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12 Cards in this Set
- Front
- Back
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Early 1800's
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the decision to admit a patient was solely at the discretion of the hospital administrator
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1840-1880: Dorthea Dix
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lobbied states to create public psychiatric institutions after exposing the horrible conditions of poor houses and jails
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2 Largest Mental Health Jails in the US
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1. Chicago
2. LA |
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Late 1800's
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states said no one could be involuntarily admitted without a trial by peers
ie: similar to a criminal court case |
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1930-1950
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ability to admit a patient was given to one or two physicians
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Community Mental Health Act of 1963
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-Civil Rights attorneys began to challenge the treatment of mentally ill
-admission to mental hospitals was also decided by a judge |
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Voluntary Admission
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-person over 18 applies to a facility b/c of signs/symptoms of mental illness
-minors and wards of court -3 day notice (72hr business days form stating that pt wants to leave, and will be discharged in 72hrs) |
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Involuntary Admission
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-statue criteria: evidence person is suffering from mental disorder
-emergency certificate (pink slip): good for 72hrs -probate admission: due process (outside ind. suggests w/evidence that you be admitted) |
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Basic Client Rights
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-right to informed consent
-right to refuse treatment -court can force meds w/order -if they could harm themselves or others |
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Specific Psychiatric Client Rights
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-right to least restrictive treatment
-right to ones clothing, limited personal possessions, and place to store them -right to have visitors, phone calls, write letters (w/in reason) -right to sealed mail and access to media -right to have/spend reasonable amount of money |
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Right to Privacy and Confidentiality
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-HIPAA Guidelines
-3rd party harm is an exception ie: Tarasoff vs. The Regents of the University of California |
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Steps when 3rd party harm is possible:
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1.A 2nd opinion is required before disclosure
2.have to wait until danger is imminent 3.disclosing only necessary information to prevent danger 4.warning the client that the therapist may have to disclose |
