Week 10 P&L Flashcards
(11 cards)
What is the mental health act, and how does it account for the rights, freedoms, and dignity of patients?
- Mental health act allows health practitioners to force patients to comply with treatment or medication against their wishes
- To ensure people aren’t unnecessarily confined, there are stringent psychiatric/legal review processes
- Patients needs to be told rights, need to be given a copy of the decision, have the right to a support person, and have the right to communicate w/ people outside the center
Inpatient Treatment Order (ITO) vs Community Treatment Order (CTO)
- ITO requires patient to comply with inpatient treatment (such as in a hospital)
- CTO requires them to receive treatment in a community (as opposed to inpatient) setting
Criteria for ITOs and CTOs
- Patient has mental illness
- Mental illness places them and/or others at risk
- They have impaired decision making relating to treatment
- No less restrictive alternatives
What are the levels of ITOs, what review processes are required, and who can place them?
- Level 1: maximum 7 days; needs psych review within 24h. Can be placed by any health practitioner.
- Level 2: maximum 6 weeks; must be placed by psych/other authorised person
- Level 3: Max length is 1 year. Only can be placed by SACAT
What are the levels of CTOs, what review processes are required, and who can place them?
- Level 1: max 6 weeks. Need psych review within 24h. Can be made by medical/mental health professional
- Level 2: max 12 months/6mo for child (?less obedient). Can only be ordered by the SACAT tribunal
How can a person appeal an ITO/CTO? What’s the process?
- They have the right to appeal to SACAT
- Here, they can be given a lawyer, or represent themselves
- The order remains until SACAT has decided
How can different levels of ITO/CTO be revoked?
- Max level can only be revoked by tribunal
- Pscyhiatrist/authorised practitioner can revoke all others
What are the most common reasons patients might make a complaint about a practitioner?
- Dissatisfied with clinical care
- Poor communication/documentation
- Crossing boundaries
Who can make a health notification in South Australia?
Anybody (!!!)
What’s the algorithm for how the medical board handles practitioner notifications/complaints?
- Dismiss complaint? If yes, no further action. If no:
- Investigations health/assessment of health or performance
- Can then either: caution, reprimand, restrict practitioner, or can refer on to other tribunal/panel
What kind of behaviour by a medical pracititioner might warrant mandatory notification from colleagues? How sure do they have to be before notifying?
- Behaviour like intoxication/impairment, practicing significantly below standards, sexual misconduct
- You generally need knowledge (not just suspicion) of such misconduct before notifying
