General Flashcards
4 Ps
Predisposing - why this person, genetics, FH
Precipitating - What causes condition to present now, particular life event
Perpetuating - What is keeping the condition going, different stresses
Protective - What is supporting the person, what stopping them crossing the line, family and friends
Biopsychosocial approach
Biological - Antipsychotics, antidepressants, mood stabilisers
Psychological - CBT, DBT, cognitive analytical, psychodynamic, psychotherapy, couples therapy, family therapy
Social - housing support, benefits/financial advice, employment, increasing independence, support groups, charities
What is a section 135
Police to bring person from their place of residence to a place of safety/hospital
Warrant for access by Magistrates Court
Police + Apprv.MH professional + doctor
24hr admission for assessment
What is a section 136
Police to bring person from public place to place of safety
Starts from outside a front gate
24hr admission for assessment
Who is involved in a Mental Health Act Assessment
The patient
Nearest relative (involved but not necessarily present)
Approved MH professional (AMHP)
2X Drs F2+ - one section 12 approved, one knows pt in professional capacity
Can result in pt being kept in hospital under section 2 or 3
Section 2
To detain pt in hosp for 28 days for assessment (+Tx if assessment finds is appropriate)
Usually after MHAA for 1st admission
Cannot be renewed
Pt must be seen within 14days of application date
Discharge options - application by nearest relative for review tribunal within 14 days of detention or by responsible clinician anytime
Section 3
To detail pt in hosp for 6 months for Tx WITH Dx stated
Can be extended - 1st renewed by 6mths, then by 12 months
Usually done after a section 2, if Tx still required
Can be forcibly medicated
Tx consent after 3 months needs second Dr from diff hosp to agree to Tx plan
Discharge options - MH review tribunal anytime, leave under section 17, relative can apply to hosp but can be blocked by clinician
Section 4
Admission for assessment in emergencies (instead of S2), 2nd Dr not available and waiting would cause undesirable delay
Requires 1 Dr (not necessarily S12 approved) and AMHP
Lasts for 72 hours, then can be altered to S2/3
Section 5(2)
To detain an inpatient on any general ward if suspected to be suffering from mental disorder
EXCLUDES A&E and OPD
72 hrs - to allow time for MHAA for S2/3
Requires a Dr F2+
Section 5(4)
To detain inpatient from any ward (not A&E/OPD) if suspected mental health disorder and Dr not available
Lasts 6 hrs
Done by registered mental health nurse
Section 17
Admitted pts to leave ward temporarily for specified periods of time e.g. cigarette, collect clothes
Must meet conditions e.g. return at certain time
Section 117
Aftercare
Duty to get follow up care after leaving S3 admission and unsure they have needs met to reduce condition worsening (housing, medication etc)
Section 35
Applies if pt accused of crime
Magistrates court can remand in hosp, if Dr has evidence of MH disorder
28 days, can be extended by 28 day periods upto 12wks max
Section 37
Admission for medical Tx in pt who has committed crime
6 months
Community Treatment Order (CTO)
Discharge from prev section on certain conditions (eg living in a certain place, going somewhere for medical Tx)
Can be used onced discharged from S3
Responsible clinician can recall pt back to hospital
Can’t compel a pt with capacity to take Tx
Lasts initially 6mths, renewed 6/12, then yearly
‘CTO recall’ returned to old section if breached
