Key Content Area 2 Flashcards
What criteria does an involuntary patient need to meet?
- They have a mental illness that requires treatment
- Significant risk to theirs or others health and safety
- The person does not have capacity to make reasonable decisions about their treatment
- Treatment can’t be reasonably provided in the community
- No less restrictive options
Must be in an authorised MH setting
You are a nurse or midwife working on a general hospital ward.
The patient has been admitted to your general ward, following 72 hours in E.D for ongoing assessment of their mental state and treatment of a recent injury.
The patient is currently under the Mental Health Act (2014) W.A. as an involuntary patient.
You would need to know what forms under the MH Act (2014) W.A. your patient was/is on and why, based on the examination context above
The patient would have likely started on a 1a then been transferred to a 6b form because they need further assessment and stabilisation going longer than 72 hours.
Why is there a mental health act?
Sharing of responsibility
across community; care
& protection of people
with mental illness
Balance between civil
rights &
need for treatment
Enhanced
partnerships (patient
& services)
What are the key principles of the MH act?
- Protection of patients rights
- Least restrictive treatment provision
- Mental illness alone not sufficient for compulsory admission
- Balance of rights and responsibility for best outcome
What are the key aims of the MH act?
To protect the public & provide care for people with mentall illness in the least restrictive manner possible
If your patient was voluntary, what does that mean for the care you provide?
Means they self admitted. If they want to leave they can providing there is no significant immediate risk to their wellbeing.
They may need a form 2a if they were trying to leave and there was ongoing concerns.
What is form 2a?
A form that allows a voluntary patient to be detained in an authorised hospital.
What are 3a’s and 3bs?
A detention order that lasts 24 hours. Done to hold people if there needs to be further exam for safety. Police can detain if they go AWOL.
What is a form 4a?
Transport order. Required when someone needs to be involuntarily transported for their safety. From ED to MH setting maybe
What is a form 5a?
CTO (community treatment order) that lasts up to 3 months.
What is a form 5a?
CTO (community treatment order) that lasts up to 3 months.
What is a form 6a?
Continuation of a 1a. Required when a person needs to be detained for another 21 days.
What is a form 6b?
When a psych makes an involuntary patient available for detention in a general hospital.
If they pose a risk to their physical health, they may be detained for stabilisation until transfer to a MH facility.
What is a form 6c?
Extends a 6b form beyond 21 days to 3 months.
