Decision Tree for Involuntary Hospital. The decision tree begins when a patient presents with sucidial/ homicidal ideation or is gravely disabled due to a major mental illness; Settings would be ER or oupatient clinics.
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Patient is under influence of drugs/ alcohol (positive screen for alcohol or other drugs)
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YES
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Patient is referred to Crossroads for detox and MH assessment when clear
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YES
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Patient is transported to detox: transported by referring party; or arranged with law enforecment
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YES
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Detox notifies ES to reassess when clear
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YES
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Clinician determines if patient meets criteria (27-65) when clear
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NO
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NO
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YES
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YES
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NO
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YES
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Clinician determines if patient meets criteria for (27-65); If so patient will be referred to ER
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NO
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A safety plan is made with patient and support system
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Patient is allowed to detox in ER or other setting (jail) and reassessed by MH when clear
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A safety plan is made with patient and support system
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Patient is referred to ER for medical clearance; drug screen completed
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YES
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YES
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YES
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YES
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Patient is seen in ER for medical clearance; drug screen is completed
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Services are offered to support patient through crisis
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Services are offered to support patient through crisis
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M1 and court paperwork are completed; physician may sign or licensed mental health professional
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YES
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YES
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YES
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M1 (signed by designated professional) and court paperwork completed
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Care Coordination with primary care or other service providers
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Care Coordination with primary care or other service providers
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Hospital bed is located and notes are made in patient's medical record
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YES
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YES
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Hospital bed is located and notes are made in patient's medical record
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M1 and Motion to Transport are signed by judge
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YES
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YES
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M1 and Motion to Transport are signed by judge
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Law enforcement is notified of order and patient is tranported to hospital via law enforcement
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YES
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Law enforecment is notified of order and patient is transported to hospital via law enforecment
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*** Locating bed space could take hours to days
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Tranpsort to hospital is dependent on law enforcement
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27-65 (Involuntary Hospitalization)
