MHN

1. ETHICS AND
RESPONSIBILTIES
MS. MAURYA
SONAL
BSC NURSING

2. ETHICS

3. AUTONOMY AND RESPECT FOR
INDIVIDUAL
• Autonomy in psychiatry refers to a patient's right to self-governance
and to make their own decisions, though this can be complicated by
mental illness which may impair a person's ability to do so.
• Key aspects include assessing a patient's capacity, balancing it with
clinical judgment, and using strategies like advance directives,
collaboration, and trauma-informed care to respect and enhance the
individual's autonomy, even when it fluctuates or seems compromised.

4. BENEFICENCE & NON MALEFIENCE
• Beneficence in psychiatry is the ethical obligation to act in the patient's best interest
by actively doing good and promoting their welfare, which includes relieving suffering
and improving their quality of life.
• It requires psychiatrists to go beyond simply avoiding harm (nonmaleficence) and to
proactively work for the patient's benefit, such as through advocating for their needs
or ensuring they have access to the most appropriate and least restrictive care.
• Non-maleficence in psychiatry is the ethical principle of "do no harm," which requires
mental health professionals to avoid causing harm to their patients.
• This principle is applied by carefully weighing the risks and benefits of all
interventions to ensure that any potential harm is minimized or is not
disproportionate to the intended benefit.
• For example, a psychiatrist must avoid giving a treatment that causes more suffering
than it alleviates or causing emotional distress through neglect.

5. JUSTICE
• Justice in psychiatry involves applying principles of fairness, equity, and
human rights to the treatment of individuals with mental health
conditions, ensuring they receive equitable access to care, are treated
with dignity, and are not subject to discrimination.

6. VERACITY
• veracity refers to the principle of honesty and truthfulness in the
doctor-patient relationship, which is essential for building trust and
enabling informed consent.
• It requires clinicians to be upfront with patients about diagnoses,
treatment options (including benefits and risks), and cost.

7. CONFIDENTIALITY
• Psychiatrist confidentiality is a fundamental ethical and legal principle
that protects a patient's private information shared during treatment,
but it is not absolute.
• A psychiatrist cannot disclose information without consent, except in
specific, limited circumstances, such as when there is a risk of harm to
the patient or others, to prevent serious crimes, or if ordered by a
court.

8. RESPONSIBILTIES

9. ASSESSMENT & DIAGNOSIS
• Psychiatric assessment is a comprehensive evaluation of a person's
mental state to establish a diagnosis and guide treatment.
• This process involves a detailed clinical interview covering the patient's
history, current symptoms, and functioning, along with a physical exam
and cognitive assessments.

10. THERAPEUTIC COMMUNICATION
• Therapeutic communication is a purposeful, interpersonal process in
psychiatry where a mental health professional uses verbal and non-
verbal methods to build a relationship with a patient to meet the
patient's needs and advance their emotional and psychological well-
being

11. CARE PLANNING &
IMPLEMENTATION
• Care planning and implementation in psychiatry involve a collaborative,
patient-centered process to set goals and create an action plan that
addresses the patient's clinical and personal needs.
• Implementation includes carrying out the agreed-upon steps, such as
medication management, therapy, and behavioral changes, while
regularly monitoring progress and making adjustments as needed
through ongoing communication and shared decision-making with the
patient and their support system.

12. ADVOCACY
• Advocacy in psychiatry involves promoting the rights and well-being of
individuals with mental health conditions through individual,
organizational, and systemic actions.
• This includes activities like raising public awareness, educating
professionals and the public, combating stigma, and working to
improve access to services and mental health policies

13. CONTINUOUS EDUCATION &
REFLECTION
• Continuous education and reflection are crucial for
psychiatrists, enabling them to develop self-awareness, critically
evaluate their practices, and stay current with evolving knowledge and
societal views on mental health

14. CRISIS INTERVENTION
• a short-term, urgent form of psychological first aid used to help
individuals who are experiencing an event that causes extreme distress
or mental, emotional, or behavioral problems.

15. SELF CARE
• Self-care in psychiatry refers to intentional activities that support one's
physical, mental, and emotional health to prevent burnout and improve
well-being.
• It involves practices like getting enough sleep, eating a healthy diet,
engaging in physical activity, spending time with loved ones, managing
stress through techniques like meditation, setting boundaries, and
connecting with nature.