Mental Health Act

Question 1

List the SADPERSONS Scale for risk of suicide

Answer 1

S: Male sex
A: Age 15-25 or >59
D: Depression or hopelessness (2 points)
P: previous suicidal attempt or psychiatric care
E: Excessive ethanol or drug use
R: Rational thinking lost (psychosis) (2 points)
S: Single, widowed, divorced
O: Organized or serious attempt (2 points)
N: No social support
S: Stated future intent for suicide (2 points)

Scoring

• low 0-5
• require consult 6-8
• admission >8

Question 2

Discuss the requirements, boxes and procedure for a Form 1

Answer 2

Requirements
- been formally assessed by a physician in last 7 days
Box A past/present and future test
- threatening harm to self
- attmepting to cause bodily harm to self
- behaving violently towards another
- lacking competence for care
Box B Must fulfill all 5 criteria
- past test of patient received treatment for box A critieria
- patient clinically improved on treatment
- patient is incapable of consenting to treatment
- patient suffering from same disorder
- future test of Box A
Procedure
- police have 7 days to bring patient in for assessment
- Form 42 then given to patient
- psychiatric assessment over 72 hour

Question 3

Discuss a Form 2

Answer 3

• can be obtained by any person and completed by justice of the peace
• must meet Box requirements
• police then bring in person to be assessed by psychiatrist

Question 4

Discuss Section 17

Answer 4

• police officer bring in to health care facility for reasons on form 1

Question 5

Discuss the voluntary/involuntary, pre-requisite and procedure for Form 3

Answer 5

Involuntary
- completed by psychiatrist which allows for involuntary admission to hospital
Prequisite
- patient must be on form 1
- must be completed by different physician than that of form 1
- must meet same safety criteria
Procedure
- form 30 need to be given to patient
- can be admitted for 2 weeks

Question 6

Discuss the pre-requisite and procedure for form 4

Answer 6

• is certificate of renewal to keep patient involuntarily admitted
  Pre-requisite
• satisfy criteria in form 1
  Procedure
• filled first time then for 1 month, 2nd for 2 months, 3rd for 3 months
• form 30 must be given to patient each time

Question 7

Discuss the indication and pre-requisite for a community treatment order

Answer 7

• requires patient to comply with outpatient treatment plan
  Indication
• used for patients with poor insight, compliance and frequent admissions
  Pre-Requisite
• consent given by patient or SDM
• have history of admission and meet Form 1 criteria
• failure to comply patient gets readmitted to hospita

Question 8

Discuss the components of informed consent

Answer 8

Patient receives information on

• nature of treatment
• expected benefits
• risk and side effects
• alternative treatment course or action
• likely consequence of no treatment

Question 9

List the criteria for a capable patient

Answer 9

• able to understand information that is relevant to making decision
• able to appreciate reasonably foreseeable consequences of lack of decision
• able to apply information to their own situation

Question 10

List the criteria for incapacity

Answer 10

• if patient is labelled uncapable they have 2 days to be apply to consent and capacity board
• all non-emergency treatment must be delayed until decision or 2 days have passed
• patient provided form 33

Question 11

List the rank order for substitute decision makers

Answer 11

• power of attorney
• spouse or partner
• parent or child
• sibling
• any other relative
• public guardian and trustee if no one else available, wanting or 2 SDMs make claim with equal rank