PTSD Triggers and Symptoms Quiz
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Questions and Answers

Which of the following exposures qualifies as potential triggers for Acute and Post-Traumatic Stress Disorders?

  • Discussing a traumatic event with friends
  • Watching a movie about death
  • Learning about a traumatic event via social media
  • Directly experiencing the traumatic event (correct)
  • What type of exposure is NOT considered when determining triggers for Acute and Post-Traumatic Stress Disorders?

  • Hearing about a traumatic event from a podcast (correct)
  • Witnessing a serious injury in person
  • Experiencing repeated details of a traumatic event
  • Learning of a friend's violent death
  • Which scenario does NOT meet the criteria for potential PTSD triggers?

  • Witnessing a natural disaster and its aftermath
  • Being in the same room during a violent altercation
  • Learning a family member was involved in a car accident that was not violent (correct)
  • Reading a news article about a hostage situation
  • What defines 'repeated or extreme exposure' to traumatic details?

    <p>Being a first responder and encountering trauma frequently (A)</p> Signup and view all the answers

    Identifying which of these experiences can lead to PTSD is essential. Which one would likely trigger PTSD?

    <p>Witnessing a violent robbery (B)</p> Signup and view all the answers

    What symptom is NOT associated with the 10-year-old girl's diagnosis following the earthquake?

    <p>Severe memory recall of the traumatic event (C)</p> Signup and view all the answers

    A child experiences inappropriate sexual experiences that do not involve violence. This scenario is relevant because:

    <p>It can still lead to psychosocial issues (C)</p> Signup and view all the answers

    What circumstance did Victor report that has changed his behavior since his service?

    <p>Feeling of isolation and irritability (B)</p> Signup and view all the answers

    Learning about a traumatic event involving a family member must qualify under which condition to be relevant for PTSD?

    <p>The event must have been violent or accidental (C)</p> Signup and view all the answers

    Which symptom indicates that the 10-year-old girl is experiencing a heightened state of alertness?

    <p>Hypervigilance (B)</p> Signup and view all the answers

    Which statement correctly describes the approach toward learning about traumatic events?

    <p>There are various ways to be affected by trauma exposure (B)</p> Signup and view all the answers

    Which of the following is a symptom Victor showed related to his PTSD?

    <p>Sleep with heightened awareness (A)</p> Signup and view all the answers

    What aspect of the 10-year-old girl's pre-morbid temperament contrasts with her current state after the earthquake?

    <p>Her preference for solitude (A)</p> Signup and view all the answers

    What is a significant emotional response Victor avoids discussing?

    <p>Details of traumatic events (C)</p> Signup and view all the answers

    What behavior shows the girl’s attempt to cope with her trauma-related fears?

    <p>Avoiding food and fluids (D)</p> Signup and view all the answers

    Which of the following indicates that the girl is suffering from acute stress disorder rather than PTSD?

    <p>Symptoms occurring shortly after the traumatic event (D)</p> Signup and view all the answers

    What percentage of combat veterans typically develop PTSD?

    <p>18% (C)</p> Signup and view all the answers

    Which group is reported to have a higher percentage of lifelong PTSD among veterans?

    <p>P.O.W.s (C)</p> Signup and view all the answers

    What type of trauma is considered a risk factor for developing trauma-related disorders?

    <p>Physical trauma from surgery (A)</p> Signup and view all the answers

    Which of the following factors is associated with a greater risk for developing PTSD?

    <p>Family history of PTSD (B)</p> Signup and view all the answers

    What characterizes Complex PTSD (CPTSD) compared to simple PTSD?

    <p>Results from repeated or continuous trauma (B)</p> Signup and view all the answers

    What is a common outcome for those who entered military service with prior PTSD signs but did not experience direct combat?

    <p>Psychologically beneficial with symptom reduction (D)</p> Signup and view all the answers

    How does racial or ethnic minority status relate to PTSD risk?

    <p>Increased likelihood and longer duration (B)</p> Signup and view all the answers

    Which of the following might lead to intergenerational trauma effects, according to animal studies?

    <p>Trauma experienced by ancestors (A)</p> Signup and view all the answers

    Which of the following is a common kind of trauma associated with Complex PTSD (CPTSD)?

    <p>Being a victim of human trafficking (A)</p> Signup and view all the answers

    What is a notable difference between CPTSD and typical PTSD symptoms?

    <p>CPTSD may involve changes in relationships and basic trust (C)</p> Signup and view all the answers

    Which therapy is considered the 1st-line psychotherapeutic treatment for PTSD?

    <p>Exposure Therapy (D)</p> Signup and view all the answers

    Which of the following therapies focuses on bodily awareness and anxiety reduction?

    <p>Polyvagal Therapy (A)</p> Signup and view all the answers

    What is a controversial aspect of the CPTSD diagnosis?

    <p>It is not included in mainstream diagnostic tools (C)</p> Signup and view all the answers

    Finding meaning in tragedy can help in recovering from trauma, exemplified by which organization?

    <p>Mothers Against Driving Drunk (MADD) (A)</p> Signup and view all the answers

    Which phase of Critical Incident Stress Debriefing involves soliciting symptomatology?

    <p>Symptom phase (B)</p> Signup and view all the answers

    Which therapeutic approach emphasizes finding new ways to interpret and live with trauma?

    <p>Cognitive-Behavior Therapy (CBT) (B)</p> Signup and view all the answers

    What is the primary aim of the teaching phase in trauma care?

    <p>Educating the victim about reactions to trauma (A)</p> Signup and view all the answers

    Which medication is primarily recommended for chronic depression associated with trauma?

    <p>SSRIs (C)</p> Signup and view all the answers

    What is a potential effect of using cannabinoids in treating anxiety?

    <p>They may worsen PTSD signs and symptoms (C)</p> Signup and view all the answers

    What is the purpose of prazosin in trauma care?

    <p>To reduce anxiety spikes and nightmares (C)</p> Signup and view all the answers

    What is one concern associated with post-stressor treatments like propranolol?

    <p>They can dull memory consolidation (D)</p> Signup and view all the answers

    In mental health law, when can patient information be disclosed without consent?

    <p>If there's a serious threat of physical violence by the patient (D)</p> Signup and view all the answers

    Which of the following medications is used primarily to manage insomnia?

    <p>Sleep medications like Lunesta (A)</p> Signup and view all the answers

    What is a noted issue regarding the use of psychedelic substances in therapy?

    <p>Data on effectiveness and safety are inadequate (C)</p> Signup and view all the answers

    Under what circumstances is involuntary commitment legally permitted?

    <p>The patient poses an imminent danger to self or others due to a mental disorder. (A)</p> Signup and view all the answers

    What is the primary purpose of a 5150 hold?

    <p>To evaluate and treat a patient for up to 72 hours. (A)</p> Signup and view all the answers

    Which holds allow for continued treatment beyond the initial 72 hours for those deemed dangerous or gravely disabled?

    <p>5150 Hold and 5250 Hold. (C)</p> Signup and view all the answers

    What happens to a patient at the end of a 5150 hold if no further hold is requested?

    <p>They are discharged automatically after 72 hours. (C)</p> Signup and view all the answers

    Why might a psychologist be required to release patient records?

    <p>In response to a court order or requirements under the Patriot Act. (C)</p> Signup and view all the answers

    Which of the following is true about a 5250 hold?

    <p>It allows for treatment of patients who refuse assistance for up to 14 days. (C)</p> Signup and view all the answers

    What is an essential condition for a patient to be placed under a 5250 hold?

    <p>The patient must be found gravely disabled due to mental disorder or alcoholism. (C)</p> Signup and view all the answers

    Which professionals are authorized to initiate a 5150 hold?

    <p>Law enforcement, registered nurses, or medical doctors. (D)</p> Signup and view all the answers

    Flashcards

    Trauma Exposure

    Experiencing or witnessing a traumatic event, or learning of such an event happening to a loved one, which can lead to stress disorders like PTSD.

    Direct experience (trauma)

    Personally experiencing a traumatic event.

    Witnessing (trauma)

    Observing a traumatic event happening to others.

    Learning of (trauma)

    Hearing about a traumatic event happening to a close person.

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    Repeated Exposure (trauma)

    Extensive and repeated exposure to distressing details of traumatic events.

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    Death of a loved one (trauma)

    Sudden, violent, or accidental death of a close family member/friend can be traumatic.

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    Child Abuse (trauma)

    Inappropriate sexual experiences in children even without violence or injury could be traumatic.

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    Stress Disorders

    Mental health conditions triggered by trauma exposure, including PTSD and acute stress disorder.

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    Acute Stress Disorder (ASD)

    A mental health condition triggered by a traumatic event, characterized by symptoms like fear, hypervigilance, and difficulty concentrating, lasting for at least 3 days and up to 4 weeks.

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    Post-Traumatic Stress Disorder (PTSD)

    A mental health condition developing after a traumatic experience. Symptoms include intrusive thoughts, avoidance of reminders of the trauma and emotional numbness, and persistent symptoms affecting daily life.

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    Traumatic Event

    An event that is overwhelmingly frightening, dangerous, or life-threatening, potentially causing severe emotional distress or physical harm.

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    Earthquake

    A sudden shaking of the ground caused by the movement of tectonic plates below the Earth's surface.

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    Hypervigilance

    An exaggerated state of alertness and watchfulness, often seen as a symptom of PTSD and ASD.

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    Nightmares

    Recurring frightening dreams that can disrupt sleep and cause emotional distress.

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    Disturbing Dreams

    Unpleasant dreams that feature frightening or upsetting experiences, potentially associated with PTSD or ASD.

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    Difficulty Concentrating

    Inability to focus and pay attention to tasks, often a symptom of stress, anxiety, or trauma.

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    PTSD in Combat Veterans

    18% of combat veterans develop PTSD, lasting 1-2 years, but 30% experience lifelong PTSD. POWs have a much higher rate of PTSD (78%). Resilience is common, though.

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    Resilience to PTSD

    A significant portion (80%+) of those exposed to combat do not develop PTSD.

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    Prior PTSD and Military Service

    Individuals with pre-existing PTSD symptoms who served in the military experienced reduced/improved symptoms compared to those who entered without prior PTSD.

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    Risk Factors for Trauma

    Factors increasing the likelihood of developing trauma-related disorders, including severity and chronicity of trauma, family history of mental illness, minority status, coping mechanisms, and intergenerational trauma.

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    Complex PTSD (CPTSD)

    A form of PTSD resulting from repeated or sustained trauma, characterized by more severe and prolonged symptoms.

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    Intergenerational Trauma

    Trauma passed down across generations, potentially impacting the mental well-being of later generations, sometimes through epigenetic processes.

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    Severity of Trauma

    More severe and prolonged trauma increases the risk of developing related mental health disorders.

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    Social Support & Trauma

    Lack of social support, especially for combat veterans and victims of assault, is a risk factor for developing trauma related issues.

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    Duty to Warn/Protect

    A legal obligation for mental health professionals to disclose confidential information when they believe a patient poses a serious threat of violence to a specific identifiable victim or victims.

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    Confidentiality

    The ethical and legal obligation to keep patient information private and secure, except in specific situations.

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    What does 'symptom care' involve for ASD and PTSD?

    Addressing symptoms of ASD and PTSD through medication, including anxiolytics for anxiety, antidepressants for depression, and sleep medications for insomnia.

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    What are the potential drawbacks to using memory-dulling treatments for PTSD?

    These treatments remain unproven in long-term clinical studies and may have unintended side effects, potentially impairing the patient's ability to process and learn from the traumatic event.

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    How does prazosin (MinipressTM) help alleviate PTSD symptoms?

    Prazosin is an antihypertensive medication that helps stabilize the Sympathetic Nervous System, potentially reducing anxiety spikes, flashbacks, and nightmares associated with PTSD.

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    What is 'Substance-Assisted Psychotherapy'?

    A therapeutic approach that utilizes psychedelic drugs like MDMA, psilocybin, LSD, ketamine, and DMT alongside therapy sessions to help individuals address trauma-related symptoms and emotional difficulties.

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    What's the current state of research on psychedelics for mental health?

    Although promising, research on using psychedelics for treating mental health issues is still in its early stages, with limited data on their effectiveness and safety.

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    Where can you find information on California Mental Health Laws?

    The Mental Health Law (2019) publication by the California Hospital Association is available on their website: www.calhospital.org > Publications > Manuals.

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    Duty to Report Abuse

    A legal obligation for psychologists to report suspected abuse or neglect of children, elders, or dependent adults.

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    Patient Record Release

    Sharing a patient's psychological records with authorized parties, such as HMOs, courts, or the FBI, under specific legal requirements.

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    Involuntary Commitment

    Legal process to hospitalize a person against their will when they pose an imminent danger to themselves or others, or are gravely disabled due to a mental disorder or chronic alcoholism.

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    5150 Hold

    A 72-hour involuntary hold for evaluation and treatment, initiated by certified personnel like police officers or nurses.

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    5250 Hold

    A 14-day hold added after a 5150 hold for intensive treatment when a patient needs care but refuses it, posing a danger to themselves or others.

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    Grave Disability

    A state where a person is unable to care for their basic needs due to a mental disorder or chronic alcoholism, requiring hospitalization.

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    Prompt Judicial Review

    A legal process where a judge quickly reviews the justification for a 5250 hold to ensure it's appropriate.

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    Post-Certification Holds

    Additional 14-day holds that can be added to a 5250 hold, but the total duration cannot exceed 180 days.

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    CPTSD Trauma

    Repeated or prolonged traumatic experiences, like abuse, neglect, or war. Often involves complex, ongoing stress and fear.

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    CPTSD Symptoms

    Common PTSD symptoms plus changes in worldview, trust, and relationships. Preoccupation with traumatic history and potential revenge fantasies.

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    CPTSD Controversy

    Debate about whether CPTSD is a distinct disorder or a severe form of PTSD. Not recognized in the current DSM-5.

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    Exposure Therapy for PTSD

    First-line treatment for PTSD. Involves visualizing trauma triggers while practicing relaxation techniques to reduce fear responses.

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    Cognitive Behavioral Therapy (CBT)

    Focuses on changing negative thought patterns and behaviors related to trauma. Emphasizes thought neutralization and finding new interpretations.

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    EMDR (Eye Movement Desensitization and Reprocessing)

    Controversial trauma treatment involving eye movements. Aims to process and desensitize traumatic memories, but its effectiveness is debated.

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    Polyvagal Therapy

    Focuses on bodily awareness and calming the nervous system. Claims to rewire the nervous system based on vagal nerve activity, but its effectiveness is disputed.

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    Group Therapy for PTSD

    Provides support, catharsis (emotional release), and a sense of community for those struggling with PTSD. Sharing experiences and learning from others.

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    Study Notes

    Introduction to Psychopathology

    • Course materials (lectures, discussions, handouts, examinations, web materials) are protected by US Federal Copyright Law and California Civil Code.
    • Downloading for private use is permitted for currently registered students.
    • Reproduction (in whole or in part) without written permission is prohibited.
    • Students are allowed to take notes for personal use only.
    • Exceptions may be made for students with disabilities.
    • Completing study guides and selling them is forbidden.
    • Disorders can result from exposure to actual or threatened death, serious injury, or sexual violence.
    • This exposure can occur directly experiencing the event, witnessing it, learning of it happening to a family member/friend, or experiencing repeated/extreme exposure to aversive details.
    • Examples of aversive details include first responders collecting human remains.

    Reactions to Extreme Trauma

    • Intrusive recollections (flashbacks, nightmares, illusions) and acute distress (upon trauma cues).
    • Dissociative symptoms (psychic numbing, emotional detachment, daze, dropping out of activities, avoidance of trauma-related topics, forgetting aspects of trauma).
    • Dissociative amnesia (common in combat vets). Time distortion (slow motion).
    • Feelings of detachment from one's body (depersonalization).
    • Feeling detached from the surroundings (derealization).
    • Chronic hyperarousal (exaggerated startle, sleep problems, vigilance, motor restlessness).
    • Irritability, outbursts, aggression (esp. males).
    • Survival guilt/shame (believing one doesn't deserve to live, feeling marginalized).
    • Reckless, impulsive behaviors.
    • Acute stress disorder: Disability from 2 days to 1 month. Occurs in 20% of cases (not involving interpersonal assault), and in 20-50% of cases following interpersonal assault (e.g., accidents.) High anxiety, interference with sleep, energy, concentration, withdrawal, work absenteeism, reduced self-care, and inability to parent.
    • Post-traumatic stress disorder (PTSD): Disability for over 1 month, with PTSD episodes or series of episodes. Prevalences rely on past trauma and pre-existing risk factors.
    • Complex PTSD (CPTSD): From prolonged trauma. Approximately 10% of people with PTSD show delayed expression of symptoms.
    • Note: Complex PTSD is a research topic, not in DSM-5-TR.

    Case Studies

    • Acute Stress Disorder: A 10-year-old girl, following a major earthquake, experienced symptoms like weakness, decreased food intake, speech problems, and incontinence. She displayed significant fear triggered by reminders of the earthquake. Her pre-morbid personality was playful, interactive, obedient, extroverted, and studious.
    • Post-Traumatic Stress Disorder: A 27-year-old veteran reported significant sleep difficulties, nightmares, and avoidance of experiences from his time in Iraq. He displayed irritability, difficulty sleeping, and avoidance of certain situations and people.

    Acute and Post-Traumatic Stress Disorders: U.S. Airways Flight 1549 (e.g., "Miracle on the Hudson")

    • Captain "Sully" Sullenberger was forced to ditch his disabled plane on the Hudson River, saving 155 lives.
    • Accounts from passengers and crew describe intense fear and near-drowning experiences.

    9/11/2001

    • A major traumatic event.

    Post-Traumatic Stress Disorder Prevalence

    • General US population: 2-3% prevalence, lifetime prevalence ~7%, and ~4% worldwide.
    • Adolescents: 5-8% lifetime prevalence.
    • 90% of acute stress disorder sufferers develop PTSD.
    • Symptom differences: PTSD in females involves higher chances of numbing/anxiety avoidance and prolonged symptoms; PTSD in males is linked to irritability and increased alcohol use.
    • Children can show regression, aggression, social isolation, and distressing dreams.
    • Sexual violence (attempted or completed rape, sexual assault): >300,000 cases per year in USA. Females 16-19 and college females (18–24) are disproportionately vulnerable.
    • Military combat: PTSD is common in veterans (18% of combat veterans and 70% of POWs).
    • Physical/emotional abuse: Includes childhood sexual/physical abuse, domestic violence, and workplace abuse.
    • Human calamities: Deliberate acts (bombings, torture), accidents (motor vehicle, plane crashes), physical trauma (surgery, disease), climate-related events (floods, earthquakes).
    • Severity and duration of trauma.
    • Family history of depression/anxiety or PTSD.
    • Racial/ethnic minority status (discrimination), coping mechanisms (smoking/drinking), and lack of social support can increase risk.
    • Intergenerational trauma can negatively affect coping mechanisms for trauma.
    • Limited social support.
    • Poor coping habits/preexisting substance abuse.

    Complex PTSD (CPTSD)

    • A special case of PTSD caused by repeated or continuous trauma (months or years). Symptoms are usually more severe and lasting than traditional PTSD.
    • Trauma types: emotional/physical/sexual abuse, growing up in a violent home, being a POW/warzone resident, human trafficking, and repeated medical procedures/surgeries.
    • Associated features include altered worldview, loss of faith, and difficulty trusting, plus typical PTSD symptoms.
    • The primary debate is determining if CPTSD is just a severe form of PTSD.

    Psychotherapy for PTSD

    • First-line treatment is exposure therapy and relaxation techniques to neutralize trauma-related cues.
    • Cognitive-behavioral therapies (CBT/CPT) help change thoughts/reactions to trauma.
    • Eye Movement Desensitization and Reprocessing (EMDR) is a controversial technique.
    • Polyvagal therapy focuses on anxiety reduction by improving bodily awareness.
    • Group/self-help (rap) therapy focuses on support and catharsis.
    • Stress management training assists in managing day-to-day stressors.

    Group Management for Acute Stress: Critical Incident Stress Debriefing

    • Method of helping victims deal with stress after a critical event (e.g. disaster).
    • Stages include fact, reaction, symptom, teaching, and reentry phases.
    • Note: Debriefing's effectiveness is questionable.

    Medication Treatment of ASD and PTSD

    • Symptomatic care: Anxiolytics (short-term anxiety), antidepressants (severe depression), antipsychotics (for severe reactions), and sleep medications.
    • Experimental: Post-stressor Propranolol (reduces memory consolidation after stress), psychedelic administration (MDMA, Psilocybin, LSD, Ketamine, DMT).

    Mental Health Law and Regulations

    • California laws related to mental health are listed in publications from the California Hospital Association.
    • Confidentiality of patient information requires patient consent unless there are exceptions.
    • Involuntary commitment ("5150 hold") can be imposed when a patient poses imminent danger to themselves/others or is seriously disabled, due to a chronic illness, or to the failure to enter a facility voluntarily.

    Involuntary Commitment

    • "5150 hold" describes the 72-hour emergency evaluation period which can be implemented when an imminent danger exists to the patient or to others.
    • The 14-day "5250 hold" is used initially after the 72-hour hold to permit in-depth treatment; it can be extended by court order for an additional period not exceeding 180 days.

    A Crisis of Placement

    • People with mental illnesses face a significant risk of being jailed rather than receiving proper medical assistance.
    • Many individuals with ailments don't get proper care within the system, and their issues often worsen.

    Involuntary Long-Term Custodial Care ("Conservatorship")

    • Patients may be placed under a conservator for a mental health condition (30-day temporary or unspecified long-term) when seriously disabled.
    • The court appoints a licensed conservator to manage the care, treatment, and living arrangements of the affected individual.

    Assisted Outpatient Treatment (AOT)

    • A court-ordered treatment regime for people with mental disorders.
    • A transitional period for those discharged from inpatient care but still need assistance/support.
    • Requires public/personal legal representation.

    Mental Health Law Touches UCSB

    • The report details the planning and execution of the Elliot Rodger killings in 2014.

    CA Law AB 1014 – Temporary Gun Seizure

    • The law allows a court to temporarily seize firearms from individuals who are judged to be a danger to themselves or others.
    • The seizure occurs without prior notice to the involved party.

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