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Mental illness according to "Ohio State Law" - ✔✔-A substantial disorder in thought,
mood, perception, orientation or memory that grossly impair judgment, behavior,
capacity to recognize reality
-Or the ability to meet the ordinary demands of life
-Deemed mentally incompetent
-Unpredictable and potentially harmful to self or others
Criteria for Psychiatric Hospitalization - ✔✔Psychiatric disease
Gravely disabled
Psychological distress
Legal/Criminal Involvement
Psychiatric Disease - ✔✔Identifiable bio-pathology producing cellular dysfunction or
alteration
Gravely disabled - ✔✔Inability to meet ADLs
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,Psychological Distress - ✔✔Loss, Grief, Ineffective Coping, Suicidal
Voluntary Commitment - ✔✔-sought by patient
-18 years or older
-Consent for Treatment
-Able to Demand and Obtain Release from Facility, if improved
List of Patient Rights - ✔✔-Due process of law
-Least Restrictive Environment (*need reasons to restrain)
-Free of Restraints and Seclusion
-Consent for Treatment-*informed (1975)
-Refusal of Treatment and Medications (1978)
-Confidentiality and Privacy
-Access to Personal Belongings and Needs
-Request Release (With signs of improvement)
-Right to Bring Civil Suit
Patient Rights: Due Process of Law - ✔✔-Administration of care according to rules and
principles
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,**no experimental practice
Patient Rights: Confidentiality - ✔✔1. HIPPA
2. PHI: Protected Health Information- need identifiers to log in to EPIC
3. Duty to Warn 1974/ Duty to Protect 1976
Duty to Warn 1974/ Duty to Protect 1976 - ✔✔Law that requires health care
providers/therapists to inform individual of threats of harm against them
Patient Rights: Access to Personal Belongings and Needs - ✔✔i.e. daily exercise,
visitors, phone, writing materials
Patient Rights: Right to Bring Civil Suit - ✔✔Torts; civil law for wrongful conduct
In which circumstances may patient's rights be suspended? - ✔✔-Event of Injury
-Event of harm to self/others
*Document*
Involuntary Commitment - ✔✔-Not sought for by patient
-Pt. Not able to keep self safe
-Requires "Burden of Proof'
-Legal court ordered mandate for a psychiatric evaluation
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, Involuntary Commitment: Burden of Proof - ✔✔Information/Evidence provided to
authorities which substantiates that individual is mentally compromised
*Descriptive Evidence of Behavior
*Pt. Harmful to Others
*Unable to Keep Self Safe
Involuntary Commitment: Legal Court Ordered Mandate for a Psychiatric Evaluation -
✔✔-with sufficient burden of proof
-authorities "Order of Detention"
Involuntary Commitment: Warrant of Detention - ✔✔Police; brought in for evaluation;
determines if admission needed (involuntary admitted)
Involuntary Commitment: Patient rights - ✔✔-Don't lose rights with involuntary
commitment
*Protects others and patient
Emergency Involuntary Commitment - ✔✔-Suicidal or Homicidal
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