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1. Components of MSE: Appearance, Behaviour, Speech, Emotion, Perception, Thought, Insight, Cognition &
Judgement
2. Static Risk: Does not change
3. Risk factors of Suicide: Previous attempts, current mental health conditions, increased substance use,
male gender & feelings of hopelessness
4. Barriers to conducting a MSE: Physical environment, age, cognitive impairment, cultural barriers, CALD
& comorbidities
5. Types of Delusions: Erotomaniac, Grandiose, Persecutory, Referential and Nihilistic
6. Dynamic Risk: Risk that can change
7. MSE: Appearance: Looking at age, gender, hygiene, clothing: appropriate to the weather, age and gender.
Are they dishevelled etc.
8. MSE: Behaviour: Motor activity, posture, body language, eye contact, attitude toward interviewer & rapport
9. MSE: Speech: Rate, quantity, quality, volume, rhythm (talkative, fast, slurred, mute, hesitant)
10. MSE: Emotion: Affect & Mood
There should be congruence between the two
Mood is subjective, affect is objective
Looking at fluctuation, range and intensity
11. Labile: Fluctuation in affect, rabidly shifting seen in bipolar
12. MSE: Perception: Sensory Alterations
13. Hallucinations: False stimuli in any of the five stimuli
Visual, auditory, gustatory, olfactory or tactile
14. Illusion: Misinterpretations of real stimulus
15. De-personalisation: Belief as though they do not exist, in part or entirely
16. De-realisation: Belief that the external world does not exist/detached from the world
17. MSE: Though Content examples: Obsessions, delusions, thoughts of harm to self or others,
phobias, magical thinking
18. MSE: Thought stream examples: Thought blocking, poverty of thought, repetition, flight of ideas,
racing thoughts
19. MSE: Thought form examples: Tangential, derailment, thought insertion, word salad, neologisms
20. Erotomanic delusions: Individual believes someone is in love with them
21. Grandiose delusions: Individual believes that they have super powers
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22. Persecutory delusions: Individual believes that they are a threat, they are being watched or being set
up
23. Referential delusions: Individuals believe that there are special messages in world events, music, tv, radio
or newspaper
24. Nihilistic delusions: Individual believes their body part of themselves do not exist or the world does not
exist
25. MSE: Insight: Patients own perception on situation; intact, partial or poor
26. Cognition: Level of consciousness, orientation, attention and memory
27. MSE: Judgement: Capacity of patient to make decision on health
28. For patient to be put on an AO: Must have current mental health illness
Need immediate treatment to prevent serious deterioration or serious harm to self or others and;
Person can be assessed and;
No less restrictive means to enable person to be assessed
29. Is delirium a mental illness: NO
30. Who can make an AO: Medical Practitioner or Mental Health Practitioner
31. Making an AO - must have: Examined patient within previous 24 hours
Satisfied the criteria apply to patient
32. How long does Community AO last: 24 hours
33. How long does Inpatient AO last: 72 hours
34. Who can make a TTO: Authorised Psychiatrist
35. TTO - must have: Satisfied criteria apply to patient
Consider patients views and consider alternatives
36. How long does TTO last: 28 days
37. Who can make a TO: Mental Health Tribunal
38. How long does TO last: < 18 - less than 3 months
> 18 - less than 6 months
39. What is s.232: Permits authorised person to take person into care and control if satisfied if:
Person appears to have mental illness
It is necessary to prevent imminent and serious harm to self or others
40. Who does s.232 apply to: PSO, Paramedics and Police
41. What is s.127: Restrictive Interventions