What is mental health? - Answers A continuum, it has constant ups and downs and it is not the
same for all individuals
optimal mental health (flourishing) - Answers
poor mental health - Answers
no mental illness symptoms - Answers
serious mental illness - Answers
purpose mental health legislation - Answers - to discourage stigma
- gives clear/defined guidelines of what MH is and how to approach it
- protects individual w/ MH, society and HCP
Mental Health Act (MHA) - Answers - gives criteria for different types of admissions
voluntary admission - Answers inpatient care sought by pt or family (w/ pt's permission)
informal admission - Answers pt agrees to being admitted but does not agree on treatment
protocols
involuntary admission - Answers - pt refuses admission from the start
- may agree or disagree to interventions getting done
Mental Health Exam (MSE) - Answers - required by the MHA to see what pt's capacity is
- can the pt understand and appreciate or not?
Health Care Consent Act - Answers - says HCP must hold to wishes in regards to trmt,
admission and services, expressed by pt while capable
Substitute Decisions Act - Answers - provides legal framework for allowing a POA
- ensuring they have the right person/SDM in place
how do we assess capacity? - Answers - can the pt understand the info relevant for making
decisions (pros and cons)
- can the pt appreciate the reasonable foreseeable consequences of a decision or lack thereof
finding of incapacity - Answers - pt is deemed incapable they must be informed by the
PHYSICIAN
, hierarchy for incapable pts - Answers - guardian
- spouse/partner
- child/parent
- sibling
- other relative
Form 1 - Answers - initiated by an MD (of any kind who has examined the patient within the last
7 days)
- allows the police to apprehend a person and bring them to a hospital ED for a psychiatric
evaluation
- the person can be held involuntarily for 72 hours for this eval.
Form 2 - Answers - court ordered examination by the Justice of Peace
- family member/friend go to court and tell JoP what pt is presenting with
- they get a signature to get an assessment from an MD
- valid for 14 days
- family/friends can now call the police to forcefully take pt to the hospital to be assessed
Form 3 - Answers - cannot be signed by the same MD who signed for Form 1
- can extend Form 1's 72hrs to Form 3's 14 days if pt needs more time
- valid for 14 days
trauma informed care - Answers - knowing there is some effect from trauma
- being able to understand, know the affect and put it into practice
safety and trustworthiness for trauma informed care - Answers if the pt feels safe, they are
more likely to be trusting in the nursing care staff
safety tips - Answers - avoid cornering yourself w/ pt
- know how to deescalate
- remove sharp or throwable objectd
- effective assessment and charting
harm reduction - Answers - efforts to minimize the harmful effects caused by substance use