[Exam 2] Chapter 9: Legal and Ethical Issues Flashcards
(114 cards)
Clients receiving mental health retain all civil rights afforded to all people except
right to leave the hospital in the case of involuntary commitment
What rights do mental health patients have?
Right to refuse treatment
Send/recieve mail
Have or refuse visitors
What must happen if patient has restrictions placed against them?
Must have a verifiable, documented reason
Example of restrictions for suicidal client?
May not be permitted to keep a belt, shoelaces, or scissors because he/she may use for self-harm
What did the American Psychiatric Association develop?
Principles for the Provision of Mental Health and Substance Abuse Treatment Services.
What are some hihglights of a patients bill of rights?
To be informed about benefits, qualifications of all providers.
Confidentiality and choice of providers
All benefits within scope of benefit plan
Involuntary Hospitalization: What does it mean to be admitted on a voluntary basis?
Means they are willing to seek treatment and agree to be hospitalized.
Involuntary Hospitalization: Clients hospitalized against their will under these conditions are committed to a facility of psychiatric care until ..
they no longer pose a danger to themselves or to anyone else
Involuntary Hospitalization: Civil commitment or involuntary hospitalization curtails what?
The client’s right to freedom (ability to leave the hospital when they wish to). Clients right however remain intact
Involuntary Hospitalization: How long can a person be detained for on an emergency basis?
48-72 hours until hearing conducted to determine whether or not they should be committed.
Release from Hospital: If a voluntary client who is dangerous to themselves signs a request for discharge, a psychiatrist may file for
a civil commitment to detain the client against their will until a hearing can take place to decide matter
Release from Hospital: What may make someone eligable for discharge?
IF the committed client takes medications and improves fairly and is no longer a danger
Release from Hospital: Patient mood after stopping their medications after discharge?
Threatening, aggressive, or dangerous
Release from Hospital: Who is held legally liable for the criminal actions of released patients?
Mental health clinicians
Mandatory Outpatient Treatment: What is this?
Requirement that clients continue to participate in treatment on an involuntary basis after their release from the hospital
Mandatory Outpatient Treatment: What does this involve?
Taking prescribed meds, keeping appointments with health care providers for follow-up, and attending specific treatment groups
Mandatory Outpatient Treatment: What four states do not have assisted outpatient treatment?
Connecticut, MAryland, Massachusetts, and Tennessee
Mandatory Outpatient Treatment: What are the benefits of these treatments?
Shorter inpatient hospital stays, though may be hospitalized more frequently
Reduced mortality risk for clients considered dangerous
Protection of clients from criminal victimization by others
Mandatory Outpatient Treatment: After initial financial investiment, assisted outpatient treatment is more cost-effective than repeated
involuntary hospital stays
Mandatory Outpatient Treatment: Voluntary clients may do what against medical advice?
Sign a written request for discharge
Mandatory Outpatient Treatment: Mandated outpatient treatment is sometimes also called what?
Conditional release or outpatient commitment
Mandatory Outpatient Treatment: Court-ordered outpatient treatment is most common among who?
Persons with severe and persistent mental illness who have had frequent and multiple contacts with mental health ,social welfare, and criminal justice agencies
Mandatory Outpatient Treatment: When is court-ordered considered ?
When the attempts to voluntarily comply with outpatient treatment recommendations have been unsuccessful
Mandatory Outpatient Treatment: What is the courts concern with court-ordered outpatient treatment?
Concenr is that clients with psychiatric disorders have civil rights and should not be unreasonably required to participate in any activies against their will