Questions and Answers
What is the primary reason for conducting home visits in a crisis management setting?
In what situation can involuntary detention be utilized in crisis interventions?
What is the primary goal of referrals from the CMHS?
Why are follow-up visits conducted for clients who have not been attending clinic?
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What is the role of a Psychiatric Emergency Maintenance Team (PEMT) in crisis interventions?
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What is the primary reason for conducting home visits after a client's discharge from the hospital?
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What is the goal of ensuring that clients are taking their medications during home visits?
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What is the primary purpose of documentation in the CMHS?
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What is the purpose of educating relatives about the importance of clients taking their medications during home visits?
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Which of the following is an example of a support service provided by a non-governmental organization?
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According to the CMHS policy, what is an essential aspect of managing clients in the community?
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What is a critical ethical issue that the Mental Health Team must acknowledge in managing clients?
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In the CMHS, which form is used to document client progress?
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Which ministry is involved in providing poor relief and infirmaries in the community?
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What is a critical aspect of managing clients in the CMHS?
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Which of the following is an example of a non-governmental organization providing support services?
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What is the purpose of administering long acting/monthly injections to clients?
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Which of the following describes the criteria for admitting a client involuntarily?
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Who has the legal authority to detain a person involuntarily for mental health reasons?
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What is essential for managing documentation related to client care?
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Forensic reviews are indicated for which of the following situations?
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What is a requirement for voluntarily admitting a patient into a care facility?
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When is it necessary to conduct a follow-up visit after stabilization?
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What common misconception might occur regarding medication management for mentally ill clients?
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Study Notes
Management of Mentally Ill Clients
- Long-acting/monthly injections are administered to difficult clients or those unable to attend clinic.
Assertive Outreach
- This service is provided for mentally ill persons who may be on the streets due to symptoms of illness or displacement from their usual place of residence.
Forensic Review
- Forensic reviews are usually indicated for:
- Assessment for fitness to plead for offenders with minor and major offences (Capital or Non-Capital)
- Comprehensive forensic psychiatric reports for offenders with major offences
Inpatient Care
- Admission to hospital is usually done if a client is acutely ill and must be stabilized to prevent their condition from worsening.
- Admissions can be done voluntarily or involuntarily.
- Only MHOs and Police officers have the authority by law to detain a person involuntarily.
Documentation
- Documentation of client information and care offered is essential.
- It involves supplying documents and supporting references or records.
- Referrals can be made from the CMHS based on the needs assessment of the client.
Crisis Interventions
- Crisis interventions are done for clients who need professional attention promptly to prevent serious problems.
- Offered by a Psychiatric Emergency Maintenance Team (PEMT).
- Involuntary detention may be utilized if the individual is at risk of injuring themselves or others.
Home Visiting
- Home visits are done:
- To obtain information about the patient from relatives and caregivers.
- To clarify the client's social situation before discharge from hospital.
- To observe how discharged patients are readjusting to their homes and communities.
- To ensure the environment is conducive to the maintenance of the client's health.
- To follow up clients who have not been attending clinic over a period of 1-2 months.
Home Visiting Continued
- Home visits also involve:
- Ensuring clients are taking their medications and educating relatives about the importance of medication adherence, possible side effects, and steps to take if side effects occur.
- Assessing and making decisions on clients who have relapsed or those suspected of being mentally ill but lack the insight to seek medical attention.
Documentation
- Documents used in the CMHS include:
- Assessment/intake form
- Progress/continuation form
- Consent forms
- CMH reporting form
- Registers
- Restraint monitoring form
- Crisis/emergency intervention form
Collaboration and Liaison
- Effective management of clients in the community requires collaboration and liaison with various individuals, departments, and agencies in the community, including:
- The Jamaica Constabulary Force (Police)
- Ministry of Local Government (Poor relief, infirmaries)
- Ministry of Labour and Social Security
- Ministry of Education (Teachers and Guidance Counsellors)
- Churches and other faith-based agencies
- Child development agency
- Ministry of Justice (Family court)
- Voluntary organisations including service clubs and friendly societies
Support Services
- Support services are provided mainly by Non-governmental organisations or groups, such as:
- Mensana (mental health support group)
- Westmoreland Association for Street People (WASP)
- Ebenezer home for the Mentally Challenged
- Open Arms Drop-in centre
- All NGOs providing residential care are required to be designated as a psychiatric facility.
- Nursing Homes providing care should meet the requirements of the Nursing Home Registration Act (1934).
Ethical and Legal Issues
- In managing clients, the Mental Health Team must acknowledge ethical and legal issues related to the client and provision of care, including:
- Ethical issues – autonomy, beneficence, non-maleficence, justice, confidentiality, veracity, utilitarianism
- Patients' rights
- Human rights principles
- Mental Health legislation – Mental Health Act 1997
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Description
This quiz covers the management of mentally ill individuals who may be homeless or unable to attend clinic, as well as forensic reviews for offender assessments. Based on the CMH Policy & Procedure Manual, 2012.
