Philippines Mental Health Policy Quiz

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Questions and Answers

What is the primary characteristic of addiction as defined in this Act?

Typified by a willingness to seek medical help

A primary chronic relapsing disease of brain reward (correct)

Characterized by the ability to consistently abstain

Usually treated with medication only

Who is considered a Carer according to this Act?

Only the patient's next-of-kin

The person who maintains a close personal relationship with the patient (correct)

A stranger who claims to be a concerned citizen

A healthcare professional

What is the purpose of deinstitutionalization?

To focus on mental health services only

To confine service users to institutional settings

To restrict social participation

To provide individualized care in community-based settings (correct)

What is NOT considered discriminatory according to this Act?

Special measures to protect the rights of persons with decision-making impairment capacity Signup and view all the answers

What is the primary goal of drug rehabilitation?

To enable patients to confront the consequences of addiction Signup and view all the answers

What is impairment or temporary loss of decision-making capacity?

A medically-determined inability on the part of a service user Signup and view all the answers

What is ensured through confidentiality?

Keeping information safe from unauthorized access or disclosure Signup and view all the answers

What is included in the drug rehabilitation process?

Counseling by experts and sharing of experience with other addicted individuals Signup and view all the answers

Which of the following is NOT a criteria for assessing impairment or temporary loss of decision-making capacity?

Ability to make decisions based on personal biases Signup and view all the answers

What is the primary function of a Mental Health Facility?

Providing mental health services Signup and view all the answers

Who can be considered a Legal Representative of a service user?

A person designated by the service user or appointed by a court of competent jurisdiction Signup and view all the answers

What is the definition of Mental Health?

A state of well-being in which the individual realizes one's own abilities and potentials Signup and view all the answers

What is a Mental Health Condition characterized by?

A recognizable, clinically-significant disturbance in an individual's cognition, emotional regulation, or behavior Signup and view all the answers

Who can provide informed consent on behalf of a service user?

A Legal Representative Signup and view all the answers

What is required for a person to be considered a Mental Health Professional?

Appropriate training and qualifications with specific skills relevant to mental health services Signup and view all the answers

What is the purpose of informed consent?

To ensure the service user understands the nature, consequences, benefits, and risks of the proposed treatment Signup and view all the answers

What is the primary goal of a Recovery-Based Approach?

To center treatment on the strengths of a service user Signup and view all the answers

Which of the following is NOT a type of support referred to in the Act?

Surgeries Signup and view all the answers

What is guaranteed to service users on an equal and nondiscriminatory basis?

All rights guaranteed by the Constitution and those recognized under international conventions Signup and view all the answers

Who is considered a Mental Health Worker?

A volunteer or advocate engaged in mental health promotion Signup and view all the answers

What is included in the right to exercise all civil, political, economic, social, religious, educational, and cultural rights?

All of the above Signup and view all the answers

What is a Psychosocial Problem?

A condition that indicates the existence of dysfunctions in a person's behavior, thoughts, and feelings Signup and view all the answers

What is the standard and quality of treatment that service users have the right to access?

Evidence-based treatment of the same standard and quality Signup and view all the answers

What is the primary purpose of Supported Decision Making?

To assist a service user in expressing their mental health-related preferences Signup and view all the answers

What is the purpose of access to affordable essential health and social services?

To achieve the highest attainable standard of mental health Signup and view all the answers

What is included in the comprehensive and coordinated treatment that service users have the right to access?

Holistic prevention, promotion, care, support, and multidisciplinary treatment Signup and view all the answers

What is a Psychiatric or Neurologic Emergency?

A condition presenting a serious and immediate threat to the health and well-being of a service user Signup and view all the answers

Who is considered a Service User?

A person with lived experience of any mental health condition Signup and view all the answers

What is the principle of psychosocial care and clinical treatment that service users have the right to access?

In the least restrictive environment and manner Signup and view all the answers

What is the principle of humane treatment that service users have the right to access?

Free from cruel, inhumane, and degrading treatment, and invasive procedures not backed by scientific evidence Signup and view all the answers

What is included in the definition of Mental Health Services?

Psychosocial, psychiatric, or neurologic activities and programs Signup and view all the answers

What is the purpose of access to aftercare and rehabilitation?

To achieve social reintegration and inclusion Signup and view all the answers

What is the role of a Mental Health Service Provider?

To provide mental health services as defined in the Act Signup and view all the answers

What is the purpose of a Recovery-Based Approach in relation to a service user's treatment?

To involve the service user as an equal partner in care Signup and view all the answers

What is required for the disclosure of information, communications, and records regarding a service user?

Written consent of the service user Signup and view all the answers

What is a right of service users before receiving treatment or care?

Give informed consent Signup and view all the answers

What right do service users have regarding their clinical records?

They can access them unless revealing such information would cause harm to the service user's health or put the safety of others at risk Signup and view all the answers

What can a service user do if they cannot afford the services of a counsel?

They can request assistance from the Public Attorney's Office or a legal aid institution of their choice Signup and view all the answers

What is the purpose of an advance directive?

To set out a service user's preference in relation to treatment Signup and view all the answers

Who can contest a decision to withhold clinical records from a service user?

The service user or their legal representative Signup and view all the answers

What is the time frame within which a service user must be informed of their rights?

Within 24 hours of admission to a mental health facility Signup and view all the answers

What is the maximum number of persons that a service user can designate as supporters for supported decision making?

Three persons Signup and view all the answers

What is a requirement for an advance directive to be valid?

It must be notarized Signup and view all the answers

Who can file a complaint against mental health professionals for alleged abuses?

Any person, including family members, carers, and advocates Signup and view all the answers

What is the purpose of informed consent in treatment?

To ensure that the service user is aware of the risks and benefits of treatment Signup and view all the answers

What is a requirement for a legal representative to be designated by a service user?

The legal representative must be designated through a notarized document Signup and view all the answers

What authority do supporters of service users have?

To access the service user's medical information and be present during appointments Signup and view all the answers

What is the purpose of internal review boards in health facilities?

To review all cases, disputes, and controversies involving the treatment of service users Signup and view all the answers

What is the exception to informed consent during psychiatric or neurologic emergencies?

Impairment or temporary loss of decision-making capacity Signup and view all the answers

What is the purpose of community-based mental health care facilities?

To provide appropriate mental health care services and enhance the rights-based approach to mental health care Signup and view all the answers

What data must be included in the quarterly report of LGUs to the Philippine Council for Mental Health?

Number of patients/service users attended to, kinds of mental illness, duration and result of treatment, and demographics Signup and view all the answers

What services must all regional, provincial, and tertiary hospitals provide?

Psychiatric, psychosocial, and neurologic services Signup and view all the answers

What is a duty of mental health facilities?

To ensure the rights of service users are respected Signup and view all the answers

What is required of each local health care facility?

To be capable of conducting drug screening Signup and view all the answers

What is the purpose of the Philippine Council for Mental Health?

To coordinate with LGUs and academic institutions for the implementation of mental health programs Signup and view all the answers

What is the focus of mental health services at the community level?

To develop programs for community-based mental health care that are responsive to local needs Signup and view all the answers

What happens to laws, decrees, executive orders, department or memorandum orders and other administrative issuances that are inconsistent with the provisions of this Act?

They are modified, suspended or repealed accordingly Signup and view all the answers

How many days after its publication in the Official Gazette or in at least two newspapers of general circulation does this Act take effect?

15 days Signup and view all the answers

Who finally passed the Senate Bill No. 1354 and House Bill 6452 on February 12, 2018?

The Senate and the House of Representatives Signup and view all the answers

Who approved the Act on June 20, 2018?

The President of the Philippines Signup and view all the answers

What is the name of the Secretary of the Senate who certified the Act?

LUTGARDO B. BARBO Signup and view all the answers

How many days does the President of the Philippines have to appoint the members of the Council from the academe/research, private sector, and NGOs?

30 days Signup and view all the answers

What is the term of service for members representing the academe/research, private sector, and NGOs of the Council?

3 years Signup and view all the answers

Where is the Mental Health Division created under the DOH?

Disease Prevention and Control Bureau Signup and view all the answers

What happens to an alien who commits an offense under this Act?

They are deported immediately after serving their sentence Signup and view all the answers

What is the basis for the allocation of funds for mental health in the succeeding years?

Strategic plan formulated by the Council Signup and view all the answers

How many days does the Secretary of Health have to issue the Implementing Rules and Regulations (IRR)?

120 days Signup and view all the answers

What is the purpose of the Separability Clause?

To allow provisions to continue in force despite invalidation Signup and view all the answers

What happens to a person who avails of the voluntary submission provision?

They undergo an examination for mental health conditions Signup and view all the answers

What is the purpose of Section 45?

To provide for the appropriations for the implementation of the Act Signup and view all the answers

What is the primary function of the Mental Health Division?

To implement the National Mental Health Program Signup and view all the answers

What is the main objective of the National Center for Mental Health (NCMH)?

To develop interventions on mental and neurological services Signup and view all the answers

What is the primary responsibility of the Commission on Human Rights (CHR) under this Act?

To inspect mental health care institutions for compliance with domestic and international standards Signup and view all the answers

What is the role of the Department of Education (DepED), Commission on Higher Education (CHED), and the Technical Education and Skills Development Authority (TESDA) under this Act?

To provide training and education on mental health services to mental health professionals Signup and view all the answers

What is the mandate of the Philippine Council for Mental Health?

To oversee the implementation of this Act, particularly the protection of the rights and freedom of persons with psychiatric, neurologic, and psychosocial needs Signup and view all the answers

What is the purpose of upgrading local hospitals and health care facilities under this Act?

To provide mental health services to individuals in geographically isolated and/or high populated and depressed areas Signup and view all the answers

What is the role of the Department of Labor and Employment (DOLE) and the Civil Service Commission (CSC) under this Act?

To provide support and protection to employees with mental health conditions Signup and view all the answers

What is the primary responsibility of the Department of Social Welfare and Development (DSWD) under this Act?

To provide support and protection to individuals with mental health conditions Signup and view all the answers

What is the role of the Local Government Units (LGUs) under this Act?

To establish or upgrade hospitals and facilities with adequate and qualified personnel, equipment, and supplies Signup and view all the answers

What is the purpose of the investigation of complaints of improprieties and abuses in mental health care?

To receive all complaints of improprieties and abuses in mental health care and initiate appropriate investigation and action Signup and view all the answers

What is the primary goal of the establishment of the Philippine Council for Mental Health?

To oversee the implementation of this Act Signup and view all the answers

What is the short title of the act that affirms the basic right of all Filipinos to mental health?

The Mental Health Act Signup and view all the answers

What is one of the fundamental rights of people who require mental health services, as stated in the Declaration of Policy?

Right to exercise the full range of human rights Signup and view all the answers

What is one of the objectives of this Act?

To establish a national mental health policy Signup and view all the answers

What international convention is the State committed to complying with, according to the Declaration of Policy?

United Nations Declaration of Human Rights Signup and view all the answers

What republic act is recognized as applicable to persons with mental health conditions?

Republic Act 7277 Signup and view all the answers

What is the purpose of this Act, as stated in the title?

To establish a national mental health policy for the purpose of promoting and protecting the rights of persons utilizing psychosocial health services Signup and view all the answers

What is one of the fundamental principles of mental health services, as stated in the Declaration of Policy?

Mental health services should be accountable to the service users Signup and view all the answers

When did the Seventeenth Congress begin, according to the content?

Monday, the twenty-fourth day of July, two thousand seventeen Signup and view all the answers

What is the primary focus of the mechanisms for suicide intervention, prevention, and response strategies?

The youth Signup and view all the answers

What is the purpose of the 24/7 hotlines?

To provide assistance to individuals with mental health conditions, especially those at risk of committing suicide Signup and view all the answers

What is the objective of the nationwide multimedia campaign initiated by the DOH and LGUs?

To raise the level of public awareness on the protection and promotion of mental health and rights Signup and view all the answers

What is the requirement for public and private educational institutions?

To have a complement of mental health professionals Signup and view all the answers

What is the purpose of the capacity building, reorientation, and training programs for mental health professionals?

To develop their ability to deliver evidence-based, gender-sensitive, culturally appropriate and human rights-oriented mental health services Signup and view all the answers

Who is responsible for providing assistance to LGUs in terms of training programs for BHWs?

DOH Signup and view all the answers

What is the purpose of research and development in mental health?

To produce information, data, and evidence necessary to formulate and develop a culturally relevant national mental health program Signup and view all the answers

What is the requirement for research in mental health?

Research must be conducted only with the free and informed consent of the persons involved Signup and view all the answers

What is the purpose of the training programs for BHWs?

To promote mental health in the community and public health aspects of mental health Signup and view all the answers

What is the objective of the integration of mental health into the educational system?

To develop policies and programs for mental health promotion in educational institutions Signup and view all the answers

Study Notes

Overview of the Mental Health Act

The Mental Health Act aims to enhance the delivery of integrated mental health services, promote and protect the rights of persons utilizing psychosocial health services, and appropriate funds for these purposes.

Objectives of the Act

The objectives of the Act are to:
- Value, promote, and protect mental health
- Prevent and treat mental health conditions
- Provide timely, affordable, high-quality, and culturally-appropriate mental health care
- Ensure mental health services are free from coercion and accountable to service users
- Enable persons affected by mental health conditions to exercise their human rights and participate fully in society

Definitions

Key definitions under the Act include:
- Addiction: a primary, chronic, relapsing disease of brain reward, motivation, memory, and related circuitry
- Carer: a person who maintains a close personal relationship and manifests concern for the welfare of the patient
- Confidentiality: ensuring that information related to persons with psychiatric, neurologic, and psychological health needs is kept safe from unauthorized access, use, or disclosure
- Deinstitutionalization: transitioning service users from institutional to community-based settings that enable social participation, recovery-based approaches, and individualized care
- Discrimination: any distinction, exclusion, or restriction that nullifies the recognition, enjoyment, or exercise of human rights and fundamental freedoms

Rights of Service Users and Other Stakeholders

Service users have the right to:
- Freedom from discrimination and stigmatization
- Access to evidence-based treatment of the same standard and quality, regardless of age, sex, socioeconomic status, race, ethnicity, or sexual orientation
- Access to affordable essential health and social services for achieving the highest attainable standard of mental health
- Participate in mental health advocacy, policy planning, legislation, service provision, monitoring, research, and evaluation
- Confidentiality of all information, communications, and records regarding their mental health
- Give informed consent before receiving treatment or care
- Participate in the development of their psychosocial care or clinical treatment plan
- Designate or appoint a person of legal age to act as their legal representative
Family members, carers, and legal representatives have the right to:
- Be involved in the care and treatment of the service user
- Receive information about the service user's health and treatment
- Participate in decision-making processes
Mental health professionals have the right to:
- Practice their profession with autonomy and independence
- Receive fair compensation for their services
- Participate in the development of mental health policies and programs

Service users must provide informed consent in writing prior to the implementation of any plan or program of therapy or treatment
Advance directives may be executed by service users to express their preferences in relation to treatment
Legal representatives may be designated by service users to act on their behalf
Supported decision-making is allowed, where service users may designate up to three persons to assist them in making decisions
Internal review boards shall be established in public and private health facilities to review cases, disputes, and controversies involving treatment, restraint, or confinement of service users

Mental Health Services

Quality of mental health services shall be ensured through:
- Evidence-based practices
- Cultural sensitivity
- Respect for individual rights and dignity
- Involvement of service users and their families in decision-making processes
Mental health services shall be developed and integrated as part of basic health services at the community level, particularly at the city, municipal, and barangay level
Community-based mental health care facilities shall be established to provide responsive primary mental health services### Mental Health Care Facilities
The national government, through the Department of Health (DOH), shall fund and assist in the operation of community-based mental health care facilities in provinces, cities, and clusters of municipalities.
Each facility shall have a complement of mental health professionals, allied professionals, support staff, trained barangay health workers (BHWs), volunteer, family members of patients or service users, basic equipment and supplies, and adequate stock of medicines.

Reportorial Requirements

Local government units (LGUs) through their health offices shall submit a quarterly report to the Philippine Council for Mental Health through the DOH.
The report shall include data on the number of patients/service users attended to, types of mental illness or disability, duration and result of treatment, and patients/users' age, gender, educational attainment, and employment.

Psychiatric, Psychosocial, and Neurologic Services

Regional, provincial, and tertiary hospitals, including private hospitals, shall provide psychiatric, psychosocial, and neurologic services.
Services shall include mechanisms for suicide intervention, prevention, and response strategies, with particular attention to the concerns of the youth.
24/7 hotlines shall be set up to provide assistance to individuals with mental health conditions, especially those at risk of committing suicide.

Public Awareness

The DOH and LGUs shall initiate and sustain a nationwide multimedia campaign to raise public awareness on the protection and promotion of mental health and rights.
The campaign shall include information on mental health and nutrition, stress handling, guidance and counseling, and other elements of mental health.

Education and Promotion of Mental Health

The state shall ensure the integration of mental health into the educational system.
Educational institutions shall develop policies and programs to raise awareness on mental health issues, identify and provide support and services for individuals at risk, and facilitate access to treatment and psychosocial support.
Employers shall develop policies and programs on mental health issues, correct stigma and discrimination, and identify and provide support for individuals with mental health conditions.

Capacity Building, Research, and Development

Mental health professionals, workers, and other service providers shall undergo capacity building, reorientation, and training to develop their ability to deliver evidence-based, gender-sensitive, culturally appropriate, and human rights-oriented mental health services.
Research and development shall be undertaken to produce information, data, and evidence necessary to formulate and develop a culturally relevant national mental health program.
High ethical standards in mental health research shall be promoted to ensure that research is conducted with free and informed consent, without privileges, compensation, or remuneration, and with approval from an independent ethics committee.

National Center for Mental Health

The National Center for Mental Health (NCMH) shall be the premier training and research center for the development of interventions on mental and neurological services in the country.

Duties and Responsibilities of Government Agencies

The DOH shall achieve the policy and objectives of this Act, including providing mental health services, conducting research and development, and promoting public awareness.
The Commission on Human Rights (CHR) shall receive complaints of human rights violations involving mental health, investigate, and initiate appropriate action.
The Department of Education (DepED), Commission on Higher Education (CHED), and Technical Education and Skills Development Authority (TESDA) shall integrate mental health into the educational system.
The Department of Labor and Employment (DOLE) and Civil Service Commission (CSC) shall develop policies and programs on mental health issues in the workplace.
The Department of Social Welfare and Development (DSWD) shall provide support services for individuals with mental health conditions.
Local government units (LGUs) shall establish or upgrade hospitals and facilities to provide mental health services, and shall provide funding and assistance for the effective implementation of this provision.

Philippine Council for Mental Health

The Philippine Council for Mental Health shall oversee the implementation of this Act, particularly the protection of the rights and freedom of persons with psychiatric, neurologic, and psychosocial needs.
The Council shall be composed of representatives from the government, academe/research, private sector, and non-government organizations.
The Council shall exercise duties and functions, including policy-making, planning, coordinating, and advising on mental health issues.

Miscellaneous Provisions

Any person who commits acts in violation of this Act shall be punished by imprisonment or a fine, or both, at the discretion of the court.
The amount needed for the initial implementation of this Act shall be charged against the 2018 appropriations of the DOH.
The Secretary of Health shall issue implementing rules and regulations (IRR) within 120 days from the effectivity of this Act.

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Test your knowledge on the Republic Act No. 11036, a national mental health policy in the Philippines. This policy aims to enhance the delivery of integrated mental health services and promote the rights of individuals using psychosocial health services.