The Psychiatric Emergencies Essay Assignment

The Psychiatric Emergencies Essay Assignment

This week you will learn about psychiatric emergencies.

The assignment Legal and Ethical Issues Related to Psychiatric Emergencies
To prepare, review this week’s Learning Resources and consider the insights they provide about psychiatric emergencies and the ethical and legal issues surrounding these events.

In 2–3 pages, address the following: The Psychiatric Emergencies Essay Assignment

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Explain Georgia state 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 of Georgia
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.
In the body of your paper or as appendices (separate from the reference list), attach copies of or links to the suicide and violence risk assessments you selected. You will lose points if you do not attach copies or links. It is not enough to only include the references for the links in the list of references.

You will lose points if your paper has more than 3 pages (excluding the title page of the assignment, lis reference list, and appendices if any)The Psychiatric Emergencies Essay Assignment.

You will lose points if your paper does not follow APA style. APA style includes use of headings and page numbers. Insert page numbers in the top right corner. Make sure your assignment is double-spaced. You need to include headings to identify the content of each of the distinct topics you are asked to address. Review the syllabus for explanation of primary and secondary sources.

Georgia civil commitment laws determine criteria for establishing when involuntary psychiatric holds is suitable for people who are severely mentally ill and cannot voluntarily seek treatment. According to McGuffey (2021) involuntary hospitalization procedure is governed by official code of Georgia Annotate (O.C. G.A.) Title 37, Chapter 3.  The procedure is applicable to persons who present a considerable risk of imminent danger others or himself. Any physician (or clinical nurse specialist in mental health, licensed professional counselor, clinical social works, or psychologist) might execute a certificate affirming that he has examined an individual within the past 48 hours and found that the individual appears to have a mental illness that requires involuntary treatment.  A physician or psychologist evaluating the patient must release an emergency hold within 48 hours unless the provider signs a written certificate that the person has a mental illness.  A family member can pick the adult after a hold is released while a parent/ legal guardian can pick a child The Psychiatric Emergencies Essay Assignment.

The differences among emergency hospitalization for evaluation/psychiatric hold, inpatient commitment, and outpatient commitment state of Georgia

Under GA. CODE ANN. § 37-3-1(9.1).inpatient means an individual who has a mental illness and presents a significant risk of imminent injury to others or self; who is not able to care for his own  safety and physical health and who requires involuntary inpatient treatment.  Under GA. CODE ANN. § 37-3-1(12.1), outpatient means an individual who  has a mental illness and is not an outpatient, but who based on the current mental history or treatment  history of the individual will need outpatient treatment so as to avert  inevitably  and imminently  becoming an inpatient; who as a result of the individual’s mental history, current mental status, and nature of the individual’s mental illness is not able to voluntarily to comply with or seek outpatient treatment and who requires involuntary treatment (Treatment Advocacy Center, 2020)The Psychiatric Emergencies Essay Assignment.

An involuntary emergency hold for psychiatric evaluation might be utilized in patients who do not have capacity for healthcare decisions as a result of severe mental illness.  An authorized individual like is required to sign documents to place the person under involuntary care for emergency evaluation and acute stabilization treatment. ((Steele, 2022).   Under GA Code § 37-3-81, the patient might be detained at a facility past the evaluation period unless voluntary admission is sought only after the recommendation is made the chief medical officer of the evaluating facility.

The difference between capacity and competency in mental health contexts

In mental health care and treatment, exacerbations of illness might complicate factors of decision-making and consent.  A person must demonstrate capacity for understanding to make an informed decision.  According to Steele (2022), capacity refers to the ability to make an informed decision and is assessed by a psychologist or physician. Competency for decision-making is a legal determination.  Competency is based on the ability to communicate, understand information pertinent to the situation and its outcomes and compare benefits and risks of treatment decisions. Treatments can be imposed only after a court decides that the person is not competent to understand the requirement for treatment or act on his/ her own interest The Psychiatric Emergencies Essay Assignment.

Legal issue and ethical issue related confidentiality that may apply within the context of treating psychiatric emergencies

Confidentiality of patient information is an important right for all patients, especially psychiatric patients. Any consultation or discussion involving a patient should be conducted with discretion and only with persons who have a right and need to know this privileged information.  nurses are ethically obligated  to protect confidential patient information (Fosbre, 2022).  During psychiatric emergencies, confidentiality be breached when providers disclose patient information the court  for them to be authorized to involuntarily hospitalize and provide treatment to the patient.

Evidence-based suicide risk assessment to screen patients

The Columbia-Suicide Severity Rating Scale (C-SSRS) is an evidenced-based risk assessment tool that I could to screen patients. According to Salvi (2019), the C-SSR might  be utilized as an initial screening to guide  clinicians in assessing the risk of suicide and to assist stratify patients into groups of high, moderate, or low risk.  The C-SSRS score is based on responses of the patient to screening questions, but it in addition permits for incorporation of information from other sources, for example hospital records, healthcare professionals, friends and family or coroner’s office. There has been extensive validation of the C-SSRs in numerous sub-populations including psychiatric outpatients, adolescents and children and military veterans with posttraumatic stress disorder.

Evidence-based violence risk assessment to screen patients

The Dynamic Appraisal of Situational Aggression (DASA) is an evidence-based violence risk assessment that I could use to screen patients. According to Kaunomaki et al. (2017), the DASA is a structured violence risk assessment utilized for identifying acute risk of patient violent behavior within 24 hours.  It comprises 7 items ( sensitivity to perceived provocation, impulsivity, irritability, verbal threats, negative attitudes, easily angered upon denial of requests, and reluctance to follow directions) of which the happening during the last twelve hours is approximated on a two-point scale( 1 is equal to present, 0 is equal to absent)The Psychiatric Emergencies Essay Assignment. The approximations are summed up provide a total score from 0 to 7 describing the aggression risk.  The total scores are split into three c groups 4 or more, 1-3, and 0 representing high risk, moderate risk and no risk, respectively.

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References

Fosbre, C. D. (2022). Varcarolis Essentials of Psychiatric Mental Health Nursing E-Book: A Communication Approach to Evidence Based Care. Elsevier.

Kaunomaki, J., Jokela, M., Kontio, R., Laiho, E., Sailas, E., & Lindberg, N. (2017). Interventions following a high risk assessment score: a naturalistic study on a Finnish Psychiatric Admission ward. BMC Health Services Research, 17, 26. DOI 10.1186/s12913-016-1942-0

McGuffey, D. (2021). Involuntary Hospitalization and Treatment of Involuntary Patients. https://www.ezelderlaw.com/involuntary-hospitalization-and-treatment-of-involuntary-patients/

Treatment Advocacy Center. (2020). State Standards for Civil Commitment. https://www.treatmentadvocacycenter.org/storage/documents/state-standards/state-standards-for-civil-commitment.pdf

Salvi, J., (2019). Columbia –Suicide Severity Rating Scale (C-SSRS). Emergency  Medicine Practice, 21(5), CD3-CD4.

Steele, D. (2022).  Keltner’s Psychiatric Nursing E-Book.  Elsevier. The Psychiatric Emergencies Essay Assignment