mental health act 2001 Flashcards
what is the MHA?
legal framework for the admission, detention and treatment of people with a mental disorder
_______ is paramount in the MHA?
- best interests of the person requiring admission
year of MHA
2001
before the MHA what was in place?
mental treatment act 1945
% of european countries with MH legislation>
80
5 principles of the MHA?
- best interests of person
- right to information
- right to review
- high standards of care
- rights - constitution and international conventions
what is a mental disorder?
- mental illness
- severe dementia
- LD
what are the criteria for detention under the MHA?
- must be a mental disorder
- 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
dementia under the MHA must have:
severe psych or behaviour sx + cognitive impairment as per DSM/ICD
to admit LD under the MHA must be:
- significant impairment of intelligence
- significant impairment of social functioning
- abnormally aggressive or seriously irresponsible conduct
what diagnoses are excluded under the MHA?
substance abuse
personality disorder
socially deviant behaviour
why are there exclusions under MHA?
- in line with other countries
2. protects against political abuse and encourages individual responsibility
practical steps to admitting under MHA?
- application
- recommendation
- admission order
- notify patient
- MHA review
who can make the application?
- family
- guards
- authorised officer
- member of public
must have observed the person within the last 48hrs
who can make a recommendation for MHA admission?
- registered medical practitioner
2. must have observed in last 24hrs
who completes an admission order?
- consultant psychiatrist within 24hrs of admission
form ____ is completed if satisfy criteria for detention?
6
where is admission under MHA?
approved centres only
notifying patient of involuntary tx?
must be within 24hrs of admission
what is an MHA review?
tribunal in 21 days of admission
who sits on tribunal panel in MHA review
barrister
lay person
independent consultant psychiatrist
who attends the MHA review?
tribunal panel
solicitor representing the patient
treating psychiatrist
patient
changing a voluntary patient to involuntary steps?
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
what tx can you give under the MHA?
- PO/IM/IV psychotropic
2. ECT - need 2nd opinion from consultant
involuntary admission of a child?
- parents can admit
- if parents and child refuse need district court
- HSE applies to court
- court can make order to detain child fro up to 21 days
- no tribunals
- child not at proceedings
- can appeal to circuit court
