雷斯尼克神经精神病院

病人 & 家庭资源

教育

条件和治疗

夫妇在车里

The National Institute of Mental Health offers comprehensive expert-reviewed information on mental health disorders and a range of other topics.

For more information, please visit National Institute of Mental Health at http://www.nimh.nih.gov /Wellness/主题/索引.shtml

货舱信息

理解非自愿握持

The evaluator placing the hold must deem that the behaviors resulting in the placement of the hold are due to a mental illness.

 自我危险(DTS)

 The patient has demonstrated threats or actions indicating the intent to commit suicide or inflict serious bodily harm on oneself.

 对他人的危险(DTO)

 The patient has made threats or demonstrated actions indicating a serious intent to cause bodily harm to another person.

 严重残疾(GD)

 The person is unable to provide for his or her basic needs for food, 衣物或住所(WIC 5008), demonstrating an inability to care for himself or herself.

 如果一个人可以利用自己的食物, 在第三方的帮助下提供衣物或住所, 那么他或她就不被认为是严重残疾.

持有期限

The law requires that the evaluator breaks the hold when the patient no longer meets criteria for involuntary hospitalization. The treatment team assesses whether the patient meets hold criteria on a continual basis. This means that if a patient is on a 14 day hold or a 30 day hold, he or she will not necessarily be hospitalized for the complete duration of the hold.

5150或72小时等待

5150 (and 5585) is the number of the section of the Welfare and Institutions Code, which allows for a person with a mental illness to be involuntarily detained in a psychiatric hospital for a 72 hour period. This 72 hour period is sometimes referred to as an “observation period”.

在这72小时内, the treatment team assesses whether the patient meets criteria for involuntary hospitalization. The law mandates that all patients must be treated in the least restrictive setting possible.

5250或14天的保留

If the patient continues to meet involuntary hold criteria, the psychiatrist or nurse practitioner will place the patient on a 5250, 也被称为14天的等待.

 At this point, the patient gains the right to a Probable Cause Hearing (PC Hearing). *see below for more information regarding what happens after a 5250 is written*

 Additional holds once the first 14 day hold expires if the patient continues to meet criteria for involuntary hospitalization, 治疗小组可能会延长等待时间.

  •  For Danger to Self: Another 14 day hold may be placed at which time a new PC Hearing takes place.
  •  For Grave Disability: A 30 day hold may be placed at which time a new PC hearing takes place.
  •  For Danger to Others: A 180 day hold may be placed, and the District Attorney is contacted.

可能因由听证会

If the patient continues to meet criteria for involuntary inpatient hospitalization, the psychiatrist will put the patient on a 14 day hold.

 1) The patient is assigned a patient’s rights representative who works for the county. The patient’s rights representative will meet with the patient to discuss the patient’s wishes.

  •  病人可能会提出异议，或者
  •  病人可能不希望对手术进行异议.

 2) The patient and the patient’s rights officer will then attend a Probable Cause Hearing (PC Hearing). 听证会在医院进行.

 The patient’s rights officer will ask the patient whether or not they wish to attend.

  •  病人可以参加，或者
  •  病人可以选择不参加, and instead to have the patient’s rights officer represent them at the hearing.

3) A hearing officer who works for the county will hear testimony from the hospital representative (the psychiatrist, the nurse practitioner or the social worker) and from the patient/patient’s rights representative.

 A patient’s family may be present if the patient allows. If the family is present, the hearing officer may ask the family to provide information as well.

 4) The hearing officer will determine whether the patient continues to meet LPS criteria for involuntary hold.

  • If the hearing officer determines that the patient continues to meet hold criteria, 听证官将“支持”5250. (更多信息见下一单元格)
  •  If the hearing officer determines that the patient does NOT meet hold criteria, 听证官不会支持5250条款. 在这一点上, the patient has the right to discharge from the hospital, though the treatment team may recommend to the patient to remain hospitalized on a voluntary basis.

5) If the hold is “upheld” the patient’s rights representative will explain to the patient that he or she has the right to file a writ of habeas corpus.

  •  如果病人决定"提交令状", he or she will go to mental health court (downtown Los Angeles) and contest the 14 day hold in front of a judge, who will determine whether the patient continues to meet LPS criteria.
  • The psychiatrist or nurse practitioner treating the patient in the hospital will attend the hearing and testify regarding reasons the patient continues to meet criteria for involuntary hold.
  • The hospital will arrange transportation for the patient to and from the writ hearing.

6)如果在5250/14天的等待结束时, the patient continues to meet criteria for involuntary hospitalization, 小组可以延长等待时间.