NURSE 385 FINAL QUESTIONS AND ANSWERS
What is the Protection for Persons in Care Act (PPCA)? - Answers :■Law promoting
prevention and reporting of abuse of adult Albertans who receive care or support
services
-Services funded by Government of Alberta
■Directly or indirectly
The 3 criteria of the Mental Health Act - Answers :1.The person is suffering from mental
disorder
2.The person is likely to cause harm to self or to suffer substantial mental or physical
deterioration or serious physical impairment, and
3.The person is unsuitable for admission to a facility other than as a formal patient
All 3 criteria must be present in the opinion of a physician in order for the physician to
sign the certificate.
OR
-The formal patient is unsuitable to continue at a facility other than as a formal patient
(in the case of a renewal certificate).
Formal Patient - Answers :■a patient detained in a facility under the Mental Health Act
on the authority of two admission certificates or two renewal certificates
Informal Patient - Answers :■voluntarily seek treatment or admission to hospital
Mental Disorder: - Answers :a substantial disorder of thought, mood, perception,
orientation or memory that grossly impairs;
-Judgement
-Behaviour
-Capacity to recognize reality, or
-Ability to meet the ordinary demands of life
Compulsory Admission - Answers :■The physician completes a Form 1: Admission
Certificate
■The person can then be held for 24 hours within which
■A second physician completes a second Form 1: Admission Certificate
■The person can then be held for up to 1 month
■Note - neither physician has to be a psychiatrist
■A person can be brought from the community to a facility by a Peace Officer under a
Form 10
Community Treatment Orders (CTO) - Answers :■Intended to support people in the
community with severe and persistent mental disorder who have history of non-
compliance with treatment
,■
■Treatment plan under supervision of psychiatrist, which person is involved in making
or at least informed of
■
■Person can be apprehended on psychiatrist order if fails to comply
■
■Person has right to request review
Community Treatment Orders (CTO) - Answers :■All Treatment/Care must be available
and patient able to comply for CTO to continue
■CTO is in effect for six months after issue (M)
-Automatically expires unless 2 physicians renew (one must be psychiatrist or
designated physician). May be renewed every 6 months, unlimited renewals.
■Automatic Review Panel Hearing on the first renewal (after 6 months) and every
second renewal (12 months) after that •
■Patient (or SDM) may request a Review Panel hearing to cancel a CTO •
■Patient may access MH Patient Advocate services at any time while on a CTO
-Facility" means a place or part of a place designated in the Mental Health Regulation
as a facility, otherwise known as designated facility
Patient Rights/Staff Obligations - Answers :■The person has to be given a copy of the
Admission Certificates and have the reason for the compulsory admission explained to
them
■
■They have to be given verbal and written information about the review process and the
Mental Health Advocate's office
Patient Rights - Answers :■To see a lawyer
■
■To contact the Mental Health Patient Advocate's office
■To request a review panel
■To consent to or refuse treatment if mentally competent
-There is an additional certificate process for compulsory treatment
Review Panels - Answers :■Made up of the chair, who is a lawyer, a psychiatrist, a
physician and a member of the general public
■At patient request
■OR after 6 months of hospitalization
■OR after first renewal (6 months) and every subsequent second renewal of a
Community Treatment Order
■Further appeal is possible to the Court of Queen's Bench
Domains of decision-making (AGTA definition): - Answers :-health care;
, -where, with whom and under what conditions to live (either permanently or
temporarily);
-with whom to associate;
-social activities;
-participation in any educational, vocational or other training;
-employment; and
-any legal proceedings that do not relate primarily to the financial matters
Protection for Persons in Care Act 2018 applies to publically funded service providers in
Alberta, including.. - Answers :-Hospitals
-Nursing homes and lodges
-Group homes
-Mental health facilities
Service provider responsibilities - Answers :■Protect clients from abuse
■Maintain reasonable level of safety for clients
■When notified of reported abuse, ensure clients are safe
■Make information about the Act available to anyone working in a facility including
volunteers
■Criminal records checks
Definition of abuse - Answers :An act or omission that:
§Causes serious bodily harm
§Causes serious emotional harm
§Inappropriate administration, prescription or withholding of medication resulting in
serious bodily harm
§Non-consensual sexual activity
§Misappropriating money or valuables
§Failure to provide adequate nutrition or medical attention resulting in serious bodily
harm
Range of physical harm - Answers :■Minor - not requiring any treatment
■
■Moderate to Extreme must be reported
■
-i.e. requiring first aid treatment or relatively minor intervention up to harm resulting in
permanent disability or death
Range of psychological harm - Answers :■Minor - brief with only temporary stress or
embarrassment
■Moderate or Major harm with increasing level of distress
■Traumatic - significant and life changing
What is the Protection for Persons in Care Act (PPCA)? - Answers :■Law promoting
prevention and reporting of abuse of adult Albertans who receive care or support
services
-Services funded by Government of Alberta
■Directly or indirectly
The 3 criteria of the Mental Health Act - Answers :1.The person is suffering from mental
disorder
2.The person is likely to cause harm to self or to suffer substantial mental or physical
deterioration or serious physical impairment, and
3.The person is unsuitable for admission to a facility other than as a formal patient
All 3 criteria must be present in the opinion of a physician in order for the physician to
sign the certificate.
OR
-The formal patient is unsuitable to continue at a facility other than as a formal patient
(in the case of a renewal certificate).
Formal Patient - Answers :■a patient detained in a facility under the Mental Health Act
on the authority of two admission certificates or two renewal certificates
Informal Patient - Answers :■voluntarily seek treatment or admission to hospital
Mental Disorder: - Answers :a substantial disorder of thought, mood, perception,
orientation or memory that grossly impairs;
-Judgement
-Behaviour
-Capacity to recognize reality, or
-Ability to meet the ordinary demands of life
Compulsory Admission - Answers :■The physician completes a Form 1: Admission
Certificate
■The person can then be held for 24 hours within which
■A second physician completes a second Form 1: Admission Certificate
■The person can then be held for up to 1 month
■Note - neither physician has to be a psychiatrist
■A person can be brought from the community to a facility by a Peace Officer under a
Form 10
Community Treatment Orders (CTO) - Answers :■Intended to support people in the
community with severe and persistent mental disorder who have history of non-
compliance with treatment
,■
■Treatment plan under supervision of psychiatrist, which person is involved in making
or at least informed of
■
■Person can be apprehended on psychiatrist order if fails to comply
■
■Person has right to request review
Community Treatment Orders (CTO) - Answers :■All Treatment/Care must be available
and patient able to comply for CTO to continue
■CTO is in effect for six months after issue (M)
-Automatically expires unless 2 physicians renew (one must be psychiatrist or
designated physician). May be renewed every 6 months, unlimited renewals.
■Automatic Review Panel Hearing on the first renewal (after 6 months) and every
second renewal (12 months) after that •
■Patient (or SDM) may request a Review Panel hearing to cancel a CTO •
■Patient may access MH Patient Advocate services at any time while on a CTO
-Facility" means a place or part of a place designated in the Mental Health Regulation
as a facility, otherwise known as designated facility
Patient Rights/Staff Obligations - Answers :■The person has to be given a copy of the
Admission Certificates and have the reason for the compulsory admission explained to
them
■
■They have to be given verbal and written information about the review process and the
Mental Health Advocate's office
Patient Rights - Answers :■To see a lawyer
■
■To contact the Mental Health Patient Advocate's office
■To request a review panel
■To consent to or refuse treatment if mentally competent
-There is an additional certificate process for compulsory treatment
Review Panels - Answers :■Made up of the chair, who is a lawyer, a psychiatrist, a
physician and a member of the general public
■At patient request
■OR after 6 months of hospitalization
■OR after first renewal (6 months) and every subsequent second renewal of a
Community Treatment Order
■Further appeal is possible to the Court of Queen's Bench
Domains of decision-making (AGTA definition): - Answers :-health care;
, -where, with whom and under what conditions to live (either permanently or
temporarily);
-with whom to associate;
-social activities;
-participation in any educational, vocational or other training;
-employment; and
-any legal proceedings that do not relate primarily to the financial matters
Protection for Persons in Care Act 2018 applies to publically funded service providers in
Alberta, including.. - Answers :-Hospitals
-Nursing homes and lodges
-Group homes
-Mental health facilities
Service provider responsibilities - Answers :■Protect clients from abuse
■Maintain reasonable level of safety for clients
■When notified of reported abuse, ensure clients are safe
■Make information about the Act available to anyone working in a facility including
volunteers
■Criminal records checks
Definition of abuse - Answers :An act or omission that:
§Causes serious bodily harm
§Causes serious emotional harm
§Inappropriate administration, prescription or withholding of medication resulting in
serious bodily harm
§Non-consensual sexual activity
§Misappropriating money or valuables
§Failure to provide adequate nutrition or medical attention resulting in serious bodily
harm
Range of physical harm - Answers :■Minor - not requiring any treatment
■
■Moderate to Extreme must be reported
■
-i.e. requiring first aid treatment or relatively minor intervention up to harm resulting in
permanent disability or death
Range of psychological harm - Answers :■Minor - brief with only temporary stress or
embarrassment
■Moderate or Major harm with increasing level of distress
■Traumatic - significant and life changing
