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1 Psychiatry > Mental health act > Flashcards

Mental health act Flashcards

1
Q

A section 5(2) of the MHA (england) last for how long?

A

72 hours- this must be for patient already admitted in hospital, does not apply to A&E

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2
Q

What are the five criteria for detention?

A

mental disorder
available treatment
risk to self or others if no treatment given
impaired decision making
path of least resistance not accepted therefore compulsory powers necessary

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3
Q

What is the duration of emergency detention?

A

72 hours

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4
Q

Who can complete emergency detention?

A

FY2 and above/any registered doctor

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5
Q

What else must you do before completing detention form?

A

contact mental health officer for assessment. If this is inappropriate then detain first and then contact MHO

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6
Q

Does mental health act allow to give medication against will?

A

no, this is covered under common law or AWI

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7
Q

How can you simplify criteria for detention?

A

suspected mental disorder
treatment available
risk to self or others
impaired decision making
detention- necessary

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8
Q

What is the length of short term detention?

A

28 days

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9
Q

Who can certify short term detention?

A

psych reg or above
+ MHO

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10
Q

Can short term detention be appealed?

A

yes, to the mental health tribunal

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11
Q

What is the duration of compulsory treatment order?

A

6 months

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12
Q

Do nurses have detention power?

A

yes, can detain patient for 2 hours until doctor arrives

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13
Q

What is the purpose of AWI?

A

used to give medical treatment when a patient does not have capacity

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14
Q

How to assess capacity?

A

understand
retain
weigh up
communicate decision

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15
Q

patient lacks capacity, can power of attorney be given?

A

no…this must be decided upon when the individual has capacity. therefore guardianship

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16
Q

Nurse phones you to say that patient is confused. What must you ask?

A

specify confusion- disorientated, demented, psychotic…get background story!

17
Q

Why do we have MHS

A

protection for patients from doctors, from themselves, from society
legislation

18
Q

Name a case law/common law that is relevant to practice

A

Gillick competency (contraception)in England= Fraser guidelines in scotland

Montgomery

19
Q

Name an example of statute law

A

mental health act

20
Q

List two types of detention

A

emergency detention/certificate
short term detention

21
Q

What is the criteria for emergency detention

A

assessment in hospital
FY2 and up
MHO
72 hours

22
Q

Is treatment authorised in emergency detention?

A

it does not authorise treatment but it doesn’t stop you treating, so you’d be treating under common law. e.g. agitated patient refusing treatment. retrospective consent from psychiatrist

23
Q

What must you do when patient with emergency detention ready to go home?

A

contact psychiatrist as they are the only one who can revoke certifiate

24
Q

Who forms part of the tribunal?

A

consultant psychiatrist/senior
lawyer
someone with interest in mental health (patient, family member, MHO)

25
Q

What is compulsory treatment order?

A

lasts up to 6 months

26
Q

What can you appeal?

A

location of detention
severity of risk in prisons
levels of treatment

27
Q

does short term detention authorise treatment?

A

yes!! unlike emergency detention act

28
Q

What is defacto detention

A

threatening to detain= detention
patient can say they will come in and doesn’t want to be detained

29
Q

How to implement detention

A

Here is my advice, you need to stay in hospital. Is that okay with you? If they disagree, then you say you will need a second opinion. If they still say they don’t want to come in, then you can make a decision about detaining them. NEVER say ‘you have to come into hospital or I will detain you’. Complicated scenario where recurrent patients only agree to staying in hospital to avoid detention…don’t worry about this

30
Q

What are the millan principlaes

A

non discrimination
respect for diversity
least restrictive alternative
benefit
respect for carers

31
Q

Define learning disability

A

IQ<70

32
Q

WHat constitutes a mental disorder

A

mental illness
personality disorder
learning disability

33
Q

What does mental disorder exclude?

A

sexual disorientation
transsexualism
dependence on alcohol or drugs (presentation as a result of their use)

1 Psychiatry (20 decks)

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