Mental Health Act

Question 1

What is mental health act?

Answer 1

Protects rights of people with a mental disorder, ensure they receive effective care & treatment,
Overrides an individuals right to self determination for their benefit in certain well defined circumstances

Question 2

5 criteria for dentention under the MHA

Answer 2

(Likely) Mental Disorder,
Significantly Impaired Decision Making Ability,
Determining treatment required (Giving treatment – STD & CTO),
Significant risk (Health, safety or welfare of patient
or Safety of others),
Informal/voluntary care not appropriate

Question 3

Definition of mental disorder

Answer 3

mental illness,
learning disability,
personality disorder

Question 4

SIDMA

Answer 4

significantly impaired decision making ability - affected ability to believe, understand and retain info, to make and communicate decisions

Question 5

Difference between incapacity and ISMA?

Answer 5

SIDMA is mental disorder alone whereas incapacity is disease of brain, physical disability or impaired cognition aswell.

Question 6

Examples of significant risk of health, safety or welfare of patient?

Answer 6

suicide, 
self harm,
 wandering, 
vulnerability, 
deterioration in mental state, 
poor physical health, 
poor self care, 
retaliation from others because aggressive behaviour

Question 7

Examples of significant risk to others?

Answer 7

aggression, 
violence,
sexual assault, 
intimidation, 
arson

Question 8

Emergency detention order allows you to detain someone in hospital for assessment ONLY for how long?

Answer 8

72hrs

Question 9

Does emergency detention order authorise treatment?

Answer 9

NO

Question 10

Who can issue emergency detention order and is there right of appeal?

Answer 10

FY2 and above and ideally a MHO should also agree, no right of appeal

Question 11

Short term detention order allows you to detain patient in hospital for assessment/treatment for how long?

Answer 11

up to 28days for assessment/treatment

Question 12

who can issue short term detention order and is there right of appeal?

Answer 12

approved medical practitioner + MHO (mental health officer),
yes right of appeal by patient & named person

Question 13

In what instance can short detention order be extended?

Answer 13

by 3 days if need more time to apply for CTO or by 5 days once CTO application submitted

Question 14

Compulsory treatment order allows you to detain a patient in hospital for treatment for how long?

Answer 14

up to 6 months

Question 15

Who can issue compulsory treatment order?

Answer 15

approved medical practitioner plus MHO

Question 16

Capacity to make decision age

Answer 16

12

Question 17

Treatment under MHA means that the act allows doctor to determine what treatment is required +/- to provide that treatment. List 7 of these treatments

Answer 17

Nursing care, 
Psych interventions,
Rehabilitation, 
Medication, 
ECT, 
Refeeding, 
Specialist intervention (OT, SALT, Dietetics)

Question 18

Criteria 5 has to be least restrictive option. Give 4 examples of reasons for hospital treatment neccessary

Answer 18

Patient refusing to stay in hospital,
Incapable of making a decision about staying in hospital,
Can’t be treated in community due to high risk,
Community treatment failed

Question 19

For emergency detention order & short term detention order patient must have a _________ mental disorder whereas for compulsory treatment order patient must have a ________ mental disorder

Answer 19

Likely mental disorder,

Present mental disorder

Question 20

What does CTO require and who submits to tribunal service?

Answer 20

Reports from 2 independent doctors, a care plan and MHO report - MHO submits to tribunal and its mandatory tribunal

Question 21

CTO is renewed how often?

Answer 21

6 months then yearly

Question 22

Treatment in short term detention/CTO authorised for how long?

Answer 22

2 months then reassessed

Question 23

Treatment cannot be given in emergency detention unless in emergency circumstances and a T4 certificate must be completed up to 7 days after. List those 4 emergency circumstances

Answer 23

To save patient’s life,
To prevent serious deterioration in patient’s condition,
To alleviate serious suffering,
To prevent patient from being danger to themselves or others

Question 24

What are exceptions to 2 months meds rule for short term detention/compulsory treatment order

Answer 24

ECT, 
Nutrition by artificial means, (NG tube), 
Vagus nerve stimulation, 
Transcranial magnetic stimulation, 
Any meds to reduce sex drive, 
Neurosurgery

Question 25

What is an advance statement?

Answer 25

Written statement signed when person is well that states how they would prefer to be treated, is witnessed and dated however can be overruled

Question 26

What is a named person?

Answer 26

Someone of patients (over 16) choosing who can support them and protect their interests. They have same rights to be notified of, attend and be represented at tribunal hearings.
Under 16 is default named person

Question 27

What is an independent advocate for mental health?

Answer 27

Every person with mental disorder has right to independent advocate AKA support and representative at tribunals and stuff

Question 28

What is Mental Health Tribunal? (What decide, panel of who)

Answer 28

Decide on CTO applications/appeals,

Panel of psychiatrist, convenor (solicitor) and third person with other experience e.g. ex-service user

Question 29

What is Nurses Holding Power?

Answer 29

Registered mental health nurse/intellectual disability nurses can detain patient for up to 3 hours if necessary for protection of health, safety, welfare of patient/others and only when patient is in hospital & receiving treatment

Question 30

Policing powers? (4)

Answer 30

Detain person who appears to have a mental disorder and needs treatment -

Removal to a place of safety,
Removal from a public place,
Up to 24hrs

Question 31

What is MWC?

Answer 31

Mental Welfare Commission is governing body that overlooks detained patients