Questions and Answers
What is NOT one of the grounds on which assessment is based?
Which section pertains to the involvement of family in assessment procedures?
Which of the following is NOT a key role under the Act?
Which section refers to the rights to legal advocacy?
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What does the term 'Inpatient CTO' specifically refer to?
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Which of the following amendments introduced the potential for judicial review?
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What is a primary concern when discussing nursing issues under this Act?
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Which approach does the new Act take regarding treatment?
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What is the primary goal of civil commitment for individuals suffering from mental illness?
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What does informed consent require from a patient?
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What can influence a patient's competency according to the content provided?
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How does 'new legalism' aim to balance therapeutic intent and human rights?
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What characterizes a mental disorder according to the definition provided?
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What is required of healthcare professionals in terms of consent related to mental health treatment?
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Which of the following factors complicates the care for mentally disordered individuals?
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What did the Mental Health Act of 1969 criminalize concerning “mentally disordered” individuals?
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Study Notes
Overview of Mental Health Legislation
- Health New Zealand is involved in a court case regarding guardianship for a baby needing heart surgery.
Paramount Ethical Principles
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Autonomy and Informed Consent:
- Requires adequate information for consent.
- Competency involves the ability to comprehend, recall, evaluate information, and understand decision consequences.
- Competency can be variable and transient in individuals with mental illness.
Civil Commitment Goals
- Aims to provide therapeutic treatment for individuals with mental illness.
- Ensures sustenance, shelter, and self-protection for those unable to care for themselves.
- Protects the community from individuals with mental illness who may pose risks to others.
Historical Context: The Mental Health Act 1969
- Estates of individuals were managed by the Public Trustee/Māori Trustee.
- Legal prohibitions included sexual relations and alcohol supply to mentally disordered persons.
- Medical professionals are granted discretionary power.
‘New Legalism’ and Professional Discretion
- Strives to balance therapeutic intent with human rights.
- Professional discretion is limited by legal definitions and patient rights outlined in the act.
- The legal process enables assessments and appeals, emphasizing a "least restrictive environment."
Definition of “Mental Disorder”
- Defined as an abnormal state of mind with symptoms like delusions or mood disorders, potentially endangering self or others.
- Excludes considerations based on political, religious, cultural beliefs, sexual preference, criminal behavior, substance abuse, or intellectual disability.
Compulsory Assessment Procedures
- Sections outlining assessment include:
- Section 8: Application processes.
- Section 10: Specialist certificates.
- Section 11: Five-day initial assessment.
- Section 13: Extended fourteen-day assessments.
Compulsory Treatment Framework
- Set provisions for judicial reviews and community treatment orders (CTOs), both inpatient and outpatient.
Rights Under the MH(CAT) Amendment Act 1999
- Family involvement highlighted in Section 7A.
- Patients have rights to information, suitable treatment, second opinions, legal advocacy, and cultural respect.
Key Roles in Mental Health Services
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Roles Include:
- DAMHS: Director of Area Mental Health Services.
- Responsible Clinicians and Duly Authorised Officers oversee compliance with the Act.
- District Inspectors monitor enforcement and patient rights.
Nursing and Treatment Issues
- Balancing custody versus care can jeopardize therapeutic relationships.
- Nurses play a key role in educating patients about their rights and participating in clinical decision-making.
Human Rights and Future Legislation
- Calls for alignment with United Nations conventions on rights for persons with disabilities and indigenous peoples.
- A proposed new act emphasizes a human rights approach, supported decision-making, and aims to minimize coercive treatment.
- Focuses on recovery, well-being, and adherence to Te Tiriti o Waitangi principles.
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Description
Explore the essential aspects of mental health legislation and its implications in healthcare roles. This quiz covers key ethical principles such as autonomy and informed consent, emphasizing the importance of competency in decision-making. Test your knowledge on the responsibilities of health professionals in legal contexts.
