Mental Health Act Flashcards

1
Q

What are the 10 Millan Principles of the MHA?

A
Non discrimination 
Equality
Respect for diversity
Reciprocity
Informal care
Participation 
Respect for carer
Lest restrictive 
Benefit
Child welfare
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2
Q

What are the 5 criteria for detention under the MHA

THIS IS CORE KNOWLEDGE

A

Likely mental disorder
Significantly impaired decision making
Determining treatment required (STD & CTO)
Significant risk; health, safety or welfare of patient, safety of others
Informal/ voluntary care not appropriate

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3
Q

When is emergency detention used?

A

If there is an undesirable delay in granting a short-term detention certificate

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4
Q

What encomapasses a mental disorder?

A

Mental illness
Intellectual impairment
Personality disorder

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5
Q

What is NOT classed as a mental disorder?

A

Sexual orientation or deviation
Transsexualism
Transvestism
Dependence of alcohol or drug use
Behaviour that causes harassment, alarm or distress to others
Acting as not other prudent people would act

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6
Q

What is SIDMA?

A

Significantly Impaired Decision Making Ability

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7
Q

What is classed as “treatment”?

A

Nursing care
Psychological intervention (CBT, interpersonal therapy)
Rehab
Medication
ECT
Refeeding
Specialised intervention (OT, SALT, diuretics)

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8
Q

What constitutes as significant risk to the health, safety or welfare of a patient?

A
Suicide
Self-harm
Wandering
Vulnerability
Deterioration in mental state
Physical health; starvation; dehydration 
Poor self-care
Retaliation from others due to aggressive behaviour
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9
Q

What constitutes as significant risk to others?

A
Aggression 
Violence
Sexual assault 
Intimidation 
Arson
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10
Q

How long does an emergency detention last for?

A

72 hour assessment

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11
Q

Can you give treatment under an emergency detention?

A

No

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12
Q

Can FY1s sign an emergency detention?

A

No; fully registered doctor

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13
Q

Can you appeal an emergency detention?

A

No

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14
Q

Who else needs to be involved in the administration of an emergency detention?

A

Mental health officer; social worker with training in MHA

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15
Q

How long does a short term detention last?

A

28 days of assessment

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16
Q

Can you give treatment under a short term detention?

A

Yes

17
Q

Who needs to cosign a short term detention?

A

Approved medical practitioner (AMP) e.g. reg or consultant PLUS an MHO

18
Q

Can a short term detention be appealed?

A

Yes

19
Q

Can a short term detention be extended?

A

Yes; by 3 days to put together an application for a CTO or 5 days once a CTO application is approved

20
Q

How long does a CTO (compulsory treatment order) last?

A

6 months

21
Q

Who needs to cosign a CTO?

A

AMP
MHO
Report from 2 independent doctors to formulate a care plan and an MHO report

22
Q

Does there need to be a tribunal for a CTO?

A

Yes; mandatory

Renewal at 6 months then yearly

23
Q

When are you allowed to give treatment in an emergency detention?

A
To save pts life
To prevent serious deterioration 
Alleviate serious suffering
Prevent a patient from being a danger to themselves or others
This is under common law
24
Q

What is a T4 certificate?

A

Certificate to indicate treatment was given under an emergency detention

25
Q

What are the exceptions to treatment under a STD or CTO?

A
ECT
Nutrition by artificial means
Vagus nerve stimulation 
Transcranial magnetic stimulation 
Any medicine given for the purpose of reducing sex drive
Neurosurg
26
Q

What is an advance statement?

A

Written statement that is signed when the person is compos mentis
Sets out how they would prefer or prefer not to be treated

27
Q

Can you overrule an advance statement?

A

Yes

28
Q

What is a named person?

A

Pt can choose someone to support them and protect their interests
Notified of, attend and are represented at tribunal hearings

29
Q

What are the laws around advocacy and the MHA?

A

Everyone with a mental disorder has the right of access to an independent advocate

30
Q

What are the nurses holding power?

A

Registered mental health nurses or intellectual disability nurses can hold pts for up to 3 hours if deemed necessary for the health, safety or welfare of patients and others

31
Q

What powers do the police possess?

A

Removal of patients to a place of safety from a public place; cannot remove people from their homes without a warrant

32
Q

What is the purpose of the mental welfare commission?

A
Encourage best practice
Publish information and guidance 
Carry out visits to patients
Investigate poor practice
Medical examinations
Inspect patient records