2/7/02

Alaska Psychiatric Institute

Adult Psychiatric Hospitalization

Admission and Continued Stay Criteria

 

 

I.                   Involuntary Commitment. 

Involuntary admission commitment status supercedes admission criteria until the consumer can be evaluated and the involuntary status is removed or expires

II.                Admission Criteria

·         The consumer must have a diagnosed or suspected mental illness.  Mental illness is as defined in AS 47.30.915 (12): “means an organic, mental, or emotional impairment that has substantial adverse effects on an individual’s ability to exercise conscious control of the individual’s actions or ability to perceive reality or to reason or understand; mental retardation, epilepsy, drug addiction, and alcoholism do not per se constitute mental illness, although persons suffering from these conditions may also be suffering from mental illness,” anddefined as a psychiatric disorder identified with appropriate DSM IV codes on all applicable axes, I-V. 

·            Criteria A, B, or C, must be met.

·         Criteria A, B or C must be met:

 

(A) The consumer is likely to cause serious harm to themselves or others as defined in AS 47.30.915(10):

      means a person who

(1)   poses a substantial risk of bodily harm to that person’s self as manifested by recent behavior causing, attempting, or threatening that harm, or

 

(2)   poses substantial risk of harm to others as manifested by recent behavior causing attempting threatening harm, and is likely in the near future to cause physical injury, physical abuse, or substantial property damage to another person, or

 

(3)   manifests a current intent to carry out plans of serious harm to that persons self or another.

     

(B) and/or is “gravely disabled” as defined in AS 47.30.915 (7): “means a condition in which a person as a result of mental illness

(1)   is in danger of physical harm arising from such complete neglect of basic needs for food, clothing, shelter, or personal safety as to render serious accident, illness or death highly probably if care by another is not taken; or

 

(2)   will, if not treated, suffer or continue to suffer severe and abnormal mental, emotional, or physical distress, and this distress is associated with significant impairment of judgement, reason, or behavior causing a substantial deterioration of the person’s previous ability to function independently.

 

(C) and cannot be served in a less restrictive treatment alternative within the community.

 

Voluntary persons may be admitted to API if they do not meet definitions of likely to cause serious harm to themselves or others or being gravely disabled on a case by case basis.  However, whenever possible, these persons will be referred to a less-restrictive treatment program.

A.demonstrates dangerousness to self by any of the following aspects ,1-5.

1.Current plan, pervasive and continual suicidal ideation or intent to seriously harm self with an available and lethal method.

2.0.A recent lethal attempt to harm self with continued risk as demonstrated by any of the following

a. .poor impulse control

b. .an inability to reliably contract for safety

c. .shared reasonable suspicion by evaluative staff that the consumer will imminently self-harm again despite denial of intent of the ability to contract for safety

3.0.Gravely disabled.  Inability to adequately care for one’s own physical needs due to delusions, hallucinations, severe disorganized thought patterns, and/or grossly disorganized or catatonic behavior. 

4.0.Shared reasonable suspicion by the evaluation staff which is supported by  collateral contact information that the consumer will imminently self-harm despite denial of intent or the ability to contract for safety

5.0.Available lower levels of care are clearly not able to maintain safety due to lack of staff and physical structure

B. .The consumer demonstrates imminent serious harm to others by any of the following aspects, 1-5.

1.0.Current plan, pervasive and continual homicidal ideation, or intent to harm others with an available and lethal method.

2.0.A recent action to harm others with continued imminent risk to repeat violent behavior as demonstrated by poor impulse control or an inability to plan reliably for safety.

3.0.Uncontrolled violent behavior that represents an imminent serious risk of harm to others or their property.

4.0.Shared reasonable suspicion by the evaluation staff which is supported by  collateral contact information that the consumer will imminently harm others despite denial of intent or the ability to contract for safety.

C. .As a result of a medical or psychiatric intervention complication, there is a high risk of serious, imminent and dangerous deterioration of the consumer’s medical and/or mental health requiring secure observation.

 

III.       Exclusionary Criteria

Although API has a family practice physician (Medical Officer) as well as Physician's Assistants on staff to help manage the medical problems of API patients, API is not able to provide continuous physician presence in the hospital and thus must examine with scrutiny the appropriateness of a patient with suspected or identified medical problems to be safely managed and cared for at API.

 

A,  Medical Illness Management

API is classified under JCAHO as a "Level 4" facility in terms of its ability to care for patients with emergent medical (includes surgical, neurologic, etc.) problems.  Likewise, API is not equipped nor is its staff trained to manage many typically non-ambulatory medical interventions such as intravenous fluids / medications, infusion pumps, and other such interventions.  This is a JCAHO competency issue.

 

Thus, API cannot accept patients who require intravenous fluids or medications, infusion pump treatment, and so on, unless the referring agency is willing to supply trained and certified competent personnel to be with the patient at all times during the API hospitalization, to monitor the specialized medical treatment.

 

The standard is generally that API cannot care for patients whose medical care would otherwise require medical hospitalization.  Even with this standard, though, there are some interventions (such as infusion pumps treatment) that may be used in ambulatory settings, but that JCAHO specifically will not allow in a setting like API without certified competent staff (e.g. for that particular brand of infusion pump) standing by at all times monitoring the patient's medical treatment.

 

Disputes as to whether API can manage a particular medical problem should be reviewed at the API Medical Director level, with consultation by the API Medical Officer.

 

B.   Medical Instability

New onset of an altered mental status should alert caregivers to the possibility of medical (includes neurologic / trauma, etc.) instability.  This is especially true of older patients, as severe psychiatric illnesses generally declare themselves prior to onset of middle-age.

 

API on-call psychiatrists may ask for more extensive diagnostic testing to rule-out medical instability, prior to accepting a patient for transfer to API.  The Medical Officer may be asked to consult with the Emergency Room physician to discuss the problems in more detail, prior to psychiatrist acceptance of transfer.  Disputes should be reviewed with the API Medical Director.

 

C.  Primary diagnosis of dementia

Persons with dementia, with or without previous history of psychiatric problems, can occasionally become aggressive or suicidal.  API will admit patients whose primary diagnosis is dementia.  However, API attempts to make this a last-resort placement for these patients.  This is primarily a best-practice utilization strategy: dementia patients typically require long-term, though not usually intensive, treatment.  If admitted to API, then, they tend to unnecessarily tie up a high acuity bed for an extended period.

 

All options for crisis stabilization, including admission to a medical ward with sitter and psychiatric consultation, or transfer to a private psychiatric unit, should be explored before referral is made to API.

 

D.  Intoxication

Acute intoxication causing psychiatric symptoms or complaints should attempt to be managed in the emergency room setting, as these symptoms or complaints will often resolve with increased sobriety.

 

Intoxication is ultimately a clinical impression, though is guided by legal standards, e.g. breath or serum alcohol levels, or by urine drug screen.  Generally, an alcohol level should be less than 0.150 mg/dl prior to transfer to API.  API  may take alcohol levels higher than 0.150 mg/dl with discussion with the API on-call M.D.

 

Acute intoxication can lead to medical instability, e.g. seizures, cardiovascular collapse, respiratory arrest, cardiac arrhythmias, aspiration, and other complications that cannot be safely managed at API.

 

III.IV.       Continued Stay Criteria 

·        Criteria A or B must be met

A.     The admission criteria must continue to be met, or                                                                                                                                                                                                                                               

B.     The current treatment plan requires inpatient care. Any one of the following aspects must be met. 

1.      Acute symptoms of the disorder(s) which caused the admission still remain and the consumer’s safety would be compromised if a lower level of care is utilized.

2.        New problems have developed that require continued inpatient care to re-stabilize, consolidate treatment gains and integrate the consumer back into the community.

3.        Medications adjustments require inpatient care for monitoring.