CA Laws That Guide the Specifics of Clinical Practice: Involuntary Confinement

Question 1

The WIC Sections 5150 and 5585 state that when a person, as a result of a __________________, is a danger to others, or to himself/herself, or gravely disabled, any peace officer, member of a mobile crisis team, or professional person designated by the county may take the person into custody and place him/her in a designated and approved facility for up to 72 hours of treatment and evaluation.

Answer 1

Mental disorder.

Question 2

WIC Section _____________ applies to adults; Section _______________ applies to minors, and can only be implemented when the minor’s parent or guardian is not available to authorize voluntary treatment.

Answer 2

• 5150
• 5585

Note: The facility must make every effort to notify the minor’s parent or legal guardian of the hospitalization, as soon as possible after the minor is hospitalized.

Question 3

“Danger to self” specifically refers to ____________________.

Answer 3

Suicidal intent.

Question 4

Grave disability is typically defined as being unable to adequately provide for one’s food, clothing, or shelter; a person is not considered “gravely disabled” if he/she can survive with the aid of family, friends, or others, and their willingness to help is ________________________________.

Answer 4

Specified in writing.

Question 5

The WIC Section ________ states that after a person has been detained for 72 hours, he/she may be certified for up to 14 days of intensive treatment related to the mental disorder. This can take place if the person remains a danger to self, others, or is gravely disabled as the result of a mental disorder or impairment due to __________________.

Answer 5

• 5250
• Chronic alcoholism

Question 6

Section 5250 may only be implemented if the person has been advised of the need for additional __________________ but has not been willing to accept on a _____________________.

Answer 6

• Voluntary treatment
• Voluntary basis

Question 7

The person certified on a 5250 hold is entititled to certification review within ___ days of certification, to determine whether there is ___________________ that there is a danger to self, others, or grave disability.

Answer 7

• 4
• Probable cause

Question 8

WIC 5260 - Second 14-Day Hold: At the expiration of the 14-day hold, a patient who continues to present an imminent threat of __________ may be confined for an additional 14 days. This hold ______ renewable.

Answer 8

• Suicide
• Is not

Question 9

WIC 5270.15 - 30-day Hold: At the expiration of the 14-day hold (5250), a patient who remains _______________ may be certified for an additional 30 days. If the patient remains impaired in this way at the end of the hold, they may not be involuntarily confined any longer, unless a petition for ___________________ has been filed during the hold.

Answer 9

• Gravely Disabled
• Conservatorship

Question 10

WIC 5300 - 180-Day Hold: At the expiration of the 14-day hold (5250), a patient who continues to present an imminent threat of ________________ may be confined for up to 180 additional days; this hold _________ renewed.

Answer 10

• Danger to others
• Can be

Question 11

Which of the following is not a Patient Right when involuntarily detained, voluntarily admitted, or mentally retarded and committed to a state hospital?

a. The right to wear one’s own clothes, use toilet articles, and keep money for small purchases
b. The right to have individual storage space
c. The right to free contraception
d. The right to see visitors each day, and to have access to telephones (and confidential calls) and writing materials
e. The right to refuse convulsive treatment and psychosurgery

Answer 11

C.

Question 12

Which of the following is not a basic patient right for persons with mental illness?

a. The right to contact a patient’s advocate for information
b. The right to refuse meals
c. The right to refuse medication
d. The right to treatment, which promotes the potential of the person to function independently, provided in ways that are least restrictive of personal liberty

Answer 12

b.

Question 13

Which of the following is not a basic patient right for persons with mental illness?

a. The right to personal transportation
b. The right to be free from unnecessary or excessive physical restraint, isolation, medication, abuse, or neglect
c. The right to prompt medical care and treatment
d. The right of religious freedom and practice

Answer 13

a.

Question 14

Which of the following is not a basic patient right for persons with mental illness?

a. The right to social interaction and participation in community activities
b. The right to physical exercise and recreational opportunities
c. The right to be free from hazardous procedures
d. The right to consume alcohol in limited amounts

Answer 14

d.