March 2019 By PsychDB.com

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teaching:on-mha:emergency-assessment [September 2018]
PsychDB.com
teaching:on-mha:emergency-assessment [March 2019] (current)
PsychDB.com
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 +====== Emergency Capacity Assessments ======
 +===== Primer =====
 +Sometimes, you may be paged about an urgent capacity issue while on call, and a patient wants to leave. The following 2x2 table can help guide your decisions on whether a patient should leave. When in doubt, **always use a [[teaching:​on-mha:​form-1-42|Form 1]]**! It is called an Application for Psychiatric //​Assessment//​ for a reason!
  
 +===== Approach =====
 +<callout type="​success">​{{fa>​arrow-circle-right?​color=green}} See also: **[[teaching:​on-mha:​consent-capacity|]]**</​callout>​
 +<panel type="​default"​ no-body="​true"​ title="​2x2 Capacity Decision Table">​
 +^                 ^ Capable ​                                                                                                                                                                                                                                            ^ Incapable ​                                                                                                                                                                                                                                                                                                                                                                                                                  ^
 +^ Wants to stay   | -                                                                                                                                                                                                                                                   | • There is no requirement for for Mental Health Act Detention. Patient is neither voluntary nor involuntary. \\ • SDM consulted for treatment decisions \\ • INFORMALLY admitted to hospital per HCCA                                                                                                                                                                                                                       |
 +^ Wants to leave  | • Consider Mental Health Act Detention (Form 1/Form 3) if mental health disorder contributing to safety risk requiring psychiatric admission for safety \\ • Remember you cannot treat medical issues against a patient'​s will if capably refusing ​ | • SDM consulted for medical treatment decisions/​plan of care that includes hospitalization if needed to enable required treatment \\ • If the physical risks of patient leaving AMA without treatment meet a serious risk, then consider if patient is suitable for informal status via HCCA, and/or\\ • If admission is a concurrent medical and psychiatric admission, and the Form 3 criteria are met, issue a Form 3  |
 +</​panel>​
 +
 +== Detailed Approach ==
 +<button icon="​fa fa-lock"​ size="​xs"​ type="​success">​[[on-call:​locked:​home|Download Detailed PDF (locked)]]</​button> ​
 +
 +{{tag>​capacity}}
 +~~NOTOC~~