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PSYCHIATRY > Mental Health Act > Flashcards

Mental Health Act Flashcards

1
Q

What is this act for ?

A
  • protects the rights of people with a MENTAL d.o

- ensures they receive EFFECTIVE care and rx

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2
Q

What is the 5 criteria needed for DETENTION under the Mental Health Act ?

A
  1. Likely Mental d.o
  2. Sign. IMPAIRED decision making ability
  3. Determining rx needed
  4. Sign. risk (health, safety and welfare)
  5. voluntary care is not appropriate
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3
Q

How is emergency detention DIFF. from Short-term Detention?

A

EMERGENCY DETENTION is given when there is an undesirable DELAY in granting a Short term cert.

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4
Q

What is SIDMA?

A
  • as a result of a mental disorder, pts have an IMPAIRED ability to make DECISIONS about medical rx.
  • Significantly Impaired Decision Making Ability
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5
Q

SIDMA vs Incapacity

A
  • SIDMA: arises from a Mental Disorder

- also arises from mental d.o

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6
Q

What exactly occurs with SIDMA?

A
  1. affects ability to BELIEVE
  2. unable to RETAIN and understand info
  3. unable to MAKE or COMMUNICATE decisions
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7
Q

What are diff. forms of treatment available for psychiatric d.o?

A
  • nursing care
  • psychological interventions
  • rehab
  • meds
  • ECT
  • REFEEDING
  • specialist intervention (OT, SALT, dieticians)
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8
Q

What are patients with Mental D.Os at risk of?

A
  • suicide
  • self-HARM
  • wandering
  • vulnerability
  • STARVATION, dehydration
  • poor self-care
  • retaliation from others d/t AGGRESSIVE behaviour
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9
Q

What occurs in Emergency Detention Order?

A 
- 72 hrs of PURE ASSESSMENT
(no rx)
- by FY2 and above
- MHO to agree
-likely mental d.o
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10
Q

What occurs with Short-term Detention cert.?

A
  • up to 28 DAYS for ASSESSMENT and RX
  • by approved medical practitioner + MHO
  • likely mental D.o
  • right of APPEAL (by pt and named person)
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11
Q

Which order can be EXTENDED?

A
  • Short-term detention cert. by 3 DAYS if extra time is needed to put together an application for CTO
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12
Q

What is CTO?

A
  • Compulsory Treatment Order
  • upto 6 months and performed by MHO and approved medical practitioner
  • mental d.o should be PRESENT
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13
Q

What is required for the approval of the CTO? (3)

A
  • Reports from 2 independent doctors!
  • Care plan
  • MHO report
  • mandatory tribunal
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14
Q

How long is the rx authorized for in CTO?

A
  • up to 2 months of detention

- –renew every year after first 6 months

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15
Q

When may URGENT treatment be permitted in Emergency Detention?

A
  • to save pt’s life
  • to prevent SEVERE deterioration in the pt’s condition
  • to alleviate SERIOUS suffering
  • to prevent pt from being a danger to themselves
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16
Q

2 months of RX can be given under Short term detention/ CTO. What are exceptions?

A
  • ECT
  • nutrition by artificial mean
  • VAGUS nerve stimulation
  • transcranial Magnetic stimulation
  • any med given to REDUCE sex drive
  • neurosurgery
17
Q

What are advance statements?

A

A written statement

  • signed when the person is WELL
  • how they would prefer to treated if they were ill
  • witnessed and dated keeping in regard a medical practitioner and a tribunal
18
Q

Can an advanced statement be overruled?

A

YES

19
Q

What is the tribunal?

A
  • an organisation involving a doctor, lawyer, another with relevant skills (nurse, MHO)
  • they make decisions on compulsory CARE and RX of people with mental disorders
20
Q

What do the tribunals discuss?

A
  • decide on CTO applications/ appeals
21
Q

What is the nurse holding power?

A
  • person is being kept in the hospital because the nurse believes you are unwell
  • has to be a REGISTERED MENTAL HEALTH NURSE or INTELLECTUAL DISABILITY nurse
  • —keep you on hold for 3 HRS
22
Q

What authority does the police have on mentally unwell pts.?

A
  • removal of the person (who appears to have a MENTAL d.o) to a place of safety (FROM A PUBLIC place)
  • up to 24hrs to allow assessment to be carried out
23
Q

Which detention does NOT permit treatment?

A

EMERGENCY detention

PSYCHIATRY (32 decks)

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