Chcmhs 001 Seclusion PDF

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CHCMHS001: Work with people with mental health issuesQuestion 2.Conduct research to clarify statutory requirements and duty of care responsibilities applying to theseclusion of clients with mental health issues.Seclusion is the confinement of a person at any hour of the day or night, in a room or en...

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CHCMHS001: Work with people with mental health issues Question 2.4 Conduct research to clarify statutory requirements and duty of care responsibilities applying to the seclusion of clients with mental health issues. Seclusion is the confinement of a person at any hour of the day or night, in a room or enclosed space from which it is not within the control of the person to leave and free exit is prevented.

As stated in the Mental Health Act 2014, Seclusion to be authorised 1) The use of seclusion of a person in a designated mental health service must be authorised by – a) an authorised psychiatrist; or b) if an authorised psychiatrist is not immediately available, a registered medical practitioner or the senior registered nurse on duty. 2) If a registered medical practitioner or the senior registered nurse authorises the use of seclusion a person under subsection (1)(b) the registered medical practitioner or the senior registered nurse must notify an authorised psychiatrist about the use of seclusion as soon as practicable. 3) Subject to subsection (4), as soon as practicable after the authorised psychiatrist is notified under subsection (2) about the use of seclusion of a person, the authorised psychiatrist must examine the person and determine if the continued use of seclusion of the person is necessary. 4) If the authorised psychiatrist is not reasonably available to examine a person under subsection (3), the authorised psychiatrist must ensure that a registered medical practitioner examines the person and determines whether the continued use of seclusion is necessary, as soon as practicable after being notified under subsection (2) 5) The authorised psychiatrist or registered medical practitioner, as the case may be, may authorise the continued use of seclusion if he or she is satisfied that the continued use of seclusion of the person is necessary.

Monitoring of a person in seclusion 1) A person receiving mental health services in a designated mental health service who is kept in seclusion is to be monitored in accordance with this section. 2) A registered nurse or registered medical practitioner must clinically review a person in seclusion as often as appropriate, having regard to the persons condition, but not less frequently than every 15 minutes. 3) Subject to subsection (4) an authorised psychiatrist must examine a person kept in seclusion as frequently as the authorised psychiatrist, is satisfied is appropriate in the circumstances to do so, but not less than every 4 hours. 4) If it is not practicable for an authorised psychiatrist to conduct the examination at the frequency that the authorised psychiatrist is satisfied is appropriate, the person must be examined by a registered medical practitioner when so directed by the authorised psychiatrist. The Mental Health Act 2016 regulates the use of seclusion, mechanical restraints, physical restraint and the appropriate use of medications in authorised mental health services. Seclusion and mechanical restraints may only be used when strict criteria in the Act are met, including that there is no other reasonably practicable way to protect the relevant patient or others from physical harm. Australia has a national performance target to reduce and where possible, to eliminate practices of seclusion and restraint.  A restrictive intervention may only be used on a person receiving mental health services in a designated health service after ALL reasonable and less restrictive options have been tried or considered and have been found to be unsuitable. A person receiving mental health services in a designated mental health service may be kept in seclusion if seclusion is necessary to prevent imminent and serious harm to the person or to another person.  A person receiving mental health services in a designated mental health service may be kept in seclusion if seclusion is necessary to prevent imminent and serious harm to the person or to another person. Seclusion may be used for an involuntary patient in an authorised mental health service who is subject to a treatment authority, forensic order, or treatment support order, or a person absent without permission from another state who is detained in an authorised mental health service.  Seclusion cannot be authorised under advance health directive, or by an attorney or guardian.  Seclusion may occur for no more than 9 hours in a 24-hour period but may be extended beyond this time if it is approved under a reduction and elimination plan. In addition, one extension of an additional 12 hours may occur to allow a reduction and elimination plan to be made.  In an emergency, a health practitioner in charge of an inpatient or other unit within an authorised mental health service may seclude a person for up to 1 hour. The health practitioner must, as soon as practicable, tell an authorised doctor of the seclusion. An authorised doctor must remove a person from seclusion if it is no longer necessary to protect the person or others from physical harm.  The authorised psychiatrist must provide a written report to the Chief psychiatrist about the use of restrictive interventions in a designated mental health service. The report will be generated through CMI/ODS.

Certificate IV in Alcohol and Other Drugs CHCMHS001: Work with people with mental health issues (200048718) Rebecca Jones

High levels of clinical care, monitoring and reporting are required when restrictive interventions are used. The authorised psychiatrist has increased responsibilities for oversight of authorisation and continued use of restrictive interventions. The person who authorises the use of a restrictive intervention including seclusion, must ensure that the persons needs are met and the persons dignity is protected by the provision of appropriate facilities and supplies, including bedding and clothing appropriate to the circumstances, food and drink when you want them and adequate hygiene and toilet arrangements including the opportunity to wash. A person being restrained must be under continuous observation by a registered nurse or registered medical practitioner. A nurse must review your physical and mental condition every 15 minutes. https://www.health.qld.gov.au/__data/assets/pdf_file/0027/444951/restrictive-practices-fact.pdf (Mental Health Act 2016 Fact Sheet) https://www2.health.vic.gov.au/mental-health/practice-and-service-quality/mental-health-act-2014handbook/safeguards/restrictive-interventions-bodily-restraint-and-seclusion Mental Health Act 2014 – Part 6 – Restrictive interventions Mental Health Regulations 2004

Certificate IV in Alcohol and Other Drugs CHCMHS001: Work with people with mental health issues (200048718) Rebecca Jones...