Week 3 MMHA/MSE Flashcards
(46 cards)
what is the manitoba mental health act (MMHA)?
sets out in law the admission and treatment requirements for patients in psychiatric facilities
What two principles does the act try to strike a balance?
- canadian charter of rights and freedoms
- societies obligation to care and provide treatment for those who may not understand their need for treatment d/t their mental illness
What two status’ can someone have who is admitted to a psychiatric facility?
- voluntary
- involuntary
What is the first step (form) that can be filled out on the pathway to involuntary psychiatric assessement and who fills it out?
- Form 1 - application for an order of Involuntary medical examination
concenred family/friend/support
What is the second step (form) that can be filled out on the pathway to involuntary psychiatric assessement and who fills it out?
- Form 2 - judicial order
- order of involuntary medical examination
a judge (gives it to police via form 3)
What is the third step (form) that can be filled out on the pathway to involuntary psychiatric assessement and who fills it out?
- Form 3 - Notice to person in custody (it’s given to the person)
provided by police
- reason for detained
- where they are going and why
- right to retain counsel
When someone is in the ER, what form are they under?
Form 2 (judicial order)
How many hours must someone be examined after they arrive at the ER under form 2?
within 24 hours
If criteria is met for an involuntary assessment what form gets filled out?
- Form 4
by the doctor
how long is form 4 (doctor given) valid for after admission to psych ward?
72 hours
What is form 6 and when is it used?
- Form 6 is when someone is involuntarily admitted to psych ward (due to form 4, the psych evaluation)
What are the 3 options after psych evaluation (form 4)
- involuntary admission (form 6)
- Voluntary admission
- Discharge
Can the person who signs form 4 also sign form 6?
no. must be a psychiatrist/not the same one as form 4
how long does form 6 last?
21 days
Can form 6 be renewed or changed?
Yes, can be renewed after 21 days.
status can change to voluntary or be discharged as well
- patients can appeal
What is the job of the nurse when it comes to involuntary admission?
- ensure patients know their rights
- have a legal responsiblity to provide patients with information and forms required to appeal the desicion if they want
What is form 9 and who signs it?
- Certificate of incompetence to make treatment decisions.
- doctor and files with medical director
Where does a form 9 take place?
only in hospital
What happens if a form 9 is written?
Person is deemed incompetent to make treatment decisions.
SDM named and patient and them are informed via writing
- they have a right to appeal
if there is no form 9, can a patient refuse treatment?
Yes
What determines whether someone is allowed to deny their medications?
competency whether they are involuntary or voluntary
competent= right to decline meds
incompetent= SDM decides
if staff or patient safety is at risk, is it ok to administer medication against patients will without form 9?
yes
patient and staff safety is priority
- contact the psychiatrist for reassessment of competence.
What 3 things are needed to give medication against a patients wishes in non-emergent situations?
form 9 + SDM consent+ doc order
What is form 13 and who fills it out?
- Voluntary patient request for discharge AMA
- must be assessed by psychiatrist
- request verbally or via form 13 (bumps up timeline)
