Paras. 452-53.

Mental cases.

     (f ) When a case of mental disease (soldier) is transferred or dis-
charged from hospital, he will invariably be removed in the presence
of a medical officer who will be responsible that he is dressed with
due regard to health and comfort and will instruct the escort as to
the peculiarities of the patient, particularly as. to whether he has
displayed suicidal or homicidal tendencies. Whenever possible in
the case of British ranks suffering from mental disease a mental
nursing orderly will be detailed as one of the conducting party.

     (g ) Before transferring a case to a mental or other hospital it will
be ascertained that accommodation is available.

Disposal of cases of mental diseases.

     452. General.—In addition to the preceding rules in regard to
medical boards and invaliding the following special instructions will
be carried out in dealing with cases of mental disease.

Persons subject to the Army Act.

     453. Certification and disposal.—(i) After the individual has been
kept under observation in the manner prescribed in para. 450(i) and
a definite diagnosis of mental disability has been made, the officer
commanding the military hospital will arrange for the patient to be
again examined by two medical officers separately and at different
times. If each medical officer is satisfied as to the patient's insanity,
he will complete and sign a Lunacy Certificate on India Army Form
M-1244. The officer commanding the hospital will then arrange for
the patient to be brought forthwith before a medical board, before
whom the Lunacy Certificates and Army Forms B-179 (modified for
India) and B-183 will be laid. Neither of the medical officers who
signed the Lunacy Certificate shall ordinarily be a member of the
Board. If the Board is satisfied as to the patient's insanity, he shall
then be formally declared to be a lunatic for the purpose of the
Indian Lunacy Act, 1912 and these regulations.

     (ii) The completed medical board proceedings and lunacy certi-
ficates will be forwarded to the D. D. M. S. or A. D. M. S. concerned
who will decide whether the patient should be sent to a mental hospital
or be detained at his station pending embarkation for the U. K.

     (iii) Should the D. D. M. S. or A. D. M. S. concerned decide that
the patient is to be sent to a civil mental hospital, he will make a re-
ception order on I. A. F. M-1246 under the authority of Section 12,
Indian Lunacy Act of 1912—the reception order will be made out not
later than seven clear days after the earlier of the two examinations on
which the lunacy certificates are based. The A. D. M. S. should send
as early as possible a certified copy of the reception order to the
person in charge of the mental hospital into which the lunatic is to
be admitted.

     Ordinarily the reception order will be made out for the admission
of the lunatic to the mental hospital at Yeravda, Poona, but in urgent.

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