Week five Flashcards
What were the four priority areas for the MHA action plan?
- A workforce that is focused on people and improved outcomes
- A workforce that is integrated and connected across the continuum
- A workforce that is competent and capable
- A workforce that is the right size and skill mix
What needs to be addressed for social inclusion?
- The traumatic impacts of colonisation and failure of services that don’t reach or work for Māori
- The need for more peer-led initiatives and services
- An emphasis on early intervention and support
- Acknowledging the impacts of social justice issues
What are the human rights under the NZ Bill of Right Act 1990?
- Right not to be deprived of life
- Right not to be subjected to torture or cruel treatment
- Right to refuse to undergo medical treatment
What is the hierarchy of NZ law?
1) Human rights bill – rights and freedoms as a citizen
2) Statutory law – such as the Mental Health Act
3) Common law – acting in a person’s best interests dependent on whether a person has capacity
What are potential conflicts between the MHA and human rights act?
- Detention for assessment vs right to liberty
- Detention for treatment and compulsory treatment orders vs prohibition of torture
- Compulsory treatment vs right to life
- Respect for private and family life vs detention
- Freedom of thought, conscience and religion vs right to withdraw consent to treatment
What is volition?
The ability to control impulses
Who is involved in the MHA?
- Anyone over 18 can make an application to have you assessed under the Act to see whether you meet the definition
- DAO (Duly Authorised Officer)
- Medical doctor or Nurse Practitioner
- Person
- Family member or witness
What is the power of the nurse in the MHA?
- Advocacy
- To seclude
- Section 111 To hold for 6 hours using emergency powers, pending application under Section 8A
What does every consumer have the right to have?
- An explanation of their condition
- An explanation of the options available, including an assessment of the expected risks, side effects, benefits, and costs of each option
- Advice of the estimated time within which the services will be provided
- Advance directives – knowing what service users find acceptable and unacceptable when under compulsion
What does EPOA mean?
Enduring Power of Attorney Under
What is the role of an EPOA in mental health?
A competent person may grant to someone an enduring power of attorney (EPOA) to make healthcare decisions on their behalf, in the event they become incompetent to make their own health care choices
