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Questions and Answers
What does 'County' refer to in Wisconsin's Chapter 51?
Every county has its own interpretation of Chapter 51.
How long is an emergency detention in Wisconsin?
72 hours.
Who are the two people that must be present for an emergency detention?
Police Officer and 'Department' individual.
What does the 'Department' refer to in the context of an emergency detention?
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Of the two people necessary for an emergency detention, who has the final say?
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Why was the decision-making authority changed from police to department individuals regarding emergency detentions?
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Which Wisconsin county has a specific interpretation of the emergency detention law?
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What are the four criteria for judging if someone is 'mentally ill' and how many do you need?
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What are the four criteria which must be met for an emergency detention?
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The 72-hour limit of an emergency detention includes holidays and weekends.
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An emergency detention is required to go the full time limit.
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What is the other type of emergency detention discussed in class?
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When does an Incapacitation Hold end?
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How do you determine if a person is healthy enough to be let out of an Incapacitation Hold?
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In Milwaukee County, the person calling for the emergency detention must specifically designate whether the person is mentally ill, disabled, or drug dependent.
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When a person up for emergency detention is delivered to the detention facility, how long do doctors have to make a decision about the course of action?
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What is the role of the Treatment Director?
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What do Treatment Director Designees do?
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If a psychiatrist wants to continue hospitalization against a person's will after the 72-hour emergency detention is up, what must they do?
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What are the 5 criteria that must be met in order to commit someone for treatment against their will and where are these criteria assessed?
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Upon a request for a Probable Cause Hearing for Involuntary Commitment, how long does the court have to hear the case?
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What happens in an Involuntary Medication Order?
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Even though the Probable Cause Hearing is supposed to be confidential, it often isn't in Milwaukee.
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How do you get a closed Probable Cause hearing in Milwaukee?
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After probable cause has been found, how many independent evaluators will determine whether or not a patient is appropriate for commitment?
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Confinement must be the least restrictive to the situation.
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What are the three varying options of treatment after a Probable Cause Hearing?
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When is the final hearing in the Involuntary Commitment process?
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If a person is involuntarily committed, how long are they committed to the Department for?
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Though it's unlikely, what can the defendant in an involuntary commitment hearing request?
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After the initial commitment period, how long are the involuntary commitment 'extension' intervals and does commitment have to be reapproved before each extension?
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What are the (2) mental health institutes in Wisconsin that commit people found not guilty by reason of insanity?
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Study Notes
Key Terms and Definitions
- County: Each county in Wisconsin has its interpretation of Chapter 51.
- 72 hours: Duration of an emergency detention (ED) in Wisconsin.
- Emergency Detention (ED) Personnel: Required presence of a police officer and a department individual (Department of Human Services representative).
- Department of Human Services: Refers to the entity responsible for mental health matters in emergency detentions.
- Department Individual: Has the final decision-making authority in the ED process.
- Policy Change: Police previously had the final say on EDs until a change occurred 4-5 years ago due to a lack of expertise in mental health matters.
County-Specific Interpretations
- Milwaukee County: Contains over 750,000 people and has a unique interpretation of ED law specifically designated in the statute.
Mental Illness Criteria
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Criteria for being considered "mentally ill":
- Threatening suicide or serious bodily harm.
- Threatening harm to others.
- Impaired judgment leading to significant probability of harm.
- Inability to meet basic needs due to mental illness.
- Only one criterion needs to be met.
Emergency Detention Criteria
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Criteria for initiating an Emergency Detention:
- Person is unable or unwilling to admit themselves voluntarily.
- Individual is mentally ill, drug-dependent, or developmentally disabled.
- Dangerous to themselves and/or others.
- ED is the least restrictive option available.
Detention Regulations
- 72-Hour Limit: Excludes holidays and weekends.
- ED Duration: Not required to last the full 72 hours.
- Incapacitation Hold: Another type of emergency detention not related to mental health issues.
Decision-making Timeline
- Decision Timeframe: Doctors have 24 hours after admittance to an ED facility to decide on the patient's course of action.
Treatment and Evaluation
- Treatment Director: Fully licensed physician or psychologist in charge of individuals under ED at Milwaukee County Behavioral Health Division.
- Treatment Director Designees: Mental health professionals like psychiatric nurses or social workers who can act on behalf of the Treatment Director.
Court Procedures
- Continuation of Hospitalization: Requires a court hearing if a psychiatrist wishes to extend hospitalization beyond the initial ED period.
- Criteria for Involuntary Commitment: Five criteria must be met, assessed during a Probable Cause Hearing by the court.
Commitment and Hearing Timelines
- Hearing Duration: Court has 24 hours to hear a request for a Probable Cause Hearing.
- Final Hearing: Occurs within 14 days of detention, excluding weekends and holidays.
- Involuntary Commitment Duration: Typically lasts for 6 months.
- Extension Intervals: After the initial period, extensions last one year, requiring reapproval.
Additional Information
- Mental Health Institutes: Mendota and Winnebago are the two institutes in Wisconsin for individuals found not guilty by reason of insanity.
- Jury Trial: Defendants can request a jury trial in involuntary commitment hearings, though it is uncommon.
- Confidentiality Concerns: Probable Cause Hearings are intended to be confidential but often are not in Milwaukee.
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Description
Test your knowledge on Chapter 51 of Mental Health & Social Policy with these flashcards. This quiz covers important terms and definitions related to emergency detention and local interpretations in Wisconsin. Perfect for students or professionals in the mental health field.
