Psychiatric Emergency Protocols

Psychiatric Emergency Protocols

Psychiatric Emergency Protocols

STATE: IOWA

In 2–3 pages, address the following:

  • Explain Iowa’s 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.

Psychiatric Emergency Protocols

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APA

Psychiatric Emergency Protocols

References:

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”
  • National Institute for Health and Care Excellence (2019). Brøset violence checklistLinks to an external site.. http://riskassessment.no/
  • Boland, R. Verdiun, M. L. & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer.
    • Chapter 25, “Consultation to Other Disciplines”
    • Chapter 26, “Level Of Care”
    • Chapter 27, “Ethics and Professionalism”
  • 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”

In Iowa, involuntary psychiatric holds are governed by both state law and federal regulations, focusing on ensuring individuals experiencing psychiatric emergencies receive the appropriate care while balancing individual rights. The state has distinct procedures for both child and adult psychiatric emergencies regarding involuntary holds.

For adults, Iowa Code Section 229.6 governs involuntary psychiatric holds, which can be initiated by a law enforcement officer, a licensed physician, or a mental health professional. Involuntary holds are typically initiated when a person is deemed to pose a..