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Mental Health > 1 Treatment Settings > Flashcards

1 Treatment Settings Flashcards

1
Q

psych intake coordinator

A
  • assess patient

- LPS certified

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2
Q

police must be ____ to be able to write a 5150 hold

A

LPS certified

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3
Q

requirement(s) for 5150

A

1 DTS
2 DTO
3 Gravely disabled [GD]

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4
Q

5150

A
  • 72 hr hold
  • lose access to firearms for 5 yrs
  • ** CAN refuse meds
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5
Q

5250

A
  • up to 14 day hold

- lose access to firearms completely

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6
Q

5270

A

-up to 30 day hold

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7
Q

conservatorship

A
  • usually lifelong
  • renewed every year
  • pt can contest in court
  • CANNOT REFUSE MEDS
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8
Q

Riese Hearing

A
  • temporary
  • pt can contest w judge
  • ends once pt takes their oral meds consistently
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9
Q

if pt is under RIESE or has a conservatorship, when they refuse oral meds…

A

they are given IM meds

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10
Q

emergency situation

A

when pt is acting violent, thrashing, or uncooperative

  • usually in ER
  • give 10-2-50 cocktail
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11
Q

10-2-50 cocktail

A

10mg haloperidol
2mg lorazepam
50mg diphenhydramine

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12
Q

haloperidol

A
  • antipsychotic

- helps w agitation

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13
Q

lorazepam

A

-helps w agitation + anxiety

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14
Q

diphenhydramine

A
  • Benadryl

- helps w EPS

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15
Q

most acute treatment settings

A
  • emergency department
  • crisis stabilization unit
  • locked inpatient unit
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16
Q

transitional outpatient treatment settings

A
  • psychosocial rehab program

- clinical case mgmt

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17
Q

partial hospitalization programs

A
  • 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
18
Q

partial hospitalization programs functions as intermediate steps bw ___ + _____

A

inpatient + outpatient care

19
Q

partial hosp programs help pt’s family by…

A

allowing them free time to continue working, do errands, and have free time

20
Q

outpatient + community psychotherapy mental health care

A
  • 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
21
Q

triage

A

process of determining the severity of the problem + urgency of a response

22
Q

stabilization

A

resolution of the immediate crisis

23
Q

primary goal of emergency services

A

1 perform triage

2 stabilization

24
Q

T/F psych care is the same protocol nationwide

A

FALSE

varies due to differences in state mental health system designs

25
Q

major models of emergency care/crisis stabilization

A

1 comprehensive emergency service model
2 hospital-based consultant model
3 mobile crisis team model

26
Q

comprehensive emergency service model

A
  • cincorporates concepts of triage + stablztn

- often assoc w full service ED in a hospital/medical center setting

27
Q

hospital-based consultant model

A
  • incorporates triage + stablztn

- generally NO dedicated clinical space or comprehensive separate staffing

28
Q

mobile crisis team model

A
  • considered for stabilization in the field

- team meets face to face w person in crisis to assess + de-escalate

29
Q

mobile crisis team

staff members

A
  • psych/MH nurse
  • social worker
  • counselor
  • psychiatrist or NP (LPS certified)
30
Q

instead of calling 911, the family member of a person in crisis can call..

A

the mobile crisis team

31
Q

inpatient admission is commonly reserved for individuals who are ______ and in need of short-term acute care

A
  • suicidal
  • homicidal
  • extremely disabled
32
Q

most inpatient tx today take place in ____ or _____

A
  • general hospitals

- private psych hospitals

33
Q

what are the priority treatment goals for any inpatient settings?

A

rapid stabilization + reintegration to the community

34
Q

can involuntarily admitted pt request to be releases?

A

YES: pt can petition the courts to be released

35
Q

restraints are only applied ___ at a time

A

4 hours

36
Q

T/F when pt is able to follow commands, you can remove the restraints

A

TRUE

37
Q

tracking pt activity should be done routinely based on…

A

risk

38
Q

when is safety needs IDd and individualized interventions chosen?

A

on admission

39
Q

watch out for visitors that may bring unsafe items such as ____ which may be incompatible with medication

A

food

40
Q

nat’l pt safety goals in behavioral healthcare

A
  • use 2 identifiers
  • use meds safely
  • prevent infection
  • ID pt safety risk
  • —-determine which pt are most likely to attempt suicide

Mental Health (14 decks)

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