Assignment: Legal and Ethical Issues Related to Psychiatric Emergencies
Order Instructions
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.
The Assignment
In 3 pages, address the following:
• 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.
• 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.
Resources/Reading
1. Buppert, C. (2021). Nurse practitioner’s business practice and legal guide (7th ed.). Jones & Bartlett Learning.
• Chapter 7, “Negligence and Malpractice”
• Chapter 8, “Risk Management”
• Chapter 16, “Resolving Ethical Dilemmas”
2. National Institute for Health and Care Excellence (2019). Brøset violence checklist. http://riskassessment.no/
3. Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer. (For review as needed)
• Chapter 23, “Emergency Psychiatric Medicine”
• Chapter 36.2, “Ethics in Psychiatry”
4. Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (Eds.). (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.
• Chapter 19, “Legal Issues in the Care and Treatment of Children with Mental Health Problems”
• Chapter 64, “Suicidal Behavior and Self-Harm”
5. U.S. Department of Veterans Affairs. (2019). VA/DoD clinical practice guidelines: Assessment and management of patients at risk for suicide (2019).
https://www.healthquality.va.gov/guidelines/MH/srb/
6. Zakhari, R. (2021). The psychiatric-mental health nurse practitioner certification review manual. Springer Publishing Company.
• Chapter 15, “Violence and Abuse”
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