Introduction to psychiatry Flashcards
IMCA
Someone w/ training that helps someone lacking capacity
IMHA
Independent mental health advocate. Someone specially trained to help people understand their MHA rights
What is a CPA?
Care programme approach
Writing a care plan for pt under 2’ mental health services
Who gets a CPA (5)
Severe mental illness Signif intellectual disability Recent detention under MHA People w/ help from multiple agencies People w/ signif risk of harm to self/others
What does a person w/ a CPA get? (3)
Care coordinator/keyworker
Written copy of care plan
Regular reviews
What is the aim of the crisis team?
To avoid admission to psych ward by offering intensive, community based support @ home
Who is the early intervention for psychosis team for?
Work w/ people w/ 1st time experiences of psychosis, usually 14-35 y/o
What does the early intervention for psychosis team focus on?
Reduction of DUP
Who is the assertive outreach team for?
People w/ Hx of mental health problems w/ poor engagement w/ services + incr risks
Who is the Liason psych team for?
For med/surgical in-pt w/ psych presentations in general hospital
What age is general adult psychiatry for?
17-65 y/o
What 3 things does old age psych Tx
Functional - depression, anxiety, psychosis
Organic - dementia syndrome
Memory assessment services
Who is rehabilitation psychiatry for?
Patients whose functioning has been impacted due to chronic severe illness or in a Tx resistant illness
Who is forensic psychiatry for?
For thsoe who have been arrested and found guilty
What is therapeutic engagement
Involves healthcare professionals spending quality time with patients and aims to empower the patient to actively participate in their care
Components of MSE
Appearance and behaviour Speech Mood and affect Thoughts Perceptions Cognitive exam Insight
Liable mood
Fluctuating mood state that alternates between extremes
Mood
Pervasive and sustained emotional state of individual
Affect
Observable behaviour associated with changing emotions
Depersonalisation
An unpleasant subjective report that the patient feels they are ‘unreal’
Derealisation
An alteration in the perception or experience of the environment, leading to a sense that it is strange or unreal
Illusions
Misinterpretations of a real stimulus
Hallucinations
An internal perception in the absence of a stimulus, perceived in external space and outside of conscious control
Risk
Probability or threat of damage, injury, liability, loss or any other negative consequence that is caused by internal or external vulnerabilities, that may be reduced through pre-emptive action
