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Psychiatry > legislation And Epidemiology > Flashcards

legislation And Epidemiology Flashcards

1
Q

According to the mental heath care act chapter 3 section 9 , when may a medical health care practitioner or health establishment provide ctr (care, treatment and rehab ) to or admit a mental health care user? (3)

A
  1. With consent of user
  2. Authorised by court / MHRB (mental health and recovery board) if prev contact with law eg prev jail
  3. Due to mental illness, any delay in providing ctr may result in:
    • death/irreversible harm
    • inflicting serious harm self/others
    • serious damage to or loss of property belonging to self or others
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2
Q

According to section 5 of the mental health care act, sections 26, requirements for the assissted health care user for admission?

A
  1. There is a reasonable belief that the MHCU is suffering from mental illness or profound or severe mental disability
  2. The MHCU needs CTR for the health and safety of MHCU or others.
  3. Incapable of informed consent but still assents, or is willing to receive ctr
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3
Q

Which form is filled in for emergency admission?

A

MHCA form 1

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4
Q

Which form is filled in for use of mechanical means of restraint and or seclusion?

A

MHCA form 48

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5
Q

Which form is filled in for transfer to maximum security facility?

A

MHCA form 19 ,20

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6
Q

Which form is filled in for apprehension and handing over by saps?

A

MHCA form 22 (section 40 mhca )

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7
Q

Which form is filled in for application for involuntary or assisted ctr to hhe?

A

MHCA form 4

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8
Q

Which form is filled in for examination by MHCP and findings reported back to HHE for assisted and involuntary care?

A

Form 5

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9
Q

Which form is filled in for application to involuntary ctr to hhe not approved and inform applicant?

A

Form 7

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10
Q

Which form is filled in after 72 hour assessment and findings of mhcp and another mhcp after HHE has approved involuntary ctr?

A

Form 6

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11
Q

Which form is filled in to discharge a patient who was admitted as involuntary user but no longer warrants further treatment?

A

Form 6

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12
Q

Which form is filled in for transfer of involuntary or assissted user on inpatient basis to another health establishment?

A

Form 11

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13
Q

Which form is filled in for outpatient transfer of involuntary over?

A

Form 10

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14
Q

Which form is filled in for notice by HHE within 7 days to review board requesting approval for farther involuntary ctr on an inpatient basis

A

Form 8

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15
Q

Which form is filled in for involuntary user interchange between out and in patient status ?

A

Form 12

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16
Q

Which form is the notice by HHE after 72 hour assessment informing review board that mhcu warrants further involuntary ctr on an outpatient basis

A

Form 9

17
Q

Which form is used to communicate the decision of the MHRB to further involuntary treatment to HHE and board

A

Form 14

18
Q

Name 4 tools for transformation of mental health systems

A
  1. Financial and payment framework
  2. Persuasion framework
  3. Regulatory framework
  4. Organisational framework
19
Q

Composition of mental health recovery board?

A

3-5 people who are sa citizens

At least 1 mhcp, 1 magistrate or lawyer or attorney, 1 community member

20
Q

Requirements of applicant for assisted user?

A

Must be at least 18

Must have seen mhcu in foregoing 7 days

21
Q

If the applicant for an assisted user is a health care provider, which 4 things must they specify on the form?

A
  1. why relatives didn’t make application
  2. Steps taken to locate relatives
  3. Reasons for application
    4-when last saw mhcu
    May not be the examining doctor
22
Q

Which form must be submitted to MHRB stating reasons for approval of assisted or involuntary user by HHE

A

Form 7

23
Q

Which form is filled in for periodical review reports? (First report within 6 months, thereafter every 12 months)

A

Form 13a

24
Q

Which form is filled in for periodical review reports for forensic patients?

A

13 B

25
Q

Requirements for involuntary user? (5)

A
  1. Reasonable belief that mhcu is suffering from mental illness
  2. Risk of serious harm to self or others
  3. need for ctr to protect financial interests or reputation
  4. Inability to make informed decision on ctr
  5. Unwilling to receive ctr.
    Written application approved by HHE

SECTION 32

26
Q

Which form is filled in if police to assist with location, apprehension and return of user?

A

25

27
Q

Which form is filled in if police to assist with location, apprehension and return of user and the police has successfully returned the user after absconding?

A

26

28
Q

Formula for cumulative incidence

A

No people who get disease during period÷ no people free of disease in population at risk at beginning of period x 10^n

29
Q

Formula for point prevalence

A

No of people with disease at specified time ÷ no of people in pop at risk at specified time x 100

30
Q

Define point prevalance

A

Proportion of pop that has characteristic at specific point in time

31
Q

Which term describes the proportion of a pop that has the characteristic at any point during a given time period of interest

A

period prevalence eg 12 month prevalence

32
Q

Which term describes the prop of pop who at some point in life up to time of assessment, has ever had characteristic

A

Lifetime prevalence

33
Q

Define DALY

A

Disability adjusted life years. One daly is one lost year of “healthy” life. Sum of dalys across pop, or burden of disease, is measurement of gap between current health status and ideal health situation where entire pop lives to advanced age , free of disease and disability

34
Q

How is DALY for a disease calculated

A

Sum of years of life lost (YYL) due to premature mortality in pop and years lost due to disability (YLD) for people living with health condition and its consequences.

35
Q

Formula for prevalence ratio

A

Prevalence of disease in exposed÷ unexposed

36
Q

Relative risk ratio formula

A

Cumulative incidence of disease in exposed ÷ unexposed

37
Q

Formula odds ratio

A

Odds of exposure among cases÷ “ controls

38
Q

4 components of capacity for informed consent

A
  • Understand intervention
  • choose decisively
  • communicate decision clearly
  • accept the need for intervention

UCCA

39
Q

Which form is filled in if involuntary patient absconds

A

Form 25

Psychiatry (31 decks)

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