MHA Flashcards
what is a form 7 for?
The person who feels concerned about another person’s mental health completes a form 7 and then goes before a judge who then may or may not fill out a form 8
what is a form 8 for? What is it called?
form 8 is what is filled out when the judge feels the criteria is met
-it is called a Warrent
in what other situation could a form 8 be filled?
if someone is not complying with their CTO
what is the criteria for a form 8?
A family member, caregiver, health care worker, or a peace officer will attend court if a suspected mentally ill person will NOT see a physician AND they are concerned about the person’s mental health. They must believe that the person:
1) is suffering from a mental disorder
2) likely to cause harm to that person or others OR
3) to suffer substantial mental or physical deterioration OR serious physical impairment
what is a form 10?
a police officer will complete a form 10 to apprehend and convey a pt to a designated facility
what is the criteria for a form 10?
the pt…
1) is suffering from a mental disorder, and
2) is likely to cause harm to the person or others, or suffer substantial mental for physical deterioration, or serious physical impairment, and
3) Should be examined in the interests of the persons own safety or the safety of others
how much time is given for a pt to get to the hospital in rural areas?
72 hours
what is a form 10 called?
Statement of peace officer on apprehension
what is a form 1?
an admission certificate
who completes a form 1?
a physician
what criteria must the physician feel the pt meets to be admitted in a form 1?
1) suffering from a mental disorder
2) Likely to cause harm to that person or others, OR suffer substantial mental or physical deterieration or serious physical impairment
3) unsuitable for admission to a facility other than as a formal pt
what time frame must a doctor issued a form 1 within assessing the pt?
24 hours
what happens once the pt is at the designated facility (if the first form 1 was issued in the community)
then, another doctor (different from the doc to wrote the form 1), must assess the person and they have three options
what three options does the second physician have when it comes to a form 1?
1) write another form 1 within 24 hours from the time the first form 1 was written
2) release the person
3) treat the person in the hosptial as a voluntary pt (with the persons concent)
how long does one form 1 detain a pt for?
24 hours
how long does two form 1’s detain a pt for?
one month from the date the second form 1 was written
What is a form 2 called?
a renewal certificate
What happens after a pt is detained for one month?
After one month, if the pt is still deemed to require admission as a formal pt, two physicians must separetly assess and agree that the person meets the same criteria as a form 1.
-Form 2’s have to be completed before the expiraton of the second certificate (second form 1)
how long is someone detained for the first instance of renewal (form 2)? and second instance?
one month and one month
long long is someone detained for with the thirst instance of renewal? (and any following renewals)
6 months
if a pt is not sent to a facility within 7 days of a form 8 (which expries in 7 days), what will happen?
it will expire, but can be extended within a form 9 to extend it
is a form 10 an assessment or an admission?
an assessment
what is a form 11 called?
certificate of imcompetence to make treatment decisions
what is a form 11?
this is a situation if a formal pt is deemed imcomptetent to make tx decisions, then a form 11 is completed and a doctor identifies someone who can make tx decisions (family member, etc)
Do formal pts have the right to refuse tx?
yes
can a formal pt appeal thier certification?
yes , but there is another process involved that can make them involuntarily take thier medications (forced)
what is a form 12 called?
application for review panel hearing
what is a form 12??
its for a formal pt who wants to appeal thier admission, renewal certificates, form 11, and community treatment order
- they then go to a reveiw panel, there are three in alberta
- pt has right to a lawyer if they wish
- reveiw panal reveiws if pt should be able to leave or not
the review panal consists of 4 people…who are they
1) chair (lawyer)
2) physician
3) pyschiatrist
4) member of general public (anyone can apply for this)
after 6 continuous months of admission or renewal cerrtificates, a WHAT happens even if the pt doesnt request it?
an automatic review panal to see if pt needs to stay or not
in what situation could a physician apply for review panal?
they can do this to have the ability to treat the pt themeselves … if:
1) the pt is mentally competent but refuses to consent to treatment
2) if the pt has a decison maker who refuses tx
what if a pt who applied for review panal gets declined and has to go back to hospital but refuses to give up?
the pt can appeal to the court of queens bench (not many ppl do this
-the court decides if they will hear the appeal or not
what is a form 19 called?
issuance of community treatment order (determines if CTO is needed)
what is a form 19?
when two physicians (one being psychiatrist) assess the person and believe that the pt:
1) is suffering from a mental disorder
2) one or more of the following apply:
- has been a formal pt in a facility within a 3 year period, on two or more occasians, for a total of at least 30 days
- been in an approved hospital or been detained in a custodial institution, where it is evident that he/ she would have met the critera to be met as a formal pt
3) within the last preceding 3 year period, been sujbec to a CTO
4) person shows behaviours that are repeatative and indicate the pt is likely to cause harm to him/herself or others and suffer mental or physical deterioration if tehy do not recive CTO while living in community
how long as CTOs valid for and how are they renewed?
they are valid for 6 month, are renewed through a form 20 before the expiration date
-no limit to the number of renewals
what form can be filled if a psychiatrist beleives that the criteria for a CTO is no longer met?
Form 22
what form can be filled in a person is not complying with treatment?
form 27: CTP prder non-compliance report
- expires in 30 days
- psychiatrist can indicate that pt be brough to a specific facility
what is a form 23 for?
its a CTO apprehension order- issued to give peace officers the right to apprehend a pt and brough to a facility and assessed -then the pt will have to go through the whole form 1 process
what is the correct definition of control?
minumal use of force and or medicaiton
what should be documented by the nurse?
pts receipt of the certificates, information about formal status and rights
- make sure pt knows thier status and rights
when can a certificate be cancelled?
certificate expires, reveiw panel cancels, or physician cancels
when a pt is discharged, who gets notified?
pts guardian and family physicain
can a CTO be amended? though which form?
a form 21 can allow the CTO to be twerked or changed.
ex, if a caretaker dies, change is needed to find a new one
what is the role of a pt advocate?
to assist formal pts to understand and excercise thier rights
what else should be documented by a nurse?
- medication adheranec
- notifications
- other interventions
- education
what should the nurse document?
BAM CAPS Behavior Affect Mood Cognition Appearance Perception Suicide-homicide risk
