Health information must not be disclosed without the person’s To agree to something being done, to approve an action or arrangement. See also informed consent., unless specific exceptions apply (see ‘Privacy and confidentiality’ in Chapter 9.1).
When can health information be disclosed?
The MHA 2014 (s 346) has specific exceptions that authorise the Providing information to another person or institution as required by a contract or other legal process. of health information about a Under the Australian Consumer Law, a person who buys goods or services for less than $40 000 or for personal or home use. without consent in limited circumstances:
- when the person to whom the information relates is deceased and the senior available next of kin consents to disclosure;
- when disclosure is reasonably necessary for the MHSP to perform their functions or exercise powers under MHA 2014 or another A written law made by parliament. Also called an ‘Act of parliament’, ‘statute’ or legislation.;
- when disclosure is permitted by an Act other than the Health Records Act 2001 (Vic) (‘HRA 2001’);
- when disclosure is permitted by the Health Privacy Principles 2.1, 2.2(a), (f), (g), (h) or (k) or 2.5;
- when disclosure is required by another MHSP in order to provide health services to the person within the meaning of section 3 of the HRA 2001;
- when disclosure is made in general terms to a friend, family member or carer of the person and that disclosure is not contrary to the views and preferences of the person;
- when the information relates to a patient and disclosure is reasonably required by a carer to determine the nature and scope of the care and to make necessary arrangements in preparation for that role or to provide care to the patient, and the person’s views and preferences (including in an advance statement) have been considered;
- when disclosure involves access to a patient’s clinical records and discussing their treatment for the purpose of a second psychiatric opinion under Division 4 of Part 5 of the MHA 2014;
- when the person is under 16 years old and the disclosure is to their parent, or – if they are subject to a Lawful control over a person which prevents them leaving. A person under arrest is in police custody and is not free to go. A person in prison is serving a custodial sentence that keeps them confined to the prison grounds. or guardianship order – to the Secretary of the DHHS;
- when disclosure is to the person’s Someone who is legally responsible for taking care of another person or their property. or medical treatment decision-maker or support person and it is reasonably required for carrying out their duties or functions; or
- when, in relevant circumstances, giving of information to the Secretary of the DHHS, the Minister of Mental Health, the MHT, MHCC, the Chief Psychiatrist, VCAT, a An independent body that hears legal claims brought by parties and decides between them. Serious cases are heard by a judge and jury, or just a judge. Less-serious cases are heard by a magistrate. in relation to a proceeding under the CMIUT Act and the Forensic Leave Panel is required; and
- when disclosure is required in connection with a notification, claim or possible claim for any possible Legal responsibility, enforced by civil or criminal courts. of the MHSP arising out of the provision of mental health services.
- Section 347 of the MHA 2014 deals specifically with disclosure of information on the electronic health information system, which is shared between MHSP to enable continuity of mental health services.
The disclosure of information must also be in accordance with the mental health principles (s 11). Penalties apply for breaching The principle that private information told to a person must not be revealed to others. Some professionals must keep information confidential, for example doctor–patient and lawyer–client relationships..
Information exchange between health professionals is also covered by the HRA 2001, which includes the Health Privacy Principles. The HRA 2001, the Privacy and Data Protection Act 2014 (Vic) and the Privacy Act 1988 (Cth) allow a person to take action if their privacy is breached (see Chapter 12.4: Privacy and your rights).
Patients’ other rights
Inpatients have the right to communicate lawfully with any person (div 2 pt 3 MHA 2014). Section 16 of the MHA 2014 permits an authorised psychiatrist to restrict a person’s right to communicate with agencies if it is reasonably necessary to protect the health, safety and wellbeing of the inpatient or another person. No such restriction can be made in relation to communicating with a legal representative, the Chief Psychiatrist, the MHCC, the MHT, a An independent person, a volunteer, who monitors and reports on the quality of mental health services and the welfare of patients., or a prescribed person or body (s 16(2)). Also, all patients have the right to vote.
If a patient brings personal possessions to hospital, they can request storage for those possessions. The patient should be given a receipt.