UNIT #3 Flashcards
In addition to your basic documentation, the following should be considered when documenting information in relation to PMI’s:
(9)
(1) Your report should consist of factual information (not interpretations)
(2) Your report should be clear and concise
(3) You want to document as much detail as possible
(4) You may want to consider recommending this person to be entered as an SIP (special interest to police) if you think they suffer from mental health issues and there are reasonable and probable grounds to suggest that they are at risk to themselves or others
(5) You may want to consider recommending this person to be entered as an FIP (firearms interest to police) if in the last 5 years they have been treated for mental health and present with a violent history
(6) Record comments by the PMI verbatim (word for word and use quotations to stipulate this)
(7) You also want to report on things such as: whether or not you observe the individual is talking to themselves, has delusional thinking or is hearing voices (what the voices are saying), and whether or not they are expressing suicide ideation (intent and or plan)
(8) Remember, you are not a Doctor – refrain from using psychiatric terms, unless you are quoting something the PMI has said themselves
(9) Record any changes in behaviour throughout the interaction
According to Perlman, Neufeld, Martin, Goy, and Hirdes (2011), the following 8 factors are to be considered when documenting interactions with an individual who is considering or you suspect is considering suicide:
(8)
(1) The overall level of suicide risk.
(2) Prior history of suicide attempt(s) and self-harming behaviour
(3) Details about any and all risk and protective factors
(4) The degree of suicide intent (what the PMIs intended outcome of this attempt involves)
(5) The person’s feelings and reaction following past suicidal behaviour (is any). Example - A sense of regret for being alive, or relief for having not gone through with the intended past plan.
(6) Evidence of escalation in past attempts (e.g., cutting, overdose, hanging, seeking a gun).
(7) Similarity of the PMIs status/circumstances to others around them
(8) History of self-harm or suicidal behaviour(s) among family or friends
Documentation regarding The overall level of suicide risk. (5)
(1) Log any assessment tool used to determine risk (perhaps your PD has a suicide risk assessment form) –
(2) Details from communication with individual in question, as well as their family members and friends (if available)
(3) Timing and conditions of the event
(4) Method of plan and the means to follow-through
(5) Whether or not there is intent to follow through
Documentation regarding Prior history of suicide attempt(s) and self-harming behaviour (4)
(1) Previous attempts (history) and prior safety plan or intervention
(2) Length of time since last attempt
(3) Rationale (if any) for why someone may have been recently discharged to a less controlled environment
(4) Details about concerns from loved ones and how these have been addressed
Documentation regarding Details about any and all risk and protective factors (8)
- Psychiatric illness
- Medical illness
- Life stressors
- Substance use/abuse
- Personality disorder
- Psychosocial vulnerability (e.g., loss of job or loved one, financial stressors, legal problems or relocation)
- Hopelessness
- Family History (e.g., other members having died by suicide, a history of trauma and/or abuse)
Documentation regarding Possible Protective Factors (5)
- Kids in the home (unless with postpartum depression/psychosis
- Religious beliefs that deter
- Overall life satisfaction
- Positive coping skills/tools
- Hope for the future
Le Dain Commission (2)
(1) was formed in 1969 to assess the costs of existing criminalization policies.
(2) identified several components such as: a need for increased police power/authority when it came to drugs and anti-narcotic enforcement; for example, police were afforded with more rights for search and seizure when drugs were involved, than perhaps they would have with more severe cases (e.g., murder/rape).
Prohibition
the criminal offense of the production or possession of substances and/or the importation or distribution of substances
Decriminalization
the lack of criminal charges for specific quantities of certain drugs (possession can still be a crime but without enforcement of said crime, only fines may be imposed)
Medicalization
Exemptions that are afforded so that specific substances may be used as medical management of substance dependence (e.g., methadone)
Depenalization
When there are no penalties for possession of particular substances
In recent Canadian history (2007), the War on Drugs was being addressed with:
the National Anti-Drug Strategy
the National Anti-Drug Strategy
designed to include components of prevention, treatment and enforcement.
According to Riley & O’Hare (2000), some of the main components of harm reduction are:
(5)
(1) pragmatism (substance use is inevitable and some level is normal in society),
(2) humanistic values (the choice, dignity and the rights of the user should be respected),
(3) focus on harms (drug use is secondary to potential harms from said drug use),
(4) balancing costs/benefits (weighing drug related problems and their harms with cost/benefit of interventions),
(5) hierarchy of goals (many harm reduction models espouse hierarchies with the initial focus on the most immediate need)
