Violence, Aggression, Legislation and the Management of Psychosis Flashcards
(58 cards)
What can violence be defined by?
Can be defined by the nature of the act, the impact of the act upon the victim, aggressor, society
What does the WHO define as violence?
The intentional use of physical force or power, threatened or actual, against oneself, another person, or against a group or community, which either results in or has a high likelihood of resulting in injury, death, psychological harm, maldevelopment, or deprivation.
According to HCR-20 V3 manual, what is violence?
Any actual, attempted, or threatened physical harm of another person that constitutes a violation of explicit social norms. Serious problems include violence that results in severe (potential) physical or psychological harm to victims or in the imposition of severe legal or other consequences…
Give examples of the various types of violence.
- Instrumental.
- Expressive.
- Gang.
- Sexual.
- Intimate partner/domestic.
- Family.
What type of crime is most common?
Crimes of dishonesty
When severe mental illness, substance abuse and history of violence combine, probability of violent behaviour increases
TRUE
Males are less likely to commit violent crimes and commit suicide
FALSE - they are more likely to do both
What is the term used in hospital to replace violence?
Aggression
Outline the difference between aggression and violence.
Violence included the use of a ‘strong physical force’ which can be accompanied by aggression but agression doesn’t always involve physical injury
What are the 3 steps of managing an aggressive patient in hospital?
- Predict
- Prevent
- Intervention
What type of thing can be used to predict the onset of a patients aggressive behaviour?
Body language
What factors can be involved in the prevention of aggressive behaviour?
- De-escalation.
- Observations.
- Room layout.
Give examples of interventions against aggressive behaviour.
Restraint, seclusion, rapid tranquillisation
How can you manage the environment of an aggressive patient?
- Admitting to open/locked ward
Some environments may be stimulating for an aggressive patient.
TRUE
What should immediate management of an aggressive patient include?
Management of substance withdrawal phenomena, and management of acutely disturbed or aggressive behaviour
Outline the principles of the Scottish Mental Health Act
- Participation (Advance Statements)
- Respect for carers
- Informal care
- Benefit
- Non-Discrimination
- Respect for Diversity
- Least Restrictive
- Reciprocity
- Child Welfare
- Equality
Who does the MHA apply to?
The patient
What does the MHA define a patient as?
A person who has or appears to have a mental disorder.
Does the MHA always apply to someone who has been detained?
Not necessarily.
In fact special provisions for informal patients i.e. appeal to tribunal for unlawful detention, ECT to children, request assessment of needs
What groups of disorders come under the heading ‘mental disorder’?
- Any mental illness.
- Personality disorder.
- Learning disability.
A mental disorder is a mental disorder despite how it was caused or manifested?
TRUE
List all the people who can legally use the MHA.
- Any registered medical practitioner
- Approved medical practitioner (anyone trained in psychiatry)
- Police
- Patients
- Nurses
- Mental health tribunal for Scotland
- Courts
How long is the nurses holding power for MHA?
2 hours
