Psych- Assessment and Law Flashcards
What are the categories in a Mental State Examination?
- Appearance and Behaviour
- Speech
- Mood
- Perception
- Thought form
- Thought content
- Cognition
- Insight
What are hypnagogic hallucinations?
Hallucinations while falling asleep
What are hypnopompic hallucinations?
Hallucinations when waking up
What is hyperacusis?
Hearing things louder at certain frequencies
Give examples of disorders of thought form.
- Flight of ideas
- Circumstantiality
- Loosening of associations
- Derailment
- Tangentiality
- Thought blocking
- Thought insertion
Give examples of disorders of thought content.
- Delusions
- Obsessions
- Over valued ideas
___________ is an inability to answer a question without giving excessive, unnecessary detail, with facts not differentiated from the detail
Circumstantiality
___________ is poverty of speech, either in amount or content, and can occur as a negative symptom of schizophrenia
Alogia
___________ is a severe form of flight of ideas whereby ideas are related only by similar or rhyming sounds rather than actual meaning, and is seen most commonly in BPAD mania or schizophrenia.
Clanging
___________ is a form of formal thought disorder marked by abrupt leaps from one topic to another, albeit with discernable links between successive ideas
Flight of ideas
___________ are new word formations, which may involve merging 2 words that are similar in meaning or sound.
Neologisms
____________ is unrelenting, rapid speech without pauses
Pressure of speech
____________ is wandering from the topic and never returning to it or providing the information requested
Tangentiality
What do the letters SAD PERSONS stand for?
S- Sex male
A- Age <20 or >44
D- Depression
P- Previous suicide attempt E- Ethanol abuse R- Loss of Rational thinking (psychosis) S- Social support low O- Organised suicide plan N- No partner S- Sickness
Which drugs can be used for rapid tranquilisation?
- Second gen antipsychotics eg. Olanzapine, Aripriprazole, Quietiapine
- First gen antipsychotics eg. Haloperidol
- Antihistamine- Promethazine
- Lorazepam
For assessment under the Mental Health Act, which health care professionals are usually needed?
1 x Approved Mental Health Professional (AMHP)
1 x Section 12 qualified doctor
1 other doctor
What are the criteria for a patient to be sectioned under the MHA?
- Must have or be suspected of having a mental health disorder
- Degree of condition- severity
- Nature of condition- hisotry
- Risk of harm to self, others or health
Patient should be unable to be treated in the community and unable to consent to their admission
Section __ of the MHA involves assessment and treatment for a maximum duration of 28 days.
Section 2
Section __ of the MHA involves treatment for a maximum duration of 6 months, which can be renewed.
Section 3
Under Section 2 of the MHA, can the application be blocked by the nearest relative?
No
Under Section 3 of the MHA, can the application be blocked by the nearest relative?
Yes
Under Section 2 of the MHA, can you treat a patient against their will?
Yes
Under Section 3 of the MHA, can you treat a patient against their will?
Yes- for the first 3 months
Then need review by second opinion doctor.
What is Section 4 of the MHA?
Emergency assessment of patient, for up to 72 hours
Need a Section 12 doctor and AMHP
What is Section 5 (2) of the MHA?
Doctor’s holding power, for up to 72 hours
Needs to be FY2 doctor or above
To allow MHA assessment
What is Section 5 (4) of the MHA?
Nurse’s holding power, to allow MHA assessment
For up to 6 hours
Needs to be mental health nurse
A section ___ is a warrant from court to search for and remove a patient from their home.
Section 135
A section ___ is the police power to remove a person from a public place to a place of safety for assessment.
Section 136
A section 62 involves….
Emergency treatment needed to save the life or a patient, reduce harm to them or others, prevent suffering or serious deterioration of their mental condition.
Emergency treatment while waiting for second opinion doctor.
A T2 form is…
Consent to treatment when a patient does have capacity
A T3 form is….
Consent to treatment by second opinion doctor when a patient lacks capacity.
What are the 4 components of a Mental Capacity Test that a patient must pass to have capacity?
- Understand information
- Retain info
- Weigh up info and make decision
- Communicate decision
What are the 5 principles of the Mental Capacity Act?
- Presume patients have capacity unless determined otherwise
- Encourage patients to gain capacity and make decisions
- The right to make unwise decisions
- Make decisions in patient’s best interest if they lack capacity
- Use the least restrictive option
What do D.O.L.S do?
Deprivation of Liberty Safeguards
Protect the human rights of those who lack capacity and have been deprived of their liberty
In what settings are DOLS used?
Hospitals
Care homes
