1 Treatment Settings Flashcards
psych intake coordinator
- assess patient
- LPS certified
police must be ____ to be able to write a 5150 hold
LPS certified
requirement(s) for 5150
1 DTS
2 DTO
3 Gravely disabled [GD]
5150
- 72 hr hold
- lose access to firearms for 5 yrs
- ** CAN refuse meds
5250
- up to 14 day hold
- lose access to firearms completely
5270
-up to 30 day hold
conservatorship
- usually lifelong
- renewed every year
- pt can contest in court
- CANNOT REFUSE MEDS
Riese Hearing
- temporary
- pt can contest w judge
- ends once pt takes their oral meds consistently
if pt is under RIESE or has a conservatorship, when they refuse oral meds…
they are given IM meds
emergency situation
when pt is acting violent, thrashing, or uncooperative
- usually in ER
- give 10-2-50 cocktail
10-2-50 cocktail
10mg haloperidol
2mg lorazepam
50mg diphenhydramine
haloperidol
- antipsychotic
- helps w agitation
lorazepam
-helps w agitation + anxiety
diphenhydramine
- Benadryl
- helps w EPS
most acute treatment settings
- emergency department
- crisis stabilization unit
- locked inpatient unit
transitional outpatient treatment settings
- psychosocial rehab program
- clinical case mgmt
partial hospitalization programs
- intensive short term treatment similar to inpatient except pt is able to return home each day
- typically 5-6 hrs per day (MON-FRI)
- uses individual/group psychotherapy treatment
partial hospitalization programs functions as intermediate steps bw ___ + _____
inpatient + outpatient care
partial hosp programs help pt’s family by…
allowing them free time to continue working, do errands, and have free time
outpatient + community psychotherapy mental health care
- treatment in community permits pt + their support to learn new ways of coping w symptoms or situational difficulties
- promotes prevention + reduce instances of reoccurrence or relapse
triage
process of determining the severity of the problem + urgency of a response
stabilization
resolution of the immediate crisis
primary goal of emergency services
1 perform triage
2 stabilization
T/F psych care is the same protocol nationwide
FALSE
varies due to differences in state mental health system designs
major models of emergency care/crisis stabilization
1 comprehensive emergency service model
2 hospital-based consultant model
3 mobile crisis team model
comprehensive emergency service model
- cincorporates concepts of triage + stablztn
- often assoc w full service ED in a hospital/medical center setting
hospital-based consultant model
- incorporates triage + stablztn
- generally NO dedicated clinical space or comprehensive separate staffing
mobile crisis team model
- considered for stabilization in the field
- team meets face to face w person in crisis to assess + de-escalate
mobile crisis team
staff members
- psych/MH nurse
- social worker
- counselor
- psychiatrist or NP (LPS certified)
instead of calling 911, the family member of a person in crisis can call..
the mobile crisis team
inpatient admission is commonly reserved for individuals who are ______ and in need of short-term acute care
- suicidal
- homicidal
- extremely disabled
most inpatient tx today take place in ____ or _____
- general hospitals
- private psych hospitals
what are the priority treatment goals for any inpatient settings?
rapid stabilization + reintegration to the community
can involuntarily admitted pt request to be releases?
YES: pt can petition the courts to be released
restraints are only applied ___ at a time
4 hours
T/F when pt is able to follow commands, you can remove the restraints
TRUE
tracking pt activity should be done routinely based on…
risk
when is safety needs IDd and individualized interventions chosen?
on admission
watch out for visitors that may bring unsafe items such as ____ which may be incompatible with medication
food
nat’l pt safety goals in behavioral healthcare
- use 2 identifiers
- use meds safely
- prevent infection
- ID pt safety risk
- —-determine which pt are most likely to attempt suicide
