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Standards of Care II01:19

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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
04:36

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Who initiates emergency commitments?

Annette Christy1, Jessica B Handelsman, Ardis Hanson

  • 1Department of Mental Health Law and Policy, de la Parte Florida Mental Health Institute, College of Behavioral and Community Sciences, University of South Florida, 13301 Bruce B. Downs Blvd., Tampa, FL 33612, USA. achristy@fmhi.usf.edu

Community Mental Health Journal
|July 15, 2009
PubMed
Summary
This summary is machine-generated.

Florida

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Area of Science:

  • Mental Health Law
  • Psychiatric Emergency Services
  • Healthcare Policy

Background:

  • Florida's Mental Health Act was amended in 2005 and 2006.
  • Licensed mental health counselors (LMHCs) and licensed marriage and family therapists (LMFTs) were authorized to initiate emergency commitments.
  • Previous data on the impact of these amendments is limited.

Purpose of the Study:

  • To evaluate the volume of involuntary emergency commitments by initiator type over a five-year period.
  • To assess the impact of including LMHCs and LMFTs in initiating emergency commitments.
  • To inform policy and research regarding mental health emergency services.

Main Methods:

  • Retrospective analysis of involuntary emergency commitment data in Florida.
  • Categorization of commitment initiators by professional type.
  • Statistical comparison of commitment volumes before and after amendments and by initiator type.

Main Results:

  • The inclusion of LMHCs and LMFTs as authorized initiators did not correlate with an increase in overall emergency commitments.
  • The proportion of emergency commitments initiated by mental health professionals (LMHCs and LMFTs) did not significantly increase.
  • Emergency commitments remained primarily initiated by law enforcement and other authorized personnel.

Conclusions:

  • The expansion of authority to LMHCs and LMFTs to initiate emergency commitments has not led to an increase in commitment volumes or a shift in initiation patterns.
  • Current mental health professional involvement in initiating emergency commitments remains stable.
  • Further research should explore factors influencing initiation decisions and potential barriers for LMHCs and LMFTs.