Learning Objectives

• Describe the clinical features (history, exam and investigations) of the patient with psychosis and schizophrenia
• List the components of a mental state examination (MSE)
• Describe the emergency management of the agitated patient
• Describe the process of assessing capacity
• Describe the key components and differences between the Mental Health Act and the Guardianship Act (Public Health Act)
• Describe the differences in clinical features between dementia and delirium
• List common causes of delirium
• Interpret of the Folstein mini-mental state examination
• Describe the clinical differences between organic & psychological causes of psychosis, thought disorder and altered mental state
• Describe the process of medical clearance of the thought-disordered, psychotic or suicidal patient
• Interpret the “SAD A FACES” depression scoring scale
• Describe the “HEADSS” approach to talking to adolescents
• Interpret the components of the "SAD PERSONS” suicide risk assessment tool
• List the 3 higher risk features for suicide
• Define burnout
• Describe strategies to manage burnout and stress specifically in medical school, the hospital setting and within the broader life of a medical practitioner

Mental Health Crisis

• what are the 2 roles of doctors in mental health crises?