Psychiatry Flashcards
4 members of the mental health team in primary care
GP: 1st point of contact, refer
Health visitor: child development and postnatal depression
Practise counsellor: mild/moderate health problems
Primary care mental health worker: Assesses and signposts
6 members of the mental health team in the community
Psychiatrist: Assess, diagnose, prescribe, manage and section
Clinical psychologist: psychological assessment and therapies
Community psychiatry nurse: Visits patients at home, support with injections
Registered mental health nurse: hospital based
OT: Assess ADL
Social worker: money and housing problems
Who is the key worker
Usually a nurse or social worker
Waiting time for consultant led mental health services on the NHS
18 weeks
Risk factors for depression (9)
Female FHx Bereavement Physical illness Dementia Asian/Afro-Caribbean Social isolation Unemployment Unmarried
Lifetime risk of depression and bipolar disorder
Male depression: 10%
Female depression: 20%
Male and Female Bipolar: 1%
Management of depression
Often GP
Cultural differences to depression
Higher disengagement Language differences Physical Sx (nerves, headaches) Stigmatised Relgision
Largest single cause of disability in the UK
Depression
3 key facts about depression in primary care
1/3 GP appointments contain mental health
2/3 suicide victims see a GP before they die
50% GPs at risk of burnout
When can you treat without consent
When patient lacks capacity to consent
Relative or approved social worker must apply for individual to be forcibly kept in hospital and 2 doctors must assess their condition
4 reasons why you can be sectioned
urgently treated for mental health
health would be at serious risk of worsening if no treatment
your safety or others would be at serious risk
doctor believes you need treating in hospital
Human rights and detaining
Cannot detain without reason or against will unless sectioned
Person must be given a reason why they are detained and given the opportunity to challenge it
What is the mental health act?
A law that allows people with a mental disorder who do not give their consent to be admitted to hospital, investigated and treated for their own safety and that of others
Section 2
28
Admission, assessment and treatment of a person with a mental health disorder
AMP and 2 approved clinicians (one section 12 approved)
Section 3
6 months
Treatment of a mental disorder
Can be renewed
Patients can appeal
AMP and 2 approved clinicians (one section 12 approved)
Section 5(2)
A holding order completed by any doctor used for the emergency detention of inpatients on any ward for assessment of a suspected mental health problem
72 hours
Can be made by one doctor with the approval of a mental health professional
Not renewable so patient needs to be assessed quickly
Section 5(4)
Urgent detention of inpatients recieving treatment for a mental disorder for 6 hours
Registered mental health nurse
Section 135
Allows a police officer to enter someones house and take them to a place of safety if they are thought to be suffering from a mental health disorder
Section 136
Allows a police officer to reovoe someone who seems to be suffering from a mental disorder from a pubic place and take them to a place of safety for assessment
Community treatment orders
When discharged from section 3
Supervised treatment when you leave the hospital
If you break it, you must return to the hospital for 72 hours
Everyone detained under the mental health act is entitled to an independent mental health advocate who can help and support the patient
What is their role (5)
Listen to views and concerns
Explore options and rights (without advising)
Help them contact people
Accompany them to meetings/appointments
Ensure patients opinions and ideas are articulated and taken seriously
What questionnaire can assess cognitive representations of illness.
illness perception questionnaire from Leventhal’s self-regulatory models of illness behaviour
Anxiety and depression in people with other medical problems
Twice as common
