General Flashcards
What are the stepped options for psych treatment / support
- GP
- Community mental health team
- Specialist community team (EIP, CIDS)
- Crisis / home treatment team
- Hospital (informal / under section)
What is CIDS
Cognitive impairment dementia service
What are important questions you must ask in a psych drug hx
Current meds
Side effects
Compliance (are you taking them? are you happy to keep taking them?)
What are requirements to section someone under the Mental Health Act 2007?
MH disorder
requires treatment for that mental health disorder
risk to self/others
Not agreeing to formal aadmission
What is section 2 MHA?
Admission for assessment, max 28 days
What people do you need for section 2/3?
2 independent medical recomendations (min 1 doctor who is S12 approved)
- treating psychiatrist (S12 approved)
- other fully registered practitioner (independent doctor, preferably pt’s GP)
AMHP (approved mental health professional)
What is section 3?
Admission for treatment, max 6 months
What is the process for being admitted under S3?
DIagnosis is clear
Patient already well known OR via S2
When can you use S 5(2)
HOLDING POWER
to hold a patient already on the ward (NOT in A&E)
Maximum duration 72h
Who can get a S 5(2)
F2 or above
what is S 135
Police order to remove person from private place
lasts 24h
what is S 136
Police order to remove person from public place
lasts 72 h
What is capacity?
the ability to make decisions
presumed to be intact unless proven otherwise
It is related to specific decisions
Should be assessed independentlly for each decision
What are the FOUR features that indicate capacity
Understand information
Retain information
Use/weight information as part of decision process
Communicate decision
What should you do if someone lacks capacity?
Take steps that are in their best interest
