Ethics & Legal Flashcards
What criteria is necessary for admission of a mental health pt.?
Severity of symptoms, risk of danger to self & others, pt/fam preference & needs, financial situations, voluntary/involuntary
What is the only civil right mental health pt.’s don’t have?
The right to leave the hospital in the case of involuntary commitment
What is the process where a person is suffering from a mental illness, unable to care for self, or is a danger to self or others & may be temporarily detained & committed to a hospital or outpt. treatment, but is governed by individual states?
Involuntary commitment
What is a civil or judicial involuntary commitment?
When the court intervenes for a longer term of the pt’s stay to protect the community from persons posing a threat.
What federal levels are involved in the Due Process in Civil Commitment?
US Constitution 5th & 14th Amendment (both federal level)
What is an emergency involuntary commitment?
When the pt. is a risk of harm to self or others, court ordered, incompetent, only lasts 72 hours for adults, 24hrs for children
What has a goal of balancing a persons right to freedom w/ protection of the mental ill person who is unable to care for self & the protection of society?
Due Process in Civil Commitment
What do the courts need to do to be able to commit a mentally ill pt. for longer than 72 hrs by determining if standards are met through a hearing
Due Process: Petition
What is excluded in confidentiality vs. privileged communication for mentally ill pt’s?
Abuse, info that could prevent murder, if someone is at risk for harm by the MI pt, some communicable diseases
What is the responsibility of a treating mental health professional to notify an intended identifiable victim?
Tarasoff Duty to Warn
What is the lack of ability to understand right from wrong at the time of the offense & must be able to form intent?
M’Naghten Rule- Not Guilty by Reason of Insanity
What does not apply to minors in matters of hospitalization?
Right to due process bc parents/guardians make decisions for them
What is 1:1 interaction?
Directly addressing the pt. by speaking to them
What is seclusion?
Involuntary confinement in a specifically constructed, locked room w/ a security window or camera for protection of others
What is needed to put a pt. in seclusion or restraints?
A doctors order & the doc must assess w/in 1hr & a 1:1
D/C ASAP, check restraints q15min & document CAREFULLY.