Stigma and ethics

Question 1

stereotype definition in psychiatry

Answer 1

the negative thinking in stigmas

Question 2

prejudice definition in psychiatry

Answer 2

the negative emotions associated with stigma

Question 3

discrimination definition in psychiatry

what does this lead to

Answer 3

negative actions in stigma, leads to separation form society

Question 4

requirements of consent

Answer 4

knowledge of what youre consenting to 
ability to weigh up pros and cons 
ability to retain info 
capacity 
able to communicate decision

Question 5

over what age do you assume people have capacity

Answer 5

> 16yo

Question 6

acute causes of incapacity (2)

Answer 6

delirium

unconscious

Question 7

chronic causes of incapacity (4)

Answer 7

child
mental health disorder (mania, psychosis)
dementia
learning disability

Question 8

does alcohol misuse cause incapacity

Answer 8

no

Question 9

where is the ‘adults with incapacity act’ valid

Answer 9

Scotland only

Question 10

what type of procedures use the ‘adults with incapacity act’

Answer 10

elective procedures

Question 11

difference between power of attorney and guardianship

Answer 11

power of attorney - established when the patient has capacity
guardianship - established after the patient has lost capacity

Question 12

what does a section 47 certificate allow you to do

what doesn’t it allow you to do

Answer 12

treatment of physical disorder without consent

NOT treatment of psychiatric conditions

Question 13

under which act does power of attorney, guardianship and section 47 certificate come under

Answer 13

adults with incapacity act

Question 14

what does the mental health act allow you to do

Answer 14

treatment psychiatric conditions

Question 15

if a schizophrenic gets an infection, what act do you use to treat them

Answer 15

section 47 - bc youre treating the physical condition, not the psychiatric condition

Question 16

what act does the different categories of detention come under

Answer 16

mental health act

Question 17

when do you detain someone

Answer 17

if significant risk to themselves or others if not detained

Question 18

how long does emergency detention last for

Answer 18

72 hours

Question 19

what do you use emergency detentions for

Answer 19

emergency treatments only

if youre a Dr not a psychiatrist (so cant do short term detention)

Question 20

how long does short term detention last for

Answer 20

28 days

Question 21

what do you use short term detention for

Answer 21

if youre a psychiatrist
needed to authorize elective treatment eg ECT, antipsychotics

emergency detention can only be used for EMERGENCY treatment (then need a short term detention)

Question 22

how long does compulsory treatment order last for

Answer 22

6 months

Question 23

what do you use compulsory treatment order for

Answer 23

when treatment lasts longer than 28 days (in most cases)

Question 24

are short term detentions or emergency detentions preferred

why

Answer 24

short term detentions

can actually treat them

Question 25

what does an emergency detention allow you to do

Answer 25

detain someone whilst waiting for psychiatrist (to get a short term detention for treatment eg ECT, antipsychotics)

Question 26

what 2 rights do you need for compulsory treatment order

Answer 26

GP and AMP

Question 27

what does a nurses holding power allow nurses to do

Answer 27

detain a patient for 4 hours whilst waiting on a doctor

Question 28

what member of staff do you need for short term detention and compulsory treatment order (preferably emergency detention too but not compulsory)

Answer 28

MHO (mental health officer)

Question 29

criteria for detainment (5)

Answer 29

SIDMA - significant impaired decision making ability ?mental disorder
detainment necessary for treatment
significant safety risk (to themselves/others)
no alternative