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Psychiatry > 1: Mental Health Ethics > Flashcards

1: Mental Health Ethics Flashcards

1
Q

What year was the mental capacity act produced

A

2005

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2
Q

What is the mental capacity act used for

A

Mental capacity act covers physical health conditions where individuals are deemed not to have capacity

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3
Q

What is criteria for mental capacity

A
  1. Understand
  2. Retain
  3. Weigh-Up
  4. Communicate
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4
Q

If someone is deemed to not have capacity, how should you act

A

In their best interests

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5
Q

When acting in best interests. what should be considered

A
  • Whether patient will likely regain consciousness
  • Encourage person to participate in decision making
  • Consider their present wishes, beliefs influence capacity
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6
Q

What can aid best interest decisions

A

Independent mental health advocate

Relatives

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7
Q

What does best interests focus on

A

Autonomy - opposed to pertanlism

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8
Q

When was the mental health act produced

A

1983

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9
Q

What is aim of mental health act

A

Covers mental health conditions

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10
Q

What is mental health act based on

A

Paternalism (opposed to autonomy)

Justice - protection public, opposed to the individual

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11
Q

What is the difference between mental capacity act (2005) and mental health act (1983, 2007)

A

Mental capacity act - physical conditions. Focuses on autonomy

Mental health act - mental conditions. Focuses on paternalism and justice.

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12
Q

Explain sectioning

A

Individuals can only be sectioned for treatment of their mental health condition or physical symptoms RELATED to mental health conditions (eg. anorexia)

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13
Q

What is section 2

A

Detains individuals for 28-days for assessment

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14
Q

How long is section 2 for

A

28-days

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15
Q

Can individuals under section-2 be treated

A

Yes - able to treat under section 2

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16
Q

Who decides if a person can have section 2

A

AMHP and two doctors:

  • One doctor must be section-12 approved
  • One doctor must know the patient
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17
Q

Can section 2 be appealed

A

It can be appealed by mental health tribunal ;

18
Q

What is the aim of section 3

A

Treatment of individual with underlying mental health diagnosis

19
Q

How long is section 3 in place for

A

6-months. Can review at 6-months to put in place for 12-months

20
Q

Who makes application for section 3

A

AMHP and two doctors (One section 12 and one GP)

21
Q

What is section 4

A

Detains individual for acute-assessment, if unable to process section-2 in time

22
Q

How long is section-4 in place for

A

72 hours

23
Q

What does time under section 4 contribute to

A

Time under other sections

24
Q

What are the perquisites for section 4

A
  • Must have a known mental health condition
  • AMHP
  • One doctor
25
Q

Explain treatment in section 4

A

Only voluntary treatment is lawful

26
Q

What is section 5(2)

A

Enables detainment of someone who came to mental health hospital and change their mind - tried to leave

27
Q

How long is section 5(2) valid for

A

72 hours

28
Q

What is section 5(4)

A

Detainment of individual by a nurse

29
Q

What is the duration of section 5(4)

A

6-hours

30
Q

What is section 135

A

Court order enables police to enter a property to remove an individual to place of safety

31
Q

What is section 136

A

Remove individual from public space

32
Q

How long does section 136 last

A

72-hours

33
Q

What mental health condition does not come under the mental health act

A

Substance misuse disorder

34
Q

What is section-3

A

Detain individual for 6-months for treatment

35
Q

For a patient to be under section 3, what are the four criteria

A
  1. Must have mental health condition
  2. Must be of nature or degree to make it appropriate for individual to be detained
  3. Individual must be at risk to themselves or others
  4. Appropriate medical treatment is available
36
Q

What does mental health condition under section-3 not contain

A

Substance misuse disorder

37
Q

What is included in section-3, despite not being a recognised medical condition

A

Paedophilia

38
Q

What decides nature for detainment

A

How bad previous episodes have been

39
Q

What decides degree for detainment

A

How bad the current episode is

40
Q

Explain large change in mental health act during 2007 regarding treatment

A
  • 1983 version: stated medical treatment must be effective or beneficial
  • 2007: this was removed - not it must intent to treat this disorder (does not have to be effective)
41
Q

What were four amendments made in 2007 mental health act

A
  1. Single definition
  2. Removal effective treatment (Intention to treat)
  3. Sexual deviation is included
  4. Introduction community treatment order - section 17

Psychiatry (13 decks)

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