Exam Flashcards
Core principles/objectives of mental health act
- Least intrusive/restrictive methods of assessment and treatment
- People should get to make decisions about their care
- Rights, dignity and autonomy
- Holistic care
- Children and young people prioritised
- Caters recognised and supported
Authorised persons
Police
Paramedics
Medical practitioners (in mental health services)
Mental health practitioners
The act permits authorised persons to…
- Enter premises
- Apprehend
- Restrain
- Transport
Mental health and well-being definition components
- Realises potential
- Cope with normal stressors
- Work productively
- Make a contribution to community
Medical definition mental illness
Clinically significant disturbance in
1. Cognition
2. Emotion regulation
3. Behaviour
Legal definition mental illness
Significant disturbance in
1. Thought
2. Mood
3. Perception
4. Memory
How many Australians have a mental or behavioural condition?
5.0 million / one in five
Competency components
- Communicate decision
- Understand information
- Appreciate consequences
- Manipulate information in a reasonable fashion
Organic causes that can mimic mental health
- Alcohol/drugs
- Medications
- Infection
- BGL
- Hypoxia
- Brain injury
Crisis management plan
- Identify history/problem
- Identify pt and carer’s intended outcome
- What do you think needs to happen?
- Give pt/carer options and engage in planning
High risk symptoms
- Attempted suicide/self harm (current)
- Intentional overdose/poisoning
- Severe intoxication where you can’t do MSA
- Section 351
- Requires sedation
- Dangerous social situation
- Acute psychosis, mania or delirium
- Any red flags
Transport to hospital
Types of delusions
Persecution/paranoia (“they” are out to get me)
Reference (special meaning in neutral things)
Grandeur (famous/important/unusual powers)
Control (thoughts or actions controlled)
5 domains of psychopathology for schizophrenia spectrum/psychotic disorders
- Delusions
- Hallucinations
- Disorganised thinking
- Disorganised/catatonic behaviour
- Negative symptoms
Schizophrenia positive symptoms cause
Increased dopamine in mesolimbic DA neurons
Schizophrenia negative symptoms cause
Decreased dopamine activity in mesocortical and nigro-striatal systems
Acute behavioural disturbance AV CPG care objectives
- Maintain safe environment
- Use least restrictive measures/deescalation
- Consider clinical causes
5 key features of delirium
- Disturbance in attention
- Short period of time
- Disturbance in cognition
- Not caused by neurocognitive disorder
- Is caused by a medical condition, substance intoxication/withdrawal, toxin exposure or multiple aetiologies
SAT +3
Combative, violent, out of control
Continual loud outbursts
Manage with ketamine