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Professional ethics > Workshop Week 2 - 2 > Flashcards

Workshop Week 2 - 2 Flashcards

1
Q

Who does the Mental Health Act protect?

A

Clients with a mental illness (and society).

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2
Q

Each X has different laws regarding involuntary admissions?

A

state

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3
Q

what do involuntary admission laws detail?

A

when a person can be legally declared to have a mental illness and be admitted to hospital against their will

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4
Q

Laws detail when a person can be treated against their will. For example:

A

Community Treatment Orders

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5
Q

Prior to civil commitment laws:

A

clients were cared for by family members or cared for themselves

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6
Q

Introduction of psychiatric hospitals led to involuntary admissions for:

A

Reasons unrelated to mental illness

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7
Q

Criteria for involuntary admissions:

A

Person is either:

  1. mentally ill; or
  2. mentally disordered

BOTH TERMS IMPLY A SIGNIFICANT RISK OF HARM (TO SELF OR OTHERS)

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8
Q

Who can make a judgement re: someone being mentally ill or mentally disordered?

A
  • medical doctors
  • police
  • ambulance
  • accredited persons
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9
Q

Psychological disorder is not synonymous with:

A

“mental illness”

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10
Q

Mental illness what kind of concept?

A

A legal concept:

  • meeting DSM-V criteria for a psychiatric disorder does not necessarily mean that someone fits the legal definition of mental illness
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11
Q

Definitions of mental illness may differ slightly from state to state. True or False?

A

True

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12
Q

What is the definition of MENTALLY ILL PERSONS in NSW mental health Act?

A

If person is suffering from mental illness AND
owing to that illness, there are reasonable grounds for believing that care, treatment or control of the person is necessary:
a. for person’s own
protection from serious
harm
b. for the protection of
others from serious harm

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13
Q

What is the definition of MENTALLY DISORDERED PERSONS in NSW mental health Act?

A

If person’s behaviour for the time being is SO IRRATIONAL as to justify a conclusion on reasonable grounds that TEMPORARY care, treatment or control of the person is necessary:

     a. for person's own 
     protection from serious 
     harm
     b. for the protection of 
     others from serious harm
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14
Q

Research indicates a ______ increased rate of violence among people with a mental illness?

A

“moderately” increased rate

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15
Q

What symptoms may increase risk of violence?

A
  • hallucinations
  • delusions
  • comorbid personality disorder
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16
Q

How do you determine whether someone is dangerous to others?

A

Evaluations of risk factors:

- history of violence, drug or alcohol dependence, violent thoughts, plans, and intent

17
Q

What is the procedure for involuntary admission?

A
  • legal paperwork completed and signed by an appropriately qualified person
  • medical assessment completed
  • transport to psychiatric facility
  • review by psychiatrist or psychiatric registrar
    - legal paperwork
    completed if the
    psychiatrist agrees that
    admission is required
  • review by psychiatrist
  • application to magistrate should a longer admission be required
    - magistrate may or may
    not grant a further
    order, which again will
    be reviewed upon
    expiry should further
    hospitalisation be
    necessary
18
Q

Clients with a mental health problem can request voluntary admissions to hospital. This (usually) involves:

A
  • assessment by a mental health professional
  • medical review
  • admission
19
Q

A community treatment order authorising the compulsory treatment in the community of a person can be made by:

A
  • the MHRT : mental health review tribunal

- magistrate

20
Q

A CTO may be granted if

A
  • no other care of a less restrictive kind is appropriate, and affected person would benefit from order as least restrictive alternative consistent with safe and effective care
  • a MH facility has appropriate treatment plan for affected person and is capable of implementing it
  • if affected person has been previously diagnosed as suffering from a mental illness, the affected person has a previous history of refusing to accept appropriate treatment
  • when appropriate treatment has been refused, there has been a relapse into an active phase of mental illness
  • the relapse has been followed by mental or physical deterioration justifying involuntary admission to a MH facility
21
Q

How long may CTOs be granted for?

A

Up to 12 months

22
Q

Is Pedophilia a psychiatric diagnosis?

A

yes

23
Q

What are patients rights in MH facilities

A
  • the right to treatment

- the right to refuse treatment, unless they meet criteria for involuntary treatment

Professional ethics (11 decks)

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