Psych Exam 1

Front 1

Ethical Principle: Utilitariansm

Back 1

The greatist good for the greatest number

Front 2

Ethical Principle: Autonomy

Back 2

Clients have right to self-determiniation and independence

Front 3

Ethical Principle: Beneficence

Back 3

All tretments must be for the client's good

Front 4

Ethical Principle: Nonmalefience

Back 4

Above all, care providers must do no harm

Front 5

Ethical Principle: Fidelity

Back 5

Be faithful to commitment and contracts

Front 6

Ethical Principle: Justice

Back 6

Fairness, equity and honsety

Front 7

Rights of mental health clients

Back 7

1. Right to privacy and confidentiality
2. Right to keep personal items-however if it can cause injury it can be taken away
3. Right to enter into legal contracts
4. Right to habeas corpus
5. Right to informed consent
6. Right to refuse treatment

Front 8

Rights that cannot be denied

Back 8

1. The right to human care
2. the right to be free from neglect and abuse
3. The right to social activites and recreation
4. The right to education
5. The right to religious freedom and practice
6. The right to be free from discrimination.

Front 9

Rights that may be denied with good cause

Back 9

GOOD CAUSE:Injury to client or others; or, serious infringment i nthe rights of others;or, serious damage to the facility and there is no less restrictive way to protect against such occurences.
1. Right to wear own cloting
2. Right to keep and spend own money
3. Right to see visitors each day
4. Right to have access to storage space
5. Right to keep and use personal possessions
6. Right to have access to telephone
7. Right to receive mail and unopened correspondence
8. Right to have letter-writting materials.

Front 10

The Lanterman-Petris-Short Act (LPS)

Back 10

a law in the state of CA that set the precedent for modern mental health care in the United States. The Act went into full effect on July 1, 1972 (less restrictive setting)

Front 11

People who can decide a 5150 is needed

Back 11

PET team
Police
Park Rangers
ER nurses/Doctors

Front 12

Involuntary Detention

Back 12

72-hour hold or 5150
Causes: DTS, DTO, GD

14-Day hold or 5250
Causes: continues to be DTS, DTO, or GD. Not willing ro able to accept voluntary treatment. Requires certification review hearing within 4 days at the end of 72-hr hold. Right for certification hearing is given up when client requests a writ of habeas corpus

Front 13

Involuntary Detention: Recertification for intensive treatment or 5260

Back 13

Cause: attempted or threatened to take own life during the 14-day hold. Only on DTS

Front 14

Involuntary detention: Additional 30-day hold or 5270.1

Back 14

Cause: remains GD and unwilling to accept voluntary treatment

Front 15

Involuntary Detention: Post certification for dangerousness or 5300 et. al.

Back 15

Cause: Continues DTO, Not to exceed 180 days

Front 16

Legal Issues

Back 16

Abandoment
Tarasoff Duty to Warn-Inform perspective victim of homesidal attempt
Sexual involvment with clients
Breaching confidentiality
Failure to honor individual rights

Front 17

Seclusion and Restraint

Back 17

Always less restrictive environment.
Seclusion- the involuntary confinement of a client in a room or area, where the client is prevented from physicall leaving, for any period of time.
1. Behavioral restraint- any form of restraint employed to control a client in order to prevent the person from causeing harm to self or others.
2. Chemical restraint- a drug used to control behavior and in a manner not required to treat the client's physcial symptoms.

Front 18

Justification for the use of Restraint

Back 18

1. to prevent immediate injury to the person or others, and only when there is no less restrictive method to prevent injurious behavrior. Restraint is the last resort

Front 19

Restraint or seclusion oders shall include:

Back 19

1. the reason for the restrain or seclusion in specific behavioral terms
2. Dsate and time of the order
3. The type of restraint and the number of points

Front 20

Oders for seclusion or restraint shall not exceed 24-hours in duration

Back 20

In a clear case of emergency, when a physician is not availible and reasonble less restrictive behavior interventions have been attempted or considered, a clilent may be placed in restraint or seclusion at the discretion of a licensed nursing staff. A confirming telephone order from a physician must be obtained within one (1) hour

Front 21

Seclusion/restrain orders are time-limited as follows

Back 21

18yrs. and up- 4 hours
9 to 17 yrs - 2 hours
ages under 9 - 1 hour