6 CH 3 - Mental Health Flashcards

1
Q

What is the definition of ‘Mental Disorder?’

A D S D

A
  • Abnormal state of mind (continuous/intermittent)shown by:
  • Characterised by delusions/Disorders of mood/perception/violition/cognition
  • Serious danger to health & safety (self/other)
  • Seriously diminished care of themselves
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2
Q

What is the purpose of The Mental Health (CAT) Act 1992?

A
  • Provide assesment,
  • Care & treatment (ACT) people suspected of having mental disorder defines rights Police powers & duties
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3
Q

What is the main role of Police under The Mental Health (CAT) Act 1992?

A

To provide asssitance when legislation provides

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4
Q

What is the role of a clinician and the courts under The Mental Health Act? RGM C

A
  • Determine RG person has mental disorder
  • Courts: on making Compulsory Treatment Order determined whether community treatment or inpatient order
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5
Q

What does Mental Disorder NOT include?

BPCDSSC

A
  • beliefs:
  • political, religious
  • cultural
  • sexual preferences
  • Intellectual disability
  • Substance abuse
  • Criminal behaviour
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6
Q

If you are helping a DAO to have a medical practitioner urgently examine a person believed to have a mental disorder, what can you do? EI D6

A
  • Enter premises
  • ID required (evidence if not in uniform)
  • Detain (at the same premises)
  • no longer than 6 hours or exam time (whatever is shorter)
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7
Q

If you are helping a DAO to take a person to a medical practitioner for an examination, who is refusing to go what can you do? EI DT6

A
  • Enter premises
  • produce ID if not in uniform
  • Take person to place of medical examination
  • Detain no longer than 6 hours or exam time
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8
Q

If you are helping a DAO (who is using s38 0r 40) to take or return a person to a place of treatment/assessment, returning someone who is absent without leave, who is refusing to go what can you do?

ETRD MW

A
  • Enter premises ID (evidence if not in uniform)
  • Take person to place of medical examination
  • Return to hospital
  • Detain no longer than 6 hours or exam time (whatever is shorter) or
  • Must not exercise powers without warrant if it would be reasonably practicable to obtain one
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9
Q

What has been agreed in who can apply for a warrant under the Mental Health Act and who must sign and swear it? (2)

A
  • Either Constable or DAO can apply.
  • Constable must sign & swear it.
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10
Q

What section provisions are provided to arrest a person believed to have a mental disorder if required?

PAA 30

A
  • Crimes Act 1961
  • s.30 Protection from criminal responsibilty
  • s.31 Stat powers of arrest without warrant
  • s.34 Power to assist a Constable
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11
Q

Under s.122B (1) & (2) of the Mental Health (CAT) Act 1992, what must occur before you can you use force?

???

A
  • I dont know where this is from. legislation below
  • DAO has issued a notice under the relevant section
  • All has been explained to the patient (time/play, etc)
  • DAO gives clear instructions
  • patient is likely to be harmed, harm or damage property

122BUse of force

(1) A person exercising a power specified in subsection (2) may, if he or she is exercising the power in an emergency, use such force as is reasonably necessary in the circumstances.
(2) The powers are—
(a) a power to take or retake a person, proposed patient, or patient in any of sections 32(1), 38(4)(d), 40(2), 41(4),41(5), 41(6), 50(4), 51(3), 53, 109(1), 109(4), 110C(2), 111(2), or 113A:
(b) a power to detain a person, proposed patient, or patient in any of sections 41(3), 41(4), 41(5), 109(4), 110C(2),111(2), or 113:
(c) a power to enter premises in either of sections 41(2) or 110C(1).
(3) A person treating a patient to whom section 58 or section 59 applies may use such force as is reasonably necessary in the circumstances.
(4) If force has been used under this section,—
(a) the circumstances in which the force was used must be recorded as soon as practicable; and
(b) a copy of the record must be given to the Director of Area Mental Health Services as soon as practicable.

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12
Q

If you use more than trifling force on a patient, what must you do? UC

A
  • Complete a use of force report
  • Send copy to Director of Area Mental Health
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13
Q

s.109 What can you do if you find a person believed to have a mental disorder in a public place?

EQTB D6

A
  • Enquires
  • QP
  • Take to station, hospital etc
  • BORs
  • contact DAO to arrange examination asap 6 hours
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14
Q

What three circumstances can you assist a medical practitioner? UCA

A
  • Urgently needs to examine person that RG2B has Mental Disorder or in interest of self/others
  • Certificate issued for urgent assessment to be done danger to self/others, needs sedating (help restrain)
  • Assist Medical Practitioner who is conducting examination
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15
Q

What are your three powers when assisting a Medical Practitioner?

  • Medical Practitioner needs to examine?
  • Assist Medical Practitioner who needs to sedate
  • Assist Medical Practitioner carrying out assessment

E R D 6

A
  • Enter premises ID (evidence if not in uniform)
  • at Request of Medical Practioner:
  • Detain the person take person to place of medical examination may only detain for 6 hours or exam time (whatever is shorter)
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16
Q

If acting in an emergency s.122B Mental Health CAT Act 1992 provides you can use force as reasonably neccessary to do what three thing? ETD

A
  • enter premises
  • take or retake person/patient
  • detain a person/patient
17
Q

What are the procedures when asked to assist a medical practitioner?

U DA 6 U

A
  • urgency where authorised
  • detain or take to place & detain
  • advise BOR’s
  • no more than 6 hours
  • Use of force report & send to Director
18
Q

s38 Assistance when person may need assessment

The duly authorised officer who receives the request must? ICR D

A
  • Investigate, satisfy himself or herself
  • That Concern is genuine; and
  • RGB the person suffers from a mental disorder
  • and
  • Decide, on RG whether or not the person needs to have a medical examination urgently in the person’s own interests or the interests of any other person.
19
Q

S.38 – Assistance when person may need assessment

If the duly authorised officer decides that the person needs to have a medical examination, but not urgently, he or she must? A MP C A

A
  • Assist medical practitioner to examine with a view to issuing a certificate under section 8B(4)(b); and
  • Once certificate Issued, apply/assist someone else, for assessment under section 8A and
  • Arrange for an assessment examination to be conducted under section 9.
20
Q

S.38 – Assistance when a person may need assessment

If the duly authorised officer decides that the person needs to have a medical examination urgently, he or she must? CE WR TM C A8 9

A
  • Try to get a medical practitioner to issue certificate
  • If MP available, examine person,
  • If MP not available, try to take person willingly;
  • If refuses, take all reasonable steps to—
    (i) Take the person
    (ii) to medical practitioner to examine
  • certificate is issued
  • assist someone else to apply under section 8A for assessment of the person and
  • s9 assessment examination
21
Q

s.38– Assistance when person may need assessment

A duly authorised officer who receives a request need not comply with subsections (3)(a) or (4)(a) to (d)

72

A
  • if the DAO has available to him or her
  • a 8B(4)(b) certificate by a medical practitioner
  • who examined the person
  • within the 72 hours before the request.
22
Q

Section 39 – Assistance to outpatients and inpatients on leave

This section applies to every patient subject to…

ACI

A
  • Assessment otherwise than in a hospital; and
  • Community treatment order; and
  • Inpatient order but is on leave from the hospital in accordance with section 31 of this Act.
23
Q

Section 39 – Assistance in respect of outpatients and inpatients on leave

Anyone may at any time request the advice or assistance of a duly authorised officer in relation to any aspect of the care, treatment, or conduct of a patient to whom this section applies.

On any such request, a duly authorised officer shall take the following steps? I I A

A
  • Investigate the matter/extent/necessary/satisfy himself or herself that the concern is valid, RGB further consideration of the case may be desirable:
  • Inform the responsible clinician or any other appropriate person of the grounds of concern that have arisen in the case:
  • Give such other advice or assistance in the matter as may be appropriate