Mental Health Act Flashcards

1
Q

List the SADPERSONS Scale for risk of suicide

A

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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Discuss the requirements, boxes and procedure for a Form 1

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Discuss a Form 2

A
  • 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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Discuss Section 17

A
  • police officer bring in to health care facility for reasons on form 1
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

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

A
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Discuss the pre-requisite and procedure for form 4

A
  • 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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

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

A
  • 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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Discuss the components of informed consent

A

Patient receives information on

  • nature of treatment
  • expected benefits
  • risk and side effects
  • alternative treatment course or action
  • likely consequence of no treatment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

List the criteria for a capable patient

A
  • 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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

List the criteria for incapacity

A
  • 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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

List the rank order for substitute decision makers

A
  • 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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly