27-65 Involuntary Hospitalization
Decision Tree for Involuntary Hospitalization. The decision tree begins when a patient presents with suicidal/homicidal ideation or is gravely disabled due to a major mental illness. Settings would be the ED or OP clinics.
|
|
|
|
|
|
|
|
|
|
|
|
Patient is under the influence of drugs/ETOH
(positive screen for alcohol or other drugs)
|
YES
|
Assessment protocol:
ETOH-assessment less than 40 or 0.04BAC
Other intoxicants-
minimum of 12 hours detox from time of call
|
YES
|
Referral to Crossroads for detox and MH assessment when clear.
.
|
YES
|
Detox will notify ES when clear to assess
|
YES
|
Clinician determines if patient meets criteria (27-65) when clear.
|
NO
|
|
|
NO
|
NO
|
YES
|
YES
|
NO
|
YES
|
|
Clinician determines if patient meets criteria for 27-65. If so,
patient will be referred to IP.
|
NO
|
A safety plan is made with patient and support system
|
|
Patient is allowed to detox in ED and assessed when clear.
|
|
A safety plan is made with patient and support system
|
|
Medical clearance and labs at ED
|
YES
|
|
YES
|
|
|
|
YES
|
|
YES
|
|
Medical clearance and labs at ED
|
|
Services are offered to support patient through crisis
|
| |
|
Services are offered to support patient through crisis
|
|
M1 paperwork completed and signed by licensed clinician or MD on duty
|
YES
|
|
YES
|
|
|
|
YES
|
|
YES
|
|
M1 paperwork completed and signed by licensed clinician or MD on duty
|
|
Care coordination with primary care provider or other providers
|
| |
|
Care coordination with primary care provider or other providers
|
|
Hospital bed located and transport team dispatched for transport
|
YES
|
|
|
|
|
|
|
|
|
|
Hospital bed located and transport team dispatched for transport
|
| |
|
**Locating bed space could take hours to days**
|
| |
| |
|
|
|
|
|
|
|
|
|
| |
| |
| |
| |
| |
|
|
|
|
|
|
|
|
|
| |
| |
| |
| |
| |
|
|
|
|
|
|
|
|
|
|
27-65 Involuntary Hospitalization
