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Access to comprehensive psychiatric aftercare is necessary for patients who have been sectioned, but this is overlooked and undervalued by current mental health law, write Narut Pakunwanich , Jeremy Bjørndal , and David Seedhouse Few professionals outside psychiatric services are aware that eligibility for aftercare depends on which section of the Mental Health Act 1983 a patient has been categorised under.1 This act underpins psychiatric care in England and Wales and allows for detainment and the treatment of severe mental illness, even if a patient with capacity refuses. Section 2 of the act allows inpatient hospital detention for 28 days, while section 3 permits detention for six months but only after section 2 has been used. The concept of the “sick role” is entrenched in this legal model,2 with psychiatric “sickness” defined solely by compliance and section 3 reserved for “sicker” non-compliant patients. Thus, section 3 is used by clinicians for severe mental illne

United kingdomNicholas mullinNarut pakunwanichDavid seedhouseSteve bracewellAlana durrantUniversity of cambridgeInterventional neuropsychiatry groupTeesside universityUniversity of east angliaCentre for translational research in public healthMental healthMental health actCare actAlbert michaelSouthgate ward