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▷ ▶ 27-65 (Involuntary Hospitalization) SelectSmart.com free Social Services flowcharts and decision trees.
Social Services27-65 (Involuntary Hospitalization)
By Jennifer S
Category: Social Services. Viewed 290 times. Created January 2014.     Disclaimer.   
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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.

               
Patient is under influence of drugs/ alcohol (positive screen for alcohol or other drugs)
YES
Patient is referred to Crossroads for detox and MH assessment when clear
YES
Patient is transported to detox: transported by referring party; or arranged with law enforecment
YES
Detox notifies ES to reassess when clear
YES
Clinician determines if patient meets criteria (27-65) when clear

NO



NO


YES

YES

NO

YES
Clinician determines if patient meets criteria for (27-65); If so patient will be referred to ER
NO
A safety plan is made with patient and support system
Patient is allowed to detox in ER or other setting (jail) and reassessed by MH when clear
A safety plan is made with patient and support system
Patient is referred to ER for medical clearance; drug screen completed

YES


YES




YES


YES
Patient is seen in ER for medical clearance; drug screen is completed
Services are offered to support patient through crisis
 
Services are offered to support patient through crisis
M1 and court paperwork are completed; physician may sign or licensed mental health professional

YES


YES






YES
M1 (signed by designated professional) and court paperwork completed
Care Coordination with primary care or other service providers
 
Care Coordination with primary care or other service providers
Hospital bed is located and notes are made in patient's medical record ***

YES








YES
Hospital bed is located and notes are made in patient's medical record ***
 
 
 
M1 and Motion to Transport are signed by judge

YES








YES
M1 and Motion to Transport are signed by judge
 
 
 
Law enforcement is notified of order and patient is tranported to hospital via law enforcement ***

YES








Law enforecment is notified of order and patient is transported to hospital via law enforecment ***
 
*** Locating bed space could take hours to days
*** Tranpsort to hospital is dependent on law enforcement