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Mental Health 3320 > Lecture 1 > Flashcards

Lecture 1 Flashcards

1
Q

CHIME

A 
Connectedness
Hope and optimism
Identity
Meaning
Empowerment
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2
Q

When is a person mentally healthy?

A
  • meet their basic needs
  • assumes responsibility for behaviour and self growth
  • have learned to integrate thoughts, feelings (emotions), and actions (behaviours)
  • can resolve conflicts successfully
  • maintain relationships
  • communicate directly with others
  • respect others
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3
Q

MHCC mental health definition

A

“a state of well being in which the individual realizes his/her own potential, can cope with normal stresses of life, can work productively and fruitfully, and is able to make a contribution to their community”

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4
Q

APA definition of mental disorders

A
  • a clinically significant behaviour in an individual that results in distress or disability with increased risk for suffering, death, pain or loss of freedome
  • not an expected response to a loss such as death of a loved one
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5
Q

4 categories of the mental health continuum model

A

healthy
reacting
injured
ill

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6
Q

minimal mental health definition

A

“individual, group, and environmental factors (that) conflict, producing subjective distress; impairment or underdevelopment of mental abilities; failure to achieve goals; destructive behaviours”

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7
Q

MH determinants: individual attributes adverse factors

A
  • low self esteem
  • cognitive/emotional immaturity
  • medical illness/substance abuse
  • loneliness, bereavement
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8
Q

MH determinants: social circumstances adverse factors

A
  • neglect, family conflict
  • exposure to violence/abuse
  • low income and poverty
  • difficulties or failure at school
  • work stress, unemployment
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9
Q

MH determinants: environmental factors adverse factors

A

poor access to basic services
injustice or discrimination
social and gender inequalities
exposure to war or disaster

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10
Q

MH determinants: individual attributes protective factors

A
  • self esteem, confidence
  • ability to solve problems and manage stress or adversity
  • communication skills
  • physical health and fitness
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11
Q

MH determinants: social circumstances protective factors

A
  • social support or family and friends
  • good parenting/family interaction
  • physical security and safety
  • economic security
  • scholastic achievements
  • satisfaction and success at work
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12
Q

MH determinants: environmental factors protective factors

A
  • equality of access to basic services
  • social justice, tolerance, integration
  • social and gender equality
  • physical safety and security
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13
Q

primitive society

A

shaman - attends to psychological and spiritual needs of a community

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14
Q

medieval (middle ages)

A

5th to 15th C

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15
Q

early civilization

A

severe mental illness came to be understood as resulting from a disordered physiological condition

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16
Q

early civilization - major faith traditions

A

Christian
Judaism
Islam
Hinduism and Buddhism

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17
Q

renaissance

A

1400-1700s

bedlam - first asylum for the mentally ill in England (now means frenzied. psychotic behaviour)

18
Q

custodial care

A

18th and 19th century

19
Q

salpetriere asylum

A

France
Phillipe Pinel - 1802; pioneer of humane treatment for the mentally ill (first to order removal of chains from women patients in asylum)
asylum for women

20
Q

asylum; the place for treatment

A
  • reformers and psychiatrists believed asylum could cure rates for many forms of madness
  • moral therapy
  • first in NB, NS, PEI, newfoundland, then Que, Ont then by 20th century out west
  • by 1950 estimated 66,000 Canadians in asylums across the country
21
Q

aboriginal mental health

A

more holistic treating mind, body and soul

individual has lost equilibrium with the cosmos, healing takes place at the community level not the individual

22
Q

20th century psych disciplines develop: Wilhelm Wundt

A

1879

  • talk therapy
  • psychoanalysis
  • behavourism
  • cognitive science
  • radical therapies
  • – electroconvulsive therapy
  • – insulin therapy
  • – lobotomy
23
Q

20th century psych disciplines develop: psychopharmacology

A
  • 1950 chlorpromazine
  • 1955 meprobamate (Miltown)
  • 1960 chlordiazepoxide (Librium)
  • birth of psychopharmaceutical industry
24
Q

organized nursing model of care (Hildegard Peplau 1909-1999)

A
  • defined nurse-patient relationship and its phases
  • emphasized the importance of empathetic linkage (being able to transmit a message that you are attempting to understand)
  • drawing on Sullivan’s work, Peplau developed the concept of the self system
  • the self is conceptualized as an “anxiety system” - where biological needs must be satisfied within a sociocultural environment
  • – when biological need arises it creates tensions that are reduced by specific behaviours
  • nurse’s don’t necessarily act on the needs. They must recognize the patients patterns for meeting these needs and help identify available resources
25
Q

Phil Barkers Tidal Model

A

focuses on the lived experience of the person in care and is based on the assumption that people are their life stories and that they generate meaning through such stories

26
Q

10 commitment of the Tidal Model

A
  • value the voice
  • respect the language
  • develop genuine curiosity
  • become the apprentice
  • reveal (the person’s) personal wisdoms
  • be transparent
  • use the available toolkit (person’s story- what has worked)
  • craft the gift of time (reframing how we see time)
  • know that change is constant
27
Q

Mental Health and Addiction Legislation

A
  • mental health act 1990
  • Brian’s Law 2000 (Bill 68)
  • Health care consent act 1996 (amended 2010)
  • regulated professions act 1991
  • the health system improvement act 2007
    substitute decisions act 1992 (amended 2009)
28
Q

involuntary admission

A
  • the person is suffering from a mental disorder
  • the person is likely to cause ham to self or others
  • the person is unsuitable for admission to a facility other than as a formal patient
29
Q

Mental Health Act (under 16)

A
  • you are an informal patient if you have been admitted to a psychiatric facility on the consent of another person in order to get treatment
  • the person who has consented to your admission is your substitute decision maker. The person is usually a relative
  • your status as an informal patient results from the doctor determining that you are not mentally capable of consenting to or refusing a particular treatment. That is why your doctor has obtained substitute consent from your substitute decision maker on your behalf for this treatment, and your admission to a psychiatric facility
30
Q

involuntary admission: under the criminal code

A

a person who is found unfit to stand trial or not criminally responsible for an offence because of mental disorder, may be detained in a psychiatric facility designated by the minister of health and long term care, or released subject to conditions

31
Q

Form 1

A
  • application by physician for psychiatric assessment
  • filled out and signed by a physician who has examined the person
  • a form 1 authorizes the holding of a person for up to 72 hours at a psychiatric facility
32
Q

form 2

A
  • order for examination
  • filled out by a justice of the peace
  • authorizes the detention of a person just long enough for a doctor to make an initial examination
33
Q

form 3

A
  • certificate of involuntary admission to a psychiatric facility
  • filled out by attending physician (different than the physician who completed the Form 1)
  • must be completed 72 hours from start of detention period under a form 1
  • a form 3 is valid for 2 weeks from and including the date it is signed
34
Q

form 4 - certificate of renewal

A
  • renews an involuntary admission to a psychiatric facility
  • initiated by the attending physician
  • must be filled out before the expiry date of the previous form 3 or 4
  • 1st form 4 is valid for 30 days
    2nd form 4 is valid for 60 days
    3rd form 4 is valid for 90 days
35
Q

form 5

A
  • change from involuntary to voluntary status
  • initiated by attending physician
  • whenever deemed appropriate
  • no expiration or renewal
36
Q

form 9

A
  • order for return
  • initiated by the officer in charge of a psychiatric facility
  • whenever the absence of a person who is subject to detention becomes known to the officer in charge
  • expires one month after absence becomes known
37
Q

form 30 - certificate of incompetence

A
  • notice to patient
  • the physician who initiated a form 3 or form 4 must also inform the rights adviser who will visit the patient, explain the situation and inform the person of the right to appeal and will assist with the application process and help obtain legal services
38
Q

form 42

A
  • notice to person
  • signed by physician
  • given promptly when a person is detained at a psychiatric facility for the purpose of an assessment under a form 1
39
Q

Brian’s Law 2000 (Bill 68)

A
  • mental health legislative reform
  • in memory of Brian Smith
  • to provide for earlier intervention for psychiatric clients
  • in particular, it introduced community treatment orders and new criteria for involuntary commitment to psychiatric facilities
40
Q

community treatment orders form 45

A
  • for those who require psychiatric treatment for serious recurring mental illness
  • comprehensive plan of community based treatment or care and supervision that is less restrictive than being detained in a psychiatric facility
  • expire 6 months after the day they are made and are terminated unless renewed
41
Q

pts rights under the law

A
  • rights to least restrictive care
  • – using least restrictive means of restraints for the shortest duration
  • rights to confidentiality
  • – duty to warn
  • – duty to protect
  • – reporting of abuse
  • – confidentiality of communicable diseases
  • – confidentiality after death

Mental Health 3320 (4 decks)

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