(CIF) Custom Information Feed_ BHC Issues

Posted September 13th, 2016 | Comments (0)

BHC News

2015

• Issue 1– Written qualifications and competencies  • Issue 2Five Top 2014 Standards • Issue 3 –  • Issue 4 –

2014

Issue 1BH Home Cert/RPIIssue 2 Revised HR Chapter Issue 3Trends in Addiction Issue 4 Sanctuary: Trauma-informed care model/Project Charter Template

2013:

• Issue 1-BH Homes • Issue 2 – Sample Medications • Issue 3Wounded WarriorsIssue 4 HR Chap Revisions/BHH

See Also: Resources for Achieving Behavioral Health Accreditation,®


 

RTN1608_B3_Psychiatric Advance Directives

Posted August 16th, 2016 | Comments (0)

*TS:Anchor Psychiatric Advance Directives: Benefits and Strategies for Implementation (PDF)[REF:BHC, RI] The Source, August 2016, Vol 14, #8, Pg 7 JCs1608_B3

The Psychiatric Advanced Directive (PAD) is specifically required for BHC organizations under standard CTS.01.04.01. While that standard is not formally applicable to state psychiatric hospitals, the PAD is certainly relevant. It should also be noted that attention to advanced directives is required of all hospitals under RI.0105.01 and there is no prohibition to support of a PAD. Such a directive “documents the individual’s treatment preferences that should be implemented at a later time if the individual’s ability to make decisions becomes compromised “. As such, an effective document would identify the individuals preferences regarding medications (acceptable, non-acceptable), alternatives to hospitalization, alternatives to highly restrictive or high risk procedures (e.g., restraint, seclusion, ECT), non treatment personal care, visitors, emergency contacts, surrogate determination, assistive devices and diet. Needless to say, PADs are best developed when a patient is well/stable/competent. However, whenever they are developed, it is suggested that a proxy be included so that new treatments arising after the PAD is written and/or activated can be discussed in a timely manner with someone who is competent. Questions about the need for a proxy could be addressed by two assessment tools suggested in the article (i.e., Decisional Competence Assessment Tool for Psychiatric Advance Directives and the MacArthur Competence Assessment Tool for Treatment.) The article also suggest considering the use of online forms and/or software to help structure the process. Search (outpatient) suggests many patients will be able to self-complete a PAD and few will call for refusal of all treatment.
Tip: Take advantage of the Bazelon Center’s publication, PSYCHIATRIC ADVANCE DIRECTIVE: Forms to Prepare an Advance Directive for Mental Health.

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RTN1602_B2_BHC Patient Pain Screening

Posted February 16th, 2016 | * Comments (1)

*TS: 5 Sure-Fire Methods: Screening Behavioral Health Care Patients for Physical Pain (PDF/QV) [REF: BHC, RN, Tool] The Source, February 2016, Vol 14, #2, Pg 2 JCs1602_B2

This article focuses on organizations surveyed under the BHC standards. As such, a few of its 5 recommendations have long ago been adopted by most psychiatric hospitals. Still, recommendation #2 that organizations “determine a (clearly defined) pain level at which individuals will be consistently referred for pain assessment” is worth underscoring. The authors also provided the following resources:

Tip1: Make sure there is a clearly defined pain level at which a more in depth pain assessment will be triggered.
Tip2: Nursing is encouraged to review Section 4 (The Pain Screening Process/pg 13) and Section 5 (Comprehensive Pain Assessment/pg 20) of the Dept of VA reference above. They are only 9 of the documents 57 pages. They contain pearls such as “Suggested Script and Answers to Questions Patient’s Frequently Ask” and “Components of the Comprehensive Pain Assessment Interview
See also: More details on Sections 4 and 5 in the comments section of this article.

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