outpatient services programs workgroup: dangerousness standard and training august 8, 2014
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Outpatient Services Programs Workgroup: Dangerousness Standard and Training August 8, 2014. Continuity of Care Workgroup. - PowerPoint PPT PresentationTRANSCRIPT
Outpatient Services Programs Workgroup:
Dangerousness Standard and Training
August 8, 2014
Continuity of Care Workgroup
• Anecdotal data suggested that while the language of the dangerousness standard is clear, its application in the field varies widely, both with regard to emergency petitions and civil commitment
Legislative charge – SB882, §(a)
To clarify and remedy this, the legislature has required the Department to convene a stakeholder workgroup to (among other things)…3. evaluate the dangerousness standard for involuntary
admissions and emergency evaluations of individuals with mental disorders, including:i. how the standard should be clarified in statute or in
regulations adopted by the Department; and ii. initiatives the Department should adopt and implement to
promote the appropriate and consistent application of the standard by health care professionals, administrative law judges, the Office of the Public Defender, consumers, and other individuals.
Proposed language
“Danger to the life or safety of the individual or of others" means, in consideration of the individual's current condition and, if available, personal and medical history, that:(1) There is a substantial risk that the individual will
cause harm to the person or others if admission is not ordered; or
(2) The individual so lacks the ability to care for himself or herself that there is a substantial risk of death or serious bodily injury if admission is not ordered.
Training content: How to apply the standard in civil cases: Define the
highlighted terms“Danger to the life or safety of the individual or of others” means, in consideration of the individual's current condition and, if available, personal and medical history, that:(1) There is a substantial risk that the individual will
cause harm to the person or others if admission is not ordered; or
(2) The individual so lacks the ability to care for himself or herself that there is a substantial risk of death or serious bodily injury if admission is not ordered.
Standards of proof:• EP: probable cause• Commitment: clear and convincing evidence
Possible training techniques/technology
• Case-based training• Modules designed for specific audiences
(see next slide)• Webinars for self-paced training• Pre-test/post-test• New employee training• Periodic inservice training
Training needs Buy-in needed• EMS and Law
Enforcement• MD Hospital Association• MPS/MPA/NASW-MD/etc• MD Hospital
Assn/MHA/UMD and JHU training programs
• OAH• OPD
• First responders• Emergency
department clinicians
• Mental health clinicians
• Inpatient psychiatric staff• Hospital
presenters• Administrative law
judges• Public defenders