L15: Ethical And Legal Issues In Psychiatry

Question 1

What is competency

Answer 1

The cognitive ability to understand and weigh up the key issues relevant to the decision

Question 2

What can mental illness to

Answer 2

Affect the ability to decide and therefore capacity

Question 3

What are the 2 reasons for overruling refusal of treatment

Answer 3

1) mental illness interferes with normal values - therefore respecting the patients autonomy is to respect what the person would want when free from the depressive illness
2) best of interest to do so as they are suffering from a mental illness

Question 4

Under what act can a patient be treated without reference to their capacity

Answer 4

Mental health act

Question 5

What are the ethical issues with treating someone under the mental health act

Answer 5

• overriding a competent paints refusal assumes that the presence of a mental illness automatically makes someone incompetent
• it discriminates between physical and mental illness

Question 6

How many routes of admission are there to be detained under the mental health act

Answer 6

3

Question 7

What are the 3 routes of admission called

Answer 7

1) admission for assessment
2) emergency assessment
3) admission for treatment

Question 8

What are the criteria’s for admission for assessment

Answer 8

1) have a mental disorder

2) dangerous

Question 9

What can the admission for assessment be submitted by

Answer 9

Nearest relative
Or
Social worker

Question 10

How many doctors must confirm the submitted admission for assessment

Answer 10

2 and 1 must be a psychiatrist

Question 11

How many days does the admission for assessment lasts

Answer 11

28 days

Question 12

What is the criteria for emergency assessment

Answer 12

1) must have a mental disorder

2) dangerous

Question 13

How many doctors does the emergency assessment be supported by

Answer 13

1 doctors

Question 14

How long can the patient be detained with the emergency assessment

Answer 14

72 hours

Question 15

What are the criteria for admission for treatment

Answer 15

1) have a mental disorder
2) dangerous
3) mental illness that is treatable

Question 16

Who can make the admission for treatment application

Answer 16

Social worker

Question 17

What amendments have been made to the mental health act 1983 into the mental health act 2007

Answer 17

• Mental disorder is any disorder or disability of the mind
• introduced appropriate medical treatment test into the criteria of detention (admission for treatment)
• wider range of healthcare professionals can be involved - repsonsable clinician and approved mental health professional
• patient can apply for an order to displace the nearest relative
• treatment is only given if the patient consents or is incapabale of giving consent
• patient can be allowed supervised community treatment whilst still being subject to powers under the 1983 act.

Question 18

What does a supervised community treatment allo

Answer 18

Patients with a mental disorder to live in the community whilst still being subject to powers under the mental health act

Question 19

To be competent what must the patient be able to do

Answer 19

1) take in and retain information
2) understand the information
3) weigh up the information
4) communicate that decision

Question 20

What is the issue with mental illness and mental capacity

Answer 20

Mental illness may affect the patients values without affecting their cognitive ability