Mental Health (Compulsory Assessment and Treatment)

Question 1

Definition for Mental Disorder

Answer 1

ABNORMAL state of mind (whether continuous or intermittent nature) characterised by DELUSION or by DISORDER of mood, PERCEPTION, VOLITION or COGNITION of such a degree

Question 2

RISKS involving a person with a mental health disorder

Answer 2

• Poses SERIOUS DANGER to the health and safety of that person or others
• seriously DIMINISHES the capacity of that person to TAKE CARE IF HIM/HERSELF

Question 3

Specialist patients

Answer 3

These are patients who are DETAINED by way of a court order if they are FOUND to be CRIMINALLY INSANE or UNFIT TO PLEA. The category also includes people on REMAND waiting for a PSYCHIATRIC REPORT

Question 4

Restricted patients

Answer 4

RESTRICTED patients who are SUBJECT to COMPULSORY TREATMENT ORDER and CONSIDERED to present a DANGER to the public

Question 5

Mental Health Act, S.110C

Answer 5

Powers of entry when URGENT assistance is needed

Search and Surveillance Act 2012, S.14 Take any action necessary to advert the emergency or risk to life and safety

Question 6

Mental Health Act, S.38

Answer 6

Assisting when person may need assessment

Question 7

Mental Health Act, S.40

Answer 7

Assistance in taking or returning PROPOSED PATIENT to place of assessment or treatment

Question 8

Mental Health Act, S.109

Police powers in public places

Answer 8

• APPREHEND
• Wandering at large in a PUBLIC PLACE
• Behaving in a manner and REASONABLE BELIEF that he/she maybe mentally disordered
• member believes it is the INTEREST OF THE PERSON OR PUBLIC to do so

Question 9

Mental Health Act, S.4

No discrimination

Answer 9

• that persons political, religious or cultural belief
• sexual preferences
• criminal or delinquent behaviour
• substance abuse
• intellectual disability

Question 10

Mental Health Act, S.122B

Answer 10

Use of Force

• to TAKE/RETAKE person, proposed patient/in-patient
• to DETAIN person, proposed patient/patient in S.41, 109 or 110
• to ENTER premises under S.110 or 41

Question 11

GI M908 Police power to use force to transport a patient

Answer 11

Force can be used ONLY in CIRCUMSTANCES where it is LIKELY the patient will be a DANGER to THEMSELVES or OTHERS or likely to cause SERIOUS PROPERTY DAMAGE

Question 12

MoU between MoH and NZ Police in relation to transportation of mentally disordered people…

Answer 12

To be TRANSPORTED in the PRONE position to prevent POSITIONAL ASPHYXIA

Question 13

What are your powers for dealing with RESTRICTED and SPECIAL patients absconded or absent without leave?

Answer 13

May apprehend and RETURNED TO HOSPITAL AT ANY TIME

Question 14

Compulsory Treatment Order Patient

Answer 14

IN-PATIENT=Stays at the psychiatric unit for treatment

OUT-PATIENT=Lives at home and attends psychiatric unit for treatment

Question 15

Compulsory treatment patients

Answer 15

Absent without leave/fails to comply with order maybe apprehended and RETURNED TO HOSPITAL WITHIN 3MNTHS OF GOING MISSING
- A new application for assessment MUST be made if absent more than 3mnths

Question 16

Mental Health Act, S.41

Police assisting a Duly Authorised Officer DAO

Answer 16

• Member of Police CALLED UPON in such circumstances may
• ENTER the premises by force if necessary
• DETAIN the person in that premises UNTIL THE ASSESSMENT EXAMINATION HAS BEEN CONDUCTED

Question 17

Who is responsible for arranging transportation for patients?

Answer 17

DAO’s

Question 18

Mental Health Act, S.110

Answer 18

DR can issue a cert to accompany the assessment application

Question 19

Mental Health Act, S.110A

Answer 19

DR issuing a cert to administer a sedative to the patient

Question 20

Entering a private address;

Answer 20

• at the REQUEST OF THE OCCUPIER
• requested by DAO under S.41
• requested to assist a DR for an urgent examination, sedative drug, urgent assessment is required under S.110(1), 110A(2), 110B(2)

Question 21

In a public place;

Answer 21

Apprehended under S.109 and take them to surgery, police station or other appropriate place for a DAO assessment to examine

Question 22

How long can we detain for?

Answer 22

No person should be detained for more than 6hrs for the purpose of a medical examination or an assessment examination

Question 23

DAO…

Answer 23

Duly Authorised Officers are QUALIFIED NURSES who have specialised in the area of mental health and then received further training on an ongoing basis. Not all psychiatric nurses become DAOs. Only those selected and further trained receive this designation.

Question 24

Who can make an application for a compulsory assessment?

Answer 24

Can be made by any 18yrs+. Normally by a RELATIVE or DR who carries out the initial examination

Question 25

Bill of Rights MUST be given when…

Answer 25

• DETAINED and TRANSPORTED
• In a language they understand
• If it is not understood, record it in your notebook

Question 26

Transporting patients…

Answer 26

MoU between Police and MoH is DAO is responsible to arrange transport.

Question 27

Proposed patient

Answer 27

• DISPLAYING SIGNS of mental distress
• DAO INFORMED, assessment app completed
• SEEN by M.P
• M.P CERTIFIES person is mentally ill
• EXAMINED by PSYCHIATRIST and DEEMED an IN/OUT patient