treatment. That way you don’t have to remember it all and you can refer back to it if you need to.
- Plan what you are going to say, and write yourself some notes or bullet points. It might also help to think about how the person you are going to speak to might respond to what you have to say.
- Take someone else into meetings with you for moral support whenever this is possible.
- Talk to someone you trust, like a parent or guardian, and ask them to speak up for you.
- You have the right to request support from an independent advocate whilst in hospital. They can be helpful to speak to about your rights and what to expect from your time in hospital. They can also support you in meetings to help you to express your views should you need them to.
Will I still see the same medical professionals I am seeing as an outpatient?
If you are receiving treatment before you go into hospital it might be possible to keep a particular professional involved in your treatment. But it is likely that the people treating you in hospital will be a whole new team to the people you were seeing before, and this will almost certainly be the case if you are in a hospital away from your local area. While this can feel daunting, remember your new team really want to help you get better and involve you in decisions about your care and treatment. Your new team will also have been sent notes about your situation from the professionals who were already working with you.
When it comes to looking at discharging you from hospital, it is likely the professionals you were seeing as an outpatient will be involved in looking at how you can be supported again once you leave hospital.
What about school?
Can I carry on with my studies and take exams?
While you are in hospital, you should have access to education that is suitable and right for you. Your unit will provide educational support according to the national curriculum and hospital staff will speak to your school or previous education provider to find out what your educational needs are, and what work you will need to do to continue your educational progress. If you are well enough, you will be allowed to sit your exams. Colleges will have a policy in place and can let you take a year out if you need to.
When you are leaving hospital, you will also get help finding your way back into education if this is something you want to do.
Resources and blogs
For more information:
- To understand what the different type of sections are, download this guide.
- Download our Guide to Mental Health Tribunals
- Read Judge Philipp Westcott's blog on what a tribunal judge does
- You can also read what it's like to experience a mental health tribunal, from the perspective of an inpatient
- Download our guide to Making A Complaint for tips on how to speak up if you're unhappy with something
- Download this guide to help you start difficult conversations
- Read Tom's story of his time as an inpatient, in 'Five Things That Surprised Me About Inpatient Care'
- Our Activist shares how they stayed connected to the world when they were in inpatient care
With thanks to: