Deck 3: Mental Health Lawin Canada

Question 1

Three factors prescribe Canadian mental health legislation. Which of the following is not among these factors?

A) The civil liberties of individuals to live as they choose
B) The responsibility of society to ensure the safety and well-being of individuals who cannot understand the consequences of their choices due to diminished capacity
C) The responsibility of society to ensure that the choices and behaviour of one individual does not compromise the safety of others
D) The right to accessing an appeal process for involuntary admission under the Mental Health Act

Answer 1

D

Question 2

The 1935 Ontario Mental Hospitals Act was the first of it's kind to:

A) Grant permission for family members to visit patients
B) Mandate that physical activity be part of a recovery plan
C) Take into consideration that patients may recover
D) Permit patients to establish their own recovery plan

Answer 2

C

Question 3

The Ontario Mental Health Act has undergone numerous amendments addressing involuntary admission and treatment. According to the text, when did the most recent amendment occur?

A) 1957
B) 1967
C) 2015
D) 2011

Answer 3

C

Question 4

Although mental health legislation differs between provinces, what is the primary criterion for involuntary admission within all provincial mental health acts?

A) Incapacity to live well within society
B) Danger to self/others
C) Presenting a risk due to mental illness
D) The person requires treatment for a mental illness

Question 5

The terminology used to define "danger" varies across Canada. Which one of the following is not mentioned in the text as a descriptor?

A) Imminent violence
B) Serious harm
C) Grave and imminent danger
D) Protection of the person or others

Question 6

Differences exist across provincial legislation regarding the definition of mental disorder. Which province includes alcohol abuse as a type of disorder?

A) New Brunswick
B) PEI
C) Saskatchewan
D) Quebec

Question 7

Although descriptions of danger vary across regions, each criteria are based on the association of dangerous behaviour with:

A) Psychosis
B) Anti-social personality disorder
C) Substance use
D) Post traumatic stress

Question 8

Which province or territory allows nurses to complete certificates for involuntary admission?

A) Northwest Territories
B) Nunavut
C) Nunavik
D) Yukon

Question 9

Under the Canadian Charter of Rights and Freedoms, involuntary patients must by informed of their reason for admission and rights regarding appeal. Which of the following is not included in these requirements?

A) Be informed promptly of the reasons for detention
B) Have the validity of the detention reviewed and determined
C) Be given the opportunity to retain counsel without delay
D) Have the right to receive pay from work while detained

Question 10

When is involuntary admission not appropriate?

A) When individuals are willing to be admitted voluntarily
B) When family members do not approve
C) When individuals are medication compliant
D) When people are not capable of consent

Question 11

In 2013, what percentage of Ontario's mental health beds were used for involuntary admissions?

A) 77.1%
B) 70.7%
C) 19.5%
D) 25%

Question 12

In a UK study on patient experience after involuntary admission, three distinct respondent groups were identified. Which one of the following was not among these groups?

A) People who felt the admission was justified
B) People who felt the admission was not long enough
C) People who felt the admission was unjustified
D) People who felt ambivalent

Question 13

For treatment consent to be valid specific criteria must be met, including:

A) Consent must be informed
B) Consent can be coerced
C) Consent must be in writing
D) Consent must come from a family member

Question 14

Capacity to consent is:

A) Static
B) All encompassing
C) Temporary
D) Fluid

Question 15

In some jurisdictions, informed consent must include specific information presented by the heath care professional. Which of the following is not included in the list provided by the text?

A) Alternative courses of action
B) Expected benefits
C) Duration of the treatment
D) Nature of the treatment

Question 16

"Brian's Law" enacted significant changes to mental health legislation in Ontario, including:

A) The creation of community treatment orders
B) Increased number of mental health beds
C) Assertive community treatment teams
D) Subsidies for psychotropic medications

Question 17

Community treatment orders have been associated with improvements to the system of mental health care. Which of the following is not among the list of improvements?

A) lower readmission rates
B) fewer days spent in hospital
C) fewer psychiatric emergency visits
D) fewer 911 calls

Question 18

Which one of the following is not among the list of elements precipitating a duty to protect?

A) Risk to a clearly identified person or group of persons is determined
B) When there is no risk of confidentiality breach
C) When risk is imminent, creating a sense of urgency
D) When risk of harm includes bodily injury, death, or serious psychological harm

Question 19

According to Applebaum (2015), what is the first course of action taken by a social worker when weighing duty to warn with duty of confidentiality?

A) selecting a course of action
B) Consulting with a physician
C) assessing danger
D) implementation and monitoring

Question 20

Solomon (2014) asserts that social workers should be aware of their provincial confidentiality statutes in specific practice areas, including:

A) Child and family services
B) Recreational therapy
C) Client transportation
D) Home housekeeping services

Question 21

There are circumstances in which a person's access to their records may be limited, including:

A) Access to the information contained in a clinical record may be harmful to the client or a third party
B) If there are literacy issues with the client
C) If the client does not have family members
D) Whether the records are coming from another province

Question 22

Individuals can now access certain medical information via smart phone apps. Which of the following examples of information is not included in the list provided in the text?

A) Diagnostic test results
B) Blood work results
C) Discharge summaries
D) Post operative reports

Question 23

In 1995 the Supreme Court of Canada allowed for court access to complainant records under certain conditions which could be determined through what is now called:

A) A Bishop hearing
B) St. Joseph's hearing
C) An O'Connor hearing
D) Herbert's hearing

Question 24

When ordering clinical records, judges can impose conditions to ensure, as much as possible, privacy for the complainant or witness. Which of the following is not included in the list of conditions provided in the text?

A) Records can be edited as directed by the judge
B) A copy of the record is used, rather than the original
C) Names and addresses regarding any person be removed from the record
D) Certain witnesses are not required to appear in court

Question 25

Subpoenas must be taken seriously by social workers. Which of the following is an example from the text, of what not to do after receiving a subpoena?

A) Immediately share client information with the authorities
B) Provide the client with a list of legal representatives
C) Refrain from speaking to a lawyer, police officer, or anyone else about the content of the records or any aspect of the client's treatment
D) Inform the client of a potentially stressful court appearance

Question 26

Proponents of involuntary admission argue that civil liberties are not respected when people are denied involuntary treatment.

Question 27

Quebec does not have provisions within their mental health legislation to admit someone involuntarily due to impairment or deterioration.

Question 28

If a voluntary patient wishes to leave a psychiatric facility, there is no recourse for attending physicians to detain the individual.

Question 29

In the 80's, legislative reforms to involuntary treatment resulted in a significant reduction of admissions.

Question 30

A qualitative study of people in Ireland who were admitted involuntarily revealed that, one year after discharge, one third felt their involuntary admission was unnecessary.

Question 31

Prior to the 1960s, any person admitted to a Canadian hospital against their will could be treated without consent.

Question 32

Opponents of community treatment orders refer to them as "leash laws".

Question 33

In general, patients with CTO's have not experienced coercion.

Question 34

A person who is incapable of providing consent to medical treatment is also considered to be incapable of managing their financial responsibilities.

Question 35

It is against the law in Canada to deny patients access to their medical records.

Question 36

Canada has 2 federal privacy laws.

Question 37

Independent social workers are not required to develop their own privacy policies.

Question 38

Individuals are not permitted to access any records other than those compiled in the treatment facility to which the request for access is directed.

Question 39

Literature reports that supporting client access to records and involvement in the production of records are in line with social work values of shared care.

Question 40

The Criminal Code of Canada legislation does not grant access to victims' medical records regardless of relevance to the case.

Question 41

Briefly describe the mean with which individuals in Canada can be admitted involuntarily to a psychiatric facility.

Question 42

Briefly describe both forms of consent to psychiatric treatment.

Question 43

How does the government of Alberta describe community treatment orders in their consumer information brochures?

Question 44

How does mental health legislation in Canada impact social work practice?