week 1 intro Flashcards
what is mental health
the state of wellbeing in which each individual is able to realize own potential, cope with normal stresses of life to work productively, fruitfully and make a contribution to the community
what is mental illness
alterations in cognition, mood or behaviour coupled with significant distress and impaired functioning
what is the biggest barrier to mental health
stigma
most common diagnostic tool for mental disorders
DSM5
reason for diagnosis and possible negative experience that may come with it
labelling that allows for a way to explain and further understand the experiences, symptoms, and behaviours that lead to treatment
- may bring loss of personal identity, that leads to stigma
recovery and mental health illness, how it differs from clinical
to live a satisfying/hopeful life while living with mental health challenges/illness
- not equal to clinical recovery or a cure
to coexist and live with disorder while managing symptoms
what is the health care consent act
related to consent in all areas of care (not in emergency)
- must determine if the client has the CAPACITY to make a decision
how is capacity determined (2)
- understand the information relevent to make decisions about the proposed treatment
- appreciate the reasonably forseeable consequences of their decision
what form is provided regarding lack of capacity to make decisions
form 33 will be provided if the patient is determined without the capacity to make decisions
substitute decision makers (1/2 of each, most priority to least priority and type of SDM)
most (legally appointed)
- court appointed guardian
- attorny for personal care
- representative appointed by consent and capacity board
automatic family member
- spouse or partner
- parents or children
- parent with right of access only
- siblings
- any other relatives
last resort
- public guardian or trustee
what is the mental health act
permits certain infringements on persons rights and freedoms to ensure they receive adequate care and treatment (under certain circumstances)
- may involve loss of consent or say in healthcare journey
types of patients under mental health act (4)
- voluntary patient
- involuntary consent
- informal patient
- foresneic patient
MH act - voluntary patient
person admitted for assessment and treatment with consent
MH act - involuntary consent
allows designated facility to HOLD the person for assessment and treatment without consent
MH act - informal patient
person admitted for assessment and treatment with consent of SDM
foresneic patient
admitted under court order
what forms are involved & for what in the involuntary consent of a patient under MH act
form 1 - hold for assessment
form 3/4/4a - hold for assessment and treatment
what is a form 1 hold (who completes it, how long does it last, its purpose, what will you notify the client with, what do you have to conduct)
- completed by physician
- admitted for a risk of harm to themselves or others (immediate safety concern)
- lasts 72 hours for assessment by psychiatrist
- must conduct serious harm test
- notify client with form 42
serious harm test (what 6 things does it consist of)
- has threatened or attempted to cause bodily harm to themself
- has behaved or is behaving violently towards another person or has caused bodily harm or fear of to another person
- has shown or is showing a lack of competence to care for themself
AND physician is of the opinion that person is suffering from mental disorder of a nature that will likely result in… - serious bodily harm to the person
- serious bodily harm to another person
- serious physical impairment of the person
form 3 & 4 (for each: duration, purpose, who completes it, what form do you notify patient with)
form 3
- lasts 14 days
- admission as an involuntary patient
- completed by psychiatrist
- notify patient with form 30
form 4
- lasts 1-3 months per renewal
- ongoing admission as an involuntary patient
- completed by psychiatrist
- notify patient with form 30
requirements for form 3/4 regarding patient safety
the physician is of the opinion that…
the patient is suffering from mental disorder of nature that will likely result in
- serious bodily harm to the patient
- serious bodily harm to another person
- serious physical impairment of the person unless the patient remains in the custody of a psychiatric facility
AND the patient is not suitable for admission or continuation as an informal or voluntary patient
what is a community treatment order
mandatory outpatient treatment plan that allows clients to live out in the community as long as they are following their medication or treatment orders, involves close monitoring
what is malalignment
- what they are saying is NOT aligning with their expressions and affect
