Podcast
Questions and Answers
What proportion of people are affected by mental health conditions?
What proportion of people are affected by mental health conditions?
- 1 in 6
- 1 in 4 (correct)
- 1 in 5
- 1 in 3
What is the name of the approach used in mental health services to provide medical, psychological, and social care?
What is the name of the approach used in mental health services to provide medical, psychological, and social care?
- Therapeutic Care Model
- Psychological Wellbeing Approach
- Care Programme Approach (correct)
- Mental Health Care Plan
What is a benefit of effective communication in mental health services?
What is a benefit of effective communication in mental health services?
- Poor staff morale
- Empowering patients and reducing hospital admissions (correct)
- Reduced patient satisfaction
- Increased hospital admissions
What is an example of non-verbal communication in mental health services?
What is an example of non-verbal communication in mental health services?
What is a barrier to effective communication in mental health services?
What is a barrier to effective communication in mental health services?
What is an example of an open question used in mental health services?
What is an example of an open question used in mental health services?
What is the primary purpose of the introductory phase of the psychiatric history?
What is the primary purpose of the introductory phase of the psychiatric history?
What type of question is 'Do you experience any sleep problems?'?
What type of question is 'Do you experience any sleep problems?'?
What is the purpose of the mental state examination?
What is the purpose of the mental state examination?
What should a clinician avoid during the assessment?
What should a clinician avoid during the assessment?
What is the purpose of the 'problem screening checklist'?
What is the purpose of the 'problem screening checklist'?
What should a clinician do during the assessment to control the situation?
What should a clinician do during the assessment to control the situation?
What is the primary aim of a Mental State Examination?
What is the primary aim of a Mental State Examination?
What is the minimum duration of symptoms required for a diagnosis of depression according to ICD10?
What is the minimum duration of symptoms required for a diagnosis of depression according to ICD10?
Which of the following tools is used to assess the risk of suicide?
Which of the following tools is used to assess the risk of suicide?
What is the primary focus of a Brief Psychiatric Rating Scale?
What is the primary focus of a Brief Psychiatric Rating Scale?
What is the primary goal of a risk assessment in a psychiatric evaluation?
What is the primary goal of a risk assessment in a psychiatric evaluation?
Which of the following is a common feature of mania?
Which of the following is a common feature of mania?
What is the primary focus of the Mini Mental State Examination?
What is the primary focus of the Mini Mental State Examination?
What is the primary goal of the MSE in assessing psychosis?
What is the primary goal of the MSE in assessing psychosis?
Which of the following is a common feature of dementia?
Which of the following is a common feature of dementia?
What is the primary goal of the AUDIT tool?
What is the primary goal of the AUDIT tool?
What is the primary purpose of the Mental Capacity Act 2005?
What is the primary purpose of the Mental Capacity Act 2005?
What is the main role of an Independent Mental Capacity Advocate?
What is the main role of an Independent Mental Capacity Advocate?
What is the primary purpose of Deprivation of Liberty Safeguards?
What is the primary purpose of Deprivation of Liberty Safeguards?
What is a key principle of the Code of Practice for the Mental Capacity Act 2005?
What is a key principle of the Code of Practice for the Mental Capacity Act 2005?
What is a criteria for Deprivation of Liberty Safeguards?
What is a criteria for Deprivation of Liberty Safeguards?
What is a step in the Deprivation of Liberty Safeguards process?
What is a step in the Deprivation of Liberty Safeguards process?
Which of the following activities is considered a basic criterion for independent living?
Which of the following activities is considered a basic criterion for independent living?
What is the primary purpose of a referral to DSS in the context of mental health services?
What is the primary purpose of a referral to DSS in the context of mental health services?
Which of the following is a key consideration when formulating a diagnosis for a patient?
Which of the following is a key consideration when formulating a diagnosis for a patient?
What is the primary goal of a management plan in mental health services?
What is the primary goal of a management plan in mental health services?
Which of the following is an example of social prescribing in mental health services?
Which of the following is an example of social prescribing in mental health services?
What is the purpose of documenting a patient's details in mental health services?
What is the purpose of documenting a patient's details in mental health services?
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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
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