Tutorial 4- Schizophrenia and Criminal activity

Question 1

What are ideas of reference?

Answer 1

Delusional ideas where unrelated concepts apply to them e.g. the lollipop man has stepped onto the road, i must become the king of france

Question 2

What are the four types of delusional thoughts?

Answer 2

Thought blocking- people block your thoughts
Thought withdrawal- people take thoughts out of your brain
Thought insertion- others put their thoughts into your brain
Thought broadcasting- others know your thoughts

May be hard to determine this, good to probe

Question 3

What are some differentials fro schizophrenia?

Answer 3

Drug induced psychosis- (crack cocaine/ cannabis) have to have used drugs in the past week
Mania with psychosis
Schizoaffective disorder
Depression withpsychotic features

Question 4

What are the key criteria for the mental health act?

Answer 4

Mental disorder
Treatment for disorder is available
Risk to his welfare
Potential risk to self and others
Significantly impaired capacity to accept or reject treatments
Least restrictive option
Hospital is necessary

Question 5

Describe an emergency detention certificate?

Answer 5

For a formal assessment, not legally allowed to treat (FY2 and above to administer)

Question 6

Describe a short term detention certificate?

Answer 6

Legally looks better, administered by ST4 and above plus MHO, can’t give depo injections or ECT. Can give raid tranquilisation or oral medication.

Question 7

Describe a compulsory treatment order

Answer 7

Apply to a tribunal, written up by 2 medical practicioners assessment of the patient. LAwyer and lay present also present. Patient can be present if safe to appear. Lasts six months

Question 8

What other legislation is available

Answer 8

Nurses have holding powers of 3-4 hours, don’t need legislation

Compulsory treatment order- must come to clinic for treatment, typically injection. Must attend or else police are called to go and get them.

Question 9

Why are some individuals not accepted for therapy?

Answer 9

If they are not stable, bringing up past life trauma can cause them to become violent

Question 10

What is a red flag for not being admitted?

Answer 10

People want to admitted Often a red flag for not wanting to be admitted