NUR604: Mental Health and Addiction in Clinical Practice

Flashcards covering New Zealand mental health nursing outcomes, legal frameworks (MHA 1992/2021), ethics, and clinical de-escalation techniques.

What percentage of adults in Aotearoa New Zealand experienced high psychological distress in 2020–21?

$$11.2\%$$

According to the lecture, what was the rate of high psychological distress among young people ($15-24\,\text{years}$) in 2020–21?

$$23.6\%$$

What is the estimated annual cost of mental illness and addiction in Aotearoa New Zealand?

$$\$12\,billion$$

How is Mental Health defined in the lecture?

A state of wellbeing and the ability to cope with life's challenges and function effectively.

What is the definition of Mental Illness according to the transcript?

A health condition that affects thinking, mood, emotions, or behaviour, impacting daily functioning and quality of life.

What are the five components of the CHIME framework for personal recovery?

Connectedness, Hope & optimism, Identity, Meaning, and Empowerment.

List the 5 Principles of Trauma-Informed Care provided in the lecture.

Trust, Collaboration, Safety, Choice, and Empowerment.

What is the legal name for the legislation referred to as the Mental Health Act?

Mental Health (Compulsory Assessment and Treatment) Act 1992

What are the five entitlement categories included under Human Rights in the transcript?

Dignity, fairness, equality, respect, and independence.

In the MHA Section 2 definition of 'Mental Disorder,' what characteristics define Limb 1 (Abnormal State of Mind)?

Delusions, or disorders of mood, perception, volition, or cognition.

What two criteria comprise Limb 2 of the 'Mental Disorder' definition in the MHA?

1. Poses a serious danger to the health or safety of that person or others; OR 2. Seriously diminishes the capacity of that person to take care of him or herself.

Which official is responsible for the management of Duly Authorised Officers and responsible mental health clinicians in a specific area?

Director Area Mental Health Services (DAMHS)

Who typically serves as a Duly Authorised Officer (DAO)?

Health professionals, usually senior psychiatric nurses, who act as points of contact between services and the community.

What is the specific role of District Inspectors?

Lawyers who help a person navigate the Mental Health Act, provide legal information, and investigate complaints about breaches of rights.

According to Section 4 of the MHA, what four categories cannot be the sole basis for subjecting a person to the Act?

Intellectual disability, substance use, personal/political/religious beliefs, or criminal/delinquent behaviour.

What was a major change introduced by the Mental Health (Compulsory Assessment and Treatment) Amendment Act 2021 regarding treatment orders?

The removal of indefinite orders.

What does Section 8A of the MHA cover?

Application for Assessment, which can be made by anyone over $18\,\text{years}$ who has seen the person within the last $3\,\text{days}$.

Under Section 11, what is the duration of the first period of assessment and treatment?

$$5\,days$$

What is the duration of the second period of assessment and treatment under Section 13?

$$14\,days$$

What are the two types of orders a judge may issue under Section 18?

Section 29 (Community Treatment Order) or Section 30 (Inpatient Treatment Order).

What power is granted to nurses under Section 111 of the MHA?

The power to detain a patient not already subject to the MHA for not more than $6\,hours$ for the purpose of medical assessment.

What are the conditions for administering Electro Convulsive Treatment (ECT) under Section 60?

Written consent after explanation (Section 67) OR a psychiatrist (not the RC) appointed by the Review Tribunal deems it in the patient's best interests.

In 2020, how much more likely were Māori to be subject to an inpatient treatment order compared to other ethnicities?

$$3.5\,\text{times}$$

How much more likely are Māori to be secluded than non-Māori when admitted to inpatient services?

$$5\,\text{times}$$

What is the definition of 'Least Restrictive Practice'?

Achieving positive outcomes with minimal to no use of invasive treatment.