NRNP 6675 Assignment: PMHNP Across the Lifespan II: Legal and Ethical Issues Related to Psychiatric Emergencies
NRNP 6675 Assignment: PMHNP Across the Lifespan II: Legal and Ethical Issues Related to Psychiatric Emergencies
PMHNP Across Lifespan II: Legal and Ethical Issues Related to Psychiatric Emergencies
Mental health problems are a crucial concern in any society. Mental health problems have considerable impact to the affected patients and significant others. They include loss of productivity, decline in the quality of life, and premature mortalities. Psychiatric mental health nurse practitioners play an important role in the provision of care that addresses the health needs of the affected populations. In doing so, they must provide care that align with the legal requirements in their states and their scopes of practice. Therefore, the purpose of this paper is to explore the different legal requirements that guide the different types of care given to mental health patients in the state of California.
ORDER A CUSTOMIZED, PLAGIARISM-FREE PAPER HERE
Good News For Our New customers . We can write this assignment for you and pay after Delivery. Our Top -rated medical writers will comprehensively review instructions , synthesis external evidence sources(Scholarly) and customize a quality assignment for you. We will also attach a copy of plagiarism report alongside and AI report. Feel free to chat Us
Involuntary Psychiatric Holds in California
The state of California has adopted Code 5150, section 5150 to guide the decision to place patients with psychiatric conditions on involuntary hold. The law set by the state requires patients to be placed on involuntary hold for 72 hours. A patient is placed on involuntary hold if the patient has mental health disorder, psychosis or distress and is at a risk of harm to self and others. The patient must also be gravely disabled to be placed on involuntary hold. The individuals that can place a patient to an involuntary hold include police officers and mental health professionals(Admin, 2021). The patient must be closely observed during the period of hold and make appropriate recommendations on whether to discharge or prolong patient hospitalization beyond the 72 hours.
The above requirements also apply to involuntary hold for minors. The law requires that minors must be provided care in the least restrictive manner that is possible to promote safety. Involuntary hold applies for minors if they have an acute mental health event, threat to self and others, and is gravely disabled. Support should be provided with a focus being on ensuring their participation in their care as much as possible. The duration for hold is like that of the adults. Psychiatric mental health nurse practitioners can only release the emergency hold(Admin, 2021). A person close to the patient such as parents, siblings or guardians can pick up the patient after release of hold.
Differences
Emergency hospitalization for psychiatric hold or evaluation in California occurs in situations where the patient is a danger to self, others, and gravely disabled. The hold aims at ensuring patient assessment for further healthcare needs. Outpatient commitment in California applies to patients that do not demonstrate being of any threat to self and others. It works like outpatient services for patients with mental health problems. Inpatient commitment applies to patients that may be a threat to self and others(DHCS, n.d.). It also applies to those who are vulnerable to environmental threats.
Capacity vs. Competency
Capacity in mental health entails the ability of the patient to make decisions. Capacity depends largely on patient’s cognition. On the other hand, competence refers to the ability of a patient with a mental health problem to engage in activities that are needed to achieve the outcomes of the decisions made. Unlike capacity which a physician determines, a judge determines patient’s competency (Fosbre, 2022).
Selected Topic
The HIPAA privacy rule permits the disclosure and used of the patient’s protected health information without seeking their permission or authorization. The rule provides some flexibility in the use of protected health information in situations where healthcare providers must make decisions to save patients’ lives. The rule raises the ethical concern of breaching patients right to autonomous care. It also raises ethical issues related to inappropriate use of patient’s data in the care process (Fosbre, 2022). One of the evidence-based practice suicide risk assessment that I could use to screen patients is the Ask Suicide-Screening Questions and Slapped, Things and Threaten tool for violence.
Conclusion
California has developed rules to guide involuntary holds and requirements for different admissions and treatment. The police and psychiatric mental health practitioners can institute psychiatric holds. The HIPAA privacy rule raises ethical and legal concerns. Evidence-based treatments should be utilized for mental health problems.
References
Admin, W. (2021, August 15). The 5150 Hold California Code Explained. ELEVATE Wellness Center. https://elevatewellnesscenter.com/5150-hold/
DHCS. (n.d.). Rights For Individuals In Mental Health Facilities.
Fosbre, C. D. (2022). Varcarolis’ Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care. Elsevier Health Sciences.
ORDER A CUSTOMIZED, PLAGIARISM-FREE PAPER HERE
NRNP 6675: PMHNP Across the Life Span II: Legal and Ethical Issues Related to Psychiatric Emergencies
The diagnosis of psychiatric emergencies can include a wide range of problems—from serious drug reactions to abuse and suicidal ideation/behaviors. Regardless of care setting, the PMHNP must know how to address emergencies, coordinate care with other members of the health care team and law enforcement officials (when indicated), and effectively communicate with family members who are often overwhelmed in emergency situations. In their role, PMHNPs can ensure a smooth transition from emergency mental health care to follow-up care, and also bridge the physical–mental health divide in healthcare.
In this week’s Assignment, you explore legal and ethical issues surrounding psychiatric emergencies, and identify evidence-based suicide and violence risk assessments.
The Assignment
In 2–3 pages, address the following:
Explain your state (California) laws for involuntary psychiatric holds for child and adult psychiatric emergencies. Include who can hold a patient and for how long, who can release the emergency hold, and who can pick up the patient after a hold is released.
Explain the differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment in your state (California).
Explain the difference between capacity and competency in mental health contexts.
Select one of the following topics, and explain one legal issue and one ethical issue related to this topic that may apply within the context of treating psychiatric emergencies: patient autonomy, EMTALA, confidentiality, HIPAA privacy rule, HIPAA security rule, protected information, legal gun ownership, career obstacles (security clearances/background checks), and payer source.
Identify one evidence-based suicide risk assessment that you could use to screen patients.
Identify one evidence-based violence risk assessment that you could use to screen patients.
Utilize turnitin.com drafts for originality report before final submission.
Submit your Assignment. Attach copies of or links to the suicide and violence risk assessments you selected.
Struggling to meet your deadline ?
Get assistance on
NRNP 6675 Assignment: PMHNP Across the Lifespan II: Legal and Ethical Issues Related to Psychiatric Emergencies
done on time by medical experts. Don’t wait – ORDER NOW!
Struggling to meet your deadline ?
Get assistance on
NRNP 6675 Assignment: PMHNP Across the Lifespan II: Legal and Ethical Issues Related to Psychiatric Emergencies
done on time by medical experts. Don’t wait – ORDER NOW!