Mental health/capacity Flashcards
What is section 2 MHA?
-Assessment up to 28 days
- Recommendation of 2 doctor and application made by Approved Mental Heatlh Professional (AMHP)
What is section 3 MHA?
- Allows treatment for up 6 months
-Recommendation of 2 doctor and application made by Approved Mental Heatlh Professional (AMHP)
What is section 4 MHA?
- Emergency power of detention for 72 hours
- Recommendation of 1 doctor and application from AMHP
What is section 6 MHA?
Authorises applicant (AMHP) or person authorised by AMHP to take patient to hospital following an application for admission
What is section 17 MHA?
Patients permitted to leave from hospital, or to receive treatment in community
What is section 18 MHA?
If patient AWOL allows any AMHP/hospital staff/police or anyone authorised in writing by managers of hospital to return patient to hospital
Ambulance staff need written authorisation
What is section 135(1)
Warrant allowing police to enter and property and remove patient to a place of safety
What is Section 135(2)
Warrant authorised by judge allowing a police offiver to enter a property to retain a pateitn already under MHA
What is section 136 MHA?
Allows officers to detain for <24hours for assessment:
-where patient appears to be suffering from mental disorder
-AND needs immediate care/contro
-AND in patients best interests.
Not in patients house/garden
What is the acronym for doing a MSE?
ASMPTOI - All Silly Medics Try Psych At Once Indeed
What are the parts of the MSE? (7)
Appearance and Behaviour
Speech
Mood (both subjective and objective)
Thoughts
Perception e.g. delusion/paranoia
Cognition and Orientation
Insight
Which risk assessment tool do NICE advise?
None
What are the 5 P’s for risk assessment?
- Presentation
- Precipitating factors
3 .Perpetuating factors - any ongoing stressors - Predisposing factors - FHx. PMHx, Psych hx, social, trauma
- Protective
To what age does the MHA apply?
> 16 years
What are the 5 key principles of capacity?
- Assumed capacity
- All practical steps to help make decision should be made
- Unwise decisions allowed
- In patients best interests
- Least restrictive option
What is the definition of lacking capacity?
Unable to make decision for themselves in relation to the matter because of an impairment/disturbance in functioning of the mind
When deciding capacity what 4 components should be explored?
- Time of decision
- What is the decision
- Functional test - can they make the decision?
- Diagnostic test - what is the cause of the impairment/disturbance in functioning of the mind?W
What are the parts of the functional test re:capacity?
- Can they understand information?
- Can the retain information?
- Can they weigh up the information?
- Can they communicate that decision?
For an advanced decision to refuse treatment (ADRT), what is needed for it to be valid? (4)
- Written down
- Signed by patient
- Signed by witness
- > 18 years old
Where is LPA recorded?
Office of Public Guardian
For LPA to refuse life saving treatment what must be present?
It must have been specifically expressed within authorisation
What is the ‘acid test’ that decides whether a patient is experiencing deprivation of liberty? (2)
- Are they under continuous supervision/control?
AND
- Are they free to leave
What is the age of:
- consent
- refusing treatment
- > 16
- > 18
What 3 parts of law apply to paediatric consent and to what age do they apply?
- Childrens Act 1989 = < 18yrs
- Family Law Reform Act 1969 = <16
- Gillick Competence = no age
What are the component parts of AMTS?
What is your age?
Was is your DOB?
What is your address?
What is the year?
Who is the prime minister?
What is the time?
Where are we now?
What is my job?
39 Donnybrook road
Count backwards 20-1
Remember address
What is the JRCALC basic suicide assessment risk tool?
IPAP
Intent - still having intent
Plan - do they have a plan
Action - have they carried out anything in preparation
Protective factors
