This document outlines the training requirements for staff working with DJJS and DCFS clients. Staff must complete orientation, safety training, and client specific training within the first week and 60 days of employment. Annual training is also required to review policies and procedures. Strict guidelines around client confidentiality, incident reporting, behavioral interventions, background checks, home capacity, and healthcare are outlined.
Judy is a rehabilitation counselor working with a 15-year-old client named Mandy who has paraplegia. Mandy has mentioned being sexually active to Judy over several meetings. Mandy tells Judy she is pregnant and asks for advice. Judy thinks Mandy should have an abortion due to her disability but is unsure if advising this is ethical. Using an ethical decision-making model, Judy determines it is unethical to advise Mandy about abortion without considering other options. Judy also finds it is illegal under Minnesota law to perform an abortion on a minor without parental notification.
Netcare Access provides crisis intervention and mental health services including assessments, medication management, and referrals to treatment. Services are available 24/7 regardless of ability to pay. Netcare aims to provide trauma-informed care and has staff trained in these principles. They operate crisis centers that provide screening and referrals for adults and older adults experiencing mental health or substance use issues. Netcare works closely with law enforcement and emergency services to respond to mental health crises in the community.
(1) The document discusses Crisis Intervention Team (CIT) training for law enforcement and Assisted Outpatient Treatment (AOT) programs, which work together to help individuals with severe mental illness stay in treatment and out of the criminal justice system.
(2) Both CIT and AOT aim to reduce arrests, hospitalizations, and calls to law enforcement by intervening before crises occur and motivating treatment adherence through court orders when needed.
(3) The "black robe effect" of a judge's authority helps encourage treatment participation, while non-adherence may result in increased court appearances or rehospitalization to focus on re-engagement.
Legal, Clinical, Risk Management and Ethical Issues in Mental HealthJohn Gavazzi
This document provides an agenda and materials for an ethics training presentation. The presentation aims to help participants differentiate between clinical, legal, and risk management issues, define common risk management strategies, and explain how competing ethical principles can create dilemmas. It includes slides on key ethical principles, codes, risk management strategies, documentation, informed consent, and working with clinical dilemmas. Case examples will also be discussed and analyzed from an ethical perspective. The goal is for participants to learn how to make ethical clinical decisions that balance patient welfare, competence, and legal/risk management concerns.
This document discusses advance care planning for patients with dementia. It defines advance care planning as a process that allows capable adults to discuss their wishes for future health care with providers and families. This may include written advance directives or representation agreements that name substitute decision makers. The document outlines the steps for advance care planning, including discussing prognosis, values and goals of care. It also reviews the roles of substitute decision makers, representation agreements, advance directives and temporary substitute decision makers in medical decision making for incapable patients.
The MYPAC program provides mental health services to children in their homes and communities as an alternative to psychiatric residential treatment. It offers two types of respite care - in-home respite provides short-term out-of-home placement with family or friends, while community-based respite involves placement in foster, group homes, or with relatives. Placement requires approval from counselors, supervisors, and regional supervisors based on the child's needs. Respite aims to give parents and children a break from challenges at home. Outcomes include decreased child behaviors and successful returns home without long-term out-of-home placement. Approximately 65% of families use in-home respite and 20% use community-based
The document discusses intensive service interventions for families with disabilities. It describes who these interventions target, including those experiencing homelessness, mental health issues, substance abuse, and more. It discusses how these interventions are provided, including through transitional housing programs, permanent supportive housing, trauma-informed care, and harm reduction approaches. The core goals and philosophies of interventions include housing first, meeting families where they are, and empowering families.
Vish Rajan is the president of Synergy HomeCare, a home health care provider in Delray Beach, Florida. Home health care provides emotional support and assistance with caregiving responsibilities to allow patients to receive care in the comfort of their own homes rather than in nursing homes. Home health care is provided by private caregivers, homemaker agencies, nurse registries, and home health agencies, with agencies providing the safest option through liability coverage and background checks on employees. Services include personal care, companionship, homemaking, and skilled care like nursing and therapy. Funding can come from private pay, long-term care insurance, workers compensation, Medicare, and Medicaid.
Judy is a rehabilitation counselor working with a 15-year-old client named Mandy who has paraplegia. Mandy has mentioned being sexually active to Judy over several meetings. Mandy tells Judy she is pregnant and asks for advice. Judy thinks Mandy should have an abortion due to her disability but is unsure if advising this is ethical. Using an ethical decision-making model, Judy determines it is unethical to advise Mandy about abortion without considering other options. Judy also finds it is illegal under Minnesota law to perform an abortion on a minor without parental notification.
Netcare Access provides crisis intervention and mental health services including assessments, medication management, and referrals to treatment. Services are available 24/7 regardless of ability to pay. Netcare aims to provide trauma-informed care and has staff trained in these principles. They operate crisis centers that provide screening and referrals for adults and older adults experiencing mental health or substance use issues. Netcare works closely with law enforcement and emergency services to respond to mental health crises in the community.
(1) The document discusses Crisis Intervention Team (CIT) training for law enforcement and Assisted Outpatient Treatment (AOT) programs, which work together to help individuals with severe mental illness stay in treatment and out of the criminal justice system.
(2) Both CIT and AOT aim to reduce arrests, hospitalizations, and calls to law enforcement by intervening before crises occur and motivating treatment adherence through court orders when needed.
(3) The "black robe effect" of a judge's authority helps encourage treatment participation, while non-adherence may result in increased court appearances or rehospitalization to focus on re-engagement.
Legal, Clinical, Risk Management and Ethical Issues in Mental HealthJohn Gavazzi
This document provides an agenda and materials for an ethics training presentation. The presentation aims to help participants differentiate between clinical, legal, and risk management issues, define common risk management strategies, and explain how competing ethical principles can create dilemmas. It includes slides on key ethical principles, codes, risk management strategies, documentation, informed consent, and working with clinical dilemmas. Case examples will also be discussed and analyzed from an ethical perspective. The goal is for participants to learn how to make ethical clinical decisions that balance patient welfare, competence, and legal/risk management concerns.
This document discusses advance care planning for patients with dementia. It defines advance care planning as a process that allows capable adults to discuss their wishes for future health care with providers and families. This may include written advance directives or representation agreements that name substitute decision makers. The document outlines the steps for advance care planning, including discussing prognosis, values and goals of care. It also reviews the roles of substitute decision makers, representation agreements, advance directives and temporary substitute decision makers in medical decision making for incapable patients.
The MYPAC program provides mental health services to children in their homes and communities as an alternative to psychiatric residential treatment. It offers two types of respite care - in-home respite provides short-term out-of-home placement with family or friends, while community-based respite involves placement in foster, group homes, or with relatives. Placement requires approval from counselors, supervisors, and regional supervisors based on the child's needs. Respite aims to give parents and children a break from challenges at home. Outcomes include decreased child behaviors and successful returns home without long-term out-of-home placement. Approximately 65% of families use in-home respite and 20% use community-based
The document discusses intensive service interventions for families with disabilities. It describes who these interventions target, including those experiencing homelessness, mental health issues, substance abuse, and more. It discusses how these interventions are provided, including through transitional housing programs, permanent supportive housing, trauma-informed care, and harm reduction approaches. The core goals and philosophies of interventions include housing first, meeting families where they are, and empowering families.
Vish Rajan is the president of Synergy HomeCare, a home health care provider in Delray Beach, Florida. Home health care provides emotional support and assistance with caregiving responsibilities to allow patients to receive care in the comfort of their own homes rather than in nursing homes. Home health care is provided by private caregivers, homemaker agencies, nurse registries, and home health agencies, with agencies providing the safest option through liability coverage and background checks on employees. Services include personal care, companionship, homemaking, and skilled care like nursing and therapy. Funding can come from private pay, long-term care insurance, workers compensation, Medicare, and Medicaid.
This document discusses consent, mental capacity, and best interests decision-making regarding medical treatment for incompetent patients. It provides information on:
- The essential elements of consent including competence, voluntariness, and being informed
- Factors considered under the Mental Capacity Act when assessing a person's ability to make a decision
- Determining best interests by considering the patient's wishes, clinical opinion, input from those close to the patient, and respecting the patient's autonomy
- Options like lasting power of attorney and independent advocates when a person lacks capacity
This document summarizes a conference on improving responses to children in domestic violence cases. It discusses the importance of early intervention for children exposed to domestic violence, as their resilience is closely tied to their mother's safety. It also discusses strategies for law enforcement when responding to domestic violence calls where children are present, such as documenting evidence from children and having specialized training. Additional topics covered include screening children for abuse, safety planning for children, and protecting children before, during and after legal proceedings related to domestic violence.
This document discusses adult safeguarding procedures and case studies. It outlines the four stages of the safeguarding process: concern/pre-referral, enquiry, safeguarding plan and review, and closing the enquiry. Case studies address issues like elder domestic abuse, pressure ulcers, do not attempt resuscitation (DNAR) orders, and families' role in decision making. It emphasizes obtaining consent, supporting patients' desires and best interests, considering capacity, and consulting families as part of the safeguarding and medical decision process. Future changes include emailing instead of faxing safeguarding forms to adult social care.
The document discusses the duties and responsibilities of medical practitioners. It begins by noting that the public's trust in doctors is diminishing due to a few breaches of duty. It then outlines the key duties, which include: providing informed consent and explaining treatment options to allow patient autonomy; acting with beneficence, non-maleficence, compassion, and justice; attending to medical emergencies without refusal; and reporting certain crimes to the police. The document stresses that these duties are enshrined in oaths and codes to which doctors are bound. It provides guidance on properly fulfilling duties related to patient care, legal compliance, and maintaining the integrity of the medical profession.
Brandon deSean Newkirk is a Qualified Mental Health Professional with over 10 years of experience providing therapeutic interventions and direct care for children, adolescents, and adults with psychiatric disorders. He has a Bachelor's degree in Psychology and numerous certifications including CPR/AED, First Aid, Medication Administration, and TOVA, Crisis Wave, and CPI training. Newkirk has worked for various organizations providing services such as crisis response, clinical treatment, care coordination, and residential support.
The ppt is prepared to serve the need of curriculum for post graduate students interested in learning about the counselling for terminal disease esp. HIV/AIDS.
- A female patient in her 60s was brought to the emergency department after being found alone and neglected for 72 hours. Her primary caregiver, her adult son, had left her in the care of a friend who did not check on her.
- The patient was malnourished, covered in open wounds, and had a full catheter. Her son became hostile when contacted by hospital staff.
- The case manager had to balance advocating for the patient while preventing conflict between staff and the son. Allowing the son to visit led to an argument and him being escorted out.
- Ethical issues included the hospital absorbing costs for re-admitting the patient and allowing the son to visit despite
The document discusses various legal terms and definitions related to ethical and legal issues including abandonment, assault, battery, false imprisonment, fraud, invasion of privacy, liability, malpractice, and negligence. It also covers mandatory reporting requirements, the purpose of service plans, following service plans, consumer rights including privacy and confidentiality, the need to know rule, allowing consumer decisions about services, living wills, durable medical power of attorney, and pre-hospital medical care directives (orange forms).
Marie Holgate is a registered mental health nurse in England with over 5 years of experience. She has worked in various clinical settings including forensic and secure settings, dual diagnosis services, acute inpatient psychiatric care, and child and adolescent mental health. Her responsibilities have included risk assessments, treatment planning, medication administration, and providing various psychological therapies. She is passionate about delivering high quality, compassionate, and collaborative care. She cites strengths in leadership, communication, and supporting development of other practitioners.
Psychological First Aid is a supportive intervention designed to reduce distress following traumatic events and foster adaptive functioning. It involves 8 core actions including contact and engagement, safety and comfort, stabilization if needed, gathering information on needs, providing practical assistance, connecting to social supports, providing information on coping, and linking to additional services. It is a modular approach delivered in diverse disaster settings by mental health and other disaster response workers to help survivors, including children, adults, and first responders, in the immediate aftermath of events.
Psychosocial care of coronavirus disease 2019Nursing Path
The novel Coronavirus (nCoV) epidemic in 2019 -2020 has recently emerged. The route of transmission is not totally known, although it is known that it can spread from person to person, and local health care systems may be ill-equipped to handle a large-scale outbreak.
This document provides information on screening patients for domestic violence. It defines domestic violence and discusses its prevalence and health impacts. Screening all female patients is recommended to identify those experiencing intimate partner violence and refer them to support services. The document reviews screening tools like HARK and proper protocols for responding to positive screens while ensuring safety and confidentiality. Follow-up is important to provide ongoing support and review referral options. The overall goal is to integrate domestic violence screening into routine care to improve patient health and well-being.
Legal aspects of nursing philnursingstudentpinoy nurze
This document discusses several key legal aspects of nursing practice including:
- State nurse practice acts that regulate nursing scope and standards.
- Requirement for an active nursing license to legally practice.
- Ethical principles like patient autonomy, beneficence, and informed consent.
- Legal documentation standards for nursing notes and physician orders.
- Liability considerations for nurses and hospitals regarding negligence and mistakes.
- Guidelines for use of patient restraints and requirements for informed consent.
David Bolt explains the Georgia Families 360 health care plan administered by Amerigroup for children in foster care. His presentation explores applying for coverage, the role of plan coordinator, accessing services, and more.
This document provides guidance for long-term care facilities on managing challenging residents, including developing policies and procedures, screening prospective residents, using behavior contracts, handling incidents, investigating complaints, and evicting residents if needed. Key recommendations include reviewing existing policies, implementing new screening and response protocols as needed, training staff, thoroughly documenting all relevant communications and actions, and having an attorney investigate serious issues to preserve information.
Navigating the Benefits Maze & Exercising Your Rightscedwvugraphics
Todd Rundle presented on navigating health care and benefits options for transitioning youth. He discussed Medicaid, CHIP, SSI, SSDI, private insurance, and waiver programs. The presentation covered exercising appeal rights, including filing in a timely manner and providing necessary documentation. Contact information was provided for the Family to Family Health Information Center for additional assistance.
This document outlines various HR policies for a healthcare organization, including values, vision, mission and standards of conduct for employees. The values emphasized are community centric, patient centric and team work. The vision is to provide excellence in tertiary healthcare. The mission is to become a leading provider of super specialty and tertiary care in the region. The document then outlines policies regarding employee conduct, uniforms, gifts, alcohol and confidentiality. It also describes service standards related to professionalism, communication, customer service, courtesy and patient privacy. The document provides information on patient rights and responsibilities as well as employee rights and responsibilities. It describes the grievance redressal procedure and disciplinary mechanism.
All professional organizations have a published code to which members of the profession are expected to adhere. These codes have been developed over a long period of time, they reflect the customs and beliefs of current members of the profession and provide a historic link with the past
Legal vulnerability in dental practice may be divided into two broad categories
Criminal
Civil
Violations of administrative laws (state board, state education department) are termed quasi crimes. The penalties include all actions under crimes except the jail term
Forensic dentists or odontologists, provide the dental component to determine the identity of a body when visual identification or methods such as DNA profiling and fingerprinting are inadequate or not possible. Forensic dentistry has a major role in the identification process of a diseased person of unknown identity
The Outreach Case Manager position at OPCC and Lamp Community involves providing crisis intervention, case management, and recovery support services to clients experiencing homelessness and mental illness or substance abuse issues. Key responsibilities include assessing client needs, developing service plans, ensuring access to benefits and treatment, and maintaining accurate client records. Qualifications include experience working with the target population, knowledge of local resources and government assistance programs, and strong organizational and computer skills.
Sundown M Ranch is dedicated to treating chemical dependency through a well-trained and caring staff. Its mission is to guide patients to recovery, themselves, and their families through high-quality and affordable treatment. The facility adheres to CARF standards and a code of ethics centered around patient recovery. It provides various programs and services and emphasizes customer service, patient rights, family involvement, and a safe environment for treatment. The document also outlines policies regarding information technology, corporate compliance, and maintaining confidential patient information.
This document discusses consent, mental capacity, and best interests decision-making regarding medical treatment for incompetent patients. It provides information on:
- The essential elements of consent including competence, voluntariness, and being informed
- Factors considered under the Mental Capacity Act when assessing a person's ability to make a decision
- Determining best interests by considering the patient's wishes, clinical opinion, input from those close to the patient, and respecting the patient's autonomy
- Options like lasting power of attorney and independent advocates when a person lacks capacity
This document summarizes a conference on improving responses to children in domestic violence cases. It discusses the importance of early intervention for children exposed to domestic violence, as their resilience is closely tied to their mother's safety. It also discusses strategies for law enforcement when responding to domestic violence calls where children are present, such as documenting evidence from children and having specialized training. Additional topics covered include screening children for abuse, safety planning for children, and protecting children before, during and after legal proceedings related to domestic violence.
This document discusses adult safeguarding procedures and case studies. It outlines the four stages of the safeguarding process: concern/pre-referral, enquiry, safeguarding plan and review, and closing the enquiry. Case studies address issues like elder domestic abuse, pressure ulcers, do not attempt resuscitation (DNAR) orders, and families' role in decision making. It emphasizes obtaining consent, supporting patients' desires and best interests, considering capacity, and consulting families as part of the safeguarding and medical decision process. Future changes include emailing instead of faxing safeguarding forms to adult social care.
The document discusses the duties and responsibilities of medical practitioners. It begins by noting that the public's trust in doctors is diminishing due to a few breaches of duty. It then outlines the key duties, which include: providing informed consent and explaining treatment options to allow patient autonomy; acting with beneficence, non-maleficence, compassion, and justice; attending to medical emergencies without refusal; and reporting certain crimes to the police. The document stresses that these duties are enshrined in oaths and codes to which doctors are bound. It provides guidance on properly fulfilling duties related to patient care, legal compliance, and maintaining the integrity of the medical profession.
Brandon deSean Newkirk is a Qualified Mental Health Professional with over 10 years of experience providing therapeutic interventions and direct care for children, adolescents, and adults with psychiatric disorders. He has a Bachelor's degree in Psychology and numerous certifications including CPR/AED, First Aid, Medication Administration, and TOVA, Crisis Wave, and CPI training. Newkirk has worked for various organizations providing services such as crisis response, clinical treatment, care coordination, and residential support.
The ppt is prepared to serve the need of curriculum for post graduate students interested in learning about the counselling for terminal disease esp. HIV/AIDS.
- A female patient in her 60s was brought to the emergency department after being found alone and neglected for 72 hours. Her primary caregiver, her adult son, had left her in the care of a friend who did not check on her.
- The patient was malnourished, covered in open wounds, and had a full catheter. Her son became hostile when contacted by hospital staff.
- The case manager had to balance advocating for the patient while preventing conflict between staff and the son. Allowing the son to visit led to an argument and him being escorted out.
- Ethical issues included the hospital absorbing costs for re-admitting the patient and allowing the son to visit despite
The document discusses various legal terms and definitions related to ethical and legal issues including abandonment, assault, battery, false imprisonment, fraud, invasion of privacy, liability, malpractice, and negligence. It also covers mandatory reporting requirements, the purpose of service plans, following service plans, consumer rights including privacy and confidentiality, the need to know rule, allowing consumer decisions about services, living wills, durable medical power of attorney, and pre-hospital medical care directives (orange forms).
Marie Holgate is a registered mental health nurse in England with over 5 years of experience. She has worked in various clinical settings including forensic and secure settings, dual diagnosis services, acute inpatient psychiatric care, and child and adolescent mental health. Her responsibilities have included risk assessments, treatment planning, medication administration, and providing various psychological therapies. She is passionate about delivering high quality, compassionate, and collaborative care. She cites strengths in leadership, communication, and supporting development of other practitioners.
Psychological First Aid is a supportive intervention designed to reduce distress following traumatic events and foster adaptive functioning. It involves 8 core actions including contact and engagement, safety and comfort, stabilization if needed, gathering information on needs, providing practical assistance, connecting to social supports, providing information on coping, and linking to additional services. It is a modular approach delivered in diverse disaster settings by mental health and other disaster response workers to help survivors, including children, adults, and first responders, in the immediate aftermath of events.
Psychosocial care of coronavirus disease 2019Nursing Path
The novel Coronavirus (nCoV) epidemic in 2019 -2020 has recently emerged. The route of transmission is not totally known, although it is known that it can spread from person to person, and local health care systems may be ill-equipped to handle a large-scale outbreak.
This document provides information on screening patients for domestic violence. It defines domestic violence and discusses its prevalence and health impacts. Screening all female patients is recommended to identify those experiencing intimate partner violence and refer them to support services. The document reviews screening tools like HARK and proper protocols for responding to positive screens while ensuring safety and confidentiality. Follow-up is important to provide ongoing support and review referral options. The overall goal is to integrate domestic violence screening into routine care to improve patient health and well-being.
Legal aspects of nursing philnursingstudentpinoy nurze
This document discusses several key legal aspects of nursing practice including:
- State nurse practice acts that regulate nursing scope and standards.
- Requirement for an active nursing license to legally practice.
- Ethical principles like patient autonomy, beneficence, and informed consent.
- Legal documentation standards for nursing notes and physician orders.
- Liability considerations for nurses and hospitals regarding negligence and mistakes.
- Guidelines for use of patient restraints and requirements for informed consent.
David Bolt explains the Georgia Families 360 health care plan administered by Amerigroup for children in foster care. His presentation explores applying for coverage, the role of plan coordinator, accessing services, and more.
This document provides guidance for long-term care facilities on managing challenging residents, including developing policies and procedures, screening prospective residents, using behavior contracts, handling incidents, investigating complaints, and evicting residents if needed. Key recommendations include reviewing existing policies, implementing new screening and response protocols as needed, training staff, thoroughly documenting all relevant communications and actions, and having an attorney investigate serious issues to preserve information.
Navigating the Benefits Maze & Exercising Your Rightscedwvugraphics
Todd Rundle presented on navigating health care and benefits options for transitioning youth. He discussed Medicaid, CHIP, SSI, SSDI, private insurance, and waiver programs. The presentation covered exercising appeal rights, including filing in a timely manner and providing necessary documentation. Contact information was provided for the Family to Family Health Information Center for additional assistance.
This document outlines various HR policies for a healthcare organization, including values, vision, mission and standards of conduct for employees. The values emphasized are community centric, patient centric and team work. The vision is to provide excellence in tertiary healthcare. The mission is to become a leading provider of super specialty and tertiary care in the region. The document then outlines policies regarding employee conduct, uniforms, gifts, alcohol and confidentiality. It also describes service standards related to professionalism, communication, customer service, courtesy and patient privacy. The document provides information on patient rights and responsibilities as well as employee rights and responsibilities. It describes the grievance redressal procedure and disciplinary mechanism.
All professional organizations have a published code to which members of the profession are expected to adhere. These codes have been developed over a long period of time, they reflect the customs and beliefs of current members of the profession and provide a historic link with the past
Legal vulnerability in dental practice may be divided into two broad categories
Criminal
Civil
Violations of administrative laws (state board, state education department) are termed quasi crimes. The penalties include all actions under crimes except the jail term
Forensic dentists or odontologists, provide the dental component to determine the identity of a body when visual identification or methods such as DNA profiling and fingerprinting are inadequate or not possible. Forensic dentistry has a major role in the identification process of a diseased person of unknown identity
The Outreach Case Manager position at OPCC and Lamp Community involves providing crisis intervention, case management, and recovery support services to clients experiencing homelessness and mental illness or substance abuse issues. Key responsibilities include assessing client needs, developing service plans, ensuring access to benefits and treatment, and maintaining accurate client records. Qualifications include experience working with the target population, knowledge of local resources and government assistance programs, and strong organizational and computer skills.
Sundown M Ranch is dedicated to treating chemical dependency through a well-trained and caring staff. Its mission is to guide patients to recovery, themselves, and their families through high-quality and affordable treatment. The facility adheres to CARF standards and a code of ethics centered around patient recovery. It provides various programs and services and emphasizes customer service, patient rights, family involvement, and a safe environment for treatment. The document also outlines policies regarding information technology, corporate compliance, and maintaining confidential patient information.
Psychiatric Petitions & The Commitment ProcessTeresa Chahine
This document discusses the processes of voluntary and involuntary psychiatric admissions. For voluntary admissions, patients must sign an admission form if they are their own legal guardian. Involuntary admissions involve filing a petition and clinical certificate with probate court, which leads to a hearing. The petition process is used for patients refusing treatment who may be a danger to themselves or others due to mental illness. Key steps in the involuntary process include a physician's evaluation within 24 hours, a hearing within 7 days, and potential court-ordered treatment for up to 60 days.
Psychiatric nurses must be aware of various legal responsibilities in their work, including understanding state laws regarding patient rights, documentation requirements, and issues of liability. Key responsibilities include protecting patient rights, maintaining confidentiality of information, obtaining informed or substitute consent, and keeping accurate legal records. Failure to meet these standards of care could result in nursing malpractice claims involving negligence and damages to patients.
This document outlines patient rights and responsibilities for home health care services. It details 34 specific rights that patients have, including the right to be treated with dignity, privacy, and confidentiality. They have the right to be informed of their care plan and any changes, give informed consent, and voice grievances. The document also lists 9 patient responsibilities such as providing accurate medical information and notifying the agency of canceled appointments. It concludes by mentioning several federal laws that protect patient rights, such as HIPAA, the Civil Rights Act, and the Patient Self-Determination Act.
The document provides guidance and training information for providers. It covers several topics:
- Participant rights including dignity and respect
- Developing and implementing individual plans of care, including positive behavior support plans and restrictions if needed
- Ensuring services meet definitions and are delivered according to the plan of care
- Maintaining confidentiality and properly documenting services
- Understanding responsibilities around emergencies, medication management, and other health and safety issues
The document emphasizes the importance of person-centered care, participant choice, and treating all individuals with dignity. It outlines requirements and best practices for providers in various areas to help ensure quality services.
The document discusses several UK laws and regulations related to healthcare, employment, and personal data protection. It outlines key aspects of legislation such as the Mental Capacity Act, which protects vulnerable individuals' decision making; the Health and Safety at Work Act, which requires employers to protect workers' safety; and the Data Protection Act, which regulates how personal information is collected and used. The document provides high-level overviews of the purpose and basic requirements of these various laws and regulatory frameworks.
This document summarizes New Mexico's End-of-Life Options Act, which takes effect on June 18, 2021. The act legalizes medical aid in dying, allowing terminally ill adult residents of New Mexico to request a prescription for life-ending medication from a licensed healthcare provider. To be eligible, an individual must have decision-making capacity, a terminal illness expected to cause death within 6 months, and the ability to self-administer the medication. The document outlines the qualification determination process, requirements for prescribing providers, reporting obligations, legal protections, and resources for more information.
Foster Care Placement Washington State discusses the process of becoming a foster parent in Washington. Applicants must be at least 21, employed, pass a TB test and background check, and complete PRIDE training. The PRIDE program provides 40 hours of required training. Social workers and licensure staff make placements and ensure homes meet standards. Culture, religion, and economic status are also addressed - gay couples and single applicants can foster, and no discrimination based on religion is allowed in placements. Interested individuals should contact their local social service agency for more information.
This document provides information about North Star Consulting & Fiduciary Services, LLC, which helps families apply for Medicaid assistance to pay for nursing home or home care. The company reviews clients' asset protection options and guides them through the Medicaid application process. Audrey Toussaint has over 20 years of experience in estate and Medicaid planning and works as a paralegal for North Star Consulting. Contact information is provided.
New Jersey LPC Ethical/Legal Issues in Clinical SupervisionGlenn Duncan
This is part 4 in a 45 clock hour lecture series on Clinical Supervision for Mental Health Professionals. This was made for the Approved Clinical Supervisor Certificate through the NBCC. This interactive workshop focuses on the major elements of legal and ethical issues surrounding Clinical Supervisors in behavioral health settings. In this workshop, participants will learn about the different areas of legal and ethical concern for today’s Clinical Supervisors. Legal areas include LPC licensure regulations and statutes, scope of clinical and supervisory practice, malpractice, duty to warn, direct and vicarious liability, informed consent, confidentiality, and the ADA. Ethical areas covered include workplace harassment, dual relationships, and clinical supervision ethical standards. Teaching methods include lecture, interactive exercises and group participation/discussion.
Admission+Discharge+Rights OF b.SC NURSING PSYCHIATRIC NURSING.pptelizakoirala3
This document discusses the legal aspects of psychiatric care, including admission and discharge procedures for mentally ill patients, the rights of mentally ill persons, and relevant mental health acts and policies. It provides details on voluntary versus involuntary admission, the admission process, types of discharge including conditional discharge, and the rights of mentally ill persons to privacy, confidentiality, consent in treatment, and least restrictive care.
This document provides guidance on ensuring patient confidentiality. It outlines steps like providing training on HIPAA and confidentiality policies, implementing computer security, and having staff sign forms acknowledging the policies. Confidential patient information is defined as anything private like medical conditions, test results, or personal care details. Staff must understand what is confidential, the penalties for breaches, and use of informed consent when sharing information. Guidelines state to only discuss patients privately and securely store and dispose of documents with patient information to maintain confidentiality.
Working with youths' mental healt diagnosisuyvillage
The document discusses several common mental health diagnoses in youth. It provides information on symptoms, impacts, and treatment approaches for diagnoses including oppositional defiant disorder, attention deficit hyperactivity disorder, post-traumatic stress disorder, reactive attachment disorder, depression, and mood disorders. The key messages are that diagnosis should not define a person, treatment involves teaching coping skills to manage symptoms, and creating a supportive environment is important for youth mental health.
Incident reports document serious youth behaviors, injuries, abuse allegations and other incidents. They allow organizations to track youth problem behaviors and treatment plans, and protect staff from liability. Incident reports must be submitted within 24 hours, and contain complete and accurate behavioral details without judgment or inappropriate language.
Understand Clients Mental Health Diagnosis & Appropriately Interact with themuyvillage
Definition of mental illness. The causes of mental illness. Tips on how to empower youth with mental health disorders. Ways to teach skills to youth who have the following diagnosis: Reactive Attachment, Post Traumatic Stress Disorder, Oppositional Defiant Disorder, ADHD, Spectrum Disorders,
Definition of Grief. Review of 5 stages of grief by Elisabeth Kubler-Ross. Ways we can help youth who are greiving. How to make separation or loss easier.
DJJS Graduated Sanctions & Levels of Foster Careuyvillage
The document outlines different levels of care and placement models for clients of the Department of Juvenile Justice Services (DJJS) and Department of Children and Family Services (DCFS). It describes the types of clients served at each level, including their risks, needs, behaviors, and treatment requirements. The highest levels of care are for clients with sexual offense issues or moderate to high risks of reoffending. Lower levels are for clients stepping down from higher care or needing only standard parental supervision. Placement restrictions and requirements are provided for each level.
How child abuse affects development & how to recognize abuseuyvillage
Child abuse, neglect, and unstable family environments can negatively impact child development in several key ways. Physical, sexual, and psychological abuse are defined under Utah law. Signs of abuse or neglect in a child may include sudden behavioral changes, difficulty concentrating in school without other causes, being overly compliant or withdrawn, and viewing their relationship with their parent negatively. Abuse has been shown to correlate with challenges in brain development, forming attachments, and academic performance, as well as increased aggressive or withdrawn behaviors that could continue the cycle of abuse.
This document discusses adolescent female development and the factors contributing to high rates of criminal behavior and justice system involvement among females. It notes that adolescent females experience increased depression, suicide attempts, and lower resilience and self-esteem during development. Many adolescent female offenders have experienced high rates of sexual and physical abuse, as well as trauma. Effective treatments discussed include multi-systemic therapy, cognitive behavioral therapy, dialectical behavioral therapy, and eye movement desensitization and reprocessing therapy.
This document discusses family dynamics in sexually abusive families. It notes that these families often have a single parent, usually the mother, who became a parent at a young age. The parents also often have histories of substance abuse, incarceration or mental illness. There is frequently a past history of childhood sexual abuse or other trauma in the parents. The families also commonly experience substance abuse, domestic violence and a lack of understanding of roles and boundaries. However, the document cautions against making assumptions, noting that family characteristics alone do not determine sexual abuse.
The document provides guidance for staff at a group home on basic operational questions, responsibilities, and best practices for the first days working at the home. It addresses who to contact with questions, appropriate attire, guidelines for visitors, handling staff absences, and key responsibilities like youth supervision, paperwork, and maintaining licensing requirements. It emphasizes implementing feedback, treating youth ethically, and maintaining a positive family environment through praise, activities, and celebrating holidays.
This presentation was provided by Steph Pollock of The American Psychological Association’s Journals Program, and Damita Snow, of The American Society of Civil Engineers (ASCE), for the initial session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session One: 'Setting Expectations: a DEIA Primer,' was held June 6, 2024.
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPRAHUL
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
core of India. Mirzapur, with its varied terrains and abundant biodiversity, offers an optimal
environment for investigating the changes in vegetation cover dynamics. Our study utilizes
advanced technologies such as GIS (Geographic Information Systems) and Remote sensing to
analyze the transformations that have taken place over the course of a decade.
The complex relationship between human activities and the environment has been the focus
of extensive research and worry. As the global community grapples with swift urbanization,
population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
How to Setup Warehouse & Location in Odoo 17 InventoryCeline George
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Reimagining Your Library Space: How to Increase the Vibes in Your Library No ...Diana Rendina
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A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
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This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
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2. 1st week Training
DJJS & DCFS require all direct care, proctor parents, support staff and
volunteers receive training in the following topics within the first week of
employment and prior to working with clients:
Orientation of DJJS and DCFS contract requirements including the “Use of Client
Identifying Information and Electronic Media”;
Review of the DHS Provider Code of Conduct, which is then signed and put in the
individual’s personnel file;
The UYV emergency management and business continuity plan including
emergency response and evacuation procedures.
All proctor parents must sign the cohabitation agreement prior to having any clients in
the home and a new form must be signed if there are changes to the marital status or
living arrangement.
3. 1st 60 days of
Employment
All direct care staff and proctor parents must receive an additional 32 hours of training in specific
subjects outlined in the contract.
All 32 training hours must be completed before direct care/supervision of clients can be provided.
Training Topics include but are not limited to:
Basic child and adolescent development and normal behavior
Child abuse and neglect issues and unstable family dynamics
Separation, grief and loss
Cultural sensitivity
Appropriate and effective use of discipline
Behavior management, discipline methods and aggression management
First Aid and CPR
Incident Reporting
Expectations to health care appointments and documentation
Adolescent female issues
Sexual abuse and sexual offending issues
Substance abuse issues
Mental Health issues
4. 1st year of employment
DCFS requires direct care staff and proctor parents to
receive an additional 12 hours of training within the first
12 months of employment in the Practice Model Provider
Training provided by DCFS and training based on the
UYV program and staff needs.
DJJS requires 12 hours of additional training within the
first 12 months of employment in subjects based on UYV
program and staff needs.
5. After the 1st year/Annual
Training
20 hours of training required annually for all direct care staff and proctor
parents
Required subjects of training include:
Review of DCFS & DJJS contact requirements
Review of Use of Confidential Information
Review of DHS Provider Code of Conduct, which is then signed & placed in the
individual’s personnel file
Review of UYV’s emergency management & business continuity plan, including
emergency response & evacuation procedures
Review of medication management procedures, including documentation
Maintenance of CPR & First Aid certifications and
Other training as needed based on the UYV program and the needs of proctor
parents & direct care staff
6. Client Information &
Electronic Media
Client identifying information is confidential and shall be safeguarded.
Client information shall not be released except as explained below.
If the client’s parents retain parental rights in regards to the client, written verification
of parental permission must be obtained from the caseworker prior to any images or
information regarding the client being used in social networking mediums or other
public forums.
The caseworker may provide written permission if the parents’ whereabouts are
unknown, if parental contact cannot be made or if the parents do not retain parental
rights.
If the client is over age 8 & has the mental capacity of understand, written permission
must also be obtained from the client prior to any images or client information being
used in social networking mediums or other public forums.
When permission is obtained and/or the decision is made to allow the use of client
information or images in a public forum, the images shall only use the clients the first
name and not identify the client as a UYV client, a DHS client or a foster client.
Only general information about the client can be used. No case specific information ,
treatment issues, history or information that will identify the client has DHS
involvement.
7. Incident Reporting
Deaths must be reported immediately to the Program or Regional Director. A voice mail or email
is not sufficient.
All other Emergency & Crisis situations must be reported to the caseworker within 24 hours of
when the incident occurred.
Efforts should be made to talk to the caseworker directly and not only leave a voice mail or email.
Documentation of the incident shall be sent to the caseworker within 24 hours of the incident.
The Incident Report Reference Guide can be found at http://www.hspolicy.utah.gov
There are 13 very specific types of incidents that must be reported to caseworkers within 24
hours.
Accident
Aggravated Assault
Arson
Any crisis emergency response involvement from an agency outside of the Division
Any serious bodily injury
Escape/runaway
Illness that needs immediate treatment from a medical professional or hospital
Official misconduct by staff
Property Damage
Riot
Suicide Attempt requiring emergency medical intervention
Unlawful sexual activity with a youth in custody
Weapons related offenses by restricted persons or any firearm offense
8. Behavioral Intervention
Behavioral interventions shall be used only by staff that have completed training on
the policy, procedures and implementation of all intrusive behavioral interventions
may be utilized.
Intrusive behavioral interventions shall only be used after less intrusive interventions
have been determined to be ineffective; cannot be used in a manner to cause undue
physical discomfort, harm or pain to the client; must be stopped when the client is no
longer a danger to self or others; cannot be employed as punishment, for the
convenience of staff or as a substitute for programming.
Interventions that use painful stimuli are prohibited.
Clients shall not be used to implement or assist with any intrusive behavioral
intervention involving another client.
Within an hour of an intrusive behavior intervention, the person who implemented the
intervention must complete a written incident report. Specific documentation &
reporting procedures must be followed. (to be included in other training)
9. Background Check
All individuals living in the proctor home age 18 and older must obtain a
DHS/OL background screening.
Applicants who have lived outside of Utah at any time in the past 5 years
must obtain an FBI fingerprint based criminal history record check.
Background screening paperwork must be requested within 30 days of
initial hire for all new staff.
Background screenings must be completed annually within 12 months of
the initial background screening date.
Direct Care staff/Proctor Parents cannot provide unsupervised contact with
clients until the background screening has been approved by DHS/OL.
10. Proctor Home Capacity
The proctor parent/staff must be available by phone or other means in
which there is not a proctor parent in direct supervision of the client.
The proctor parent/staff must be available to provide daily care &
supervision of each client.
The proctor parent/staff must be immediately available to respond to an
emergency and on-site during nighttime sleeping house.
The proctor home/group home cannot have any children in the home under
age 18 if the client in the home is an adjudicated sex offender.
The proctor home may have not more than 6 children in the home under
age 18, including the proctor parents’ children.
DJJS allows only one client in the home for the first year of a newly licensed
family. Two youth are allowed thereafter.
DCFS allows up to three clients in the home depending on space.
11. Care & Supervision
DJJS & DCFS clients may not be placed together at the proctor level of
care.
Clients of different genders cannot be placed together unless they are a
sibling group or a parent & child.
Clients of different genders cannot share a room, even siblings.
Clients with different issues (sex offender, mental health, behavior,
substance abuse, etc) should not be placed in the same proctor home
unless the client has multiple diagnoses
Care & supervision of clients includes the same as provided to one’s own
children such as performing physical care, providing nutrition, teaching self-
care, addressing medical, dental & mental health care, helping with
homework, managing medications, teaching skills, etc
12. Family Visits
Family visits must be facilitated by the Contractor
Family visits cannot be withheld without caseworker approval.
Frequency of family visits shall be determined by the team (usually once per
week)
The visitation plan shall include the date and time of visits and
transportation arrangements.
Visits cannot be withheld because of client behavior and visits are not
earned by having good behavior.
13. Heath Care
A DCFS/DJJS client must have a medical exam, dental exam and a mental
health assessment within 30 days of entering Division custody.
Medical and Dental exams are required annually thereafter.
Follow up care is due in the time frame recommended.*
DCFS requires annual MHAs.
DJJS requires approval for MHAs after the initial assessment.
A copy of the health visit report form is due to the DJJS caseworker or the
DCFS nurse within 30 days of an exam. A copy of the HVR must be kept in
the client file.
14. Absences
The Contractor may hold a placement for a client that is absent for up to
eight days per calendar month with prior written approval from the
caseworker when the plan is for the client to return to the placement.
These 8 days are to be reimbursed at the regular daily rate.
Absences beyond the 8 days must have prior written approval from the
caseworker and are reimbursed at the reduced rate.
The reason for the absence must be documented.
In the event the client is AWOL, only the first two consecutive absent days
will be reimbursed at the regular rate. Additional days may be reimbursed
at the reduced rate if authorized by the caseworker in writing if the plan is to
return the client to the placement.
Contact (by phone or other means) must be maintained with the client and
responsible party during the client’s absence to ensure safety, adequate
supervision and treatment continuity if the Contract is receiving payment
and the client is not AWOL. Contact must be documented in the client file.
15. Transportation
Routine transportation shall be provided for the client as a parent or legal
guardian would. This includes, but is not limited to, transportation to:
Medical, dental & other appointments
Family visits
School events
Extracurricular activities
Community service
Team meetings
Normal case activities
Court hearings
When transportation of a client is more than 60 miles round trip for family
visits, court hearings or reviews or health services mileage reimbursement
shall be received by the Division. Mileage reimbursement for reasons other
than these listed requires written approval from the caseworker.
Mileage reimbursement is allowed for a single trip regardless of the number
of clients transported.
16. Personal Needs
Allowance
The daily care & supervision rate includes an allowance for the client’s
personal needs and clothing ($2 per day).
Personal needs include items such as cosmetics, admission fees, hobbies,
leisure expenses, contact lenses solution, special hygiene supplies, etc.
$40 per month shall be spent on clothing items for the client, unless the
funds are carried over to subsequent month for the purchase of higher
priced items.
Receipts for clothing purchases must be maintained.
A monthly inventory of the client’s belongings shall be maintained.
When the client is discharged from the program, all items shall be returned
to the client.
If the client AWOLs, the items shall be secured & transferred to the
caseworker.
The Contractor is responsible to replace any of the client’s belongings that
are not properly accounted for or secured.
17. Foster Parent Rights
Foster parents must also be informed of their
Due Process Rights at the time of employment.
There must be documentation in writing that they
have been informed of these rights.
DJJS & DCFS require that all direct care and proctor parents receive an annual review of the contract requirements.
The three training topics must equal a total of two hours time.
Direct care staff and proctor parents may receive credit for prior training on an hour-for hour basis provided there is written documentation of training content, including where, when, and who provided the training. The training must be in the required subject areas and received within a period of two years prior to employment with UYV.
This is in additional to all training described in previous slides
After the first weeks’ training, the first 60 days’ training, the first year’s training, all non-clinical direct care staff and proctor parents must have annual training of 20 hours per week.
A separate training will be done in this area that is more detailed.
This area will be covered in more detail in another training.
Proctor parents & staff do not have to be awake during nighttime sleeping hours.
*if no time frame is recommended, follow up care is due within 90 days of the exam.
Mileage must be submitted to DCFS one a one-time payment form within 90 days of the trip and within 15 days after the end of the fiscal year or the claim is forfeited.