Stigma and ethics Flashcards
stereotype definition in psychiatry
the negative thinking in stigmas
prejudice definition in psychiatry
the negative emotions associated with stigma
discrimination definition in psychiatry
what does this lead to
negative actions in stigma, leads to separation form society
requirements of consent
knowledge of what youre consenting to ability to weigh up pros and cons ability to retain info capacity able to communicate decision
over what age do you assume people have capacity
> 16yo
acute causes of incapacity (2)
delirium
unconscious
chronic causes of incapacity (4)
child
mental health disorder (mania, psychosis)
dementia
learning disability
does alcohol misuse cause incapacity
no
where is the ‘adults with incapacity act’ valid
Scotland only
what type of procedures use the ‘adults with incapacity act’
elective procedures
difference between power of attorney and guardianship
power of attorney - established when the patient has capacity
guardianship - established after the patient has lost capacity
what does a section 47 certificate allow you to do
what doesn’t it allow you to do
treatment of physical disorder without consent
NOT treatment of psychiatric conditions
under which act does power of attorney, guardianship and section 47 certificate come under
adults with incapacity act
what does the mental health act allow you to do
treatment psychiatric conditions
if a schizophrenic gets an infection, what act do you use to treat them
section 47 - bc youre treating the physical condition, not the psychiatric condition
what act does the different categories of detention come under
mental health act
when do you detain someone
if significant risk to themselves or others if not detained
how long does emergency detention last for
72 hours
what do you use emergency detentions for
emergency treatments only
if youre a Dr not a psychiatrist (so cant do short term detention)
how long does short term detention last for
28 days
what do you use short term detention for
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)
how long does compulsory treatment order last for
6 months
what do you use compulsory treatment order for
when treatment lasts longer than 28 days (in most cases)
are short term detentions or emergency detentions preferred
why
short term detentions
can actually treat them
what does an emergency detention allow you to do
detain someone whilst waiting for psychiatrist (to get a short term detention for treatment eg ECT, antipsychotics)
what 2 rights do you need for compulsory treatment order
GP and AMP
what does a nurses holding power allow nurses to do
detain a patient for 4 hours whilst waiting on a doctor
what member of staff do you need for short term detention and compulsory treatment order (preferably emergency detention too but not compulsory)
MHO (mental health officer)
criteria for detainment (5)
SIDMA - significant impaired decision making ability ?mental disorder
detainment necessary for treatment
significant safety risk (to themselves/others)
no alternative
