July 2019 By PsychDB.com

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teaching:on-mha:consent-capacity-board-hearings [July 2019]
PsychDB.com [Tips]
teaching:on-mha:consent-capacity-board-hearings [July 2019] (current)
PsychDB.com [Involuntary Admission]
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 +<callout type="​question"​ title="​What If Someone Has Improved With the Use of PRN Medications by the Time the Hearing Is Held? Are They Still Incapable or Involuntary?"​ icon="​true">​While waiting for a CCB hearing, a patient who contests the finding of incapacity may not be treated involuntarily. Therefore, a patient with schizophrenia and psychosis cannot receive regular treatment prior to the CCB hearing. However, they may be given emergency PRN medications (e.g. - antipsychotics or benzodiazepines) due to imminent and emergency safety concerns (to self or others). Thus if there is consistent and ongoing PRN use, it may actually indirectly treat the underlying mental disorder by the time the hearing is held. Over time, the patient may improve the symptoms may abate. In this case, this is important to state to the CCB if it is your clinical opinion that regular PRN use has led to this improvement,​ and that it otherwise would not have occurred. It would be important to stress to the board that the patient'​s current presentation does not mean they do not have a mental disorder, but rather, that they have been treated partially with PRN medications,​ which led to the current improvement.
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 ===== Witnesses ===== ===== Witnesses =====
 Witnesses can be called by either party, but is more relevant for the physician. Typically, family members or close friends can be called to provide testimony to the board. The physician can ask questions of the family, including: Witnesses can be called by either party, but is more relevant for the physician. Typically, family members or close friends can be called to provide testimony to the board. The physician can ask questions of the family, including: