mental health act 2001

Question 1

what is the MHA?

Answer 1

legal framework for the admission, detention and treatment of people with a mental disorder

Question 2

_______ is paramount in the MHA?

Answer 2

1. best interests of the person requiring admission

Question 3

year of MHA

Answer 3

2001

Question 4

before the MHA what was in place?

Answer 4

mental treatment act 1945

Question 5

% of european countries with MH legislation>

Answer 5

80

Question 6

5 principles of the MHA?

Answer 6

1. best interests of person
2. right to information
3. right to review
4. high standards of care
5. rights - constitution and international conventions

Question 7

what is a mental disorder?

Answer 7

1. mental illness
2. severe dementia
3. LD

Question 8

what are the criteria for detention under the MHA?

Answer 8

1. must be a mental disorder
2. because of the seriousness of the illness

there is a serious likelihood of the person cauing harm to self or others

OR

the judgement is so impaired that failing to admit would leas to serious deterioration of the condition or stop the administration of essential treatment

AND

the admission must be likely to benefit or alleviate the condition to an extent

Question 9

dementia under the MHA must have:

Answer 9

severe psych or behaviour sx + cognitive impairment as per DSM/ICD

Question 10

to admit LD under the MHA must be:

Answer 10

1. significant impairment of intelligence
2. significant impairment of social functioning
3. abnormally aggressive or seriously irresponsible conduct

Question 11

what diagnoses are excluded under the MHA?

Answer 11

substance abuse
personality disorder
socially deviant behaviour

Question 12

why are there exclusions under MHA?

Answer 12

1. in line with other countries

2. protects against political abuse and encourages individual responsibility

Question 13

practical steps to admitting under MHA?

Answer 13

1. application
2. recommendation
3. admission order
4. notify patient
5. MHA review

Question 14

who can make the application?

Answer 14

1. family
2. guards
3. authorised officer
4. member of public

must have observed the person within the last 48hrs

Question 15

who can make a recommendation for MHA admission?

Answer 15

1. registered medical practitioner

2. must have observed in last 24hrs

Question 16

who completes an admission order?

Answer 16

1. consultant psychiatrist within 24hrs of admission

Question 17

form ____ is completed if satisfy criteria for detention?

Answer 17

6

Question 18

where is admission under MHA?

Answer 18

approved centres only

Question 19

notifying patient of involuntary tx?

Answer 19

must be within 24hrs of admission

Question 20

what is an MHA review?

Answer 20

tribunal in 21 days of admission

Question 21

who sits on tribunal panel in MHA review

Answer 21

barrister
lay person
independent consultant psychiatrist

Question 22

who attends the MHA review?

Answer 22

tribunal panel
solicitor representing the patient
treating psychiatrist
patient

Question 23

changing a voluntary patient to involuntary steps?

Answer 23

fill out clinical practice form to detain voluntary patient - can be done by consultant, nurse, registered medical practitioner

admission order to detain voluntary patient must be reviewed by independent consultant

tribunal

Question 24

what tx can you give under the MHA?

Answer 24

1. PO/IM/IV psychotropic

2. ECT - need 2nd opinion from consultant

Question 25

involuntary admission of a child?

Answer 25

1. parents can admit
2. if parents and child refuse need district court
3. HSE applies to court
4. court can make order to detain child fro up to 21 days
5. no tribunals
6. child not at proceedings
7. can appeal to circuit court