Bill 24 2025 - MENTAL HEALTH CARE AGENCY BILL, 2025

[1st December 2025] Mental Health Care Agency Bill 1 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE MENTAL HEALTH CARE AGENCY BILL, 2025 (Bill No. 24 of 2025) EXPLANATORY STATEMENT OF OBJECTS AND REASONS The Bill seek to repeal the Mental Health Care Act, 2020 and to establish a Mental Health Care Agency which shall have the mandate to administer and implement all aspect of mental health care and the matters related thereto. Dated this 1st day of December, 2025. VINSENT S. PERERA ATTORNEY-GENERAL ——————— [1st December 2025] Mental Health Care Agency Bill 2 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE MENTAL HEALTH CARE AGENCY BILL, 2025 (Bill No. 24 of 2025) ARRANGEMENT OF SECTIONS SECTIONS PART I – PRELIMINARY 1. Short title and commencement 2. Interpretation PART II – ESTABLISHMENT OF THE MENTAL HEALTH CARE AGENCY 3. Establishment of Agency 4. Objects of the Agency PART III – THE BOARD 5. Appointment of the Board 6. Functions of the Board 7. Secretary to the Mental Health Care Board 8. Procedure of the Board 9. Decision by circulation of paper 10. Members to continue till new members appointed PART IV - MENTAL ILLNESS AND CAPACITY TO MAKE MENTAL HEALTH CARE AND TREATMENT DECISIONS 11. Determination of mental illness 12. Capacity to make mental health care or treatment decision PART V - ADVANCE DIRECTIVE AND NOMINATED REPRESENTATIVE 13. Advance directive 14. Maintenance of online register 15. Advance directive not to apply to emergency treatment 16. Reviewing altering, modifying or cancelling the advance directive 17. Access to the advance directive 18. Advance directive for minor 19. Liability of mental health professional in relation to advance directive 20. Appointment of nominated representative 21. Nominated representative for minor 22. Duty of nominated representative PART VI - RIGHTS OF PERSONS WITH MENTAL ILLNESS 23. Rights and duties with respect to persons with mental illness 24. Respect human dignity and privacy 25. Respect of right to live in community 26. Non-Discrimination 27. Exploitation and abuse 28. Duty to inform of individual rights [1st December 2025] Mental Health Care Agency Bill 3 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE PART VII - CARE AND TREATMENT OF PERSONS WITH MENTAL ILLNESS 29. Admission of persons with mental illness 30. Voluntary admission 31. Discharge reports 32. Facilitated admission 33. Treatment on facilitated admission and further steps 34. Admission of minor 35. Person with mental illness at home 36. Person with mental illness wandering on streets 37. Emergency treatment 38. Seclusion and restraints 39. Rights of relatives and care-givers 40. Leave to persons admitted as facilitated admission 41. Absence without leave of persons admitted as facilitated admission 42. Admission of person with mental illness under Court order 43. Prisoners with mental illness PART VIII - MENTAL HEALTH CARE TRIBUNAL 44. Establishment of the Mental Health Care Tribunal 45. Membership of the Tribunal 46. Terms and conditions of members 47. Jurisdiction 48. Appeals 49. Powers of the Tribunal 50. Proceedings before the Tribunal 51. Reasons for decisions 52. Secretary to the Tribunal PART IX - OFFENCES AND PENALTIES 53. Offences and Penalties PART X – MISCELLANEOUS 55. Repeal 56. Savings and transitional 57. Transfer of staff to the Agency [1st December 2025] Mental Health Care Agency Bill 4 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE MENTAL HEALTH CARE AGENCY BILL, 2025 (Bill No. 24 of 2025) A BILL FOR AN ACT TO ESTABLISH THE MENTAL HEALTH CARE AGENCY BY REAPEALING THE MENTAL HEALTH CARE ACT, 2020, AND TO PROVIDE FOR ALL MATTERS CONNECTED THEREWITH OR INCIDENTAL THERETO. ENACTED BY THE PRESIDENT AND THE NATIONAL ASSEMBLY PART I – PRELIMINARY Short title and commencement 1. This Act may be cited as the Mental Health Care Agency Act, 2025 and shall come into operation on such date as the Minister may, by notice in the Gazette, appoint. [1st December 2025] Mental Health Care Agency Bill 5 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE Interpretation 2. In this Act, unless the context otherwise requires, — “advance directive” means a directive made by a person under section 13; “Agency” means the Agency for Mental Health Care established under section 3; “Board” means the Mental Health Care Board established under section 5; “care-giver” means a person who resides with the person with mental illness and is responsible for providing care to that person and includes a relative or any other person who performs this function; “consultant-in-charge” means a specialist psychiatrist or physician appointed to be in charge of one or more mental health facilities; “mental health care or mental health treatment” includes biological and psychological treatments, social care for mental illness and curative and rehabilitative services, provided either in a health or mental health facility or in the community; “mental health facility” means a mental health hospital or a part of a hospital or a psycho-geriatric home for mentally ill elderly persons or a clinic or health centre or other place for in-patient or out-patient treatment of individuals with mental illness; “mental health professional” means any health professional trained in mental health care or mental health treatment and registered with the respective regulatory authority or council; “mental illness” means a substantial disorder of thinking, mood, perception, orientation or memory that impairs judgment, behaviour, capacity to recognise reality or ability to meet the ordinary demands of life, psychosocial distress, including mental conditions associated with alcohol and drugs but does not include solely intellectual disability; “Minister” for the purposes of this Act means the President; “nominated representative” means a person nominated or appointed under section 13 or 21; “prescribed” means prescribed by regulations made under this Act; and “Tribunal” means the Mental Health Care Tribunal established under section 44. [1st December 2025] Mental Health Care Agency Bill 6 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE PART II – ESTABLISHMENT OF THE MENTAL HEALTH CARE AGENCY Establishment of Agency 3. There is hereby established for the purpose of this Act the Mental Health Care Agency. Objects of the Agency 4.(1) The objects of the Agency shall be to ensure efficient, effective and holistic management and administration of Mental Health Care services. (2) The Agency in carrying out its objectives the Agency shall — (a) take appropriate measures to prevent, treat and manage mental illness and to reduce disability and death resulting from mental illness; and (b) meet the prescribed requirements and standards for the provision and delivery of mental health care services. PART III – THE BOARD Appointment of the Board 5.(1) The affairs of the Agency shall be managed by a Board of seven members appointed by the President and shall consist of — (a) the Chairperson who shall be the Secretary of State for Mental Health Care; (b) the Consultant-in-charge of Mental Health Services; (c) the Director of Social Services, Ministry responsible for Social Affairs; (d) the Chief Medical Officer, Ministry of Health; (e) a psychologist; (f) a representative from the education (well-being) sector; and (g) a family member or a caregiver of a person with mental illness. (2) The President shall publish the names of the Chairperson and members of the Board in the Gazette. (3) The Chairperson and members shall hold office for a term of 5 years and shall be eligible for re-appointment. (4) The Chairperson and members shall be paid such allowance as the Minster may determine in accordance with government policies. [1st December 2025] Mental Health Care Agency Bill 7 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE (5) Where before the expiry of the term of office of a person holding office of Chairperson, or any other member, a vacancy arises for any reason whatsoever, the person appointed to fill such vacancy shall hold office for the unexpired period of the term for which his or her predecessor in office would have held office if such vacancy had not arisen. (6) The Chairperson and other members may be removed from office by the President, if any of them — (a) is adjudged insolvent; (b) is convicted of any offence involving moral turpidtude; (c) is unfit to continue in office by reason of infirmity of the body or mind; (d) is found guilty of any misconduct or breach of trust in the discharge of his or her duties; or (e) commits any offence that calls into question his or her professional standing. (7) The Chairperson and other members may resign from his or her appointment by giving one month notice in writing to the President and on such resignation being accepted, the Chairperson or member shall be deemed to have vacated his or her office. (8) A member shall be deemed to have vacated his or her office if he or she absents himself or herself from three consecutive meetings of the Board without the leave of the Chairperson. (9) The Chairperson or a member who has been removed from office under subsection (6) shall not be eligible for re-appointment. (10) The members may appoint a Vice-chairperson from among the members. who shall, in the absence of the Chairperson, assume the responsibilities of the Chairperson. Functions of the Board 6. The functions of the Board are — (a) to oversee the planning and management of mental health care and treatment in the Seychelles; (b) to promote standards of best practices and efficiency of mental health care services; (c) to set standards for accreditation of mental health care facilities; (d) to set criteria and standards for specific mental health care services, interventions, and treatments as necessary; (e) to inspect with sufficient frequency every mental health care facility to ensure that the conditions, treatment and care of patients comply with the provisions of this Act; [1st December 2025] Mental Health Care Agency Bill 8 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE (f) to review the use of restraints in mental health care facilities; and (g) to advise and assist the Government on other matters related to mental health care and treatment in the Seychelles. Secretary to the Mental Health Care Board 7.(1) There shall be a Secretary appointed by the Board. (2) The Secretary shall be responsible for the convening of all meetings of the Board, maintaining records of the Board, implementing the decisions of the Board, and do all such things as the Board or the Chairperson may lawfully require the Secretary to do. Procedure of the Board 8.(1) The Board shall meet at least six times a year but otherwise — (a) as the Chairperson may direct; or (b) as may be requested in writing to the Chairperson by not less than 4 members of the Board. (2) The time and place of a meeting of the Board shall be determined by the Chairperson. (3) Five members of the Board shall constitute a quorum for a meeting. (4) The Chairperson may by written notice convene a special meeting of the Board for any purpose specified in the notice. (5) A meeting of the Board shall be presided over by the Chairperson but in the absence of the Chairperson the members present at the meeting shall elect a member to preside over the meeting and that member shall have all the powers of the Chairperson at the meeting. (6) All matters for determination by the Board at a meeting shall be decided by a simple majority of votes of the members present and voting thereon. (7) Each member has one vote and in the event of an equality of votes the member presiding at the meeting shall have a casting vote. (8) A member who has a direct interest in a matter that falls to be decided at a meeting of the Board shall notify the Chairperson or, if the member is the Chairperson, the Secretary, of the interest and shall not be present or vote at the meeting where the matter is considered or decided unless the Board authorises otherwise. (9) The Board shall, through the Chairperson, submit an annual report of its activities to the Minister and the Minister shall cause a report to be tabled before the National Assembly. Decision by circulation of paper 9. Where a matter requires a decision of the Board and it is not convenient or possible for the Board to meet to determine the matter, the Secretary shall, on the instructions of the Chairperson, circulate papers regarding the matter to all members for consideration and [1st December 2025] Mental Health Care Agency Bill 9 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE decision or approval and if the members unanimously approve a decision or resolution by signing it, the decision or resolution shall have the same effect as a decision or resolution passed at a meeting of the Board. Members to continue till new members appointed 10. Notwithstanding section 5(4) where at the end of the period specified in that section, all the members of the Board vacate office and the new members of the Board have not been appointed, the persons vacating as members shall continue until the appointment of the new members of the Board or for a further period of three months, whichever occurs first. PART IV - MENTAL ILLNESS AND CAPACITY TO MAKE MENTAL HEALTH CARE AND TREATMENT DECISIONS Determination of mental illness 11.(1) Mental illness shall be diagnosed in accordance with nationally or internationally accepted medical standards, including the latest edition of the International Classification of Diseases of the World Health Organisation, or as may be prescribed. (2) The mental illness of a person shall not be diagnosed or determined on the basis of — (a) the political, economic, social status or membership of a cultural, racial or religious group, or any other reason not directly relevant to mental health status of the person; or (b) non-conformity with moral, social, cultural, work or political values or religious beliefs prevailing in a person's community. (3) Past treatment or hospitalisation in a mental health facility shall not by itself justify any present or future diagnosis or determination of a person's mental illness. (4) The mental illness of a person shall be determined by a mental health professional and shall only be diagnosed by a qualified medical practitioner with expertise in mental health. (5) The determination or diagnosis of a mental illness under this Act shall not be taken to mean that the person is of unsound mind unless he or she has been declared to be of unsound mind by a competent Court. Capacity to make mental health care or treatment decision 12.(1) Every person, including a person with mental illness, is deemed to have capacity to make decisions regarding his or her mental health care or treatment unless the person is unable to — (a) understand the information that is relevant to make a decision on the person's treatment, admission or personal assistance; or (b) appreciate any reasonably foreseeable consequence of a decision or lack of decision on the person's treatment, admission or personal assistance; or (c) communicate the decision under paragraph (a) by means of speech, gesture or any other manner. [1st December 2025] Mental Health Care Agency Bill 10 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE (2) The information referred to under subsection (1) shall be given to a person using simple language which such person understands or by sign language, visual aids or any other means to enable the person to understand the information. (3) Where a person makes a decision regarding his or her mental health care or treatment which is perceived by others as inappropriate or wrong, it shall not automatically follow that the person does not have the capacity to make a mental health care or treatment decision, so long as the person has the capacity to make the mental health care or treatment decision under subsection (1). PART V - ADVANCE DIRECTIVE AND NOMINATED REPRESENTATIVE Advance directive 13.(1) Every person, who is not a minor, shall have a right to make an advance directive in such manner as may be prescribed, specifying any or all of the following — (a) the manner in which the person wishes to be cared for or treated for a future mental illness; (b) the manner in which the person wishes not to be cared for or treated for a future mental illness; (c) the individual or individuals, in order of precedence, the person wants to appoint as his or her nominated representative as provided for under section 20(1). (2) The person nominated under subsection (1) (c) shall be an adult and shall consent to act as such representative. (3) An advance directive under subsection (1) may be made by a person irrespective of his or her past mental illness or treatment for mental illness. (4) An advance directive made under subsection (1) shall be invoked only when such person ceases to have capacity to make mental health care or treatment decisions and shall remain effective until such person regains the capacity to make mental health care or treatment decisions. (5) Any decisions made by a person while he or she has the capacity to make mental health care decisions shall override any previously written advance directive by such person. (6) Any advance directive made contrary to any written law shall be void ab initio. (7) A person making an advance directive shall, until it is proved otherwise, be presumed to have the capacity to do so. (8) An advance directive made under subsection (1)(c) may be revoked, amended or cancelled at any time subject to section 8 or in such manner as may be prescribed, by the person who made it. [1st December 2025] Mental Health Care Agency Bill 11 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE Maintenance of online register 14. Any advance directive given under section 13 shall be registered and maintained by the Board and shall be made available in the form and manner as may be prescribed. Advance directive not to apply to emergency treatment 15. An advance directive under section 13 shall not apply to any emergency treatment given under section 37. Reviewing, altering, modifying or cancelling the advance directive 16.(1) Where a mental health professional, a relative, or a care-giver of a person desires not to follow an advance directive whilst a person with mental illness is being treated, such mental health professional, relative or care-giver of the person shall make an application to the Tribunal to review, alter, modify or cancel the advance directive. (2) Upon receipt of the application under subsection (1), the Tribunal shall, after giving an opportunity to be heard to all concerned parties, including the person whose advance directive is in question, either uphold, modify, alter or cancel the advance directive after taking into consideration the following — (a) whether the advance directive was made by the person of his or her own free will and free from force, undue influence or coercion; (b) whether the person intended the advance directive to apply in the circumstances prompting the application; (c) whether the person was sufficiently well informed to make the advance directive; (d) whether the person had capacity to make decisions relating to his or her mental health care or treatment when such advanced directive was made; and (e) whether the content of the advance directive contravened any written law or any provision of the Constitution. Access to the advance directive 17. The person making the advance directive and his or her nominated representative shall have a duty to ensure that the Consultant-in-charge or a medical practitioner, or a mental health professional, as the case may be, has access to the advance directive when required. Advance directive for minor 18. The parent or legal guardian shall have the right to make an advance directive in writing in respect of a minor and all the provisions relating to advance directive, shall mutatis mutandis, shall apply to such minor until such time he or she attains the age of majority. Liability of mental health professional in relation to advance directive 19. A medical practitioner or a mental health professional shall not be held liable for any unforeseen consequences — [1st December 2025] Mental Health Care Agency Bill 12 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE (a) on following a valid advance directive; or (b) not following a valid advance directive if the advance directive is not available to the medical practitioner or mental health professional. Appointment of nominated representative 20.(1) Notwithstanding section 13(1) (c) every person who is not a minor, shall have a right to appoint a nominated representative. (2) The nomination under subsection (1) shall be made in writing with the person's signature or thumb impression or mark and be witnessed by two persons. (3) The person appointed as the nominated representative shall not be a minor and shall be competent to discharge the duties or perform the functions assigned to him or her under this Act, and give his or her consent in writing to the mental health professional to discharge his or her duties and perform the functions assigned to him or her under this Act. (4) Where no nominated representative is appointed by a person under subsection (1), the following persons for the purposes of this Act in order of precedence shall be deemed to be the nominated representative of a person with mental illness — (a) up to a second degree relative; (b) a care-giver; (c) a suitable person appointed as such by the Tribunal; or (d) if no such person is available to be appointed as a nominated representative; the Tribunal shall appoint the Director of Social Services as the nominated representative of the person with mental illness. (5) A person who has appointed any person as his or his nominated representative under this section may revoke or alter such appointment at any time in the same manner provided under section 16(2). (6) The Tribunal may, if it is of the opinion that it is in the interest of the person with mental illness to do so, revoke an appointment made by it under this section, and appoint a different representative under this section. (7) The appointment of a nominated representative, or the non-appointment of a nominated representative, shall not be construed as the lack of capacity of the person to take decisions about his or her mental health care or treatment. (8) All persons with mental illness shall have capacity to make mental health care or treatment decisions but may require varying levels of support from their nominated representative to make decisions. Nominated representative for minor 21.(1) Notwithstanding section 20, in case of minors, the parent or person having custody of a minor shall be the minor's nominated representative unless the Family Tribunal orders otherwise under subsection (2). [1st December 2025] Mental Health Care Agency Bill 13 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE (2) Where an application is made to the Family Tribunal under the Children Act (Cap. 28), by a mental health professional or any other person acting in the best interest of the minor, and on evidence presented before it and the Tribunal is of the opinion that — (a) the parent or guardian or the person having custody of the minor is not acting in the best interests of the minor; or (b) the parent or guardian or the person having custody of the minor is otherwise not fit to act as the nominated representative, the Family Tribunal may appoint, any suitable individual who is willing to act, as the nominated representative of the minor with mental illness and in the case that no such individual is available for appointment as a nominated representative, the Family Tribunal shall appoint the person acting in the capacity or performing the functions of Principal Secretary in the Department or Ministry responsible for children's affairs as the nominated representative of the minor with mental illness. Duty of nominated representative 22. A nominated representative shall while fulfilling his or her duties under this Act — (a) consider the current and past wishes, the life history, values, cultural background and the best interests of the person with mental illness; (b) give particular credence to the views of the person with mental illness; (c) provide support to the person with mental illness in making treatment decisions; (d) have the right to seek information on diagnosis and treatment to provide adequate support to the person with mental illness; (e) be involved in discharge planning; (f) apply to the mental health facility for facilitated admission; (g) apply to the Tribunal on behalf of the person with mental illness for discharge; (h) apply to the Tribunal against violation of rights of the person with mental illness. PART VI - RIGHTS OF PERSONS WITH MENTAL ILLNESS Rights and duties with respect to persons with mental illness 23.(1) The rights and duties of persons, bodies or institutions set out in this Part are in addition to any rights and duties that they may have under any other written law. (2) Whosoever is performing the duties set out in this Part shall have regard to the will and preference of the person with mental illness. [1st December 2025] Mental Health Care Agency Bill 14 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE Respect human dignity and privacy 24.(1) The dignity and privacy of every person with mental illness shall be respected. (2) The care, treatment and rehabilitation services administered to a person with mental illness shall be based on the principle of the least restrictive alternative. (3) The principle of least restrictive alternative in subsection (2) means offering an option for treatment or the setting of such treatment which — (a) meets the person's treatment needs; and (b) imposes the least restriction on the person's rights. Respect of right to live in community 25.(1) A person with mental illness has a right to live in, be part of, and not be segregated from the community. (2) Every person with mental illness shall, in so far as practicable, be provided with care, treatment and rehabilitation services and community-based programs that improve the mental capacity of that person to develop to full potential and to facilitate his or her integration into community life. (3) Admission to a mental health facility shall not amount to segregation from the community. Non-Discrimination 26.(1) A person with mental illness shall not be subject to discrimination on the ground of his or her mental health status. (2) Every person with mental illness shall receive care, treatment and rehabilitation services according to standards equivalent to those applicable to any other health care user. Exploitation and abuse 27. Every person, body, organisation or health facility providing care, treatment and rehabilitation services to a person with mental illness shall take steps to ensure that — (a) the person is protected from exploitation, abuse or any degrading treatment; (b) the person is not subjected to forced labour; and (c) care, treatment and rehabilitation services are not used as punishment or for the convenience of other people. Duty to inform of individual rights 28.(1) Subject to subsection (2), every health care provider shall, before initiating or administering any care, treatment or rehabilitation services, inform the person with mental illness in an appropriate manner of his or her rights. [1st December 2025] Mental Health Care Agency Bill 15 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE (2) Where a person has been admitted under circumstances referred to in section 32 or 37, the nominated representative shall be given the information immediately and the person shall be given the information when the person has recovered mental capacity. PART VII - CARE AND TREATMENT OF PERSONS WITH MENTAL ILLNESS Admission of persons with mental illness 29.(1) A person with mental illness may be treated, as far as possible, at their home or near to their home without requiring care and treatment in a mental health facility. (2) Where a person with mental illness requires treatment in a mental health facility, it shall be provided on a basis of voluntary admission: Provided that in the circumstances stated in subsection (3) such person may be cared for and treated on facilitated admission. (3) Where a person lacks capacity to make decisions for the person's mental health care, he or she may be provided care and treatment at a mental health facility. Voluntary admission 30.(1) All admissions in the mental health facility shall, as far as possible, be voluntary admissions except where conditions for a facilitated admission exist. (2) Any person, who is not a minor and who considers himself or herself to have mental illness and desires to be admitted in any mental health facility for care and treatment may make an application to the Consultant-in-charge for admission. (3) Where an application is received under subsection (2), the medical officer or a psychiatrist shall examine the person and make a report to the Consultant-in-charge. (4) The Consultant-in-charge shall admit the person to the mental health facility, if he or she is satisfied that — (a) the person has a mental illness of a severity requiring admission to a mental health facility; (b) the person is likely to benefit from admission and treatment to the mental health facility; or (c) the person has understood the nature and purpose of admission to and treatment in the mental health facility and has made the request for admission of his or her own free will, without any duress or undue influence and has the capacity to make mental health care and treatment decisions without support or requires minimal support from others in making such decisions. (5) If a person is unable to understand the purpose, nature or likely effects of the proposed treatment and of the probable result of not accepting the treatment or requires a very high level of support in making decisions, he or she shall be deemed unable to understand the purpose of the admission and therefore shall not be admitted under this section. [1st December 2025] Mental Health Care Agency Bill 16 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE (6) A person who is voluntarily admitted under this section shall not be treated without his or her informed consent. (7) A person voluntarily admitted under this section has a right to discharge himself or herself from the mental health facility: Provided that if the Consultant-in-charge of the mental health facility or his or her designated representative is of the opinion that the person meets the criteria for a facilitated admission under section 32, the Consultant-in-charge may prevent self-discharge for a period not exceeding 24 hours to allow for assessment as required under section 32. Discharge reports 31. The Consultant-in-charge of a mental health facility shall, in a prescribed form, issue a discharge report to the person with mental illness who was admitted for the purpose of receiving care, treatment and rehabilitation services. Facilitated admission 32.(1) In cases where a person with mental illness lacks capacity to make mental health care decisions, that person may be admitted to a mental health facility as a facilitated admission. (2) An application for a facilitated admission shall be made by a nominated representative. (3) The Consultant-in-charge of the mental health facility shall admit the person with mental illness upon application under subsection (2) if — (a) the person has been independently examined on the day of admission or in the preceding seven days, by two professionals, one of whom shall be a psychiatrist or medical practitioner with mental health expertise and the other being any mental health professional, and both independently conclude, based on the examination and, if appropriate, on the information provided by others, that the person has a mental illness of such severity that the person — (i) has recently threatened or attempted or is attempting to cause bodily harm to himself or herself; (ii) has recently behaved or is behaving violently toward another person or has caused or is causing another person to fear bodily harm from him or her; or (iii) has recently shown or is showing an inability to care for himself or herself to a degree that places the individual at risk of harm to himself or herself; (b) the psychiatrist or the mental health professional or medical practitioner, as the case may be, certify, after taking into account the advance directive, if any, that admission to the mental health facility is the least restrictive care option possible; and [1st December 2025] Mental Health Care Agency Bill 17 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE (c) the person is not eligible to receive care and treatment as a voluntarily admitted person under section 30. (4) The psychiatrist or the mental health professional or medical practitioner as the case may be, shall not be related by blood (first degree relative) or marriage to or in a common law relationship with, the person who is being assessed for facilitated admission. Treatment on facilitated admission and further steps 33.(1) A facilitated admission of a person to a mental health facility under section 32 shall be limited to a period of 14 days. (2) Any person admitted under section 24 shall receive treatment as prescribed by the mental health professional with the consent of the nominated representative or on advance directive, if any. (3) Where the Consultant-in-charge is of the opinion, on the expiry of the 14 days referred to in subsection (1) or earlier, that the person admitted under section 32 no longer meets the criteria for admission under that section, the Consultant-in-charge may discharge the person or may continue the admission under section 30. (4) If, on the expiry of 14 days specified in subsection (1), the Consultant-in-charge is of the opinion that the criteria for facilitated admission continues, the Consultant-in-charge shall apply to the Tribunal for the continuance of the person in the mental health facility under section 32. (5) Where an application under subsection (4) is made, the Tribunal shall — (a) hold a hearing; (b) ensure that the person himself or herself and his or her representative attend the hearing; (c) hear evidence from the mental health professionals; and (d) make an order either to discharge the person or extend the facilitated admission. (6) The order of the Tribunal for extension of the facilitated admission shall be for a period of 90 days for the first time and any subsequent extension, on application may be up to a maximum of 120 days at a time. (7) The Consultant-in-charge shall discharge the person, if he or she is of the opinion that during the extended period, the person with mental illness no longer meets the criteria for facilitated admission and inform the Tribunal of the same. Admission of minor 34.(1) Admission of a minor with mental illness shall be made on application of the parent or guardian or the person having custody of the minor. (2) The procedure for facilitated admission under section 32 shall mutatis mutandis apply to admission of minors. [1st December 2025] Mental Health Care Agency Bill 18 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE (3) Minors admitted to the mental health facility shall be accommodated separately from adults. (4) The parent or guardian or the person having custody of the minor or a person appointed by the parent or legal guardian shall stay with the minor in the mental health facility for the period of their treatment in the mental health facility. (5) Minors shall be treated only with the consent of the parent or guardian or the person having custody of the minor. Person with mental illness at home 35.(1) Where a person at home is suffering from mental illness of such a degree that in the opinion of the nominated representative warrants care and treatment and that person is not willing to go to a mental health facility for that purpose, the nominated representative may make a request to the nearest health facility for an assessment at home. (2) Where a request is received under subsection (1), a health professional from the health facility shall visit the person with mental illness and make an assessment. (3) If the mental health professional on assessment is of the opinion that the person is suffering from mental illness and is neglecting himself or herself to an extent which puts their own lives or the safety of others at risk, the mental health professional may request a police officer for assistance in moving the person to the nearest mental health facility. (4) A police officer to whom a request is made under subsection (3), shall give all the necessary assistance to the health professional for moving the person to the nearest mental health facility. Person with mental illness wandering on streets 36. A police officer shall, on being informed by a member of the public or on seeing a person suspected of having mental illness wandering in a public place, convey such person to the nearest mental health facility for assessment. Emergency treatment 37.(1) Notwithstanding other provisions of this Act, any treatment for mental illness may be provided by any registered medical practitioner to a person with mental illness either at a mental health facility or in the community with or without the consent of the person with mental illness if it is immediately necessary to prevent — (a) death or irreversible harm to the health of the person; or (b) the person from inflicting serious harm to self or others. (2) Emergency treatment under subsection (1) includes transportation of the person with mental illness to the nearest mental health facility for assessment. (3) Any emergency treatment under this section shall be limited to 24 hours. [1st December 2025] Mental Health Care Agency Bill 19 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE Seclusion and restraints 38.(1) A person with mental illness shall not be subjected to seclusion. (2) A person with mental illness shall not be subjected to physical restraint unless it is the only means available to prevent immediate or imminent harm to the person concerned or to others. (3) Physical restraint — (a) shall be done in an accredited mental health facility; (b) shall be authorised by a psychiatrist or medical practitioner with expertise in mental health; (c) shall not be used as a means of punishment or for the convenience of the staff; and (4) The reasons and duration of the use of each physical restraints shall be recorded in a register and made available to the Board on a regular basis. (5) Physical restraint in each instance shall be restricted to a maximum period of three hours. (6) The family members, care giver or nominated representatives shall immediately be informed, when the person with mental illness is physically restrained. Rights of relatives and care-givers 39.(1) Nominated representatives, relatives and care-givers of a person with mental illness shall have the right — (a) to visit the person with mental illness in the mental health facility; (b) to provide feedback to the mental health facility including complaints about any deficiency in services; (c) to support from mental health services to enable them to effectively perform their care-giving role; and (d) to social assistance on an equal basis as provided to care-givers of persons with physical illness. (2) Nominated representatives, relatives and care-givers as the case may be, shall be involved in setting treatment goals, planning for treatment, discharge, care and treatment after discharge from the mental health facility. (3) The involvement of nominated representatives, relatives and care-givers under subsection (2) in the case of voluntarily admitted person, shall be done with the consent of the person with mental illness and in the case of persons under facilitated admission with the consent of the person making application under section 32 (2). [1st December 2025] Mental Health Care Agency Bill 20 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE Leave to persons admitted as facilitated admission 40.(1) The Consultant-in-charge of the mental health facility may grant leave to a person admitted as a facilitated admission in a mental health facility for a period not exceeding seven days at a time. (2) The Consultant-in-charge of the mental health facility may, at any time revoke the leave if he or she is satisfied that it is necessary for the improvement of, or to prevent deterioration of the mental health of the person. (3) Where a person with mental illness who has been granted leave under subsection (1) refuses on revocation of the leave or on the expiry of the leave to come back to the mental health facility, the Consultant-in-charge may follow the procedures specified in section 41 for his or her return to the mental health facility. Absence without leave of persons admitted as facilitated admission 41.(1) Where a person with mental illness admitted as a facilitated admission is missing from the mental health facility without being granted leave, the Consultant-in-charge of the mental health facility shall inform the police and the person who had made the application for admission of that person. (2) The police shall have the responsibility to convey the person back to the mental health facility. Admission of person with mental illness under Court order 42.(1) An order under section 136 or section 138 or section 275 of the Criminal Procedure Code (Cap. 54), made by the appropriate Court directing the admission of a person with mental illness into any suitable mental health facility, shall be sufficient authority for the admission of such person in such facility to which such person may be lawfully transferred for care and treatment. (2) The admission of a person referred to in subsection (1) to a mental health facility will be regarded as if it is a facilitated admission and the Director of Social Services or his or her representative will be the person's nominated representative. (3) The consultant-in-charge of a mental health facility wherein any person referred to in subsection (1) is detained, shall at a frequency decided by the appropriate Court but not less than once in every six months, make a report regarding the mental and physical condition of such person to the Tribunal. (4) On receipt of a report referred to in subsection (3), the Tribunal shall hold a hearing and ensure that the person and his or her legal representative attend the hearing and hear evidence from the mental health professionals concerned. (5) Following the hearing referred to in subsection (4), the Tribunal shall make recommendations to the appropriate court or the President as the case may be for further treatment or further detention or release from the mental health facility of the person, from the mental health facility. (6) The person referred to under subsection (1) may not be discharged from the mental health facility except as ordered by the appropriate Court or the President as the case may be. [1st December 2025] Mental Health Care Agency Bill 21 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE Prisoners with mental illness 43.(1) Where an officer in charge of a prison is of the opinion that a prisoner is suffering from mental illness, the officer shall make an application to the Consultant-in-charge of a mental health facility for transfer of the prisoner to the mental health facility for assessment by a psychiatrist. (2) On the directions of the Consultant-in-charge of the mental health facility, the psychiatrist shall assess the person and may recommend — (a) outpatient treatment and send the prisoner back to prison; or (b) admission to the mental health facility either as a voluntary admission or a facilitated admission, as the case may be. (3) Where a prisoner is admitted to the mental health facility under subsection (2), the time spent by the prisoner at the mental health facility shall be treated as time spent in prison. (4) When a prisoner is discharged after treatment in the mental health facility, he or she shall be sent back to prison for continuation of his or her sentence or shall be discharged by the prison service if the sentence has been served. PART VIII - MENTAL HEALTH CARE TRIBUNAL Establishment of the Mental Health Care Tribunal 44. There is hereby established a Tribunal to be known the Mental Health Care Tribunal. Membership of the Tribunal 45.(1) The Chairperson of the Tribunal shall be a Magistrate nominated by the Chief Justice. (2) The Minister shall appoint four other members who shall serve on the Tribunal, which shall consist of the following — (a) a consultant psychiatrist or a medical practitioner with training and experience in mental health of at least ten years; (b) a representative from the Attorney General's Chambers; (c) a representative from the Ministry of Health; (d) a civil society representative with an interest or special expertise in mental health care and treatment. (3) The name of the Chairperson and members shall be published in the Gazette. (4) A member shall hold office for a term of three years and may be reappointed for one further term. (5) A member of the Tribunal shall not take part in any hearing in relation to a matter in which the member has a direct interest. [1st December 2025] Mental Health Care Agency Bill 22 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE (6) A member of the Tribunal or any other person acting under the direction of the Tribunal shall not be under any civil or criminal liability in respect of anything done or purported to be done in good faith in pursuance of this Act. Terms and conditions of members 46. Members shall be appointed on such terms and conditions and such allowances and remuneration as may be prescribed by regulations. Jurisdiction 47.(1) The Tribunal shall have exclusive jurisdiction to hear and determine mental health matters. (2) Without prejudice to the generality of the foregoing, the Tribunal shall hear and determine — (a) appeals by persons with mental illness against facilitated admission; (b) appeals on renewal or extension of facilitated admission; (c) complaints regarding violation of rights of persons with mental illness in mental health care facilities. Appeals 48. Any person aggrieved by a decision of the Tribunal may appeal to the Supreme Court subject to the same conditions as appeals from a decision of the Magistrates’ Court. Powers of the Tribunal 49. The Tribunal shall have powers to — (a) summon any person to appear before it; (b) examine on oath, affirmation or otherwise a witness or any person appearing before it; and (c) require any person to produce any document which the Tribunal considers relevant. Proceedings before the Tribunal 50.(1) The Tribunal shall sit as and when there is a matter for the Tribunal to adjudicate upon and laws relating to evidence shall be applicable to witnesses or persons appearing before the Tribunal. (2) Three members of the Tribunal, of whom one shall be the Chairperson, shall constitute the quorum. [1st December 2025] Mental Health Care Agency Bill 23 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE (3) Each member of the Tribunal shall have an equal vote and decisions shall be reached by a majority vote and in the event of equality of votes the Chairperson shall have a casting vote. (4) A decision of the Tribunal shall have the same force and shall be executed in the same manner as a judgment or order of the Supreme Court under the Seychelles Code of Civil Procedure Act.

(5) A party before the Tribunal may be represented by an attorney-at-law or by a representative of the party or any other person as the case may be. (6) The Tribunal shall, before making a decision — (a) afford the parties the opportunity to be heard; and (b) observe the rules of natural justice. (7) Notwithstanding the foregoing, the Tribunal shall have power to conduct proceedings in whatever manner it considers most appropriate. Reasons for decisions 51. At the conclusion of the proceedings, the Tribunal shall prepare and deliver its decision together with the reasons for such decision. Secretary to the Tribunal 52.(1) The Minister shall appoint a Secretary to the Tribunal who shall be responsible for — (a) ensuring the overall smooth running of the Tribunal; (b) convening the sittings of the Tribunal after consultation with the Chairperson and members; (c) the issuing of summonses and notices on behalf of the Tribunal; (d) the implementation of decisions made by the Tribunal; (e) taking appropriate steps to enable the Tribunal to enforce its orders; and (f) ensuring that orders or directions given by the Tribunal are complied with. PART IX - OFFENCES AND PENALTIES Offences and Penalties 53.(1) Any person who willfully falsifies an advance directive or falsifies an appointment of an appointed representative shall be guilty of an offence and liable on conviction to imprisonment for a term of 5 years or a fine not exceeding SCR50,000 or with both such imprisonment and fine. [1st December 2025] Mental Health Care Agency Bill 24 REPUBLIC OF SEYCHELLES SUPPLEMENT TO OFFICIAL GAZETTE (2) Any person who commits any act of cruelty to, or abuse or willful neglect of any patient with mental illness shall be guilty of an offence and liable on conviction to imprisonment for a term of 15 years or a fine not exceeding SCR100,000 or with both such imprisonment and fine. PART X – MISCELLANEOUS Regulations 54.(1) The Minister may make regulations for carrying out the purposes of this Act. (2) Without prejudice to the generality of the provision of subsection (1), regulations may provide for — (a) standards for determination of illness; (b) manner of making an advance directive; (c) manner of revoking, amending, or cancelling an advance directive; and (d) form of discharge report under section 31. (3) Regulations made under this section may provide for offences punishable with a fine not exceeding SCR50,000 and imprisonment not exceeding 2 years or with both such fine or imprisonment. Repeal 55. The Mental Health Care Act, 2020 (Act 26 of 2020), is hereby repealed. Savings and transitional 56. All acts done under the Mental Health Care Act, 2020 (Act 26 of 2020), decisions taken prior to the date of commencement of this Act, shall continue to have effect until it is amended, annulled or withdrawn in accordance with the provisions of this Act. Transfer of staff to the Agency 57.(1) Notwithstanding any law, a person employed with the Mental Health Services immediately prior to the date of the commencement of this Act shall be deemed transferred to, and shall continue his or her employment with the Agency on terms and conditions not less favourable than those subsisting immediately prior to the date of the commencement of this Act until these are amended, varied or repealed in accordance with the Public Service Orders or any scheme of service applicable to employees of the Government, as the case may be. (2) Subject to subsection (1), the Members of the Mental Health Care Tribunal, the secretary to the Tribunal excluding the Chairperson shall be deemed to have been transferred to the Agency.