Related documents
- Is amended by Health Laws Amendment Act, 1977
- Is amended by Mental Health Amendment Act, 1976
- Is amended by Native Laws Amendment Proclamation, 1979
- Is commenced by The Mental Health Act, 1973: Commencement

Mental Health Act, 1973
Act 18 of 1973
- Published in South African Government Gazette 3837 on 4 April 1973
- Assented to on 26 March 1973
- Commenced on 27 March 1975 by The Mental Health Act, 1973: Commencement
- [This is the version of this document from 1 August 1978 and includes any amendments published up to 21 February 2025.]
- [Amended by Mental Health Amendment Act, 1976 (Act 48 of 1976) on 7 April 1976]
- [Amended by Health Laws Amendment Act, 1977 (Act 36 of 1977) on 30 March 1977]
- [Amended by Native Laws Amendment Proclamation, 1979 (Proclamation AG3 of 1979) on 1 August 1978]
Chapter 1
Definitions and Introductory
1. Definitions
In this Act, unless the context otherwise indicates “child” means any person under the age of eighteen years: Provided that any person detained in an institution who is over the age of sixteen years may, with the approval of the Minister, be treated therein as a child up to an age recommended by the hospital board concerned;“court”, in relation to a patient, means the provincial or local division of the Supreme Court established under the Supreme Court Act, 1959 (Act No. 59 of 1959), which has jurisdiction in the area in which the patient is at the relevant time;“hospital board” means a board established under section 47;“hospital prison for psychopaths” means a building or any portion of a building, whether part of a prison or not, which has been set aside and equipped by the Department of Prisons as an institution for the detention of prisoners who have been certified as psychopaths;“institution” means a state psychiatric hospital or a provincial hospital or a halfway house at which provision has been made for the detention or treatment of persons who are mentally ill, and includes any other place designated by the Minister as a place for the reception and detention of two or more persons suffering from mental illness and in respect of which a licence has been granted under this Act;“judge” means a judge of the court;“licensed institution” means an institution licensed under the provisions of section 46;“magistrate” includes an additional magistrate, an assistant magistrate and a Commissioner;[definition of “magistrate” amended by AG 3 of 1979]“Master” means the Master of the Supreme Court as defined in section 1 of the Administration of Estates Act, 1965 (Act No. 66 of 1965);“medical practitioner” means a person registered as a medical practitioner under the Medical, Dental and Pharmacy Act, 1928 (Act No. 13 of 1928);[Medical practitioners are now registered under the Medical and Dental Act 10 of 2004.]“mental illness” means any disorder or disability of the mind, and includes any mental disease, any arrested or incomplete development of the mind and any psychopathic disorder, and “mentally ill” has a corresponding meaning;“Minister” means the Minister of Health, except in Chapter 4, where it means the Minister of Prisons in sections 28 and 30 to 41 inclusive, and the Minister of Justice in section 29;“near relative”, in relation to a patient, means a descendant, ancestor, brother or sister of the patient;“official curator ad litem” means the official curator ad litem referred to in section 17;“patient” means a person mentally ill to such a degree that it is necessary that he be detained, supervised, controlled and treated, and includes a person who is suspected of being or is alleged to be mentally ill to such a degree;“police official” means any member of the Force as defined in section 1 of the Police Act, 1958 (Act No. 7 of 1958), and any member of the Railways and Harbours Police Force appointed under section 57(1) of the Railways and Harbours Control and Management (Consolidation) Act, 1957 (Act No. 70 of 1957);[The Police Act 7 of 1958 has been replaced by the Police Act 19 of 1990. The Railways and Harbours Control and Management (Consolidation) Act 70 of 1957was repealed in South Africa by the South African Transport Services Act 65 of 1981, which was made expressly applicable to South West Africa.]“prescribed” means prescribed under this Act;“President’s patient” means a person detained by order of any court of law or other competent authority at any place pending the signification of the decision of the State President;“prison” means a prison established under section 20 of the Prisons Act, 1959 (Act No. 8 of 1959);[The Prisons Act 8 of 1959 was replaced by the Prisons Act 17 of 1998, which was replaced in turn by the Correctional Service Act 9 of 2012.]“province” includes the territory of South West Africa; “psychiatrist” means a person registered as a psychiatrist under the Medical, Dental and Pharmacy Act, 1928 (Act No. 13 of 1928);[Psychiatrists are now registered under the Medical and Dental Act 10 of 2004.]“psychopathic disorder” means a persistent disorder or disability of the mind (whether or not subnormality of intelligence is present) which has existed in the patient from an age prior to that of eighteen years and which results in abnormally aggressive or seriously irresponsible conduct on the part of the patient, and “psychopath” has a corresponding meaning;“reception order” means an order issued under section 9(3);“registered clinical psychologist” means a clinical psychologist registered as a psychologist under the Medical, Dental and Pharmacy Act, 1928 (Act No. 13 of 1928);[Clinical psychologists are now registered under the Social Work and Psychology Act 6 of 2004.]“registered nurse” means a person registered as a nurse under section 12 of the Nursing Act, 1957 (Act No. 69 of 1957);[Nurses are now registered under the Nursing Act 8 of 2004.]“registered social worker” means a person registered as a social worker under section 33 of the National Welfare Act, 1965 (Act No. 79 of 1965);[Social workers are now registered under the Social Work and Psychology Act 6 of 2004.]“regulation” means a regulation made under this Act;“Republic” includes the territory of South West Africa;“Secretary” means the Secretary for Health;“superintendent” means the medical practitioner who is in charge of an institution, and includes any medical practitioner who has been appointed deputy to the superintendent;“this Act” includes the regulations;“urgency application” means an application made under section 12.2. Mentally ill persons to be detained only under this Act
No person who suffers from or is alleged to suffer from mental illness shall by reason of such illness be received or detained at any place otherwise than in accordance with the provisions of this Act.Chapter 2
Voluntary Patients, Patients by Consent and Out-Patients
3. Voluntary patients
4. Patients by consent
5. Discharge of voluntary patients and patients by consent
A patient admitted under section 3 or 4 shall be discharged from the institution -6. Provisions of sections 8 and 12 may be applied with reference to patients under section 3 or 4
An application under section 8 or 12 may at any time be made in respect of a patient referred to in section 3 or 4.7. Out-patients
The superintendent of an institution, other than a licensed institution, may provide for the treatment at such institution or elsewhere of any person -Chapter 3
Reception order, cases of urgency, mentally ill persons who are dangerous, official Curator ad Litem, powers of judge of supreme court
8. Application for reception order
9. Magistrate may issue reception order
10. Detention under reception order of patient in single care
11. Period of validity of reception order and removal from interim place of detention
12. Procedure in cases of urgency
13. Medical practitioner shall report mentally ill person who is dangerous
If a medical practitioner is of the opinion that any person examined or treated by him is mentally ill to such a degree that he is a danger to others, he shall forthwith in writing report his opinion to the magistrate of the district in which such person is, or, if the magistrate is not readily available, to a police official who shall forthwith lay the said report before the magistrate concerned.14. Duty of police official in certain circumstances
15. Magistrate may require certain persons to be brought before him
16. Magistrate may give directions as to detention of person in custody
17. Official curator ad litem
An attorney-general shall, within the area for which he has been appointed, be the official curator ad litem of any patient detained under a reception order issued by a magistrate or further detained under the order of a judge under section 19, if the institution where the patient is being detained or the place where the patient is being detained as a single patient is situated within such area.18. Magistrate and superintendent to transmit to official curator ad litem medical reports on patient
19. Powers of judge on considering certificate and report
20. Person detained may apply to court for enquiry into reasons for detention
21. Enquiry into mental condition on behalf of person alleged to be mentally ill
22. Particulars to be contained in medical certificate
A medical practitioner giving a certificate under this Chapter -23. Persons prohibited from signing medical certificate
24. Secretary may order removal to institution of patient detained or mentally ill
25. Periodical report on mental condition of patient
26. Amendment of application for reception order or of reception order or certificate
27. Patients certified to be dangerous
If any person in respect of whom a reception order has been issued under this Chapter, or a President’s patient, is certified by two medical practitioners, of whom one shall be a psychiatrist, to be dangerous, the patient shall, if possible, be removed to and detained at a maximum security hospital or a hospital prison for psychopaths, and any order by any court of law directing that a President’s patient be detained in a mental hospital or a prison shall, if the patient is so certified to be dangerous, be construed as directing that the patient be detained at a maximum security hospital or a hospital prison for psychopaths, respectively.Chapter 4
State President’s Decision Patients and Mentally Ill Prisoners
28. Minister may order removal of State President’s decision patient to institution or other place
29. Discharge of State President’s decision patient or termination of detention as such
30. Convicted prisoner who is mentally ill
31. Procedure where prisoner removed for observation is found to be mentally ill
32. Prisoner certified mentally ill
33. Procedure on recovery of mentally ill prisoner
If two medical practitioners certify in writing that a mentally ill prisoner in respect of whom a direction has been issued that he be detained in an institution or prison hospital for psychopaths, has recovered to such an extent that his detention in the institution or prison hospital for psychopaths is no longer necessary, such prisoner shall be dealt with under the provisions of section 34 of the Prisons Act, 1959 (Act No. 8 of 1959).[The Prisons Act 8 of 1959 was replaced by the Prisons Act 17 of 1998, which was replaced in turn by the Correctional Service Act 9 of 2012.]34. Procedure on expiry of sentence of mentally ill prisoner
35. Periodical report on mental condition of State President’s decision patient and mentally ill prisoner
36. Transfer of State President’s decision patient and mentally ill prisoner
The Minister may from time to time order the transfer of a President’s patient or a mentally ill prisoner detained in any institution or other place, to any other institution or place, and such patient or prisoner shall be received and detained in the institution or other place to which he is so transferred.37. Discharge of mentally ill prisoner
38. Conditional discharge of State President’s decision patient and mentally ill prisoner
Where a President’s patient or a mentally ill prisoner is conditionally discharged under this Chapter -39. Medical practitioner must base certificate or report on personal examination
A medical practitioner giving a certificate or making a report under this Chapter, shall state therein that he is a duly registered medical practitioner and that the opinion expressed therein has been formed after personal examination or observation of the patient by such medical practitioner.40. Application of sections 30 to 38
The provisions of sections 30 to 38 inclusive shall, in so far as those provisions can be applied, mutatis mutandis apply with reference to any person detained in -41. Saving of authority of Minister to make order under this Chapter
No provision of this Act shall be construed as preventing the Minister, if he thinks fit, from issuing any order with reference to any person for whose safe custody the Minister is by law authorized to issue an order.Chapter 5
Patients from other States
42. Patient admitted from another State
Chapter 6
Patients in Private Dwellings
43. Where no remuneration is paid for maintenance and care
44. Where a charge is made for maintenance and care
45. Visitation of patients detained under this Chapter
Chapter 7
Licensed Institutions
46. Licensed institutions for reception of mentally ill persons
Chapter 8
Hospital Boards
47. Establishment and constitution of hospital boards
48. Remuneration of members
A member of the board who is not an officer or employee in the public service shall, out of moneys appropriated by Parliament, be paid such remuneration and allowances as the Minister may from time to time determine in consultation with the Minister of Finance.49. Visits by board
50. Reports by board
The board shall report to the Minister the result of any visit to an institution, and shall from time to time comment on and make such suggestions with regard to the welfare of the patients in any institution with reference to which the board has been established, as it may deem fit.51. Meetings of board
52. Minutes of proceedings of board
53. Discharge by board of patient from institution
54. Board not to have authority over officers of institution
The board shall have no authority over the superintendent or any other officer of an institution.Chapter 9
Care and Administration of Property of Mentally Ill Persons
55. Notice of reception orders to be sent to Master of the Supreme Court
56. Appointment of curator of property of patient and conditions of appointment
57. When duties of Master and curator cease
58. Appointment of curator of property without appointment of curator of person
Where upon an enquiry the court is of the opinion that the person to whom the enquiry relates is mentally ill to such a degree that he is incapable of managing his affairs but that he is capable of managing himself and is not a danger to himself or to others, the court may make such order as it thinks fit for the care and administration of the property of such person, including provision for his maintenance, but it shall not be necessary, unless the court thinks proper to do so, to make any order as to the custody of his person.59. Order in case of partnership if member thereof declared mentally ill
When any person being a member of a partnership is declared mentally ill by the court, the court may, by the same or by any subsequent order, dissolve the partnership or make such order as in the circumstances may seem just.60. Act not to be taken to limit power of court to declare persons mentally ill or to appoint curators
Chapter 10
Offences and Penalties
61. Unauthorized detention of patients
62. False statements, entries and wilful obstruction
Any person shall be guilty of an offence if he -63. Ill-treatment of patient by nurses or other persons in charge of patient
Any person employed in an institution or other place at which a patient is being detained or any person having the care or charge of a patient, who ill-treats or wilfully neglects the patient, shall be guilty of an offence.64. Offences in connection with escape of person detained
Any person who incites any person to escape or entices any person from a place where he is detained under this Act, or who assists any such person in escaping or attempting to escape from any such place, or who secretes any such person, and any person working or employed at or in connection with any such place who permits any such person to escape or to attempt to escape from such place or who connives at any such escape or attempt to escape, shall be guilty of an offence.65. Employment of male person in personal custody of female patient
66. Carnal intercourse with female patient
66A. Prohibition of sketches and photographs and of publication thereof and of false information
Any person -67. Penalties
Chapter 11
General
68. No liability in respect of act done in good faith under this Act
69. Mechanical means of restraint
70. Escaped patients
71. Expenses in connection with the detention and treatment of any person in an institution
The maintenance and other expenses necessarily incurred in connection with the compulsory detention and treatment of any patient detained in single care or in any institution under the provisions of this Act, other than a person in respect of whom the provisions of section 42 or 72 apply, shall be defrayed out of moneys appropriated by Parliament for the purpose.72. Procedure when person on board ship or aircraft becomes mentally ill and lands in Republic
73. Holding of enquiries under this Act
74. Execution of orders under this Act
75. Medical certificate evidence of certain facts
Any medical certificate given or medical report made under or for the purposes of this Act shall be prima facie proof of the facts stated therein, in so far as such facts are within the knowledge of the person giving the certificate or making the report, and shall be proof also of the opinion expressed therein by the certifying medical practitioner on such facts, to the same extent as if the matters appearing therein had been verified on oath.76. Visitation of patients
Any person detained under the provisions of this Act may be visited at any time by the Secretary or by any person delegated thereto by the Minister, and such visit may be made without prior notice.77. Regulations
78. Act to apply in South West Africa
This Act and any amendment thereof shall apply also in the territory of South West Africa, including the Eastern Caprivi Zipfel.79. Repeal of laws
80. Short title and date of commencement
This Act shall be called the Mental Health Act, 1973, and shall come into operation on a date to be fixed by the State President by proclamation in the Gazette.History of this document
01 August 1978 this version
Amended by
Native Laws Amendment Proclamation, 1979
30 March 1977
Amended by
Health Laws Amendment Act, 1977
07 April 1976
Amended by
Mental Health Amendment Act, 1976
27 March 1975
Commenced by
The Mental Health Act, 1973: Commencement
04 April 1973
26 March 1973
Assented to
Cited documents 5
Act 5
1. | Administration of Estates Act, 1965 | 1845 citations |
2. | National Welfare Act, 1965 | 460 citations |
3. | Abuse of Dependence-Producing Substances and Rehabilitation Centres Act, 1971 | 191 citations |
4. | Aliens Act, 1937 | 187 citations |
5. | Supreme Court Act, 1959 | 40 citations |
Documents citing this one 100
Gazette 59
Act 27
1. | Administration of Estates Act, 1965 | 1845 citations |
2. | Local Authorities Act, 1992 | 1347 citations |
3. | Road Traffic and Transport Act, 1999 | 315 citations |
4. | Banking Institutions Act, 1998 | 224 citations |
5. | Medical and Dental Act, 2004 | 177 citations |
6. | Allied Health Professions Act, 2004 | 134 citations |
7. | Correctional Service Act, 2012 | 118 citations |
8. | Standards Act, 2005 | 114 citations |
9. | Social Work and Psychology Act, 2004 | 95 citations |
10. | Pharmacy Act, 2004 | 83 citations |
Judgment 6
Government Notice 5
Law Reform Report 1
1. | Report on the Mental Health Bill |
Ordinance 1
1. | Anatomical Donations and Post-Mortem Examinations Ordinance, 1977 |
Proclamation 1
1. | COVID-19: Regulations Relating to Health Matters |