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28 Cards in this Set
- Front
- Back
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ontario mental health act
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1. ontario law which regulates administration of mental health care 2. regulate involuntary admission of people into a pysch hospital
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voluntary pt
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1. allowed to leave at any time 2. cannot be restratined/isolated unless harm themselves/other
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involuntary pt
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1. admitted against will
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3 common invol admit
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1. police bring person to physician 2. person lays information before justice of peace 3. physician orders ax
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invol admit no danger
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1. bring info to JP 2. judge orders physician exam 3. form 2 authorizing police to take exam
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physician orders ax
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1. threat/attempt to harm self/others 2. behave violent/cause fear 3. lack of competence to care for self 4. harm to self 5. harm to others 6 serious physical imparment
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refusal of tx
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1. tx is essential for involuntary pt to get well
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capable involuntary
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1. refusal can be overruled only in emergency
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incapabale involuntary
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1. can not be treated if SDM refuses 2. prior capable wish
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review board
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1. if unfit to stand trial/criminally responsible review board decides if they leave 2. upon release: parole/probation/peace bond 3. criminal code governs care/tx
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bill 68
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1. Brian's Law 2. ammendment to OMHA 3. regulate involuntary admit into hospital 4. allows for community tx order by dr = comprehensive tx outside psych facility
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community tx orders (CTO)
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1. serious mental pt has a comprehensive plan of comm based tx and supervision less than psych facility 2. make plan with HCT, if not followed form 47 redamit 3. 6mo/renewable 4. board reviews plan every 12mo
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mental health act - comm tx orders
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1. intended for clients who get better on meds, leave, relapse, back in hospital 2. client can agree to CTO/form 45 (or involuntary) 3. pt must be in a psych facility 30d+ or 2x+
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CTO critera
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1. person needs continuing tx/care/supervision 2. person fits form 1 criteria 3. may cause harm to others/deteriorate/suffer phys impairment if they continue to live in comm w/o tx 4. person can follw tx plan 5. supports needed are available in comm
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CTO too restrictive
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1. meant to be least restrictive but must meet critera: danger + admissions 2. problem = can't use as alternative to 1st admit, can't shorten 1st admit 3. BC 1 admission, AB equivalencies to hospital admit 4. other countries CTO instead of involuntary hosp: scot/aus/NZ
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Form 1
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1. signed by MD who saw pt in last 7d 2. client must attend hospital involun for 72 hrs psych ax 3. can only be completed if client is at risk to harm self/others
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Form 2
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1. completed by fam, pros for JP to sign involuntary psych ax 2. useful for client with no GP or do not attend due to mental illness
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Form 3
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1. extend involuntary admit for psych ax past 72 hrs 2. must be diff md 3. admit is involuntary and form - 14 days
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Form 4
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1. end of form 3 if deemed nesc 2. aka certificate of renewal 3. 30d 1st time 4. 60d 2nd time 5. 90d subsequent
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Form 6
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1. involuntary admit for psych admit by judge 2. usu crim charge and investigate for mental illness
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Form 14
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1. competent pt can give consent for clinical record to be seen by others 2. not competent SDM can give consent
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Form 28
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1. competent pt/SDM may look at or copy clinical record
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PHIPA
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1. personal health info protection act 2. protect info while facilitating effective provision of hc 3. if clinician involves family and person to consent - avoids problems
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PHIPA hurts pt by
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1. discourage family input 2. no protect info provider unless bodily harm likely aka psych harm 3. allow person to prohibit use of fam supplied info 4. not allowing clinicians to provide info nesc for care
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appointing rep
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1. competent over 16 can appoint rep to see and give access to clinical file 2. md must notify pt within any admision 48 hrs and give form 36 3. if no appt made SDM will make decisions of file access 5. if md finds pt incompetent must give form 33 (right to appeal) and form 40 (right to apply for reight to appointment ) 6. must norify a rights advisor
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mail
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1. pt mail may be opened, examined, withheld if an officer or designate believes letter would prejudice their best intererst 2. offend recipient 3. incoming would interefere with tx 4. cause distress
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mail exceptions
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1. pt to: lawyer, ombudsman, consent/capacity board/MP cannot be examined/withheld 2. vicecersa except ombudsman cannot be examined withheld
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belongings search
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1. personal 2. property 3. proximity
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