NRNP 6675 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies
Walden University NRNP 6675 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NRNP 6675 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NRNP 6675 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies
Whether one passes or fails an academic assignment such as the Walden University NRNP 6675 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NRNP 6675 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies
The introduction for the Walden University NRNP 6675 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for NRNP 6675 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies
After the introduction, move into the main part of the NRNP 6675 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NRNP 6675 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NRNP 6675 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NRNP 6675 Week 8 Legal and Ethical Issues Related to Psychiatric Emergencies
Medical practitioners must make ethical and legal determinations during mental crises, considering urgent needs, assumed incapacity, implicit permission, and state interests. The Massachusetts Appeals Court denied doctors the capacity to foresee immediate injury (Becker & Forman, 2020). Legal norms and practice guidelines are essential for emergency psychiatric cases. This paper examines the legal and ethical issues related to psychiatric emergencies in Massachusetts and presents evidence-based risk assessments for suicide and violence for such patients.
Involuntary Psychiatric Holds for Child and Adult Psychiatric Emergencies
In Massachusetts, involuntary psychiatric holds are regulated under Chapter 123 of the General Laws, which applies to both minors and adults experiencing mental crises. A hold may be started by competent specialists, such as doctors or psychologists if a person presents a threat due to mental illness. The preliminary detention, a Section 12 hold, lasts for a maximum of 72 hours for assessment (Wasserman et al., 2020). If more treatment is required, a court petition may prolong the stay for up to six months. Release decisions are decided by the treatment team or judiciary, depending upon the individual’s risk evaluation.
Families or legal guardians are informed upon the discharge of individuals from an institution, especially in the case of children. Authorized personnel for collection often include family members or appointed persons. Transportation may be arranged if necessary. Parental engagement is essential for minors since they must provide permission for treatment unless in emergencies (Jones et al., 2021). Schools or social services may also be engaged if the kid is under state care. Involuntarily detained individuals possess legal rights, including the entitlement to a court hearing to challenge their detention and the right to legal counsel during such proceedings.
Evaluation/Psychiatric Hold, Inpatient Commitment, and Outpatient Commitment
In Massachusetts, the mental health system utilizes multiple mechanisms to deliver care while protecting individual rights, such as emergency hospitalization for evaluation, psychiatric holds, inpatient commitment, and outpatient commitment. Emergency hospitalization, sanctioned by qualified mental health professionals or law enforcement, is a short-term intervention for individuals presenting immediate risks, with an assessment duration of up to 72 hours (Becker & Forman, 2020).
Inpatient commitment requires a court petition for individuals who necessitate prolonged hospital treatment due to severe mental illness. The commitment period can extend up to six months, dependent on evidence of significant risk of harm or an inability to provide self-care (Da Silva et al., 2020). Outpatient commitment enables individuals to obtain treatment within the community through a court-mandated plan, generally lasting up to one year, targeting those with a history of non-compliance that results in recurrent hospitalizations. Each mechanism is designed to meet different levels of need and risk, ensuring the delivery of appropriate care while upholding legal rights.
Capacity and Competency
In mental health situations, capacity and competence are separate notions about an individual’s decision-making skills. Capacity is an individual’s capability to comprehend and value the ramifications of confident choices, evaluated by healthcare practitioners in clinical environments, and may fluctuate over time (Calcedo-Barba et al., 2020). Conversely, competence is a judicial finding made by a court about an individual’s overall capacity to handle their affairs, necessitating a comprehensive evaluation and often needing a hearing. Comprehending these distinctions is crucial for practitioners in the mental health, legal, and healthcare sectors to adequately address the rights and needs of persons with mental health difficulties.
Patient Autonomy
In addressing psychiatric crises, legal and ethical dilemmas occur with patient autonomy, especially about involuntary commitment and informed permission. Involuntary commitment permits hospitalization without agreement when a patient presents a threat, requiring a balance between individual rights and public safety, accompanied by due process safeguards (Da Silva et al., 2020). Ethically, informed consent mandates that healthcare practitioners guarantee patients comprehend the ramifications of treatment, a process that may be difficult because of impaired mental conditions. Clinicians must evaluate a patient’s competence and endeavor to engage them in decision-making while balancing beneficence with respect for autonomy, underscoring the need for multidisciplinary teamwork.
Suicide Risk and Violence Risk Assessment
Assessments of suicide and violence risk are essential in therapeutic environments, using evidence-based instruments such as the Columbia-Suicide Severity Rating Scale (C-SSRS) along with the HCR-20 (Assessing Risk for Violence) (Mayes et al., 2023). The C-SSRS assesses suicidal thoughts, the severity of the want to die, and any suicide behaviors, making it suitable for many settings, including emergency departments and outpatient clinics. In contrast, the HCR-20 evaluates violence risk by analyzing historical circumstances, clinical traits, and risk management components, especially within forensic and psychiatric settings. Both instruments are substantiated by research and assist doctors in making educated judgments and formulating effective risk management strategies to address and reduce possible safety hazards.
Conclusion
The framework for involuntary psychiatric detention and mental health treatment in Massachusetts equilibrates individual rights with public safety. It includes emergency hospitalization, inpatient and outpatient commitment, and evaluations of suicide and violence risk. Legal principles and ethical concerns inform decision-making, while evidence-based instruments direct physicians. The system seeks to provide essential services while respecting the rights of those with mental health difficulties.
References
Becker, S. H. D., & Forman, H. (2020). Implied consent in treating psychiatric emergencies. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.00127
Calcedo-Barba, A., Fructuoso, A., Martinez-Raga, J., Paz, S., De Carmona, M. S., & Vicens, E. (2020). A meta-review of literature reviews assessing the capacity of patients with severe mental disorders to make decisions about their healthcare. BMC Psychiatry, 20(1). https://doi.org/10.1186/s12888-020-02756-0
Da Silva, A. G., Baldaçara, L., Cavalcante, D. A., Fasanella, N. A., & Palha, A. P. (2020). The impact of mental illness stigma on psychiatric emergencies. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.00573
Jones, N., Gius, B., Shields, M., Florence, A., Collings, S., Green, K., Watson, A., & Munson, M. (2021). Youths’ and young adults’ experiences of police involvement during initiation of involuntary psychiatric holds and transport. Psychiatric Services, 73(8), 910–917. https://doi.org/10.1176/appi.ps.202100263
Mayes, T. L., Carmody, T., Rush, A. J., Nandy, K., Emslie, G. J., Kennard, B. D., Forbes, K., Jha, M. K., Hughes, J. L., Heerschap, J. K., & Trivedi, M. H. (2023). Predicting suicidal events: A comparison of the Concise Health Risk Tracking Self-Report (CHRT-SR) and the Columbia Suicide Severity Rating Scale (C-SSRS). Psychiatry Research, p. 326, 115306. https://doi.org/10.1016/j.psychres.2023.115306
Wasserman, D., Apter, G., Baeken, C., Bailey, S., Balazs, J., Bec, C., Bienkowski, P., Bobes, J., Ortiz, M. F. B., Brunn, H., Bôke, Ö., Camilleri, N., Carpiniello, B., Chihai, J., Chkonia, E., Courtet, P., Cozman, D., David, M., Dom, G., . . . Vahip, S. (2020). Compulsory admissions of patients with mental disorders: State of the art on ethical and legislative aspects in 40 European countries. European Psychiatry, 63(1). https://doi.org/10.1192/j.eurpsy.2020.79