Psychiatric Laws + Capacity Flashcards

1
Q

what is capacity

A

patients ability to make a devision

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2
Q

how is capacity assessed

A

patient must understand what the treatment is, its purpose, its nature and why it is being performed

must understand the benefits + risks

must understand the consequences of not having the treatment

retain information long enough to use it and arrive at a decision + communicate it

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3
Q

what is the adults with incapacity act 2000

A

framework for managing + safeguarding adults who lack capacity

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4
Q

what is filled out to authorise treatment in adults with incapacity

A

adults with incapacity act 2000- certificate of incapacity under section 47

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5
Q

what is a welfare guardian

A

if an adult lacks capacity to make decisions about their welfare, the court can appoint a welfare guardian to male decisions about their personal/medical care

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6
Q

what is power of attorney

A

authority given by an individual WITH CAPACITY to another person to deal with their affairs

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7
Q

what does section 47 prohibit

A

use of force or detention

- unless it is immediately necessary + only for as long is as necessary

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8
Q

what does article 5 of European convention on human rights protect patients against

A

arbitrary detention

arrest where there is no evidence they committed a crime

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9
Q

rules for children and capacity

A

under 12 = no capacity
over 16 = presumed to have capacity

12-16 may have capacity to decide depending on their level of understanding

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10
Q

can parents over rule a competent child?

A

NO!!

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11
Q

what is common law

A

giving treatment without consent in order to save a life/prevent deterioration in health

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12
Q

how long does an emergency detention last

A

72 hours

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13
Q

features of an emergency detention

A

can be given by any registered medical practitioner

matter of urgency to detain the patient for the purpose of assessing their mental sate- there would be a risk to themselves or to others if they were not in hospital

DOES NOT PERMIT TREATMENT

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14
Q

how long does a short term detention last

A

28 days

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15
Q

who can issue a short term detention

A

ONLY a psychiatrist or mental health officer

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16
Q

features of a short term detention

A

TREATMENT CAN BE GIVEN WITHOUT CONSENT

patient must have a mental disorder + impaired decision making about treatment due to this

necessary to detain patient for assessment + treatment + safety of themselves and others

patients have the RIGHT TO APPEAL

17
Q

What can be issued after a short term detention if a patient still refuses treatment

A

compulsory treatment order

18
Q

features of a compulsory treatment order

A

authorises treatment of a patient

can be in hospital or community

patient has right to appeal

19
Q

how long does a compulsory treatment order last

A

6 months

20
Q

what is an advanced statement

A

a document written up in concordance with the mental health act when the patient is WELL that states how the patient would like to be treated/not treated should they become unwell

21
Q

what is a designated medical practitioner

A

offers a second opinion of treatment under the mental health act

22
Q

what is an adults with incapacity intervention order

A

allows a person to make ‘one off’ decisions for an adult with incapacity
e.g. sell their house, sign a legal document