Substance Addiction (Compulsory Assessment and Treatment) Act 2017

1: Title
This Act is the Substance Addiction (Compulsory Assessment and Treatment) Act 2017
2: Commencement
1: Subject to subsection (2)
2: Sections 4 86 96 116 to 118
1: Preliminary provisions
Purpose
3: Purpose
The purpose of this Act is to enable persons to receive compulsory treatment if they have a severe substance addiction and their capacity to make decisions about treatment for that addiction is severely impaired, so that the compulsory treatment may—
a: protect them from harm; and
b: facilitate a comprehensive assessment of their addiction; and
c: stabilise their health through the application of medical treatment (including medically managed withdrawal); and
d: protect and enhance their mana and dignity and restore their capacity to make informed decisions about further treatment and substance use; and
e: facilitate planning for their treatment and care to be continued on a voluntary basis; and
f: give them an opportunity to engage in voluntary treatment. Interpretation
4: Interpretation
In this Act, unless the context otherwise requires,— applicant section 14 approved provider
a: a person who is certified, under the Health and Disability Services (Safety) Act 2001
b: a person who is designated under section 92 approved specialist section 95 Area Director Director of Area Addiction Services section 88 authorised officer section 91 brain injury chief executive Oranga Tamariki Act 1989 child or young person compulsory status section 11 compulsory treatment certificate section 23 compulsory treatment order section 32 court
a: the Family Court; or
b: the District Court criteria for compulsory treatment section 7 Director section 86(1) Director-General of Health Public Service Act 2020 district inspector section 90 drug
a: a controlled drug within the meaning of the Misuse of Drugs Act 1975
b: a prescription medicine or restricted medicine within the meaning of the Medicines Act 1981 electronic communication health professional
a: a medical practitioner:
b: a health practitioner who is, or is deemed to be, registered with the Psychologists Board continued by section 114(1)﻿(a)
c: a health practitioner who is, or is deemed to be, registered with the Nursing Council of New Zealand continued by section 114(1)﻿(a)
d: a practitioner who has expertise in treating persons suffering from severe substance addiction and who is registered on account of that expertise by a body corporate designated under section 96(1)
e: a social worker who is registered with the Social Workers Registration Board or who is a member of a body corporate designated under section 96(2) mail manager medical practitioner section 114(1)﻿(a) Minister nominated person section 49 party section 69 patient principal caregiver
a: in relation to a patient who is not a child or young person, means the friend of the patient or the member of the patient's family group or whānau who is most evidently and directly concerned with the oversight of the patient's care and welfare:
b: in relation to any patient who is a child or young person, means the person who has the primary responsibility for the day-to-day care of the child or young person relative
a: the spouse, civil union partner, or de facto partner of that person; or
b: a person who is connected by blood relationship to a person referred to in paragraph (a) responsible clinician section 28 severe substance addiction section 8 substance
a: any alcohol; or
b: any drug; or
c: any psychoactive substance (within the meaning of section 9
d: any volatile substance; or
e: any substance declared by regulations made under this Act to be a substance for the purposes of this Act treatment treatment centre Health and Disability Services (Safety) Act 2001 treatment plan section 29(a) section 42(3) 48(1) volatile substance welfare guardian section 2 Section 4 chief executive amended 14 July 2017 section 149 Children, Young Persons, and Their Families (Oranga Tamariki) Legislation Act 2017 Section 4 Director-General of Health amended 7 August 2020 section 135 Public Service Act 2020 Section 4 medical practitioner replaced 12 April 2019 section 50 Health Practitioners Competence Assurance Amendment Act 2019 Preliminary matters
5: Act binds the Crown
This Act binds the Crown.
6: Transitional, savings, and related provisions
The transitional, savings, and related provisions set out in Schedule 1 Criteria for compulsory treatment
7: Criteria for compulsory treatment
A person may be subject to compulsory treatment under this Act only if—
a: the person has a severe substance addiction; and
b: the person's capacity to make informed decisions about treatment for that addiction is severely impaired; and
c: compulsory treatment of the person is necessary; and
d: appropriate treatment for the person is available.
8: Meaning of severe substance addiction
1: A severe substance addiction is a continuous or an intermittent condition of a person that—
a: manifests itself in the compulsive use of a substance and is characterised by at least 2 of the features listed in subsection (2)
b: is of such severity that it poses a serious danger to the health or safety of the person and seriously diminishes the person’s ability to care for himself or herself.
2: The features are—
a: neuro-adaptation to the substance:
b: craving for the substance:
c: unsuccessful efforts to control the use of the substance:
d: use of the substance despite suffering harmful consequences.
9: Capacity to make informed decisions
For the purposes of section 7(b)
a: understand the information relevant to the decisions; or
b: retain that information; or
c: use or weigh that information as part of the process of making the decisions; or
d: communicate the decisions.
10: Compulsory treatment to be option of last resort
For the purposes of section 7(c) When compulsory status starts and ends
11: Compulsory status
1: A person becomes subject to compulsory status immediately after an approved specialist dates and signs a compulsory treatment certificate in respect of the person.
2: The compulsory status of a person ends on the close of the day on which any of the following first occurs:
a: the responsible clinician has, by the close of the seventh day after the date on which the patient’s compulsory treatment certificate was dated and signed, failed to apply, under section 29(c)
b: the court does not make a compulsory treatment order within the period prescribed by section 31
c: the person’s compulsory treatment order expires:
d: the person is released from compulsory status by an order of a Judge or a responsible clinician:
e: the person becomes subject to an order under section 24 25(1)﻿(a) or (b) 34
f: the person becomes subject to an inpatient order under Part 2 section 2(1)
g: the person is sentenced by a court to be detained in a prison. Principles applying to exercise of powers
12: Principles applying to exercise of powers over patients
Every person and every court that exercises, or proposes to exercise, a power conferred by or under this Act in respect of a patient must be guided by the following principles:
a: where compulsion is necessary, the level of coercion used on patients should always be the least restrictive possible to enable effective treatment; and
b: the views of the patient and the views of the patient’s principal caregiver, welfare guardian (if the court has appointed one), and nominated person (if the patient has nominated one) should be ascertained and taken into account before the power is exercised, unless it is not reasonably practicable or in the best interests of the patient to do so; and
c: interferences with the rights of patients should be kept to a minimum; and
d: the interests of patients should remain at the centre of any decision making; and
e: the power should be exercised with—
i: proper recognition of the importance and significance to the patient of the patient's ties with his or her family, whānau, hapū, iwi, and family group; and
ii: proper recognition of the contribution those ties make to the patient's well-being; and
iii: proper respect for the patient's cultural and ethnic identity, language, and religious or ethical beliefs. 1992 No 46 s 5
13: Additional principles applying to exercise of powers over children or young persons
Every person and every court that exercises, or proposes to exercise, a power conferred by or under this Act in respect of a patient who is a child or young person must be guided by any of the following additional principles that are relevant to the exercise or proposed exercise of the power:
a: wherever possible, the family, whānau, hapū, iwi, and family group of the child or young person should participate in the making of decisions affecting the child or young person and, accordingly, regard should be had to the views of the family, whānau, hapū, iwi, and family group:
b: wherever possible, the ties of the child or young person with his or her family, whānau, hapū, iwi, and family group should be maintained and strengthened:
c: a decision affecting the child or young person may be taken only after consideration of the likely impact of the decision—
i: on the welfare of the child or young person; and
ii: on the stability of the family, whānau, and family group of the child or young person:
d: consideration should be given to the wishes of the child or young person, to the extent that those wishes can reasonably be ascertained, and those wishes should be given the weight that is appropriate in the circumstances, having regard to the age, maturity, and culture of the child or young person:
e: decisions affecting the child or young person should, whenever practicable, be made and implemented within a time frame that is appropriate to the sense of time of the child or young person. 1989 No 24 s 5
2: Assessment and treatment of persons suffering from severe substance addiction
1: Assessment
14: Application for assessment
1: An applicant who believes that a person has a severe substance addiction may apply to the Area Director to have the person assessed under this subpart.
2: The applicant must be at least 18 years of age. 1992 No 46 s 8
15: Application requirements
1: An application is made when the Area Director receives an application that complies with this section.
2: An application must—
a: state that the applicant is 18 years of age or over; and
b: state that the applicant has personally seen the person whom the applicant seeks to have assessed within the 5 days immediately before the date the application is made; and
c: state the grounds on which the applicant believes that the person whom the applicant seeks to have assessed has a severe substance addiction; and
d: be dated and signed by the applicant; and
e: be accompanied by—
i: a medical certificate under section 17
ii: a memorandum under section 18 1992 No 46 s 8A
16: Assistance in arranging medical examination for application
1: At any time before making an application, the applicant may request the assistance of an authorised officer in arranging for a medical practitioner to examine the person whom the applicant seeks to have assessed.
2: The authorised officer must investigate the matter to the extent necessary to satisfy himself or herself that there are reasonable grounds to believe that the person whom the applicant seeks to have assessed meets the criteria set out in section 7(a) and (b)
3: If the authorised officer considers that there are reasonable grounds to believe that the person meets the criteria set out in section 7(a) and (b)
4: If, in any case to which subsection (3)
a: if a medical practitioner is available to go to the person, take all reasonable steps to ensure that the medical practitioner is able to examine the person; and
b: if no medical practitioner is available to go to the person, try to get the person to go voluntarily to a medical practitioner. 1992 No 46 s 38
17: Medical certificate
1: A medical practitioner may—
a: examine a person whom an applicant seeks to have assessed to investigate whether there are reasonable grounds to believe that the person meets the criteria set out in section 7(a) and (b)
b: request the assistance of an authorised officer for the purposes of that examination.
2: If, after examining a person, the medical practitioner considers that there are reasonable grounds to believe that the person meets the criteria set out in section 7(a) and (b)
3: The medical certificate must—
a: state that the medical practitioner has examined the person; and
b: state the date of that examination; and
c: state that the medical practitioner considers that there are reasonable grounds to believe that the person meets the criteria set out in section 7(a) and (b)
d: set out full particulars of the grounds; and
e: be dated and signed by the medical practitioner.
4: The medical practitioner must not sign a certificate if he or she is a relative of the applicant or the person whom the applicant seeks to have assessed.
5: Every medical certificate must state—
a: that the medical practitioner is not a relative of the person examined; and
b: if the medical practitioner is not the applicant, that the medical practitioner is not a relative of the applicant.
6: A medical practitioner may make an application to have a person assessed and also sign the medical certificate if the medical practitioner is not a relative of that person. 1992 No 46 s 8B
18: Memorandum by authorised officer
1: If attempts made by the authorised officer to have a medical practitioner examine the person have been unsuccessful, the authorised officer must, in a memorandum,—
a: describe the attempts that have been made to have the person examined by a medical practitioner; and
b: explain why the attempts have been unsuccessful; and
c: state that the authorised officer considers that there are reasonable grounds to believe that the person meets the criteria set out in section 7(a) and (b)
d: set out full particulars of the grounds.
2: The authorised officer must date and sign the memorandum.
19: Arrangements for specialist assessment
1: On receipt of an application under section 14
2: The arrangements required by subsection (1)
a: nominating the approved specialist who is to assess the person, not being the medical practitioner who signed the medical certificate under section 17
b: determining, in consultation with that approved specialist, where and when the assessment is to be made:
c: giving the person to be assessed a written notice that—
i: requires him or her to attend at the place and time specified in the notice for the purposes of the assessment; and
ii: explains the purpose of the assessment; and
iii: states the name of the approved specialist:
d: ensuring that the contents of the notice given under paragraph (c)
e: ensuring, if necessary, that appropriate arrangements are made to assist the person to be at the place where the specialist assessment is to be conducted at the required time. 1992 No 46 s 9
20: Certain approved specialists to undertake assessment of child or young person, if practicable
Wherever practicable, a specialist assessment of a child or young person must be conducted by an approved specialist who practises in the field of child or adolescent psychiatry or child or adolescent psychology. 1992 No 46 s 86
21: Assistance in arranging specialist assessment
If a person who has been given a notice under section 19(2)﻿(c)
a: take the person to the approved specialist named in the notice, including calling for Police assistance under section 105
b: ensure that the approved specialist is able to assess the person, including calling for Police assistance under section 105
22: Requirements for specialist assessment
1: An assessment under this section must be made personally by an approved specialist.
2: In undertaking an assessment of a person, the approved specialist must first assess whether the person has a severe substance addiction.
3: If the approved specialist considers that the person has a severe substance addiction, the approved specialist must assess whether the person's capacity to make informed decisions about treatment for that addiction is severely impaired.
4: The approved specialist may make the assessment described in subsection (3)
a: disclosed all the information a reasonable person would require to make an informed decision about the treatment; and
b: discussed the information with the person; and
c: given the person a reasonable opportunity to ask questions about any aspect of the treatment; and
d: given the person a reasonable opportunity to discuss the treatment with the person’s principal caregiver and welfare guardian (if the court has appointed one); and
e: informed the person that, if the approved specialist finds that the criteria for compulsory treatment are met, the person is entitled to seek independent advice from another approved specialist under section 56
5: If the approved specialist considers that the person's capacity to make informed decisions about treatment for the person's addiction is severely impaired, the approved specialist must assess whether—
a: compulsory treatment of the person is necessary to enable the treatment to be provided; and
b: appropriate treatment for the person is available.
23: Compulsory treatment certificate
1: If, after completing an assessment of a person under section 22
2: The approved specialist must date and sign the certificate.
3: The certificate takes effect as soon as it is dated and signed. 1992 No 46 s 10
24: Restriction on signing compulsory treatment certificate for child or young person
An approved specialist may sign a compulsory treatment certificate in respect of a child or young person—
a: only after the specialist has confirmed, with the department responsible for the administration of the Oranga Tamariki Act 1989
b: only if satisfied that appropriate treatment for the severe substance addiction of the child or young person cannot be given in accordance with an order or other determination under the Oranga Tamariki Act 1989 Section 24(a) amended 14 July 2017 section 149 Children, Young Persons, and Their Families (Oranga Tamariki) Legislation Act 2017 Section 24(b) amended 14 July 2017 section 149 Children, Young Persons, and Their Families (Oranga Tamariki) Legislation Act 2017
25: Approved specialist to notify Area Director and arrange patient’s detention
1: As soon as practicable after an approved specialist dates and signs a compulsory treatment certificate, the approved specialist must—
a: notify the Area Director of the identity of the patient to whom the certificate relates:
b: after consultation with the Area Director, arrange for the patient to be detained in a facility that is used for the purpose of providing health care services (within the meaning of the Health and Disability Services (Safety) Act 2001 subpart 2
2: Subpart 5
26: Information to be given to patient and others
1: As soon as practicable after the Area Director is notified under section 25 subsection (2)
a: a copy of the compulsory treatment certificate; and
b: a written statement of the patient’s rights and other entitlements under this Act.
2: The persons referred to in subsection (1)
a: the patient:
b: the applicant:
c: the patient’s principal caregiver:
d: the patient’s welfare guardian (if the court has appointed one):
e: the patient’s nominated person (if the patient has nominated one):
f: the medical practitioner who usually attends the patient:
g: the district inspector:
h: any person who is a guardian of a child of the patient.
3: The written statement must be in a form approved by the Director-General of Health.
4: The Area Director must also arrange for an oral explanation of the patient’s rights and other entitlements to be given to the patient.
5: The Area Director must, if the patient is unable to communicate adequately in English but is able to communicate adequately in another language, arrange for the oral explanation to be given in the other language. Drug and Alcohol Treatment Act 2007 s 16 (NSW)
27: If compulsory treatment certificate not signed, advice must be given
If, after completing an assessment of a person under section 22
a: to the person; and
b: to the person’s principal caregiver. Drug and Alcohol Treatment Act 2007 s 12 (NSW)
2: Imposition and review of compulsory status
28: Responsible clinician to be assigned
1: As soon as practicable after the Area Director is notified under section 25
2: Wherever practicable, the Area Director must not assign as a patient’s responsible clinician the approved specialist who signed the compulsory treatment certificate in respect of the patient.
29: Initial steps to be taken by responsible clinician
As soon as practicable after a responsible clinician is assigned to a patient, and in any case not later than the close of the seventh day after the patient's compulsory treatment certificate is dated and signed, the responsible clinician must—
a: prepare a treatment plan for the patient; and
b: arrange for the admission of the patient to a treatment centre in accordance with section 30
c: apply to the court for a review of the compulsory status of the patient in accordance with subpart 6
30: Detention and treatment in treatment centre
1: The responsible clinician must direct that the patient be detained and treated in a treatment centre.
2: Before giving the direction, the responsible clinician must—
a: obtain the agreement of the manager of the treatment centre concerned; and
b: take into account the wishes and preferences of the patient and the views of the following persons:
i: the patient’s principal caregiver:
ii: the patient’s welfare guardian (if the court has appointed one):
iii: the patient’s nominated person (if the patient has nominated one).
3: Before or on the patient's admission to a treatment centre, the Area Director must ensure that—
a: a notice is given to the patient that specifies the treatment centre and requires the patient to attend at the place and time specified in the notice for the purpose of the patient's admission to the treatment centre:
b: all reasonable steps are taken to notify the persons specified in subsection (2)﻿(b)﻿(i) to (iii)
c: the following documents accompany the patient to the treatment centre:
i: a copy of the compulsory treatment certificate:
ii: a copy of the treatment plan prepared for the patient:
iii: if applicable, a copy of the application made under section 29(c)
iv: any other documents relevant to the admission and future treatment of the patient.
4: If a patient who has been given a notice under subsection (3)﻿(a) section 105
31: Patient must be released if review not determined within prescribed period
1: An application for review under section 29(c)
2: For the purposes of this section, the prescribed period subsection (3)
3: If the patient is older than 18 years of age, the Judge may specify a period of up to 20 days after the date on which the application is filed if the Judge—
a: has interviewed the patient under section 75
b: is satisfied that it is not practicable to determine the application within a period of 10 days.
4: If the application is not finally determined before the expiry of the prescribed period, the application is dismissed and the patient must be released from compulsory status.
5: The dismissal of an application to review the compulsory status of a person under subsection (4) section 14 1992 No 46 s 15
32: Court may make compulsory treatment order
1: On an application for review under section 29(c)
2: If the Judge is satisfied that the criteria for compulsory treatment are met, the Judge may, having regard to all the circumstances of the case, continue the compulsory status of the patient by making a compulsory treatment order.
3: The compulsory treatment order expires on the close of the 56th day after the date on which the patient’s compulsory treatment certificate was signed, and may be extended, under section 47
4: If the Judge is not satisfied that the criteria for compulsory treatment are met, the Judge must dismiss the application and order that the patient be immediately released from compulsory status.
33: Restriction on making compulsory treatment order in respect of child or young person
The court may make a compulsory treatment order for a child or young person only if satisfied that appropriate treatment for the severe substance addiction of the child or young person cannot be given pursuant to an order or other determination under the Oranga Tamariki Act 1989 Section 33 amended 14 July 2017 section 149 Children, Young Persons, and Their Families (Oranga Tamariki) Legislation Act 2017
34: Right to apply to court for urgent review of patient's status
1: A patient or any person specified in subsection (2)
a: the criteria for compulsory treatment are not, or are no longer, met:
b: in the case of a patient who is not subject to a compulsory treatment order, the compulsory treatment certificate should not have been given.
2: The persons referred to in subsection (1)
a: the patient’s principal caregiver:
b: the patient’s welfare guardian:
c: the patient’s nominated person:
d: a lawyer of the patient:
e: the applicant who applied, under section 14
f: the medical practitioner who usually attended the patient immediately before the patient was required to undergo compulsory treatment:
g: the responsible district inspector.
3: If the patient or a person specified in subsection (2)
4: On a review under this section, the Judge must—
a: consider whether, in relation to the patient, the criteria for compulsory treatment are met; and
b: if not satisfied that the criteria for compulsory treatment are met, order that the patient be released from compulsory status.
3: Compulsory treatment of patients
35: Objective of compulsory treatment
The objective of compulsory treatment given to a patient is—
a: to facilitate the stabilisation of the patient through medical treatment, including medically managed withdrawal; and
b: if possible, to restore the patient’s capacity to make informed decisions about the patient’s treatment and to give the patient an opportunity to engage in voluntary treatment.
36: Requirement to accept treatment
1: A patient must accept the treatment properly given to the patient under this Act.
2: A patient must comply with every lawful direction given by or on behalf of the responsible clinician or by or on behalf of the manager of the treatment centre in which the patient is detained.
37: Treatment given or authorised by responsible clinician
1: The responsible clinician may, subject to this Act, give, or authorise the giving of, any treatment (including any medication) that the responsible clinician thinks fit for the treatment of the patient's severe substance addiction.
2: A responsible clinician who gives, or authorises the giving of, any medication to a patient under this Act must—
a: have due regard to the possible effects of the medication; and
b: give, or authorise the giving of, the minimum medication, consistent with proper care, to ensure that the patient is not prevented, by reason of that medication, from communicating adequately with any other person who may be engaged in any proceeding to represent the patient.
3: To avoid doubt, this section does not authorise a responsible clinician to prescribe any treatment (including any medication) that the responsible clinician is not otherwise authorised to prescribe.
38: Requirement to stay in treatment centre
1: A patient must not leave the treatment centre in which he or she is detained except in accordance with this Act.
2: A patient who is released from compulsory status must not be further detained in a treatment centre.
39: Leave of absence on compassionate, medical, or other grounds
1: The responsible clinician may permit the patient to be absent from a treatment centre for any period, and on the conditions, that the responsible clinician thinks fit.
2: Permission may be given on any grounds the responsible clinician thinks fit, including, for example, compassionate grounds or that the patient requires medical treatment.
3: The responsible clinician must not permit the absence unless the responsible clinician is satisfied that, as far as is practicable, adequate measures have been taken to prevent the patient from causing harm to himself or herself.
40: Return of patient
If a patient is absent without leave from the treatment centre in which he or she is required to be detained, or is absent from that treatment centre after a period of leave ends, an authorised officer may take all reasonable steps to take the patient back to the treatment centre, including calling for Police assistance under section 105
41: Transfer to another treatment centre
1: The responsible clinician of a patient who is detained in a treatment centre may direct the transfer of the patient to another treatment centre if the clinician is satisfied that the transfer of the patient to the other treatment centre is necessary for, or likely to be beneficial to, the patient's treatment.
2: Before directing the transfer of a patient to another treatment centre, the responsible clinician must—
a: obtain the agreement of the manager of the other treatment centre; and
b: take into account the wishes and preferences of the patient and the views of the following persons:
i: the patient’s principal caregiver:
ii: the patient’s welfare guardian (if the court has appointed one):
iii: the patient’s nominated person (if the patient has nominated one).
3: If the responsible clinician directs the transfer of a patient, the clinician must notify the Area Director responsible for the area in which the other treatment centre is located.
42: Condition of patient to be kept under review
1: The responsible clinician must ensure that clinical reviews of the patient’s condition are conducted at regular intervals.
2: For the purposes of a clinical review, the responsible clinician must—
a: examine the patient; and
b: consult other health professionals involved in the treatment and care of the patient, and take their views into account when assessing the results of his or her review of the patient's condition.
3: The responsible clinician must consider the patient's treatment plan in light of the reviews and make any adjustments or additions to the treatment plan that the clinician thinks fit.
43: Release from compulsory status
1: The responsible clinician must promptly order, in writing, that the patient be released from compulsory status if the responsible clinician is satisfied that—
a: the criteria for compulsory treatment are no longer met; or
b: no useful purpose would be served by the further compulsory treatment of the patient.
2: An order under subsection (1)
3: If a responsible clinician makes an order under subsection (1) section 29
44: Plan for future treatment and care
1: The responsible clinician must, if practicable, prepare a plan for the patient's release from compulsory status.
2: The plan must set out the responsible clinician's recommendation for future treatment, follow-up care, and any other action that the clinician considers appropriate.
3: In preparing the plan, the responsible clinician must take all reasonably practicable steps to ensure that the following are consulted:
a: the patient:
b: the patient’s principal caregiver:
c: the patient’s welfare guardian (if the court has appointed one):
d: the patient’s nominated person (if the patient has nominated one):
e: any agency involved in providing relevant services to the patient.
4: The responsible clinician must take all reasonably practicable steps to provide the persons specified in subsection (3)﻿(a) to (d)
4: Extension of compulsory status in case of patients with brain injuries
45: Review where patient appears to suffer from brain injury
1: If, at any time in the period beginning 21 days before the date of the expiry of a patient's compulsory treatment order, the responsible clinician considers that there are reasonable grounds to believe that the patient appears to suffer from a brain injury, the responsible clinician must review the condition of the patient.
2: The responsible clinician must record in a report the findings made on the review.
46: Application for extension of compulsory treatment order
1: If, after completing the review of the patient under section 45
2: An application to extend the compulsory treatment order must be made within 14 days before the date of the expiry of the compulsory treatment order that applies to the patient.
3: If the application is not determined before the expiry of the compulsory treatment order, that order is extended until the earlier of—
a: the close of the day on which the application is determined or withdrawn; and
b: the close of the 14th day after the date on which the compulsory treatment order would, but for this subsection, have expired.
4: If, at any time during the period that the order is treated as continuing in effect in accordance with subsection (3)
5: An order under subsection (4)
47: Court may extend order
1: The court may, by order, extend the compulsory treatment order if satisfied that,—
a: in relation to the patient, the criteria for compulsory treatment continue to be met; and
b: there are reasonable grounds to believe that the patient suffers from a brain injury.
2: If a compulsory treatment order is extended under subsection (1)
3: The patient’s compulsory status continues until the extended order expires (subject to sections 34(4) 43 48(2) 75(6)
48: Steps to be taken after extension of order
1: Before the close of the 28th day after the court orders the extension of a patient's compulsory treatment order, the responsible clinician must—
a: prepare an updated treatment plan for the patient; and
b: take steps to investigate whether an actual brain injury can be confirmed or excluded; and
c: make arrangements for the future treatment and care of the patient in accordance with section 44
2: If, at any time after the extension of the patient’s compulsory treatment order, the responsible clinician considers that reasonable grounds to believe the patient suffers from a brain injury do not exist, the responsible clinician must promptly order, in writing, that the patient be released from compulsory status.
3: An order under subsection (2)
5: Rights of patients
Rights applicable to all patients
49: Right to nominate person to protect patient's interests
1: A patient may at any time nominate any person who is 18 years of age or older to protect his or her interests under this Act.
2: The patient may revoke or vary the nomination at any time.
3: The patient must make the nomination, variation, or revocation by notifying, in writing or orally, 1 of the following:
a: the Area Director or any delegate of the Area Director:
b: the patient’s responsible clinician:
c: the manager of the treatment centre in which the patient is detained or any person employed in that centre.
4: A person who is, under subsection (3)
5: If, under this section, a person described in subsection (3) Drug and Alcohol Treatment Act 2007 s 13 (NSW)
50: Patient to be informed of his or her rights
Every patient is entitled to be kept informed of his or her rights as a patient, and, in particular, of—
a: his or her legal status as a patient; and
b: his or her right to apply for a review of his or her compulsory status; and
c: the functions and duties of district inspectors.
51: Principal caregiver, welfare guardian, and nominated person to be informed of events affecting patient
1: If any of the events described in subsection (2)
a: the patient’s principal caregiver:
b: the patient’s welfare guardian (if the court has appointed one):
c: the patient’s nominated person (if the patient has nominated one):
d: any person who is a guardian of a child of the patient:
e: any agency involved in providing relevant services to the patient.
2: The events are—
a: the patient is absent from the treatment centre without leave or fails to return after a period of leave ends:
b: the patient is transferred to another treatment centre:
c: the patient is released from compulsory status:
d: an application is made under section 46(1)
3: The responsible clinician must give the notice as soon as practicable after becoming aware that the event has occurred.
4: If the patient is transferred to another treatment centre, the responsible clinician must also state in the notice the name, address, and contact details of that other treatment centre. Drug and Alcohol Treatment Act 2007 s 19 (NSW)
52: Right to be dealt with in accordance with objective of compulsory treatment and with principles
Every patient is entitled to be dealt with in a manner that accords with the spirit and intent of sections 12 35 section 13 1992 No 46 s 65
53: Right to treatment
Every patient is entitled to—
a: medical treatment and other health care appropriate to his or her condition; and
b: the general treatment and care that the patient would be entitled to receive if he or she were not subject to compulsory status. 1992 No 46 s 66
54: Right to be informed about treatment
Every patient is entitled to receive an explanation of the expected effects of any treatment offered to the patient, including the expected benefits and the likely side effects, before the treatment is commenced.
55: Rights in case of visual or audio recording
1: Every patient is entitled to be informed if it is intended to make or use a visual or audio recording of the following matters:
a: an interview with the patient:
b: an aspect of the treatment or care of the patient.
2: Nothing referred to in subsection (1) 1992 No 46 s 68
56: Right to independent advice from approved specialist
1: Every patient is entitled to seek a consultation with an approved specialist of the patient's choice in order to obtain a second opinion about the patient's condition.
2: If the approved specialist agrees to the consultation, the approved specialist—
a: must be permitted access to the patient when he or she requests to see the patient; and
b: must provide his or her opinion about the patient’s condition as soon as practicable. 1992 No 46 s 69
57: Right to legal advice
1: Every patient is entitled to request a lawyer to advise the patient on his or her status and rights as a patient, or on any other legal issue.
2: If the lawyer agrees to act for the patient, the lawyer—
a: must be permitted access to the patient when he or she requests to see the patient; and
b: must provide his or her legal advice as soon as practicable. 1992 No 46 s 70
58: Right to company
Every patient is entitled to the company of others. 1992 No 46 s 71(1)
59: Right to receive visitors and make and receive telephone calls
1: Every patient is entitled, at reasonable times and at reasonable intervals, to receive visitors and make and receive telephone calls, except if, in the opinion of the responsible clinician, a visit or call would be detrimental to the interests of the patient or to his or her treatment.
2: Nothing in this section limits or affects anything in section 56 57
60: Right to receive and send mail and electronic communications
1: Every patient is entitled to receive and to send, in a manner that safeguards the patient's privacy,—
a: mail; and
b: electronic communications.
2: Subsection (1)﻿(b)
3: This section is subject to section 61 1992 No 46 ss 73 74 Limits on right to receive and send mail and electronic communications
61: Checking and withholding mail and electronic communications
1: If there are reasonable grounds to consider that any mail or electronic communications could be detrimental to the interests and treatment of a patient or of other persons in the treatment centre, the responsible clinician may direct that the mail or electronic communications be checked.
2: For the purpose of checking electronic communications, the responsible clinician may also direct that any computer or device in the patient’s possession be taken from the patient.
3: Subsection (1)
4: If mail or electronic communications are checked under subsection (1)
a: the patient not receive or send mail or electronic communications:
b: the patient not receive or send mail or electronic communications of a particular class:
c: the patient receive or send mail or electronic communications subject to conditions or under supervision.
5: For the purposes of a direction under subsection (4)
6: A computer or device taken from a patient under subsection (5)
7: This section is subject to sections 62 63 1992 No 46 ss 123(1), (2) 124(1)–(3)
62: Approval required to check and withhold mail and electronic communications
1: Any direction given under section 61
2: Before approving a direction under section 61(5) section 63(2)
63: Mail and electronic communications not to be withheld if sent by or to certain people
1: A direction under section 61(4) subsection (2)
2: The persons referred to in subsection (1)
a: a member of Parliament:
b: a Judge or an officer of a court, or a member or an officer of another judicial body:
c: an Ombudsman:
d: the Privacy Commissioner:
e: the Health and Disability Commissioner:
f: a Human Rights Commissioner:
g: in the case of a patient who is a child or young person, a board member of the Children and Young People’s Commission
h: the Director-General of Health:
i: the Director:
j: a district inspector:
k: a lawyer:
l: an approved specialist from whom the patient has sought a second opinion about the patient's condition. 1992 No 46 s 123(3) Section 63(2)﻿(g) amended 1 July 2023 section 41 Children and Young People's Commission Act 2022
64: Procedure where mail and electronic communications withheld
1: If any mail or electronic communications are not received by, or sent by or on behalf of, a patient in accordance with a direction under section 61(4)
2: If an item of mail is not received by a patient in accordance with a direction under section 61(4)
a: if the address of the sender is known to the responsible clinician, it must be returned to the sender:
b: if the address of the sender is not known to the responsible clinician, it must be—
i: sent to the district inspector; or
ii: produced to the district inspector when he or she next visits the treatment centre after the receipt of the item.
3: If an electronic communication is not received by a patient in accordance with a direction under section 61(4) Additional rights of children or young persons
65: Child or young person entitled to have adult present
Every child or young person who is examined by a medical practitioner under section 17 section 20 section 75
a: that child or young person; or
b: if it is impracticable for the child or young person to make such a nomination, the Area Director or an authorised officer.
66: Parents and others to be informed of decisions
1: A person who takes any action, or makes any decision, under this Act that significantly affects any patient who is a child or young person, must ensure that, where practicable, the following persons are informed, as soon as practicable, of that action or decision and of the reasons for it:
a: every person who is a parent or guardian of, and any other person who has the day-to-day care of, the child or young person:
b: the child or young person.
2: It is not necessary to inform a child or young person of any action or decision if—
a: the child or young person is incapable of understanding it; or
b: it is plainly not in the child's or young person's interests to be so informed.
3: The information required by subsection (1)
a: orally and, where practicable, in writing; and
b: where practicable, in a manner and in language that the person understands.
4: If, at the time the child or young person became subject to compulsory status, the child or young person was in the custody or under the guardianship or in the care of the chief executive or any other person under the Oranga Tamariki Act 1989 subsection (1) Section 66(4) amended 14 July 2017 section 149 Children, Young Persons, and Their Families (Oranga Tamariki) Legislation Act 2017 Complaints
67: Complaint of breach of rights
1: If a complaint is made by or on behalf of a patient that any right conferred on the patient by this Part has been denied or breached in some way, the matter must be referred to a district inspector for investigation.
2: If, after talking with the patient, any person who made the complaint on behalf of the patient, and everyone else involved in the case, and generally investigating the matter, the district inspector is satisfied that the complaint has substance, the district inspector must report the matter to the Area Director, together with any recommendations that the district inspector thinks fit, and the Area Director must take all steps that are necessary to rectify the matter.
3: On concluding any investigation under this section, the district inspector must also inform the patient or other complainant of his or her findings.
6: Procedure
68: Application of this subpart
This subpart applies to applications to the court under any of sections 29(c) 34(1) 46(1)
69: Meaning of party
In this subpart, party
a: in relation to an application under section 29(c) 46(1)
i: the patient:
ii: the responsible clinician:
b: in relation to an application under section 34(1)
i: the applicant:
ii: if the patient is not the applicant, the patient:
iii: the responsible clinician.
70: Jurisdiction of Family Court
1: Every application to which this subpart applies must be heard and determined by the Family Court.
2: If an application to which this subpart applies needs to be determined within a particular period and it is not practicable to have the application determined in that period by a Family Court Judge, any District Court Judge may exercise the jurisdiction of the Family Court—
a: by hearing the application, if that is necessary; and
b: by determining the application. 1992 No 46 s 17
71: Persons entitled to appear and be heard
1: The following persons may appear and be heard at every hearing of an application:
a: the parties:
b: the patient’s principal caregiver:
c: the patient’s welfare guardian:
d: the patient’s nominated person:
e: if the patient is a child or young person, each parent or guardian of the child or young person:
f: any lawyer of the patient:
g: the person who applied, under section 14
h: the medical practitioner who usually attended the patient immediately before the patient was required to undergo compulsory treatment:
i: the Area Director:
j: the responsible district inspector:
k: any other person the court considers should be entitled to appear and be heard because of that person's interest in the welfare of the patient.
2: Subsection (1) section 77(3)
72: Service where application made by responsible clinician
1: A responsible clinician who applies for a review of a patient’s compulsory status under section 29(c)
a: serve the application and the documents specified in subsection (2)
b: take reasonable steps to provide the application and the documents specified in subsection (2)
2: The documents referred to in subsection (1)
a: the patient’s compulsory treatment certificate:
b: a copy of the treatment plan prepared for the patient:
c: a statement of the nature of compulsory status:
d: a statement of the right of the person receiving the documents to appear before the court and be heard on the application.
3: A responsible clinician who applies for an extension of a patient's compulsory treatment order under section 46(1)
a: serve the application and the documents specified in subsection (4)
b: take reasonable steps to provide the application and the documents specified in subsection (4)
4: The documents referred to in subsection (3)
a: the patient’s extended compulsory treatment certificate:
b: a copy of the report on the patient prepared under section 45(2)
c: a statement explaining the effect of section 47
d: a statement of the right of the person receiving the documents to appear before the court and be heard on the application.
73: Service where application made by, or on behalf of, patient
1: A person who makes an application under section 34(1)
a: serve the application on the responsible clinician and the district inspector; and
b: take reasonable steps to provide the application to every other person entitled to appear and be heard on the application.
2: The Area Director must do the things required by subsection (1)
a: the application is made by a patient; or
b: the applicant so requests.
74: Responsibility of district inspector on application
1: On being served with an application, the district inspector must—
a: communicate with the patient and find out, if possible, whether the patient wants the district inspector to appear before the court to be heard on the application; and
b: decide, having regard to any views expressed by the patient, whether the district inspector should appear before the court to be heard on the application.
2: For the purposes of subsection (1)﻿(a)
75: Judge to interview patient before application for review heard
1: Before an application under section 29(c) 34(1)
2: The patient may be interviewed at—
a: the treatment centre where the patient is; or
b: if that is not practicable, the nearest practicable place.
3: The interview may be conducted by means of a video link.
4: The Judge must do the following things before and during the interview, as appropriate and practicable:
a: identify himself or herself to the patient; and
b: explain to the patient the purpose of the interview; and
c: discuss with the patient the patient's situation, the proposed course of treatment, and the patient's views on these matters.
5: As well as interviewing the patient, the Judge must consult with the responsible clinician, and any other persons the Judge thinks fit, concerning the patient's condition.
6: If the Judge is satisfied that the criteria for compulsory status are not met, the Judge must—
a: order that the patient be immediately released from that compulsory status; and
b: grant or dismiss the application accordingly.
7: If the patient is not immediately released under subsection (6)
76: Attendance of patient at hearing
1: The patient must be present throughout the hearing of an application unless—
a: the patient is excused or excluded by the court under subsection (2) or (3)
b: in the case of an application under section 29(c) 34(1) section 75
2: The court may excuse the patient from attending the hearing of an application if it is satisfied that the patient wholly lacks the capacity to understand the nature and purpose of the proceedings, or that attendance or continued attendance is likely to cause the patient serious mental, emotional, or physical harm.
3: The court may exclude the patient from attending the hearing of an application if it is satisfied that the patient is causing a disturbance that makes it impracticable to continue with the hearing in his or her presence.
4: A discretion conferred by this section may be exercised at any stage of the hearing.
77: Representation of persons entitled to be heard, and special rights of patient
1: Every person who is entitled to appear and be heard at a hearing of an application may be represented by a lawyer, and may call witnesses, and may cross-examine every witness called by another party.
2: If the patient is present and appears capable of addressing the court, the court must give the patient an opportunity to do so.
3: While the patient is addressing the court under subsection (2)
a: a parent of the patient:
b: a guardian of the patient:
c: the patient’s principal caregiver:
d: the patient’s welfare guardian:
e: the patient’s nominated person:
f: the person who applied, under section 14
g: a person with whom the patient was living before the patient became subject to compulsory status:
h: the manager, or an employee or agent, of a treatment centre in which the patient is, or has been, detained:
i: a lawyer representing a person referred to in any of paragraphs (a) to (h) 1992 No 46 s 20
78: Court may call for report on patient
1: The court may, if it is satisfied that it is necessary for the proper determination of an application, request any person it considers qualified to do so to prepare a report on any relevant aspect of the patient's condition.
2: However, a report under subsection (1)
3: Without limiting the generality of subsection (1) Oranga Tamariki Act 1989
4: In deciding whether to request a report under subsection (1)
5: The Registrar must give a copy of a report obtained under this section to the lawyers for the parties or, if a party is not represented by a lawyer, to that party.
6: The court must order that a copy of a report given to a lawyer under subsection (5)
7: If the court requests a person to prepare a report, the court must make an order for the fees and expenses of the person—
a: to be paid by 1 or more specified parties; or
b: to be met from any appropriation by Parliament for the purpose.
8: Before making an order under subsection (7)﻿(a) 1992 No 46 s 21(1)–(4), (8) Section 78(3) amended 14 July 2017 section 149 Children, Young Persons, and Their Families (Oranga Tamariki) Legislation Act 2017
79: Evidence on report
1: If a report has been prepared under section 78
2: The court may call the person making the report as a witness, either on its own initiative or on the application of a party. 1992 No 46 s 21(5), (6)
80: Court not bound by rules of evidence
In an application to which this subpart applies, or in any appeal or review arising out of the application, the court may receive any evidence that it thinks fit, whether it is admissible in a court of law or not. 1992 No 46 s 22
81: Appointment of lawyer to represent child or young person
If an application to which this subpart applies relates to a child or young person who is not represented by a lawyer, the court or the Registrar of the court must, as soon as practicable after the application has been filed, appoint a lawyer to represent the child or young person.
82: Power of court to call witnesses
1: The court may, on its own initiative, call as a witness any person whose evidence may in its opinion be of assistance to the court.
2: A witness called by the court under this section has the same privilege to refuse to answer any question as the witness would have if called by a party.
3: A witness called by the court under this section may be examined and re-examined by the court, and may be cross-examined by or on behalf of any party.
4: Sections 159 161 to 165
5: The expenses of a witness called by the court under this section must be met in the first instance, in accordance with the prescribed scale of witnesses' expenses, out of public money appropriated by Parliament for the purpose. 1992 No 46 s 23
83: Court may dispense with hearing in certain circumstances
Despite any other provision of this subpart, the court may determine an application to which this subpart applies without a formal hearing if it is satisfied that no person wishes to be heard in respect of the application.
84: Interpreters to be provided
1: The court must ensure that the services of an interpreter are provided for a patient if—
a: one of the following applies:
i: the first or preferred language of the patient is a language other than English, including Māori and New Zealand Sign Language; or
ii: the patient is unable, because of disability, to understand spoken language; and
b: it is practicable to provide the services of an interpreter.
2: The court must ensure, as far as is reasonably practicable, that the interpreter provided is competent. 1992 No 46 s 6
85: Appeals from decisions of Family Court
1: If, in an application to which this subpart applies, the Family Court has made or has refused to make an order, or has otherwise determined or has dismissed the application, a party may appeal to the High Court.
2: The High Court Rules sections 126 to 128 subsection (1) section 124
3: Despite subsection (2) section 126(1) and (2)
7: Administration and public assistance
Office holders
86: Director of Addiction Services
1: The Director-General of Health must appoint, under the Public Service Act 2020
2: The Director is responsible for the general administration of this Act under the direction of the Minister and the Director-General of Health.
3: For the purposes of performing his or her functions, the Director—
a: may, at any time and without previous notice, visit any treatment centre; and
b: must be given access to every part of the treatment centre and to every patient in it.
4: Section 99(2) and (3) subsection (3) Section 86(1) amended 7 August 2020 section 135 Public Service Act 2020
87: Director may delegate functions, duties, and powers
1: The Director may delegate any of his or her functions, duties, and powers, except this power of delegation, to a person who is suitably qualified to exercise or perform them.
2: The delegate may exercise or perform the functions, duties, and powers in the same manner and with the same effect as if they had been conferred on the delegate directly by this Act.
3: Section 121
88: Directors of Area Addiction Services in specified areas
1: The Director must—
a: appoint as many persons to be Directors of Area Addiction Services ( Area Directors
b: determine the terms and conditions on which each Area Director is appointed, including every area for which each Area Director is responsible; and
c: publish a notice in the Gazette
2: A person appointed under this section may at any time be suspended or removed from office by the Director for any of the following proved to the satisfaction of the Director:
a: failure to perform adequately the duties of the office:
b: neglect of duty:
c: misconduct:
d: inability to perform the duties of the office.
3: For the purposes of performing his or her functions, an Area Director—
a: may, at any time and without previous notice, visit any treatment centre located in the area for which that Area Director is responsible; and
b: must be given access to every part of the treatment centre and to every patient in it.
4: Section 99(2) and (3) subsection (3)
5: Every Area Director must, every 3 months,—
a: prepare a written report on the exercise and performance of his or her functions, duties, and powers under this Act for the previous 3 months; and
b: give the report to the Director.
89: Area Director may delegate functions, duties, and powers
1: An Area Director may delegate any of his or her functions, duties, and powers, except this power of delegation, to a person who—
a: is suitably qualified to exercise or perform them; and
b: is approved for the purpose by the Director.
2: The delegate may exercise or perform the functions, duties, and powers—
a: only when the Area Director is absent from duty because he or she is ill or because he or she is on approved leave; but
b: otherwise in the same manner and with the same effect as if they had been conferred on the delegate directly by this Act.
3: An Area Director who makes a delegation, or his or her delegate, must tell the Director—
a: when the Area Director is intending to be, or is, absent from duty because he or she is ill or because he or she is on approved leave; and
b: who the delegate is; and
c: when the delegation is revoked.
4: Section 121
90: District inspectors
1: For the purposes of this Act, the Minister must appoint as many lawyers as the Minister thinks fit to be district inspectors in respect of the locations that the Minister specifies in the instrument of appointment.
2: No lawyer appointed under this section may be an officer, a member, or an employee of a treatment centre within any of the locations to which the person is appointed.
3: The Minister may, with the concurrence of the Minister of Finance,—
a: fix the remuneration of district inspectors, either generally or in any particular case; and
b: vary the amount or nature of such remuneration.
4: A person appointed under this section as a district inspector holds office for a term of 3 years.
5: A person appointed under this section—
a: is eligible for reappointment:
b: may at any time be suspended or removed from office by the Minister for any of the following grounds proved to the satisfaction of the Minister:
i: failure to perform adequately the duties of the office:
ii: neglect of duty:
iii: misconduct:
iv: inability to perform the duties of the office.
6: Despite subsection (4)
91: Authorised officers
1: For the purposes of this Act, every Area Director must designate sufficient health professionals as authorised officers within the area of that Area Director.
2: The Area Director may designate a health professional under this section only if satisfied that the health professional has undergone appropriate training and has appropriate competence in dealing with persons who have severe substance addictions.
3: Every authorised officer must be issued with a document that identifies the holder and states that the holder is an authorised officer under this Act.
4: An authorised officer must carry out his or her duties under the general direction of the Area Director. Approved providers
92: Designation of approved providers
1: The Director may designate a person as an approved provider.
2: Before the Director designates a person under this section, the Director must be satisfied that the person—
a: is certified, under the Health and Disability Services (Safety) Act 2001
b: has the capacity and resources to detain and treat patients in accordance with this Act in places that are suitable for that detention and treatment; and
c: has systems in place for ensuring compliance with the requirements of this Act.
3: A designation under this section may be subject to any conditions that the Director considers necessary or desirable for the purposes of this Act.
4: A designation of a person under this section may be suspended or revoked for any of the following grounds proved to the satisfaction of the Director:
a: 1 or more requirements of this Act have been seriously breached in a treatment centre operated by the person:
b: 1 or more conditions of the designation have been seriously breached.
5: A designation under this section ceases to have effect if the person designated ceases to be certified, under the Health and Disability Services (Safety) Act 2001
6: A designation under this section, or a revocation of such a designation, must be made by notice in the Gazette
93: Reporting duties of approved providers
1: The Director or the Area Director may, by written notice, require any approved provider to inform the Director or the Area Director, within the time specified in the notice, about any matter in relation to any functions under this Act that have been, or are required to be, performed in a treatment centre operated by the approved provider.
2: Without limiting the generality of subsection (1)
3: An approved provider must provide the information within the time specified in the notice and, if there is no prescribed form for the information, in any form specified by the Director for the purpose. Clinicians
94: Responsible clinicians
1: The Area Director must ensure that a responsible clinician is assigned to every patient at all times.
2: A responsible clinician—
a: may, at any time and without previous notice, visit a patient to whom the clinician has been assigned in the treatment centre where the patient is; and
b: must be given access to the patient; and
c: must be given access to the patient’s records and any other information concerning the patient that is held by the treatment centre. 1992 No 46 s 7
95: Designation of approved specialists
1: The Director must designate a sufficient number of health professionals as approved specialists.
2: Before the Director designates a health professional, the Director must be satisfied that the health professional has significant experience in the treatment of severe substance addictions and is suitably qualified to conduct specialist assessments and reviews under this Act.
3: The Director must maintain a list of approved specialists, and must ensure that the list is available for public inspection.
4: The designation of a person as an approved specialist may be suspended or revoked on any of the following grounds proved to the satisfaction of the Director:
a: failure to perform adequately the duties imposed on the person in his or her capacity as an approved specialist or a responsible clinician:
b: neglect of the duty imposed on the person in his or her capacity as an approved specialist or a responsible clinician:
c: misconduct:
d: inability to perform the duties imposed on the person in his or her capacity as an approved specialist or a responsible clinician.
5: A designation ceases to have effect if the person designated ceases to be a health professional.
96: Designation of bodies for purposes of definition of health professional
1: The Minister may, by notice section 4
a: sets appropriate standards for classes of practitioners who treat, or assist in the treatment of, persons who suffer from severe substance addiction; and
b: has reliable systems for identifying practitioners who meet the standards.
2: The Minister may, by notice section 4
a: sets appropriate standards for social workers; and
b: has reliable systems for identifying social workers who meet the standards.
3: A notice under this section is secondary legislation ( see Part 3 The following table is small in size and has 3 columns that are grouped under the heading Legislation Act 2019 requirements for secondary legislation made under this section. Legislation Act 2019 requirements for secondary legislation made under this section Publication PCO must publish it on the legislation website and notify it in the Gazette LA19 s 69(1)﻿(c) Presentation The Minister must present it to the House of Representatives LA19 s 114 cl 32(1)﻿(a) Disallowance It may be disallowed by the House of Representatives LA19 ss 115 116 This note is not part of the Act. Section 96(1) amended 28 October 2021 section 3 Secondary Legislation Act 2021 Section 96(2) amended 28 October 2021 section 3 Secondary Legislation Act 2021 Section 96(3) replaced 28 October 2021 section 3 Secondary Legislation Act 2021 Assistance to members of public
97: Advice and assistance of general nature
So far as practicable, the Area Director or an authorised officer acting with the authority of the Area Director must act as a ready point of contact for anyone in the community who has any worry or concern about any aspect of this Act, or about services available for those who are or may be suffering from a severe substance addiction and, at the request of anyone, they must provide the assistance, advice, and reassurance that are appropriate in the circumstances.
8: Inspections
98: District inspectors to visit treatment centres
1: Every district inspector must, during a patient’s detention in a treatment centre that is in the locality to which the district inspector is appointed,—
a: visit the treatment centre at least once:
b: visit the treatment centre as soon as practicable after receiving notice of the patient’s detention.
2: A district inspector may, without previous notice, visit any treatment centre in the locality to which the district inspector is appointed as often as the district inspector thinks fit.
3: All visits made under the authority of this section may be made on any day and at any time of the day or night, and for the length of time, that the district inspector thinks fit.
4: On any such visit, the district inspector may, if the Director so permits or requires, be accompanied by a health professional named by the Director.
5: Any district inspector may, in respect of any specific matter, obtain advice from a health professional appointed for the purpose by the Director, and that health professional has, for that purpose, all the powers of visiting and inspecting. 1992 No 46 s 96
99: Inspectors' access to persons and documents
1: A district inspector who visits a treatment centre for the purposes of this Act must be given access to every part of the treatment centre and to every person in it, whether or not that person is a patient under this Act.
2: If the district inspector requests access to any of the following items, the manager must present the item to the district inspector:
a: every record relating to a patient, including the patient's compulsory treatment certificate, compulsory treatment order, and treatment plan:
b: any item of mail or electronic communication that, under a direction given under section 61(4)
c: any computer or device taken from the patient under a direction given under section 61(5)
3: Subsection (2)﻿(b) 1992 No 46 s 97
100: Reports on visits
1: A district inspector who visits any treatment centre must give a report on the visit to the Area Director within 14 days after the visit.
2: If the Area Director considers it appropriate, he or she may give a copy of the report to the manager of the treatment centre.
101: Inquiries by district inspector
1: Every district inspector on any visit to any treatment centre may, and must if so required by the Director, inquire as to—
a: any breach of this Act or of any regulations made under this Act, or any breach of duty on the part of any officer or other person employed in the treatment centre; and
b: any other matters that the district inspector or the Director thinks fit to be inquired into in respect of any patients or the management of the treatment centre.
2: Anyone may at any time raise a concern with a district inspector in relation to any aspect of the care, treatment, or conduct of a patient.
3: The district inspector must inquire as to whether the concern is valid, and if that is the case and there are reasonable grounds to believe that further consideration of the case may be desirable, he or she must take the following steps:
a: inform the responsible clinician or any other appropriate person of the grounds of concern that have arisen in the case:
b: give any other advice or assistance in the matter that may be appropriate.
4: For the purpose of conducting any inquiry under this Act, a district inspector has the same powers and authority to summon witnesses and receive evidence as are conferred on an inquiry by the Inquiries Act 2013 section 28
5: The district inspector must promptly send a full report of every inquiry to the Director. 1992 No 46 s 95 s 83
102: District inspectors to report monthly
Every district inspector must, once a month,—
a: prepare a written report on the exercise and performance of his or her functions, duties, and powers under this Act during the preceding month; and
b: send the report to the Director.
103: No proceedings against district inspectors unless bad faith shown
1: No civil proceedings may be brought against any district inspector for any thing he or she may do in the course of the exercise or performance, or intended exercise or performance, of his or her functions, duties, or powers under this Act, unless it is shown that he or she acted in bad faith.
2: Nothing in this section affects the right of any person or organisation to apply, in accordance with law, for judicial review of a district inspector's functions, duties, and powers under this Act. 1992 No 46 s 99A
104: Crimes of Torture Act 1989 not limited
Nothing in this Act limits the operation of Part 2 1989 No 106 s 37
9: Enforcement
105: Police assistance
1: This section applies to a constable who responds to a request for Police assistance by an authorised officer who is intending or attempting to do any thing specified in any of sections 21 30(4) 40
2: The constable—
a: may enter the premises where the person or patient is; and
b: must—
i: identify himself or herself either by name or by unique identifier; and
ii: if not in Police uniform, produce evidence of his or her identity.
3: A constable who enters premises under subsection (2) section 22
a: take the person to the place at which he or she is required to attend; and
b: detain the person at that place for the shorter of—
i: 6 hours; and
ii: the time it takes to conduct the specialist assessment.
4: A constable who enters premises under subsection (2) section 30(4) 40
5: The constable must not exercise the power in subsection (2) section 107 1992 No 46 s 41
106: Apprehension of patients not permitted to be absent from treatment centre
1: Subsection (2)
a: fails to attend at the place specified in a notice given under section 30(3)﻿(a)
b: fails to return to a treatment centre on or before the expiry of a permitted period of absence granted under section 39
c: absents himself or herself from the treatment centre otherwise than in accordance with this Act.
2: A person described in subsection (3)
a: apprehend the patient; and
b: take the patient to a treatment centre.
3: The persons referred to in subsection (2)
a: the patient’s responsible clinician:
b: an approved specialist:
c: any suitably qualified person authorised by the Director or the manager of the treatment centre:
d: a constable:
e: a person assisting a person mentioned in paragraph (a), (b), (c), or (d)
4: A constable must not exercise the power in subsection (2) section 107
107: Judge or Registrar may issue warrant
1: Subsection (2)
a: a person who fails to attend at a place for a specialist assessment in accordance with a notice given under section 19(2)﻿(c)
b: a patient described in section 106(1)
2: On an application by an Area Director, a District Court Judge or (if no Judge is available) a Registrar may issue a warrant authorising any constable to take a person described in subsection (1)
a: the person is refusing to attend at the place at which he or she is required to attend; or
b: the person is absent from the treatment centre without leave.
3: On an application by a constable, a District Court Judge or (if no Judge is available) a Registrar may issue a warrant authorising any constable to enter premises for the purposes of section 105(2) 106(2)
108: Certain sections of Crimes Act 1961 apply to powers to take and retake
Sections 30 31 34 sections 21(a) 30(4) 40 105(3) and (4) 106(2) 1992 No 46 s 122A
109: Use of force
1: A person exercising a power specified in subsection (2)
2: The powers are—
a: a power to take or retake a person under any of sections 21(a) 30(4) 40 105(3) and (4) 106(2)
b: a power to detain a person under section 105(3) or (4)
c: a power to enter premises under section 105(2)
3: The following persons may use such force as is reasonably necessary in the circumstances:
a: where a patient is obliged to accept treatment in accordance with section 36(1)
b: where a patient is obliged to comply with a direction in accordance with section 36(2)
4: If a person (not being a constable) uses force under this section,—
a: the circumstances in which the force was used must be recorded as soon as practicable; and
b: a copy of the record must be given to the Area Director as soon as practicable. 1992 No 46 s 122B Offences
110: Neglect or ill-treatment of patients
1: This section applies to—
a: the manager of a treatment centre:
b: a person employed or engaged by the manager or the service that operates the treatment centre:
c: any other person performing any function or exercising any power in relation to a patient under this Act.
2: A person to whom this section applies commits an offence if the person intentionally ill-treats or intentionally neglects a patient.
3: A person who commits an offence against this section is liable on conviction to a term of imprisonment not exceeding 2 years.
111: Assisting patient to be absent from treatment centre without leave
1: This section applies to—
a: the manager of a treatment centre:
b: a person employed or engaged by the manager or the service that operates the treatment centre.
2: A person to whom this section applies commits an offence if the person—
a: intentionally permits or assists a patient who is detained in a treatment centre to become, or to attempt to become, absent without leave from the treatment centre; or
b: facilitates a patient’s absence or attempted absence without leave from a treatment centre; or
c: intentionally assists any patient who is absent without leave from a treatment centre to avoid, or to attempt to avoid, being apprehended or being taken to a treatment centre.
3: A person who commits an offence against this section is liable on conviction to a term of imprisonment not exceeding 3 months or to a fine not exceeding $1,000.
112: Obstruction of inspection
1: This section applies to—
a: the manager of a treatment centre that is being visited by a district inspector, the Director, or an Area Director; and
b: a person employed or engaged by the manager or the service that operates a treatment centre that is being visited by a district inspector, the Director, or an Area Director.
2: A person to whom this section applies commits an offence if the person—
a: conceals or attempts to conceal from the district inspector, Director, or Area Director, or refuses or wilfully neglects to show to the district inspector, Director, or Area Director, any part of the treatment centre or any person detained or being treated in it; or
b: in any other manner wilfully obstructs or attempts to obstruct the district inspector, Director, or Area Director in the conduct of his or her official duties.
3: A person who commits an offence against this section is liable on conviction to a fine not exceeding $2,000.
113: False or misleading certificates
1: A person commits an offence if the person—
a: includes or causes to be included in any certificate under this Act any particular that he or she knows to be false or misleading in any material respect; or
b: negligently includes or negligently causes to be included in any such certificate any particular that is false or misleading in any material respect.
2: A person who commits an offence against this section is liable on conviction to a fine not exceeding $5,000.
114: Further offences involving false or misleading documents, etc
1: A person commits an offence if the person—
a: intentionally omits, or intentionally causes any other person to omit, to state in any notice, statement, or certificate under this Act any particular prescribed or required by or under this Act to be included in the notice, statement, or certificate; or
b: includes or causes to be included in any such notice, statement, or certificate any particular that he or she knows to be false in any material respect; or
c: negligently includes or negligently causes to be included in any such notice, statement, or certificate any particular that is false or misleading in any material respect.
2: A person who commits an offence against this section is liable on conviction to a fine not exceeding $2,000. Matters of justification or excuse
115: Matters of justification or excuse
1: A person who relies on a notice, a certificate, or an order described in subsection (4)
a: in the case of a notice or certificate, the notice or certificate was properly given by a person having authority to give it:
b: in the case of an order, the order was properly made by a court having jurisdiction to make it.
2: The protection given by subsection (1)
3: For the purposes of subsection (2)
4: The documents referred to in subsections (1) and (2)
a: a notice purportedly given under section 19(2)﻿(c) 30(3)﻿(a)
b: a compulsory treatment certificate purportedly given under section 23
c: an order purporting to be a compulsory treatment order. 2003 No 116 s 115
3: Subordinate instruments and miscellaneous provisions
Guidelines, standards, rules, and regulations
116: Director-General may issue guidelines and standards
1: The Director-General of Health may issue—
a: guidelines for the purposes of this Act; and
b: standards of care and treatment of patients.
2: The Director-General of Health must ensure that guidelines are issued, under subsection (1)
3: Section 116(3) repealed 28 October 2021 section 3 Secondary Legislation Act 2021
117: Rules
Rules may be made under section 16A
118: Regulations
1: The Governor-General may, by Order in Council, make regulations for all or any of the following purposes:
a: prescribing forms, registers, records, particulars, and notices for the purposes of this Act and the method of keeping such registers and records:
b: declaring any substance to be a substance for the purposes of this Act:
c: providing for any other matters contemplated by this Act, necessary for its administration, or necessary for giving it full effect.
2: Any regulations made under this section may apply generally, or may apply in respect of any particular treatment centre or other place or any particular class of patient.
3: Regulations under this section are secondary legislation ( see Part 3 The following table is small in size and has 3 columns that are grouped under the heading Legislation Act 2019 requirements for secondary legislation made under this section. Legislation Act 2019 requirements for secondary legislation made under this section Publication PCO must publish it on the legislation website and notify it in the Gazette LA19 s 69(1)﻿(c) Presentation The Minister must present it to the House of Representatives LA19 s 114 cl 32(1)﻿(a) Disallowance It may be disallowed by the House of Representatives LA19 ss 115 116 This note is not part of the Act. Section 118(3) inserted 28 October 2021 section 3 Secondary Legislation Act 2021 Miscellaneous provisions
119: Matters to be disclosed in annual report
In every annual report of the Ministry of Health, the Ministry must, in respect of the period to which the report relates, show—
a: the number of persons who were detained under this Act:
b: the length of their detention, by classifying the number of persons detained according to the number (including zero) of weeks of detention:
c: the number of compulsory treatment orders that were made:
d: the number of compulsory treatment orders that were extended:
e: the number of discharged patients who chose voluntary residential treatment and out-patient services.
120: Ministry must review Act
1: The Ministry of Health must, within the period of 6 months beginning on the review date,—
a: conduct a review of the operation and effectiveness of this Act since its commencement; and
b: prepare a report on the review for the Minister.
2: The Minister must present a copy of the report to the House of Representatives as soon as practicable after receiving the report.
3: In this section, review date
121: Provisions applying to delegations under section 87 or 89
1: This section applies to a delegation made under section 87 89
2: The maker of a delegation must make it in writing and sign it.
3: The maker of a delegation is not prevented from exercising or performing, or affected in his or her exercise or performance of, any of the delegated functions, duties, or powers.
4: Every person purporting to act under a delegation is, in the absence of proof to the contrary, presumed to be acting in accordance with the terms of the delegation.
5: A delegation continues in force until it is revoked.
6: If the maker of a delegation ceases to hold office, the delegation continues to have effect as if made by the successor in office of the maker.
7: The maker of a delegation, or a successor, may revoke the delegation at any time by written notice to the delegate.
122: Consequential amendments and repeal and revocations
1: The Acts specified in Part 1
2: The legislative instruments specified in Part 2
3: The legislative instruments specified in Part 3 2018-02-21 Alcoholism and Drug Addiction Act 1966 Child Support Act 1991 Coroners Act 2006 Crimes of Torture Act 1989 Health and Disability Commissioner Act 1994 Legal Services Act 2011 Medicines Act 1981 Mental Health (Compulsory Assessment and Treatment) Act 1992 Misuse of Drugs Act 1975 Social Security Act 1964 Summary Offences Act 1981 Alcoholism and Drug Addiction Act Commencement Order 1968 Alcoholism and Drug Addiction (Forms) Regulations 1968 Alcoholism and Drug Addiction Institution Order 1975 Alcoholism and Drug Addiction Institution (The Bridge, Auckland) Order 2010 Alcoholism and Drug Addiction Institutions Order 1969 Alcoholism and Drug Addiction Institutions Order 1972 Alcoholism and Drug Addiction Institutions Order 1978 Alcoholism and Drug Addiction Institutions Order (No 2) 1982 Alcoholism and Drug Addiction Institutions Order 1986 Alcoholism and Drug Addiction Institutions Order 1988 Alcoholism and Drug Addiction Institutions Order 1992 Alcoholism and Drug Addiction Institutions Order 1996 Alcoholism and Drug Addiction (Medical Fees) Regulations 1992 Health (Retention of Health Information) Regulations 1996 Social Security (Monetary Benefits) Regulations 2007