On-Call Resources

Last edited on April 23, 2024

This shows you the differences between two versions of the page.

--- on-call [on July 15, 2019]
psychdb
+++ on-call [on July 15, 2019]
psychdb
@@ Line 9: / Line 9: @@
 </HTML>
 ~~NOTOC~~
 ====== On-Call + Resources ======
 <alert type="warning" icon="fa fa-info-circle fa-fw fa-lg">
-**Welcome to the On-Call + Resources section**. This page has resources to commonly encountered on-call psychiatric and medical issues, plus other resources.  [[on-call#greater-toronto-area-resources|Click here to jump to Resources for the Greater Toronto Area]].</alert>
+**Welcome to the On-Call + Resources section**. This page has resources to commonly encountered on-call psychiatric and medical issues, plus other resources.  [[on-call#greater-toronto-area-resources|Click here to jump to Resources for the Greater Toronto Area]]. </alert>
-===== On-Call =====
 <WRAP group>
 <WRAP half column>
+===== Ontario Mental Health Act =====
+<alert icon="fa fa-arrow-circle-right fa-lg fa-fw" type="success">See section: **[[teaching:on-mha:home|Introduction to Ontario's Mental Health Laws ]]**</alert>
+==== Common Forms ====
+<accordion collapsed="true">
+<panel icon="fa fa-file-text-o fa-fw" title="Form 1 (Psychiatric Assessment) + Form 42 (Notice to Patient)">
+<btn type="success" size="xs" icon="fa fa-question-circle">[[http://www.psychdb.com/_media/form_1_and_42_-_explained.pdf|How to Fill a Form 1/42 in 5 mins]]</btn>
+----
+**[[teaching:on-mha:form-1-42|Form 1]]** (//Application by Physician for Psychiatric Assessment//)
+  * Detains patient for //assessment// only
+  * Valid for 72 hours
+<btn type="primary" size="xs" icon="fa fa-download">[[http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/GetAttachDocs/014-6427-41~1/$File/6427-41_.pdf|Download Form 1]]</btn>
+----
+**[[teaching:on-mha:form-1-42|Form 42]]** (//Notice to Patient//)
+  * Give original Form 42 to patient
+  * Keep a copy in chart
+<btn type="primary" size="xs" icon="fa fa-download">[[http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/GetFileAttach/014-1787-41~1/$File/1787-41_.pdf|Download Form 42]]</btn>
+</panel>
+<panel icon="fa fa-file-text-o fa-fw" title="Form 3 (Involuntary Admission) + Form 30 (Notice to Patient)">
+**[[teaching:on-mha:form-3|Form 3]]** (//Certificate of Involuntary Admission//)
+  * Involuntary admission for 14 days (REMEMBER: It is 14 days //including// the day you sign the form, therefore, you add only 13 days, NOT 14 days)
+  * Same criteria as Form 1 - both Box A and B are available
+  * A Form 30 must be given to patient immediately to notify them
+  * Rights Advice must be notified
+  * If you signed the Form 1, you **cannot** sign a Form 3 - it must be a different MD!
+<btn type="primary" size="xs" icon="fa fa-download">[[http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/GetAttachDocs/014-6429-41~1/$File/6429-41_.pdf|Download Form 3]]</btn>
+----
+**[[teaching:on-mha:form-30|Form 30]]** (//Notice to Patient//)
+  * Give the original Form 30 to patient after a Form 3 or Form 4 is signed
+  * Keep a copy in chart
+<btn type="primary" size="xs" icon="fa fa-download">[[http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/GetFileAttach/014-1076-41~1/$File/014-1076-41.pdf|Download Form 30]]</btn>
+</panel>
+<panel icon="fa fa-file-text-o fa-fw" title="Form 33 (Finding of Incapacity)">
+**[[teaching:on-mha:form-33|Form 33]]** (//Notice to Patient - Incapacity//)
+  * Patient is not capable to (one or more of the following):
+    - Consent to treatment (unable to understand AND/OR appreciate a proposed treatment)
+      * Do a [[teaching:on-mha:consent-capacity|capacity assessment]] for your proposed treatment
+      * You must immediately find a [[teaching:on-mha:consent-capacity#substitute-decision-maker|substitute decision maker (SDM)]] or if unable to locate, contact [[https://www.attorneygeneral.jus.gov.on.ca/english/family/pgt/index.php|The Office of the Public Guardian and Trustee (OPGT)]]
+    - To manage property (AKA finances)
+      * Do a [[teaching:on-mha:financial-capacity|financial capacity assessment]] and fill out a Form 21
+      * Contact [[https://www.attorneygeneral.jus.gov.on.ca/english/family/pgt/index.php|The Office of the Public Guardian and Trustee (OPGT)]]
+      * {{ ::guardian_finances_patient_handout.pdf |Handout for Patients Deemed Financially Incapable}}
+    - To consent to release of their health information
+<btn type="primary" size="xs" icon="fa fa-download">[[http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/GetFileAttach/014-1088-41~3/$File/1088-41_.pdf|Download Form 33]]</btn>
+</panel>
+<panel icon="fa fa-file-text-o fa-fw" size="xs" title="Request for Rights Advice (PPAO)">
+**Rights Advice Form** (//Request for Rights Advice Mental Health Inpatient//)
+  * You must notify the Psychiatric Patient Advocate Office (PPAO) each time a patient is placed on a Form 3, Form 4, Form 21, or given a Form 33
+  * A rights advisor will arrive to see patient and inform them of their legal rights to challenge the admission
+<btn type="primary" size="xs" icon="fa fa-download">[[https://www.sse.gov.on.ca/mohltc/ppao/en/Documents/4918-57E_re_%20Inpatient.pdf|Download PPAO Form]]</btn>
+</panel>
+</accordion>
+==== All Forms ====
+<accordion collapsed="true">
+<panel icon="fa fa-file-text-o fa-fw" title="Form 2 (Order For Examination)">
+**[[teaching:on-mha:form-2|Form 2]]** (//Order For Examination//)
+  * Is a form that any member of the public (or family member) can fill out and ask a Justice of the Peace to sign
+  * Gives police 7 days to bring someone to hospital
+  * Police will bring patient to a hospital for assessment
+  * Does not authorize patient to be detained at the hospital; still must complete a Form 1 to keep them in hospital!
+<btn type="primary" size="xs" icon="fa fa-download">[[http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/GetAttachDocs/014-6428-41~1/$File/6428-41_.pdf|Download Form 2]]</btn>
+</panel>
+<panel icon="fa fa-file-text-o fa-fw" title="Form 4 (Certificate of Renewal)">
+**[[teaching:on-mha:form-4|Form 4]]** (//Certificate of Renewal//)
+  * The first Form 4 lasts one month (add 1 month, minus 1 day)
+    * Second Form 4 lasts two months (add 2 months, minus 1 day)
+    * Third Form 4 lasts three months (add 3 months, minus 1 day)
+  * Rights advice must be notified
+  * Give Form 30 each time, plus patient can appeal each time
+  * There is also a Form 4A ("Fourth Form 4") (also 3 months, minus 1 day)
+<btn type="primary" size="xs" icon="fa fa-download">[[http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/GetAttachDocs/014-6430-41~1/$File/6430-41_.pdf|Download Form 4]]</btn>
+</panel>
+<panel icon="fa fa-file-text-o fa-fw" title="Form 5 (Change to Voluntary Status)">
+**Form 5** (//Change to Informal or Voluntary Status//)
+  * Fill out this form to end a Form 3 or Form 4 (i.e. - make a patient voluntary again)
+  * You do not need to fill this out to cancel a Form 1, simply either document are cancelling the Form 1, or cross out the Form 1
+<btn type="primary" size="xs" icon="fa fa-download">[[http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/GetFileAttach/014-1972-41~1/$File/014-1972-41E.pdf|Download Form 5]]</btn>
+</panel>
+<panel icon="fa fa-file-text-o fa-fw" title="Form 9 (Order for Return)">
+**Form 9** (//Order for Return//)
+  * Used find patients who go AWOL while involuntarily admitted (Form 1, Form 3, Form 4)
+  * Police will look for patient and take them back to hospital
+<btn type="primary" size="xs" icon="fa fa-download">[[http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/GetFileAttach/014-6431-41~1/$File/6431-41E_.pdf|Download Form 9]]</btn>
+<btn type="success" size="xs" icon="fa fa-question-circle">[[http://psychdb.com/_media/form_9_-_uloa_flowchart_final.pdf|FAQ on Filling a Form 1 after a Form 9]]</btn>
+</panel>
+<panel icon="fa fa-file-text-o fa-fw" title="Form 10 (Transfer of Patient)">
+**Form 10** (//Transfer of Patient//)
+  * Transfers patient on a Form 1 or Form 3 to another facility (e.g. - for surgery or medical clearance)
+<btn type="primary" size="xs" icon="fa fa-download">[[http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/GetFileAttach/014-6432-41~1/$File/6432-41E_.pdf|Download Form 10]]</btn>
+</panel>
+<panel icon="fa fa-file-text-o fa-fw" title="Form 21 (Certificate of Financial Incapacity)">
+**Form 21** (//Certificate of Incapacity to Manage One's Property//)
+  * MD fills out this Form to explain why the finding of financial incapacity was made
+  * Form 33 must be given to patient to notify them of this finding
+<btn type="primary" size="xs" icon="fa fa-download">[[http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/GetFileAttach/014-6440-41~1/$File/6440-41E.pdf|Download Form 21]]</btn>
+</panel>
+<panel icon="fa fa-file-text-o fa-fw" title="Form 45, 47, and 49 (Community Treatment Order)">
+<callout type="success">{{fa>arrow-circle-right?color=green}} See main article: **[[teaching:on-mha:form-45-47-49-cto]]**</callout>
+**[[teaching:on-mha:form-45-47-49-cto|Form 45]]** (//Community Treatment Order//)
+  * Allows a physician to mandate supervised treatment on a patient when they are discharged from hospital
+  * Can be voluntary (i.e. - patient requests the CTO), or more commonly involuntary (MD initiates the CTO)
+<btn type="primary" size="xs" icon="fa fa-download">[[http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/GetFileAttach/014-3760-41~1/$File/3760-41_.pdf|Download Form 45]]</btn>
+----
+**[[teaching:on-mha:form-45-47-49-cto#form-47|Form 47]]** (//Order for Examination//)
+  * Issued when patient violates their CTO conditions (i.e. - does not show up for appointments/medication)
+  * Allows police to recall patient to hospital for assessment
+  * Once at a hospital, the patient must be issued a Form 1 - a Form 47 by itself does not allow for involuntary detention
+<btn type="primary" size="xs" icon="fa fa-download">[[http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/GetFileAttach/014-3761-41~1/$File/3761-41_.pdf|Download Form 47]]</btn>
+----
+**Form 49** (Notice/Intention to Start CTO)
+  * This is issued to the patient to notify them of your intention to start or renew a CTO
+<btn type="primary" size="xs" icon="fa fa-download">[[http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/GetFileAttach/014-3764-41~1/$File/3764-41_.pdf|Download Form 49]]</btn>
+</panel>
+<panel icon="fa fa-file-text-o fa-fw" title="Form 49 (Warrant of Committal)">
+<callout type="danger" icon="true">Confusion Alert! There are 2 VERY different Form 49s! The other Form 49 is for CTOs (Notice/Intention to Start CTO).</callout>
+**[[teaching:on-mha:form-49|Form 49]]** (//Warrant of Committal//)
+  * Issued through the Ontario Review Board (ORB),  which is essentially a detention order. The patient does not need any additional Forms signed once brought to the hospital and can be involuntarily detained by default.
+</panel>
+</accordion>
+===== British Columbia Mental Health Act =====
+<accordion collapsed="true">
+<panel icon="fa fa-question-circle fa-fw" title="Mental Health Act Documents">
+  * [[http://www2.gov.bc.ca/assets/gov/health/about-bc-s-health-care-system/heath-care-partners/colleges-board-and-commissions/mental-health-review-board/mha_plain.pdf|Mental Health Act in Plain Language (Government of BC)]]
+</panel>
+<panel icon="fa fa-file-text-o fa-fw" title="Forms">
+  * [[http://www.bclaws.ca/civix/document/id/complete/statreg/96288_01|BC Mental Health Act]]
+  * [[http://www2.gov.bc.ca/gov/content/health/health-forms/mental-health-forms|Mental Health Act Forms]]
+</panel>
+<panel icon="fa fa-hospital-o fa-fw" title="Drug Coverage">
+  * {{ ::fmpr_-_pharmacare_bc.pdf |BC Pharmacare Program}}
+</panel>
+<panel icon="fa fa-bank fa-fw" title="Consent and Capacity">
+  * {{::consent_capacity_bc_edition.pdf | Capability and Consent Tool - B.C. Edition}}
+  * [[https://beta.theglobeandmail.com/news/british-columbia/bc-patients-launch-court-challenge-over-forced-psychiatric-treatments/article31846031/|Globe and Mail: B.C. patients launch court challenge over forced psychiatric treatments]]
+  * [[https://www.straight.com/life/780486/bc-patients-challenge-forced-psychiatric-treatment-bid-greater-say-mental-health-care|Georgia Straight: B.C. patients challenge forced psychiatric treatment in bid for greater say in mental-health care]]
+</panel>
+</accordion>
+</WRAP>
+<WRAP half column>
+===== On-Call =====
 ==== Patient Care ====
 <accordion collapsed="true">
@@ Line 100: / Line 266: @@
   * [[https://choosingwiselycanada.org/psychiatry/|Choosing Wisely Canada: Psychiatry]]
 </panel>
-==== Medical Education ====
-<panel icon="fa fa-phone fa-fw" title="It's Time to Review Case With Staff!">
-  * {{ ::review_with_staff_checklist.pdf |Resident Checklist Before Reviewing}}
-  * {{ :on-call-supervision-record.pdf |On-Call Supervision Record}}
-</panel>
-</accordion>
-</WRAP>
-<WRAP half column>
 ==== Legal and Reporting ====
-<accordion collapsed="true">
 <panel icon="fa fa-bullhorn fa-fw" title="What Needs To Be Reported?">
@@ Line 119: / Line 275: @@
 **Mandatory reporting situations:**
+<WRAP col2>
   - Child Abuse or Neglect
   - Impaired Driving Ability
@@ Line 136: / Line 294: @@
   - Correctional Facilities
   - Preferential Access to Health Care
+</WRAP>
 </panel>
@@ Line 176: / Line 335: @@
 </panel>
+==== Medical Education ====
+<panel icon="fa fa-phone fa-fw" title="It's Time to Review Case With Staff!">
+  * {{ ::review_with_staff_checklist.pdf |Resident Checklist Before Reviewing}}
+  * {{ :on-call-supervision-record.pdf |On-Call Supervision Record}}
+</panel>
 ==== Hospital-specific ====
@@ Line 189: / Line 356: @@
 <button icon="fa fa-lock" size="xs" type="success">[[on-call:sunnybrook|Sunnybrook On-Call (password-protected)]]</button>
 </panel>
+</accordion>
 </WRAP>
 </WRAP>
-</accordion>
 ===== Greater Toronto Area Resources =====

Differences