Mental health record

Generally, gun rights advocates want gun ownership to be treated in a way similar to speech or writing. Every adult citizen who does not have a criminal or mental health record should be able to own and carry the gun of his or her choice with minimal restrictions (such as banning guns in some public places like schools). Any criminal who commits a crime with that firearm, however, should be prosecuted and punished. 

National Instant Check System (NICS) A nationwide database of criminal and certain mental health records, used to allow gun dealers to verify that a purchaser can legally obtain a firearm. 

This form does not authorize redisclosure of medical information beyond the limits of this consent. Where information has been disclosed from records protected by federal law for alcohol/drug abuse, by state law for mental health records or HIV/AIDS related records, federal requirements (42 CFR Part 2) and state requirements (Iowa Code chs..228/141) prohibit further disclosure without the specific written consent of the patient, or as otherwise permitted by such law and/or regulation. A general authorization for the release of medical or other information is not sufficient for these purpose. Civil and/or criminal penalties may attach for unauthorized discloure of alcohol/drug abuse, mental health or HIV/AIDS information. 

Techniques are needed to record services used by patients, families and others affected by a mental health problem or its treatment. Techniques are also needed to calculate the associated unit costs. These are separate activities. Many instruments have been developed to collect service utilization data. The one that my own research teams employ and which has been widely used elsewhere is the Client Service Receipt Inventory (CSRl ... 

Law enforcement authorities are permitted broad access to sensitive mental health, Hbrary, business, financial, and educational records despite previously adopted state and federal laws strengthening the protection of these types of records. (Sect. 215, 218, 358, and 508)... 

Two closely related firearms provisions are for a background check (to confirm that a prospective gun purchaser does not have a criminal, mental health, or other record that would make him or her ineligible to buy a gun) and for a waiting period, or the minimum time before a gun can be handed over to the purchaser. 

Fentanyl abuse among non-medical personnel has come in waves as new derivatives are discovered. However, the problem is growing in the United States. The Substance Abuse and Mental Health Services Administration (SAMHSA) states that 576 people were treated in emergency rooms for fentanyl abuse in 2000. This is higher than the 337 recorded instances in 1999. Figures from 2001 are incomplete, but at least 512 people were treated in emergency rooms in the first six months of the year. Since fentanyl is difficult to detect, these figures are believed to be lower than actual cases. 

Hospital data collected by the Substance Abuse and Mental Health Services Administration, a division of the U.S. Department of Health and Human Services, suggests the age of the typical American club drug user is between 18 and 25. Whereas only 20% of all drug-related emergency room visits involved patients 25 and under, this age group accounts for 58% of ketamine incidents, 67% of all recorded MDMA incidents, 50% of recorded GHB incidents, and 46% of all LSD incidents. 

It is difficult to obtain marijuana-specific data from DAWN information, since up to four different substances can be recorded for each ED episode. And because a drug-related visit to an ED can have multiple drug mentions, not every reported substance may be, by itself, the cause of the medical emergency. Until DAWN data can provide more marijuana-specific information, many feel that policymakers cannot draw definitive conclusions about the consequences of marijuana use from these reports. DAWN researchers acknowledge this limitation of their data. DAWN, like NHSDA, is directed by the Substance Abuse and Mental Health Services Administration. 

Dr. Tart s data should lay to rest one of the nastiest myths the Anslinger brigade fostered about marijuana, i.e., that it leads to sexual and other violence. "Loss of control to the point of antisocial actions is reported to be the rarest of all marijuana effects recorded in the Tart study (p. 192). This is consistent with what s been found elsewhere in several NIMH (National Institute of Mental Health) studies. One of the most meticulous of these, The Blumer Report, determined that use of the plant s leaves reduced violence in juvenile delinquents in Oakland. 

For professionals who work in the same setting, the rules around confidentiality are less clear, particularly when patient charts contain both medical and mental health notes. Treatment teams in the same setting could assume that a free exchange of information is allowed and necessary. We agree, but we also believe that making this policy explicit to the patient and family is important. Case notes are especially vulnerable to mishandling. For example, there is always a chance that mental health notes that are part of the medical record could be unintentionally released to a third party. If expectations are communicated and understood among the patient, family, therapist, and physicians, confidentiality need not impede collaboration (see Tables 10.3 and 10.4). Furthermore, collaboration need not violate confidentiality. 

This study was the first epidemiological study to document the long-term negative mental health sequelae of exposure to war and chemical weapons among civilians. The authors argue that exposure to chemical weapons is an extreme traumatic event that can result in acute helplessness and anxiety, loss of perceived safety, and chronic physical disabihties. The study had a number of limitations including the rehance on self-reported data however, self-reported chemical exposure was verified with medical records. 

Professional social workers are not usually responsible for documenting the medication history. We cannot emphasize enough the importance of keeping careful records and documentation that supports the service a member of the interdisciplinary team provides. It is anticipated that the increased emphasis on effective treatment and outcome by managed care and regulatory organizations will require social workers and other mental health professionals to include specific medication-therapy information in counseling documentation. 

Of the various types of record-keeping, health care facilities frequently use a problem-oriented format. Developed first in medical settings, this type of record-keeping was used to encourage interdisciplinary collaboration and to train medical professionals (Weed, 1969). Working in interdisciplinary health care and mental health settings, social workers find that problem-oriented record-keeping enables them to comply with the facility s documentation requirements. 

Most of her history was obtained from medical records from the repeated admissions to mental health facilities. Eva was considered an unreliable historian. When questioned directly, her explanation of dates, times, and events was not consistent with what was obtained from the records. Eva often felt that people persecuted her deliberately and that she often had to... 

Psychiatric services are usually provided by separate mental health Trusts, so different record systems and protocols may make it harder to provide seamless care. You ll usually need to document in both medical and psychiatric notes, though it s often possible (and more useful to medics) to write briefly in the medical notes, while documenting the full history in the psychiatric notes. 

Perhaps not surprisingly, people with alcohol abuse history, are also likely to have more violations and collisions than people without them. Macdonald et al (2004) confirmed this when they compared the violations and crash records of drivers who voluntarily sought help for alcohol problems from the Center for Addiction and Mental Health in Toronto, Canada, with the violations and crash records of a non-patient sample of drivers matched in age and gender. The patients had approximately 30 percent more moving traffic violations and 100 percent more collisions than the control sample. Similarly people involved in severe road rage incidents often have alcohol problems (Butters et al, 2005). 

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