CAMHS + legality Flashcards
inattention features ADHD
bad at following instructions // doesnt like to be mentally challenged // easily distracted // can’t sustain tasks // cant organise tasks // forgetful // loses things // does not seem to listen
hyperactive and impulse symptoms ADHD
cannot play quietly // talk too much // does not wait turn // leaves seat // interruptive and intrusive // answer questions prematurely // run and climb too much
diagnostic criteria ADHD
ages up to 16 need 6 features // ages 17 over need 5
how long is the wait and watch period ADHD
10 weeks
mx ADHA mild to moderate
parent training and education
1st line mx ADHD kids + monitoring requirement
methylphenidate (ritalin) - weight and height every 6 months
2nd line mx kids ADHD
2 = lisdexamfetamine // 3 = dexafetamine
adult mx ADHD
Methylphenidate or lisdexamfetamine (if one doesnt work switch)
what invx needs to be done before starting ADHD medication
ECG as cardiotoxic
last line drug mx ADHD
SNRI eg atomoxetine // alpha blocker eg clonidine
who is ASD and ADHD more common in
boys
what age does ASD usually present
before 2-3
features ASD
impaired social + communication: play alone, fail to regulate social interaction (eg no eye contact), no friends // repetitive behaviour + interests: motor repetition, inflexible, routine and rituals // intellectual and language impairment // epilepsy
non-pharmacological mx ASD
early education and behaviour // family support and counselling
when might SSRIs be helpful in ASD
repetitive behaviour, anxiety, aggression
when might antipsychotic drugs be indicated in ASD
aggression, self injury
what IQ suggests learning disability
under 70
what needs to be present to have capacity
understand info, retain it, use it (to weigh up pros and cons), communicate decision
who makes decisions initially if a patient lacks capacity
medical team
what can the patient initiate when they have power so a family member can make medical decisions for them if they lose capacity
power of attorney
what are advance decisions
someone with capacity lays out what treatment they would/ wouldnt want if they lose capacity
who can carry out assessment for capacity
must be F2 or older
at what age are children deemed to have capacity
<12 = parents // 12-16 = depends // 16+ = capacity
what is section 2 (emergency detention) + how long can they be detained
emergency detainment // 72 hours for assessment (no treatment)
who can initiate emergence detention (section 4) and can it be appealed
GP(or F2+) plus mental health professional (AMHP) or nearest relative // not appealed
how long is a section 2 (short term) + what treatment can be given
admitted for 28 days + treatment against patients wishes
who needs to sign a section 2 (emergency detention) + can it be appealed
approved mental health professional on recommendation of 2 doctors // approved by an MHO
how long is a section 3 of mental health act + what treatment can be given
6 months // AMHP + 2 doctors who have seen patient in last 24 hours // give against patients wishes
what is section 5 mental health act
patient in hospital can be detained for 72 hours (by doctor) or 6 hours (by nurse)
