crisis%inter*ention&%emergency%ser*ices% · 10/13/15 1 amy groh, ma director of crisis...
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Amy Groh, MA Director of Crisis Intervention Services
19 N. 6th Street. Reading, PA 19601
(610) 236-0530
Crisis Inter*ention & Emergency Ser*ices
• Sam is the gateway to mental health ser*ices in Berks count:.
• Sam, Inc. is an agency dedicated to provide access to mental health t@eatAent for anyone in Berks Count: regardless of income or abilit: to pay.
About Sam, Inc.
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How is Sam, Inc. able to help?
• Sam provides intake/refer@als, early inter*ention prog@am for children birHh to three, Mental Health Case Management, IntellectJal Developmental Disabilit: SupporHs Coordination, Forensic Case Management, and Crisis Inter*ention and Emergency Ser*ices.
• In Berks Count: Sam, Inc. is located at 19 N. 6th St@eet in Reading, PA
Our case management and crisis ser*ices have been accredited by the commission on Accreditation of Rehabilitation Facilities (CARF).
CerHified by the American Association of Suicidolog:
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Crisis Inter*ention Ser*ices
1. What are Crisis Inter*ention Ser*ices? 2. Who is eligible for ser*ices? 3. How and where are Crisis Ser*ices
provided? 4. What are Emergency Mental Health
Ser*ices? 5. When are Crisis Ser*ices provided? 6. What is Act-‐147?
What are Crisis Inter*ention Ser*ices?
• Assistance to consumers in resolving and/or diffJsing crisis sitJations via problem solving, supporH, and refer@al.
• Assessment and consultation in identif:ing mental health problems and needs, as well as options for mental health t@eatAent or other inter*entions and communit: ser*ices.
• InforAation and refer@al for other human ser*ices and communit: Resources.
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Who is eligible for ser*ices?
• Anyone who requests them regardless of age, income, or health insurance.
• Mental health consumers and persons interested in their wellbeing including, but not limited to, family, `iends, human ser*ices agencies, school personnel, and law enforcement and courH officers.
How and where are Crisis Ser*ices provided?
• Staff members will work to understand a caller’s needs and requests and then consider how and where to most effectively interact with consumers and/or other callers.
• Telephone contact.
• Mobile out@each to conduct ace-‐to-‐face contact in the communit:.
• Walk-‐in at Sam, Inc.
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What are Emergency Mental Health Ser*ices?
• Emergency Mental Health Ser*ices consist of the review and execution of requests for involuntar: mental health evaluation and t@eatAent.
• Emergency Mental Health Ser*ices are provided only aster less-‐rest@ictive and less-‐int@Jsive crisis inter*ention ser*ices have been provided.
• Emergency Mental Health Ser*ices are provided in accordance with the Mental Health Procedures Act of 1976, Section 302.
• Emergency Mental Health Ser*ices are provided by SAM, Inc. staff under the authorit: delegated to them by the Berks Count: Mental Health and Developmental Disabilities prog@am.
When are Crisis Ser*ices available?
• Crisis ser*ices are available 24-‐hours a day, seven days a week by calling:
(610) 236-‐0530 or (877) 236-‐4600 TOLL FREE
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• SAM, Inc. Crisis Center staff does not have the means to rest@ain or othergise rest@ict people’s movements, or to provide care for medical problems, drJg/alcohol intoxication, or withdrawal.
• Crisis Inter*ention Ser*ices are not an effective substitJte for on-‐going mental health case management or t@eatAent ser*ices.
Please note:
ACT 147
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Minors Consent Act
· Act 147 Amends the “Minors Consent to Medical, Dental and Other Health Ser*ices” (35 P.S. §1010 et seq.) (the “Minors Consent Act”)
· Nothing in Act 147 is intended to rest@ict the rights of a minor who satisfies the conditions of the Minors Consent Act. Act 147: 1.1(c)
· Effective Januar: 22, 2005
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ACT 147: Outjatient TreatAent
“Any minor who is fourHeen years of age or older may consent on his or her own behalf to outjatient mental health examination and t@eatAent, and the minor’s parent or legal gJardian’s consent shall not be necessar:.”
Act 147: §1.1(a)(1)
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ACT 147 Outjatient TreatAent
A parent or legal gJardian of a minor less than eighteen years of age may consent to voluntar: outjatient mental health examination or t@eatAent on behalf of the minor, and the minor's consent shall not be necessar:.
Act 147: §1.1(a)(2)
•
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ACT 47
Outjatient TreatAent
“A minor may not abrogate consent provided by a parent or legal gJardian on the minor's behalf, nor may a parent or legal gJardian abrogate consent given by the minor on his or her own behalf.”
Act 147: §1.1(a)(3)
-‐ “Abrogate” means to cancel, repeal or annul.
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ACT 147
Inpatient TreatAent
“Parent/Legal Guardian of minor under 18 may consent to voluntar: inpatient t@eatAent pursuant to the Mental Health Procedures Act of 1976 (MHPA) on the recommendation of a physician who has examined the minor. The minor's consent is not necessar:.”
Act 147: §1.1(b)
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ACT 147 Inpatient TreatAent
Act 147 does not rest@ict or alter a minor’s rights in the Mental Health Procedures Act (“MHPA”) to consent to voluntar: inpatient t@eatAent at age 14 or older.
Act 147: 1. § 1(b)(2)
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Act 147 does not rest@ict or alter a parent/gJardian’s right to object to minor’s (14+) consent to voluntar: inpatient t@eatAent under the MHPA. Act 147:1.1(b)(3)
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ACT 147 Inpatient TreatAent
Parent/legal gJardian may not abrogate consent of minor; minor may not abrogate consent of parent/legal gJardian.
Act 147: §1.1(b)(4)
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ACT 147 Inpatient TreatAent
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Parent/legal gJardian consent to inpatient t@eatAent may be revoked; t@eatAent will terAinate unless minor 14 to 18 consents to continued inpatient t@eatAent. Act 147: §1.1(b)(5)
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ACT 147 Inpatient TreatAent
Minor 14-‐18 who has consented to inpatient t@eatAent may revoke his/her consent; minor’s revocation of consent is effective unless parent/legal gJardian of minor has provided for continued t@eatAent.
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ACT 147 Inpatient TreatAent
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Facilit: Director shall: · Provide minor (14-‐17 years of age) with an exjlanation of the natJre of
the t@eatAent and minor’s rights;
· File a petition with the CourH, if minor objects to t@eatAent consented to by parent/legal gJardian.
Act 147: §1.1(b)(7)(8)
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ACT 147 Inpatient TreatAent
CourH shall promptly:
· Appoint arorsey for minor.
· Schedule hearing within 72 hours of the filing of the petition.
· Judge or mental health review officer deterAines whether voluntar: mental health t@eatAent is in the best interest of the minor.
Act 147: §1.1(b)(8)
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ACT 147 Inpatient TreatAent
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For patient t@eatAent to continue against minor’s wishes, the CourH must find voluntar: inpatient t@eatAent necessar: by clear and convincing evidence that:
– Diagsosed mental disorder exist
– Disorder is t@eatable in the parHicular facilit:
– Least rest@ictive environment.
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ACT 147 Inpatient TreatAent
• If CourH orders minor to undergo t@eatAent, minor shall receive ser*ices for up to 20 days.
• Minor shall be discharged whenever: – Arending physician deterAines that minor is no longer in need of
t@eatAent; – Consent to t@eatAent has been revoked; – The end of the time period of the order; or – Whichever comes first.
Act 147: §1.1(b)(9)
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ACT 147 Inpatient TreatAent
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CourH conducts a review hearing to deterAine whether to: - release the minor; - make a subsequent order for inpatient t@eatAent not to exceed 60
days, subject to discharge whenever the arending physician deterAines the minor is no longer in need of t@eatAent;
- consent (parental) is revoked under Parag@aph 5; or - CourH may order 60-‐day period of t@eatAent.
• Act 147: 1.1 (b)(9)(10)
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ACT 147 Inpatient TreatAent
Nothing in this subsection shall prevent a non-‐consenting parent who has legal custody rights of a minor child to object to “voluntar:” inpatient ser*ices approved by consenting parent by filing a petition in CourH; hearing to be held in 72 hours.
Act 147: §1.1(b)(11)
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ACT 147 Inpatient TreatAent
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Thank You!