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Psychiatry > Mental health act > Flashcards

Mental health act Flashcards

1
Q

why do we need MHA 3

A

protection of patients
-from society
-from themselves

protection of others/society

to allow treatment of patients with mental disorders

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2
Q

scottishs laws involves in psychaitry 4

A

mental health act 2003

criminal procedures act 1995

criminal justice and licensing act 2010

adults with incapacity act 2000\

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3
Q

what coniditions are within the realm for detention and use of the MHA 3

A

mental illness

learning disability

personality disorder

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4
Q

what conditions are outwith the remit of detention and use of the MHA

A

sexual orientation

sexual deviancy

transsexulaism

transvestism

dependence on, or use of, alchocl or drugs

behaviours that causes or is likely to cause harassment alarm or distress to any other person

acting as no prudent person would act

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5
Q

main types of detention 3

A

emergency detension (EDC)

short term detention (STDC)

compulsory treatment order (CTO)

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6
Q

what is emergency detention used for

A

to keep/ bring patients to hospital for assessment

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7
Q

who can carry otu an emrgency detention

-how long does it last

A

any fully registerd doctor

-lasts up to 72hrs

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8
Q

MHO role in emergency detention

-can it be appealed

*-what else needs done

A

MHO consent if possible or without consent if essential

-cannot be appealed

*-get senior psych review ASAP
-treatment not covered (common law)

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9
Q

what is a short term detention used for

A

keep/bring patient in to hospital for assesment and treatment

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10
Q

who can approve a short term detention
-how long does it last

A

approved medical practitioner (AMP) only

-up to 28 days

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11
Q

MHO role in short term detention

-can it be appealed

A

MHO consent essential

can be appealed

must be reviewed and revoked timeously

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12
Q

what is a compulsory treametn order used for

A

bing/keep patient in hospital for treatment
or
continue treatment in the community

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13
Q

how cna complete a compulsory treatment order
-how long does it last

A

two medical recommendarions
-one must be A approved medical practitioner

-lasts up to six months and renewable

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14
Q

MHO role in compulsory treatmetn order
-can it be appealed

A

MHO is the applicant

-Yes can be appealed

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15
Q

criteria for detention 5

A

mental disorder

significant risk

treatment

SIDMA (significantly impaired decision making ability) in relation to medical treatment

necessity

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16
Q

how does the definiton of mental disorder differ for each type of detention 3

A

EDC
I consider it likely…that the patient has a mental disorder
STDC
I consider it is likely…that the patient has the following type(s) of mental disorder
CTO
The patient has the following type(s) of mental disorder

17
Q

how does significant risk differ for each type of detention 2

A

EDC and STDC
…detained in hospital…significant risk…patient’s health, safety or welfare… OR…safety of any other person

CTO
…treatment…significant risk…patient’s health, safety or welfare…OR…safety of any other person

18
Q

how does treatment differ for each type of detention 3

A

Medical treatment available which would be likely to prevent MD worsening, or alleviate any of symptoms or effects of the disorder (CTO).
Determine what medical treatment should be given or giving medical treatment to patient (STDC)
Assess as a matter of urgency to detain you…. to determine what medical treatment may be needed (EDC)

19
Q

how does decision making ability differ for each type of detention

A

EDC
I consider it likely…the patient’s ability to make decisions about the provision of medical treatment for mental disorder is significantly impaired

STDC
…for that mental disorder…

CTO
I am satisfied…because of the mental disorder…his/her ability… (SIDMA)

20
Q

how does necessity differ for each type of detention

A

EDC
…necessary…urgency…determining what treatment

STDC
Likely…necessary…determining what treatment …giving treatment…

CTO
I am satisfied…necessary…cannot be…voluntary…

21
Q

what questions need asked for each type of detention

A

EDC
Why not STDC?
Alternatives to detention

STDC
Why necessary?

CTO
What treatment?
Why necessary?

22
Q

common pitfalls with MHA and detention

A

Not filling out forms properly
Informing hospital managers
Detaining patients you’re not responsible for
Using detention as a threat
De facto detention
Not informing/discussing with Senior Doctor

Psychiatry (21 decks)

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