(Involuntary) Psychiatric treatment of geriatric patients ... - OHSU Home

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Evolution of Involuntary Treatment Law in Oregon Involuntary treatment law has evolved in Oregon over the last two centuries: In 1862, the first commitment standard was established allowing a county judge to order hospitalization for those “by reason of insanity...is suffering from neglect, exposure or otherwise, or is unsafe to be at large, or is suffering under mental derangement”. Over time, statute evolved to increase the levels of civil rights protection for those with mental illness such that in 1973, commitment statutes emerged that closely resemble what is utilized in Oregon today, with the following definition: A mentally ill person is a person who, because of a mental disorder, is either dangerous to himself or others or is unable to provide for his basic personal needs and is not receiving care that is necessary for his health or safety. (Bloom, Am Acad Psychiatry Law 32:430–9, 2004)
Are Involuntary Treatment Statutes applicable to Dementia? However, there are two aspects of involuntary treatment under commitment statutes in Oregon that make it difficult to apply these laws to those with dementing illness and behavioral disturbance: Commitment court trends reflect “increasing focus on dangerousness as the principle standard for which commitment is pursued”, those “gravely disabled” by their illnesses are often neglected in practice.(Bloom, Am Acad Psychiatry Law 32:430–9, 2004 ) Further, the commitment period of 180 days for treatment presumes the clinical possibility of reversing or ameliorating the illness prompting commitment. Thus, rarely does a patient with dementia end up referred to a commitment hearing.
Page 1 and 2: (In)voluntary Psychiatric Treatment
Page 3 and 4: During our talk today… To help yo
Page 5 and 6: Dementia: At the interface of medic
Page 7 and 8: Dementia: Questions for the healthc
Page 9 and 10: Dementia: Implications for the heal
Page 11 and 12: Protection of Vulnerable Population
Page 13 and 14: Advance Directives and mental healt
Page 15 and 16: Declaration for Mental Health Treat
Page 17 and 18: Psychiatric Advance Directives in P
Page 19: So what about patients with dementi
Page 23 and 24: Where we stood in 2009... So, to re
Page 25 and 26: The birth of SB 16 Geriatric psych
Page 27 and 28: The birth of SB 16 The bill was red
Page 29 and 30: What didn’t it say? The statute
Page 31 and 32: The unanswered questions with respe
Page 33 and 34: The unanswered questions with respe
Page 35 and 36: Bills that emerged this Senate Bil

(Involuntary) Psychiatric treatment of geriatric patients ... - OHSU Home

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