Legal Flashcards
What is valid consent?
- given feely without duress or coercion
- legally capable of consenting
- cover the intervention / procedure
- informed
- enduring
To have capacity, someone must be able to what?
- understand and retain relevant information
- use and weight that information to make a decision
- communicate that decision
What are the principles of the adults with incapacity Scotland act 2000?
- intervention must benefit the adult
- such benefit cannot reasonably be achieved without the intervention
- take account of past and present wishes
- consult with other relevant persons
- encourage he adult to use residual capacity
What is the AWI section 47 certificate?
- authorises practitioner to provide reasonable interventions related to the treatment authorised
- does not authorise force unless immediately necessary and only for as long as is necessary
- does not specifically authorise the transport of the adult to the place of treatment
Describe power of attorney
- granted whilst they have capacity
- powers to act as their continuing (financial) and or welfare attorney
- in case capacity is lost at some future point
- one or more persons
Describe guardianship
- applied for by one or more individuals
- or local authority
- granted by the sheriff
- welfare and or financial
- person requires someone to make specific decisions on their behalf over the long term
What are the powers of the welfare guardian?
- cannot place the adult in hospital for treatment of mental disorder against their will
- if the adult does not comply with the wishes of a welfare guardian, there is a mechanism for the sheriff to issue a compliance order
The mental health (care and treatment) Scotland act 2003 allows for what?
For treatment of mental disorder or physical consequences of mental disorder in someone without capacity to consent to treatment
What is the criteria for emergency detention (section 36)?
- likely to have a mental disorder
- significantly impaired decision making ability regarding treatment, due to mental disorder
- detention in hospital is necessary as a matter of urgency to determine what treatment is needed
- risk to health, safety or welfare of the person, or safety of other
- making arrangements for s44 would involve undesirable delay
What is the criteria for short term detention (section 44)?
- likely to have a mental disorder
- significantly impaired decision making ability regarding treatment, due to mental disorder
- detention in hospital is necessary for assessment or treatment
- risk to health, safety or welfare of the person, or safety of other
- cannot be treated voluntarily
What are the 5 criteria for detention under the mental health act?
- likely mental disorder
- significantly impaired decision making ability
- determining treatment required
- significant risk; health, safety or welfare of patient, safety of others
- informal / involuntary care not appropriate
What is an emergency detention order?
- 72 hours assessment
- does not authorise treatment
- fully registered doctor (FY2 and above)
- where possible, a mental health officer should also agree to it
- likely mental disorder
- no right of appeal
What is a short term detention order?
- up to 28 days for assessment / treatment
- approved medical practitioner plus an MHO
- likely mental disorder
- right of appeal (patient and named person)
- can be extended by 3 days if extra time is needed to put together an application for a CTO or 5 days once CTO application submitted
What is a compulsory treatment order?
- initially up to 6 months
- approved medical practitioner plus mental health officer
- mental disorder present
- reports from 2 independent doctors (2AMPs or AMP+GP), a care plan and MHO report
- mandatory tribunal
- treatment authorised (for up to 2 months of detention)
- renewal at 6 months then yearly
What is an advance statement?
- written statement
- signed when the person is well
- how they would prefer (or prefer not) to be treated if they were to become ill in the future
- witnessed and dated
- tribunal and medical practitioner must regard this - it can be overruled