Mental Health Flashcards

1
Q

What is the definition of a mental disorder?

A

“An abnormal state of mind (Whether of continuous or intermittent nature) characterised by delusions or by disorder of mood, perception, violition or cognition of such a degree that it

  • **Poses serious danger to the health or safety of that person or of others,
  • **Seriously diminishes the capacity of that person to take care of him/herself.
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2
Q

What is a restricted patient?

A

Patients subject to compulsory treatment order but are considered to be A DANGER TO THE PUBLIC

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3
Q

Define a special Patient?

A

Patients who are detained by way of court order.
They have been found to be criminally insane and/or unfit to plea. This also includes any person who is on remand for a psychiatric report

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4
Q

What are my powers under the Compulsory Assessment and Treatment Act 1992 to deal with a special or restricted patient?

A

Special and restricted patients who have absconded or are awol, maybe apprehended and returned to the hospital or institution that they have come from.

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5
Q

What is a compulsory treatment order?

A

An order imposed by the court to insure an patient takes medication.

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6
Q

Regarding patients that are under a compulsory treatment orders what must I do?

A

Return and take to the hospital within three months of going missing. If they are over three months missing then they are released from the order.

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7
Q

What is the role of a DAO?

A

A DAO = Duly Authorised Officer
- Qualified nurses who are specially trained in the area of mental health and then receive further training on an on going basis.

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8
Q

What are my powers when assisting a DAO?

A

ENTER-by force if necessary
DETAIN - the person in the premises for exam
TAKE - person to some other place nom. DAO
DETAIN - the person at that place for exam

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9
Q

What are my powers when assisting a medical practitioner?

A

ENTER-by force if necessary
DETAIN - the person in the premises for exam
TAKE - person to some other place nom. Docter
DETAIN - the person at that place for exam

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10
Q

What is the time limit on detention?

A

6 Hours

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11
Q

When you detain a 1M what must you do?

A

Always give them there caution/rights

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12
Q

When transporting a 1M what must I be aware of?

A

Positional Asphyxia

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13
Q

When do I transport a 1M?

A

There is a memorandum of understanding better the Health Department and the NZ Police. When called to assist and transport a 1M person.
ENSURE an assessment notice has been served and explained to the 1M when you are acting under this section. Section 110
The transport notice only relates to a 1M

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14
Q

If you are transporting a 1M who must also come?

A

A DAO or a medical practitioner.

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15
Q

What does section 109 of the Compulsory Assessment and Treatment Act 1992 give me the power to do?

A

Any members of Police may apprehend

Any person person wondering at large in a public place

Behaving in a manner that gives rise to a reasonable belief that he/she maybe mentally disordered

Member believes it is in the interest of the person and the public to do so.

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16
Q

What link is there with alcohol and drugs to mental illness?

A

Alcohol and drugs exasperate the problem

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17
Q

What are some good ways of responding to people with mental illness?

A
  • Ensure safety
  • Calm
  • Be sincere
  • Reassure
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18
Q

What does DSM IV stand for?

A

Diagnostic Classification System of American Psychiatric Association

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19
Q

What are the four main mental disorders?

A

Schizophrenia
Bi-polar
Depression
Personality Disorders

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20
Q

What is Schizophrenia?

A

Complex condition that affects the way a person thinks, feels and acts

21
Q

What are the negative symptoms of schizophrenia?

A
  • apathy
  • ambivalence
  • Social withdrawal
22
Q

What is meant by positive symptoms of schizophrenia?

A
  • delusions
  • hallucinations
  • Certain disturbances
  • Thoughts the connectechness between ideas
  • Altered speech rapid and slow and very disjoint
  • Mood changes
23
Q

How is schizophrenia treated?

A
  • Medication
  • Counselling
  • Support
  • Information
  • Community
24
Q

What bi-polar disorder?

A
  • Another name for manic depression

- People have sustained periods of elevated moods or depressed moods ( maybe weeks and months)

25
Q

What are the signs of Bipolar disorder?

A
  • Sleep disturbance
  • Delusions
  • Thought disturbances
  • Hallucinations
  • Altered speech
  • Mood changes
  • Depression
26
Q

What are the three types of Bi-polar?

A
Saving slow (high long and low long)
High period 
Swing fast (Short high and short long)
27
Q

How is bi-polar treated?

A
  • Medication
  • Counselling
  • Support
  • Information
  • Community support
28
Q

What is depression?

A
  • Feelings of being down

- Experiencing stress or low mood

29
Q

What are symptoms of depression?

A
  • persistent low mood
  • Sadness or emotional numbness
  • loss of pleasure in everyday life
  • irritability, anxiety poor concentration
  • feeling worthless/guilty
  • crying more than usual
  • changes in eating/sleeping patterns
  • hopelessness and depression
  • suicidal feelings
30
Q

How is depression treated?

A
  • counselling
  • anti depressant medication
  • complementary treatments
31
Q

What is the difference between post natal depression and post natal psychosis?

A

Post natal depression results from a pregnancy a low period. Post natal psychosis distorts a person sense of reality

32
Q

What is a personality disorder?

A

The experience of difficulty in behavour and relationships

33
Q

How are personality disorders treated?

A
Psychosocial treatment 
-cognitive behavior therapy 
-psychodynamic therapy  
Complementary therapies 
-massage
-hypnotherapy 
-yoga
-exercise
34
Q

What are the four categories of mental patients?

A
  • **SPECIAL PATIENTS
  • **RESTRICTED PATIENTS
  • **PATIENTS SUBJECT TO COMPULSORY ASSESSMENT ORDERS
  • **PATIENTS SUBJECT TO COMPULSORY TREATMENT ORDER
35
Q

What does GIM908 say in relation to police powers to use of force?

A
  • Not to use force without ensuring an assessment notice has been served and explained to them
  • Doesn’t apply to a doctor incharge s110/110a or110b
  • Doesn’t apply in circumstances endanger self or others or property
  • seek wishes of patient or caregivers
36
Q

What is the Police role in assisting a DAO under section 41 of the Compulsory Assessment and Treatment act 1992?

A

With authorization from the DAO I may
ENTER any premise by force
DETAIN
TAKE to another place

37
Q

When assisting a DAO what is the the time limit for detention?

A

6 hours

38
Q

What is positional asphyxia and what procedures would you follow to prevent it?

A

Positional Asphyxia - body position results in partial or complete obstruction of the airways either internally or externally
Respiratory passages blocked neck compression
or restricted abdomen
I would make sure the patient is in an up right position as much a possible

39
Q

What are my powers relating to assisting a medical practitioner?

A

cestion 110c
Enter the premises by force
Detain
Take the person to some other place nominated by the medical practitioner

40
Q

Under section 110a of the Compulsory Assessment and Treatment act 1992 what can a medical practitioner do that a DAO can’t?

A

Administer sedative

41
Q

What are my powers in relation to mentally disordered people in public?

A

this is section 109
Apprehensive the person
Take the person to Police station or other place so that they can be assessed by a DOA

42
Q

No compulsory assessement or treatment order shall be ordered in respect of any person by reason of only?

A
R-Religious 
C-Cultural 
S-sexual preferences 
C-Substance abuse 
I-Intellectual disability
43
Q

What section of the Compulsory Assessment and Treatment ACt 1992 gives me the power to use force?

A

122b reasonable and necessary

44
Q

Define intellectual Disability?

A

“significant difficulties in learning to a level that a person requires assistance for present functioning and social adaption”

  • IQ below 70
  • Significantly affect their ability to function in normal life
  • Difficulties must be present during the developing years
45
Q

Give five likely reason why the relatively high proportion of people in prison that have intellectual disabilities?

A
  • used as cats paws
  • alcohol abuse of the parents affect their brain no stimulation at school
  • more likely to be caught and confess to a crime even if they did not do it
  • Easily led may imitate or join in on criminal activities
46
Q

What are the capabilities of people with mild to moderate intellectual disability?

A
  • maybe able to work in unskilled work
  • just able to be care for themselves
  • can have committed relationships bur require support
47
Q

When dealing with people with mental disorders what is the golden rule?

A

At all times, exercise extreme care

48
Q

If you are called to a residential address when you may enter?

A
  • invited to enter by the occupier of the property

- there are clear circumstances that are an emergency.

49
Q

What is a compulsory assessment order?

A

This is an order imposed by the court for a patient to undergo a compulsory assessment.