1 Treatment Settings

Question 1

psych intake coordinator

Answer 1

• assess patient

- LPS certified

Question 2

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

Answer 2

LPS certified

Question 3

requirement(s) for 5150

Answer 3

1 DTS
2 DTO
3 Gravely disabled [GD]

Question 4

5150

Answer 4

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

Question 5

5250

Answer 5

• up to 14 day hold

- lose access to firearms completely

Question 6

5270

Answer 6

-up to 30 day hold

Question 7

conservatorship

Answer 7

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

Question 8

Riese Hearing

Answer 8

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

Question 9

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

Answer 9

they are given IM meds

Question 10

emergency situation

Answer 10

when pt is acting violent, thrashing, or uncooperative

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

Question 11

10-2-50 cocktail

Answer 11

10mg haloperidol
2mg lorazepam
50mg diphenhydramine

Question 12

haloperidol

Answer 12

• antipsychotic

- helps w agitation

Question 13

lorazepam

Answer 13

-helps w agitation + anxiety

Question 14

diphenhydramine

Answer 14

• Benadryl

- helps w EPS

Question 15

most acute treatment settings

Answer 15

• emergency department
• crisis stabilization unit
• locked inpatient unit

Question 16

transitional outpatient treatment settings

Answer 16

• psychosocial rehab program

- clinical case mgmt

Question 17

partial hospitalization programs

Answer 17

• 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

Question 18

partial hospitalization programs functions as intermediate steps bw ___ + _____

Answer 18

inpatient + outpatient care

Question 19

partial hosp programs help pt’s family by…

Answer 19

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

Question 20

outpatient + community psychotherapy mental health care

Answer 20

• 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

Question 21

triage

Answer 21

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

Question 22

stabilization

Answer 22

resolution of the immediate crisis

Question 23

primary goal of emergency services

Answer 23

1 perform triage

2 stabilization

Question 24

T/F psych care is the same protocol nationwide

Answer 24

FALSE

varies due to differences in state mental health system designs

Question 25

major models of emergency care/crisis stabilization

Answer 25

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

Question 26

comprehensive emergency service model

Answer 26

- cincorporates concepts of triage + stablztn | - often assoc w full service ED in a hospital/medical center setting

Question 27

hospital-based consultant model

Answer 27

- incorporates triage + stablztn | - generally NO dedicated clinical space or comprehensive separate staffing

Question 28

mobile crisis team model

Answer 28

- considered for stabilization in the field | - team meets face to face w person in crisis to assess + de-escalate

Question 29

mobile crisis team | staff members

Answer 29

- psych/MH nurse - social worker - counselor - psychiatrist or NP (LPS certified)

Question 30

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

Answer 30

the mobile crisis team

Question 31

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

Answer 31

- suicidal - homicidal - extremely disabled

Question 32

most inpatient tx today take place in ____ or _____

Answer 32

- general hospitals | - private psych hospitals

Question 33

what are the priority treatment goals for any inpatient settings?

Answer 33

rapid stabilization + reintegration to the community

Question 34

can involuntarily admitted pt request to be releases?

Answer 34

YES: pt can petition the courts to be released

Question 35

restraints are only applied ___ at a time

Answer 35

4 hours

Question 36

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

Answer 36

TRUE

Question 37

tracking pt activity should be done routinely based on...

Answer 37

risk

Question 38

when is safety needs IDd and individualized interventions chosen?

Answer 38

on admission

Question 39

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

Answer 39

food

Question 40

nat'l pt safety goals in behavioral healthcare

Answer 40

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