Description
respond to at your colleague by recommending at least one additional way you would treat a child or adolescent client differently than you would an adult and at least one additional way you would address the legal and ethical issues involved.
When treating children and adults in a psychiatric crisis, there are some differences the practitioner should consider. For instance, informed consent, HIPAA, and other legal and privacy issues. Being in a crisis center, I have seen both situations and the differences in treatment.
Adult Scenario
A 22-year-old male was admitted to the crisis intervention unit for suicidal ideations, delusions, hallucinations, and acute psychosis. The patient had a previous diagnosis of bipolar 1 disorder. He had several psychiatric admissions in the past, including a 30-day rehabilitation program for drug abuse. When speaking with the patient, he admitted he has not been on any medications since late 2018 when he and his father decided it would be best for him to use a holistic approach to healing his mental illness. This patient was consenting to treatment and agreeable to inpatient psychiatric admission. This particular patient’s father was calling requesting info and requesting the right to make decisions on behalf of the patient.
According to HIPAA laws, if the patient is not a minor, and does not give another person the legal authority to make health decisions for them, no other person has the right to that patient’s information or decision making (U.S Department of Health and Human Services, 2015). If the patient were deemed incompetent or not able to make decisions for himself, it would then be possible for decisions to be made on his behalf (U.S Department of Health and Human Services, 2015).
Treating a Minor in Crisis
The laws and guidelines for treating minors for mental health issues vary from state to state. In New Jersey, minors can consent to their treatment for substance abuse, but their parent has to consent to treatment for mental health (Kerwin et al., 2015). In a crisis situation, we allow the parent to stay at the child’s bedside until an inpatient bed is found. The parent is involved in all of the child’s care and decision making. Parents also have the right to refuse psychiatric medications for their children. Individuals have the constitutional right to refuse medication, and this includes the rights of parents to refuse medication for their children unless they are a threat to themselves or others (Parris, 2018).
For providers, the rights of parents and children can cause both moral and ethical dilemmas. Although parents have the legal right to make decisions for their minor child, minors may have a preference and communicate their preference for treatment. This is called assent. Assent recognizes that a minor may not be thoroughly competent; however, there is importance in involving them in decisions about their treatment (American Academy of Child & Adolescent Psychiatry, n.d.). It is also essential to make the proper ethical decisions when treating a minor with medications. Medications may be a vital part of the minor’s treatment plan; however, at times, medications can be overly relied upon for children due to lack of other resources, and they end up on unnecessary medications (American Academy of Child & Adolescent Psychiatry, n.d.). It is the provider’s obligation to prescribe only medications in the child’s best interest, do no harm, and always obtain informed consent/assent when prescribing (American Academy of Child & Adolescent Psychiatry, n.d.).
References
American Academy of Child & Adolescent Psychiatry. (n.d.). Ethical issues in clinical practice. Retrieved from https://www.aacap.org/AACAP/Member_Resources/Ethics/Ethics_Committee/Ethical_Issues_in_Clinical_Practice.aspx
Kerwin, M. E., Kirby, K. C., Speziali, D., Duggan, M., Meliltz, C., Versek, B., & McNamara, A. (2015). What can parents do? A review of state laws regarding decision making for adolescent drug abuse and mental health treatment. Journal of Child & Adolescent Substance Abuse, 24(3), 166-176.
Parris, K. (2018). The problem with refusing (psychiatric) medications. Retrieved from https://parrislaw.org/psychiatric-medications/
U.S Department of Health and Human Services. (2015). When can I obtain treatment information about my loved one? Retrieved from https://www.hhs.gov/sites/default/files/families-hipaa-decision-tree-adult-patients.pdf?language=es
Professional homework help features
Our Experience
However the complexity of your assignment, we have the right professionals to carry out your specific task. ACME homework is a company that does homework help writing services for students who need homework help. We only hire super-skilled academic experts to write your projects. Our years of experience allows us to provide students with homework writing, editing & proofreading services.Free Features
Free revision policy
$10Free bibliography & reference
$8Free title page
$8Free formatting
$8How our professional homework help writing services work
You first have to fill in an order form. In case you need any clarifications regarding the form, feel free to reach out for further guidance. To fill in the form, include basic informaion regarding your order that is topic, subject, number of pages required as well as any other relevant information that will be of help.
Complete the order formOnce we have all the information and instructions that we need, we select the most suitable writer for your assignment. While everything seems to be clear, the writer, who has complete knowledge of the subject, may need clarification from you. It is at that point that you would receive a call or email from us.
Writer’s assignmentAs soon as the writer has finished, it will be delivered both to the website and to your email address so that you will not miss it. If your deadline is close at hand, we will place a call to you to make sure that you receive the paper on time.
Completing the order and download