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    Mental Health Investigation & Placement Guide: Mental Health Condition (S) And/Or Substance Dependence

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    txcjcgrad
    The document provides guidelines for mental health investigations and placements, including: 1) Factors to consider regarding a subject's mental health conditions, dangers to self/others, and ability to care for self. 2) Options for voluntary placement depending on the individual's situation, including respite care, hospitals, and outpatient programs. 3) Procedures for involuntary emergency protective custody (EPC) if voluntary options are not suitable or accepted. Placements include the crisis center and hospital medical beds.

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    Mental Health Investigation & Placement Guide: Mental Health Condition (S) And/Or Substance Dependence

    Uploaded by

    txcjcgrad
    39 views2 pages
    The document provides guidelines for mental health investigations and placements, including: 1) Factors to consider regarding a subject's mental health conditions, dangers to self/others, and ability to care for self. 2) Options for voluntary placement depending on the individual's situation, including respite care, hospitals, and outpatient programs. 3) Procedures for involuntary emergency protective custody (EPC) if voluntary options are not suitable or accepted. Placements include the crisis center and hospital medical beds.

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    LPD MH Investigation Guide

    Original Title

    LPD MH Investigation Guide

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    The document provides guidelines for mental health investigations and placements, including: 1) Factors to consider regarding a subject's mental health conditions, dangers to self/others, and ability to care for self. 2) Options for voluntary placement depending on the individual's situation, including respite care, hospitals, and outpatient programs. 3) Procedures for involuntary emergency protective custody (EPC) if voluntary options are not suitable or accepted. Placements include the crisis center and hospital medical beds.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    39 views2 pages

    Mental Health Investigation & Placement Guide: Mental Health Condition (S) And/Or Substance Dependence

    Uploaded by

    txcjcgrad
    The document provides guidelines for mental health investigations and placements, including: 1) Factors to consider regarding a subject's mental health conditions, dangers to self/others, and ability to care for self. 2) Options for voluntary placement depending on the individual's situation, including respite care, hospitals, and outpatient programs. 3) Procedures for involuntary emergency protective custody (EPC) if voluntary options are not suitable or accepted. Placements include the crisis center and hospital medical beds.

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    MENTAL HEALTH INVESTIGATION & PLACEMENT GUIDE

    (reference G.O. 1640)

    MENTAL HEALTH CONDITION(S) AND/OR SUBSTANCE DEPENDENCE


    Does the subject have Depression, Anxiety, Thought Disorder, or Substance Dependence? Formal Diagnosis?
    Medications? Doctor?
    Does the subject exhibit symptoms including but not limited to:
    Major Mental
    Depression: Feels helpless, hopeless or defective; disturbed sleep;
    Illness Dx
    Anxiety/PTSD: Panic attacks, phobias, reported obsessive/compulsive disorder.
    (NOT Intellectual
    Thought Disorder: Delusions, paranoia, hallucinations (especially command hallucinations).
    Disability or TBI)
    Substance Dependence: Subject reports addiction to a substance; unable to stop using; devotes time
    and energy to obtain substance; lost interest in other activities; developed tolerance for the substance.
    Look for possible signs of excited delirium: High body temperature, disrobing, animalistic/bizarre behaviors.

    DANGERS TO SELF AND/OR OTHERS


    Factors that are shown to reduce risk of suicide and aggression: relationships with family/friends, willingness to
    Protective Factors see mental health professional, maintain interest in faith activity/work/hobbies, demonstrates future thinking,
    can list reasons to live.
    Factors shown to increase risk of suicide and aggression: previous attempts, barriers to treatment, loss of
    Risk Factors employment, physical illness, substance abuse, death of loved one/pet, hallucinations commanding subject to kill
    self/others, legal problems, no close relationships, loss of loved one to suicide.
    End of Life Warning Signs: returning/giving things away, writing/calling to say goodbye, disclosing a specific plan,
    Warnings Signs access to lethal means, extreme hopelessness, suicide note, discloses formulated plan for suicide, rehearsing
    steps to complete suicide, anniversary of an important life event (e.g., death of a loved one).
    Threat Assessment: Is subject on a trajectory towards planned violence to others? Look for a progression
    Directed Violence starting with an unresolved grievance and moving through phases of ideation, planning, preparation, and action.
    Towards Others Look for thought control override symptoms (command hallucinations).

    Unable to Care for Is the subject able to maintain his/her own safety/health, take needed medications, and stay away from harmful
    Self encounters?

    Unwilling or Does the subject refuse to accept mental health resources or placement? If offered resources or voluntary
    Unable to Accept admission, does the subject refuse or become manipulative?

    PLACEMENT GUIDE
    If the subject is able to take advantage of voluntary placement, EPC is not necessary. Respite care (The Bridge
    Detoxification), Keya House, and Bryan West Hospital may be options. Subjects under 18 years of age may be
    admitted to the hospital by a parent or guardian. Any adult with a medical guardian may be admitted into a
    Voluntary hospital. Elderly subjects who suffer from dementia may be admitted to the Senior Mental Health Unit at Bryan
    West.

    Always call Single Point of Entry for a bed assignment (402-441-4949). We will EPC hospital patients from a
    EPC medical bed if given documentation by hospital staff which establishes the elements of EPC.

    Check for any mental health flags regarding the subject in LPD’s local files. If the subject is a client in certain
    programs, the provider will be listed along with a 24/7 contact number. Often, the provider can meet with the
    subject and resolve the situation. Never EPC a subject who has been admitted into the hospital for medical
    reasons OR who is too dangerous to be placed in the Crisis Center and can be arrested and lodged for a non-
    Other bondable offense. Notify jail personnel of subject’s mental health condition so they make proper arrangements.

    Dangerous Sex Offenders may be placed under EPC and lodged in jail.
    PLACEMENT OPTIONS
    TYPE OF PLACEMENT NAME ADDRESS PHONE NUMBER PURPOSE

    Placement of intoxicated individuals unable


    721 K St to care for themselves; Single Point of Entry
    Involuntary The Bridge 402-477-3951
    Lincoln, NE 68508 will determine if EPC subjects should be
    transported to the Bridge for elevated BACs.

    Placement of individuals determined to be


    Lancaster County 2201 South 17th St Single Point of Entry: 402-
    Involuntary mentally ill AND who pose danger to self
    Crisis Center Lincoln, NE 68502 441-4949
    and/or others.
    For individuals self-admitting to and seeking
    Bryan West Mental 2300 South 16th St
    Voluntary 402-475-1011 services at Bryan West. Parents sign
    Health Unit Lincoln, NE 68502
    children into CAPS.
    2633 P St HOTLINE: 402-475-6695 For individuals seek mental health
    Voluntary Center Pointe
    Lincoln, NE 68503 402-475-5161 treatment and resources
    For ADULTS with a behavioral health
    2817 South 14th St diagnosis seeking to avert mental health
    Voluntary Keya House WARMLINE: 402-261-5959
    Lincoln, NE 68502 crisis; NO SEX OFFENDERS; MUST HAVE
    TRANSPORTATION TO KEYA HOUSE.
    Consider referring individuals to MHA. A
    Mental Health referral is a e-mail that includes the type of
    Voluntary Referral by Police [email protected] -- incident, the individual's contact
    Officer information, and a brief description of the
    person's mental health issues.

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