Mental health legislation and the right to appropriate treatment

Objective: To demonstrate how mental health legislation and its implementation can detract from a patient's "right to health." Method: The author surveyed colleagues working at the London and St Thomas Psychiatric Hospitals about cases where the structure or implementation of the Mental Health Act in Ontario (1) impeded the provision of good psychiatric care. Results: Four clinical vignettes illustrate specific problems; possible solutions to these difficulties are suggested. Conclusion: Physicians must remain vigilant in their role as advocates for patients' right to appropriate treatment.