How do you handle Voluntary and Involuntary Commitment?

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In this Assignment, you investigate your state’s laws concerning voluntary and involuntary commitment. You also analyze a case to determine if the client is eligible for involuntary commitment

  • Evaluate clients for voluntary commitment
  • Evaluate clients for involuntary commitment based on state laws
  • Recommend actions for supporting parents of clients not eligible for involuntary commitment
  • Recommend actions for treating clients not eligible for involuntary commitment

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Practicum Journal: Voluntary and Involuntary Commitment In this Assignment, you investigate your state’s laws concerning voluntary and involuntary commitment. You also analyze a case to determine if the client is eligible for involuntary commitment. Maryland State Law should be used for this case. Scenario for Week 7 Case: You are a PMHNP working in a large intercity hospital. You receive a call from the answering service informing you that a “stat” consult has been ordered by one of the hospitalists in the ICU. Upon arriving in the ICU, you learn that your consult is a 14 year old male who overdosed on approximately 50 Benadryl (diphenhydramine hydrochloride) tablets in an apparent suicide attempt. At the scene, a suicide note was found indicating that he wanted to die because his girlfriend’s parents felt that their daughter was too young to be “dating.” The client stated in the suicide note that he could not “live without her” and decided to take his own life. Although he has been medically stabilized and admitted to the ICU, he has been refusing to talk with the doctors or nurses. The hospital staff was finally able to get in touch with the client’s parents (using contact information retrieved from the 14 year old’s cell phone). Unbeknown to the hospital staff, the parents are divorced, and both showed up at the hospital at approximately the same time, each offering their own perspectives on what ought to be done. The client’s father is demanding that the client be hospitalized because of the suicide, but his mother points out that he does not have “physical custody” of the child. The client’s mother demands that the client be discharged to home with her stating that her son’s actions were nothing more than a “stunt” and “an attempt at manipulating the situation that he didn’t like.” The client’s mother then becomes “nasty” and informs you that she works as a member of the clerical staff for the state board of nursing, and if you fail to discharge her child “right now” she will make you “sorry.” How would you proceed? Learning Objectives Students will: • • • • Evaluate clients for voluntary commitment Evaluate clients for involuntary commitment based on state laws Recommend actions for supporting parents of clients not eligible for involuntary commitment Recommend actions for treating clients not eligible for involuntary commitment The Assignment (2–3 pages): • • • • • Based on the scenario, would you recommend that the client be voluntarily committed? Why or why not? Based on the laws in your state, would the client be eligible for involuntary commitment? Explain why or why not. Did understanding the state laws confirm or challenge your initial recommendation regarding involuntarily committing the client? Explain. If the client were not eligible for involuntary commitment, explain what actions you may be able to take to support the parents for or against voluntary commitment. If the client were not eligible for involuntary commitment, explain what initial actions you may be able to take to begin treating the client.
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Running head: VOLUNTARY AND INVOLUNTARY COMMITMENT

How do you handle Voluntary and Involuntary Commitment?

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VOLUNTARY AND INVOLUNTARY COMMITMENT

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How do you handle Voluntary and Involuntary Commitment?


Based on the scenario, would you recommend that the client be voluntarily committed?
Why or why not?
According to the case, the client needs voluntary commitment. This is because Maryland

laws require that all psychiatric patients who pose danger to their own life and safety to be
hospitalized. Voluntary commitment is also necessary considering that there are no other ways or
strategies of handling the situation to help the patient to be safe and secure (NAMI Maryland,
n.d.). Voluntary hospitalization is also mandatory considering that the client is suffering from
major depressive disorder, which is a common mental health condition. The client is suffering
from major depressive disorder because he feels worthless and unimportant, which has pushed
him to commit suicide with an intention of ending their life (NAMI Maryland, n.d.).


Based on the laws in your state, would the client be eligible for involuntary
commitment? Explain why or why not.
Based on the laws of Maryland State regarding commitment, the client requires

involuntary commitment. This is because the client has shown potential harm to their body and
welfare, and could consequently turn to harming others in case they exhibit more distress and
want to let off their anger on others (NAMI Maryland, n.d.). The client also requires involuntary
commitment because there is no other solution to their condition, and requires counselling and
close supervision by a trained psychiatric officer. The patient also suffers from major depressive
disorder and thus necessitates that they be under psychiatric interventions until they are stable to
work on their own (NAMI Maryland, n.d.). The patient also needs inpatient care to help in
examining him and observing his condition considering that he is suffering from poisoning.

VOLUNTARY AND INVOLUNTARY COMMITMENT

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Considering that the mother of the patient is adamant that the patient be dis...


Anonymous
I was struggling with this subject, and this helped me a ton!

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