Exam 17: Legal and Ethical Issues in Mental Health

Although electroconvulsive therapy (ECT) is an effective treatment for some, it is extremely frightening to patients, many of whom refuse it.The treatment also requires sophisticated procedures and close supervision by medical personnel, usually in a hospital setting.According to the APA clinical practice guidelines, what would this procedure be considered low in?

The government justifies its right to commit someone to a mental health facility under two types of authority.One is police power.What is the second type?

In a Canadian review, Woodworth and colleagues (2003) suggested that forensic community programs are one of the best settings for helping people who are judged to be not criminally responsible on account of mental disorder.Which of the following is NOT a recommendation made by the authors to ensure a successful implementation of such community-based programs?

In which of the following cases would someone most likely use the insanity defence?

Margaret was diagnosed with schizophrenia ten years ago and has been hospitalized several times.She has paranoid delusions and hallucinations.Her speech is rambling and incoherent.Recently, Margaret got hold of a gun and shot several people, believing that they were her enemies.Following her arrest, what is the most likely scenario for Margaret?

Dr.Papadopolous has found that a certain type of therapy is effective with different patients, in different settings, and with different therapists.In other words, what is Dr.Papadopolous claiming the therapy has?

Dr.Bell works in the United States.Dr.Bell has a patient who has made threats against someone.What is Dr.Bell's legal obligation?

Whereas the clinical efficacy axis of the APA clinical practice guidelines is concerned with effective interventions, what is the clinical utility axis concerned with?

According to Hans (1986), what percentage of people who responded to a survey agreed with the statement that the "insanity plea is a loophole that allows too many guilty people to go free"?

The examination of long-term criminal outcomes of NGRI or NCRMD individuals between 1941 and 2015 revealed which of the following?

Describe the purpose of developing clinical practice guidelines.Describe the two axes along with the questions they aim to address.Discuss the link between these axes and internal and external validity.

Discuss research studies on the relationship between mental illness, dangerousness, and self-harm.Describe symptoms that correlate with an increased risk of violence and self-harm among the mentally ill.Describe the differential perceptions and judgments made of women and ethnic minorities.

Which jurisdiction does NOT require that a person have a mental illness before they can be detained under civil commitment legislation?

Discuss the historical development of the "not guilty by reason of insanity" (NGRI) defence, beginning with the 1843 M'Naghten Rule in England and how/when it was modified in the Canadian Criminal Code as the "not criminally responsible on account of mental disorder" (NCRMD) defence.Be sure to explain the critical differences between the NGRI and the NCRMD defences.

What percentage of involuntary patients persist in refusing treatment?

What do the clinical efficacy axis and the clinical utility axis of the APA clinical practice guidelines refer to?

Under the 1985 Canadian Criminal Code, what would happen to a person found not guilty by reason of insanity?

Gavin was taken into custody under the principle of parens patriae.What does this mean?

In British Columbia, a psychiatrist can commit a patient with schizophrenia if they refuse to take their medications.This provincial difference is due to which of the following?

When can parens patriae power be used to commit individuals with severe mental illness to mental health facilities?