34 Questions
What proportion of people are affected by mental health conditions?
1 in 4
What is the name of the approach used in mental health services to provide medical, psychological, and social care?
Care Programme Approach
What is a benefit of effective communication in mental health services?
Empowering patients and reducing hospital admissions
What is an example of non-verbal communication in mental health services?
Giving a patient a smile
What is a barrier to effective communication in mental health services?
Impaired cognition
What is an example of an open question used in mental health services?
How are you feeling?
What is the primary purpose of the introductory phase of the psychiatric history?
To establish a rapport with the patient and obtain informed consent
What type of question is 'Do you experience any sleep problems?'?
Closed question
What is the purpose of the mental state examination?
To formulate a diagnosis and guide interventions
What should a clinician avoid during the assessment?
Using technical terms
What is the purpose of the 'problem screening checklist'?
To screen for potential mental health problems
What should a clinician do during the assessment to control the situation?
Use active listening skills
What is the primary aim of a Mental State Examination?
To observe and describe the patient's behavior at the time of assessment
What is the minimum duration of symptoms required for a diagnosis of depression according to ICD10?
2 weeks
Which of the following tools is used to assess the risk of suicide?
SADPERSONA
What is the primary focus of a Brief Psychiatric Rating Scale?
Measuring the severity of psychosis
What is the primary goal of a risk assessment in a psychiatric evaluation?
To identify potential risks to the patient and others
Which of the following is a common feature of mania?
Reduced need for sleep
What is the primary focus of the Mini Mental State Examination?
Assessing cognitive function
What is the primary goal of the MSE in assessing psychosis?
To diagnose the presence of psychosis
Which of the following is a common feature of dementia?
Clouding of consciousness
What is the primary goal of the AUDIT tool?
To identify the risk of alcohol abuse
What is the primary purpose of the Mental Capacity Act 2005?
To empower people who lack the ability to make decisions
What is the main role of an Independent Mental Capacity Advocate?
To support and represent individuals who lack capacity
What is the primary purpose of Deprivation of Liberty Safeguards?
To protect individuals who lack capacity from being deprived of their liberty
What is a key principle of the Code of Practice for the Mental Capacity Act 2005?
Assessment of capacity must be continuous and ongoing
What is a criteria for Deprivation of Liberty Safeguards?
All of the above
What is a step in the Deprivation of Liberty Safeguards process?
Request for assessment is made to a local authority
Which of the following activities is considered a basic criterion for independent living?
Transferring/Mobility
What is the primary purpose of a referral to DSS in the context of mental health services?
To access social services and support
Which of the following is a key consideration when formulating a diagnosis for a patient?
The patient's differential diagnosis
What is the primary goal of a management plan in mental health services?
To reduce symptoms and improve the patient's social situation
Which of the following is an example of social prescribing in mental health services?
Advising a patient on lifestyle measures and education
What is the purpose of documenting a patient's details in mental health services?
To monitor a patient's progress and provide ongoing support
Study Notes
Assessing Suicide Attempts
- Importance of identifying suicide attempts: understand preparation, precautions, communication, methods, and regrets
- Mental Capacity Act 2005: protects and empowers individuals who lack capacity to make decisions about care and treatment
Code of Practice for Mental Capacity Act
- Five statutory principles for acting and making decisions on behalf of individuals
- Assessment of capacity must be continuous and ongoing
- Four key aspects of capacity:
- Understanding relevant information
- Retaining relevant information long enough
- Evaluating relevant information as part of the decision-making process
- Communicating their decision
Deprivation of Liberty Safeguards (DoLS)
- Protect individuals who lack capacity to make decisions about care and treatment
- Assessment involves two assessors: Best Interest Assessor and Mental Health Assessor
- Criteria for DoLS:
- Age (18 years or over)
- Mental health (mental disorder)
- Mental capacity (lacking capacity to make decisions)
- Best interests (in the person's best interests)
- Eligibility (not detained under Mental Health Act 1983)
- No refusals (no advance decisions refusing treatment)
Introduction to Mental Health
- Prevalence: 1 in 4 people experience mental health conditions
- Risks: mortality, stigma, and discrimination
- Mental health conditions affect mental state, emotion, cognition, behavior, and psychological and social wellbeing
Mental Health Services
- Provide medical, psychological, and social care through Care Programme Approach
- Services: Outpatient, Crisis Team, Psychiatric, Liaison, Inpatient, Rehabilitation, and Charities
Effective Communication
- Key elements:
- Therapeutic relationship
- Trust
- Confidence
- Respect
- Increased shared understanding
- Patient satisfaction
- Treatment adherence
- Empowerment
- Reduced hospital admission
- Improved quality of life
- Reduced litigation
- Healthcare professional wellbeing
- Poor outcome: social isolation, exclusion, unemployment, poor physical health, poor staff morale
Communication Skills
- Focus on empathy, non-judgmental attitude, respect, succinctness, accuracy, reassurance, therapeutic approach, and cultural sensitivity
- Forms of communication:
- Verbal
- Non-verbal
- Written
- Barriers to communication:
- Symptoms
- Language
- Culture
- Impaired cognition
- Influence of drugs and alcohol
- Learning disability
- Anger
- Lack of skills
- Lack of time
- Work pressures
- Negative attitudes
- Stigma
Assessment Tools
- Psychosis: Brief Psychiatric Rating Scale
- Depression: Depression Anxiety Stress Scales, Beck Depression Inventory
- Anxiety: Anxiety Disorders Interview Schedule, Generalized Anxiety Disorder 7-item scale
- Bipolar: Mood Disorder Questionnaire, Young Mania Rating Scale
- Dementia: Mini-Mental State Examination, Alzheimer's Disease Assessment Scale - Cognitive
Mental State Examination
- Aim: observe and describe the patient's mental state at the time of assessment
- Components:
- Appearance and Behavior
- Speech
- Mood
- Thought
- Perception
- Cognition
- Insight
Mini Mental State Examination
- Cognition
- Orientation
- Registration
- Attention and calculation
- Recall
- Language
- Copying
Learn about the basics of mental health, including prevalence, associated risks, and common conditions like depression and anxiety. Discover how mental health services provide care through a Care Programme Approach.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
