week 11 + 12

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Questions and Answers

What qualifies a person as a mentally disordered person according to the criteria?

They should have received prior voluntary treatment.

They must always be under community supervision.

They must display rational behavior.

They must exhibit significant physical risk to self or others. (correct)

Which of the following is NOT a criterion for a Community Treatment Order (CTO)?

The CTO is considered the least restrictive alternative for treatment.

The person is judged likely to become mentally ill within 3 months.

The person has a history of violent behavior. (correct)

The person is currently mentally ill.

Which method allows for the formal admission of a person who is at risk of self-harm?

Self-referral by friends or relatives.

Admission by a designated carer in remote areas. (correct)

Admission following a court order for a mental evaluation.

Voluntary admission by the individual.

What is required for a medical practitioner to schedule an admission according to the Mental Health Act?

The practitioner must fill out Schedule 1. Signup and view all the answers

In which situation is an involuntary patient admitted to the hospital?

They are detained against their wishes due to mental illness. Signup and view all the answers

Which of the following best describes a forensic patient?

Someone found not guilty due to mental illness. Signup and view all the answers

Which of the following is NOT one of the symptoms associated with cognitive impairment due to burnout?

I feel emotionally drained Signup and view all the answers

Which factor does NOT influence burnout as mentioned in the content?

Personal financial investments Signup and view all the answers

What is a symptom of impaired work performance due to burnout?

I can no longer feel pleasure from my work Signup and view all the answers

According to Maslach’s theory, which of the following areas is NOT considered when examining the likelihood of burnout?

Opportunities for vacation Signup and view all the answers

Which symptom is indicative of the 'unsettled mood' dimension of burnout?

I feel self-critical and am hard on myself Signup and view all the answers

What does the term 'withdrawal and insularity' refer to in the context of burnout?

Keeping to oneself and isolating from others Signup and view all the answers

How long can a mentally disordered person be detained initially?

Up to 3 days Signup and view all the answers

What is the maximum duration a tribunal can recommend a Community Treatment Order for a mentally ill person?

Up to 12 months Signup and view all the answers

What is required every 24 hours for a mentally disordered person?

Examination by an authorized person Signup and view all the answers

Which group of individuals is not mandatory to report under child safety laws in NSW?

Unborn children Signup and view all the answers

What is the role of AHPRA when a health practitioner believes another practitioner is a risk to the public?

To notify the appropriate Board Signup and view all the answers

When must a tribunal assess a mentally ill person for continued detainment?

If still considered mentally ill after initial review Signup and view all the answers

What can the Tribunal recommend for a mentally ill person after their second examination?

Involuntary Admission for up to 3 months Signup and view all the answers

What should be done if a child is at risk of significant harm?

Report to the NSW Child Protection Helpline Signup and view all the answers

Which of the following activities does NOT count towards CPD hours?

Supervising interns Signup and view all the answers

What is the minimum recommended hours for active CPD?

10 hours Signup and view all the answers

Which component is NOT part of a CPD portfolio?

A personal statement of feelings Signup and view all the answers

To maintain endorsement in an approved area of practice, how many hours must be completed within that area?

15 hours Signup and view all the answers

Which of the following is NOT one of the dimensions of burnout according to Maslach and colleagues?

Disengagement Signup and view all the answers

What can be a result of poor self-care for psychologists?

Diminished motivation Signup and view all the answers

Which of the following activities can count as active CPD?

Role playing in a group seminar Signup and view all the answers

What might happen if a psychologist fails to comply with CPD requirements?

Refusal of registration Signup and view all the answers

Which of the following does NOT enhance cognitive capacity?

Experiencing burnout Signup and view all the answers

Which element is important for a psychologist's self-care?

Empathy Signup and view all the answers

Study Notes

Involuntary Admission - Mental Health

Involuntary admission to a hospital is possible when a person poses a significant risk to themselves or others.
This applies to those displaying irrational behavior and for whom no less restrictive care is available.
A mentally disordered person is defined as someone with irrational behavior and a significant physical risk to themselves or others.
A mentally ill person is deemed to have a continuing condition, including any likely deterioration, and no other less restrictive care is available.
Formal admission includes involuntary patients admitted against their wishes and forensic patients who have committed offenses and are deemed unfit for trial or found not guilty due to mental illness.
Community Treatment Orders (CTOs) are legal orders made by the Mental Health Review Tribunal, magistrates, or qualified professionals in hospitals or community services.
CTOs are valid for 12 months and set out terms like medication, therapy, and rehabilitation for the individual.
A CTO is ordered when a person is currently mentally ill, or judged likely to become mentally ill within 3 months, and is deemed the least restrictive alternative for treatment.
There are five ways a person can be formally admitted: scheduling by medical practitioners, admission by police or ambulance, admission by a designated carer, admission by court order, and admission following a magistrate's order for a medical examination.
Both mentally disordered and mentally ill individuals must undergo examinations within 12 hours of admission, followed by a second examination.
A Mental Health Inquiry by the Tribunal is conducted ASAP after the second examination for both groups.
Mentally disordered individuals can be detained for up to 3 days, while mentally ill individuals can be detained for up to 3 months or placed on a CTO for up to 12 months.
All individuals must be reviewed by the Tribunal for potential further orders after the initial timeframes.

Mandatory Reporting

Mandatory reporting is crucial for child safety in NSW, applying to children aged 0 to 15 at risk of significant harm.
Reports should be made to the NSW Child Protection Helpline and Child Wellbeing Units (CWU).
CWU can assist in situations where the harm might not be considered "significant."
Reporting is not mandatory for unborn children or those aged 16 or 17, as they fall under the Department of Communities & Justice jurisdiction.
AHPRA PBA Mandatory reporting, as outlined in the Health Practitioner Regulation National Law Act 2009, requires registered health practitioners, employers, and education providers to notify AHPRA if they believe another practitioner presents a serious risk to the public.
Notifications made to AHPRA are then referred to the appropriate board, documented in a log book, and monitored annually.

Continuing Professional Development (CPD)

CPD is mandatory for registered psychologists and comprises 30 hours of activities per year.
Providing peer consultation to others counts towards CPD hours but cannot be counted towards one's own 10 hours of required consultation.
Supervising interns does not count towards CPD.
A CPD portfolio should include a learning plan with desired outcomes, descriptions of how CPD relates to professional development, and documentation of all activities undertaken.
Approved areas of practice require at least 15 hours of CPD activities within the endorsed area.
Punishments for non-compliance can include refusal of registration renewal, requiring completion of specified CPD activities, performance assessment, and examinations.

Self-Care and Burnout

Self-care is crucial for psychologists and counselors, as their tools of trade stem from knowledge, experience, empathy, and communication.
Poor self-care can negatively impact motivation, judgment, self-awareness, problem-solving abilities, and emotional regulation.
Burnout is characterized by exhaustion, cynicism, and ineffectiveness.
Exhaustion involves stress, anxiety, and worry, impacting cognitive capacity and leading to withdrawal.
Cynicism is characterized by increasing detachment from clients and dehumanizing them.
Ineffectiveness involves feeling incapable of achieving outcomes and experiencing a loss of purpose.
Gabriela Tavella’s 6 dimensions of burnout encompass Maslach's 3 dimensions (exhaustion, cynicism, and ineffectiveness) and add 3 additional ones: loss of empathy, impaired work performance, cognitive impairment, withdrawal and insularity, and unsettled mood.
The Sydney Burnout Measure assesses various aspects of burnout through a questionnaire. It measures exhaustion, loss of empathy, impaired work performance, cognitive impairment symptoms, withdrawal and insularity, and unsettled mood.
Experiencing symptoms individually doesn't necessarily indicate burnout; a pattern of symptoms is crucial for diagnosis.

Factors Contributing to Burnout

Situational factors: include type of occupation, working conditions (overload, insufficient resources), and nature of the employer (fairness, equity, alignment with personal values).
Mismatch theory: proposes that burnout is more likely when there's a mismatch between the employee's needs and working conditions in areas like workload, control, rewards, community, fairness, and values.
Individual factors: include demographics (younger individuals are more at risk), personality (low hardiness, external locus of control, poor coping styles, low self-esteem, stress-prone traits, and personality types like type A and feeling types), and attitudes (high expectations can increase risk).

Combating Burnout

Organizational strategies: promote job engagement through fostering energy, effectiveness, involvement, enthusiasm, and inspiration. Actively promote well-being, and reduce mismatches between employees and their jobs.
Individual strategies: include self-care practices (stress inoculation training, interpersonal and social skills training, relaxation training, time management training, meditation), peer support, prioritizing recreation and recovery, ongoing education and training, personal counseling and therapy, and adopting healthy practices at work (exercise, time alone, regular breaks, debriefing with colleagues).

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