PESS - Monmouth County

Monmouth CountyScreeningMonmouth MedicalCenter300 Second AvenueLong Branch, NJ 077401

SCREENINGGOAL:• Help participants understand the NJ ScreeningLaw, adult and children services, and workingmore effectively with screeners and child cliniciansOBJECTIVES:• Know the major elements of the screening law• Learn about the services available• Understand what our staff can and cannot do• Lets work together …2

Screening CentersN.J.S.A.Title 30:4-27 NJ SCREENING LAW• In 1987 the Screening Law was enacted.• Mandated Screening Centers for every county• Monmouth Medical Center was designated as theScreening Center for Monmouth County• Provides a system of acute assessment, crisisintervention, screening outreach, and screeningfor involuntary hospitalization– Goal is to protect the rights of patients and promote“least restrictive environment.”3

Affiliations• Monmouth County Screening Center is affiliatedwith all hospital facilities in Monmouth County,including:– Jersey Shore University Medical Center– Riverview Medical Center– CentraState Medical Center– Bayshore Community Hospital• Emergency Services, Inpatient Units, Short TermCare Facilities, CCIS Inpatient Unit• Monmouth County Correctional Facility• Other Community Agencies4

Who is in the screening team?5

Who is in the screening team?Screening staff are professionals who have completed aState training and passed a proficiency exam to be ‘certifiedscreeners’Certified Screeners are made up of:• Nurses• Social Workers• PsychologistAlso working for the Screening Center are:– Child & Family Crisis Clinicians– Acute Care Family Support Specialists– Co-occurring Disorder Specialist– Screening Psychiatrists6

Statistical Data250020001921214215001000AdultsMinors5004204830Jan-Jun 2007 Jan-Jun 2008• Adults volume increased by 10.3% over 2007• Minors volume increased by 13% over 20077

Services of Monmouth CountyScreening Center• 24 hour per day, 7 day per weekavailability• On-Site crisis assessment andstabilization services• 24 hour hotline• 24 hour telephone consultation8

Continuation …..Services• Operation of 24 hour Extended CrisisEvaluation Service (holding) bed• Medication administration & monitoring• Mobile Screening to AffiliatedEmergency Services, Inpatient Units,and Monmouth County Jail9

Continuation …..Services• Community Outreach: adult & minors• Face to Face Follow-up visits: adult &minors• Medication Monitoring X 7 days• Psycho-education and supportive services• Acute Care Family Support10

Continuation …..Services• Coordination of the County’s Disaster/Critical Incident Response Team• Coordination of the SRC (SystemReview Committee)11

“Screening did not doanything!”“I I cannot believe they didnot keep the patient!”“They did not listen tome.!”12

Screening Assessment• Patient Observation• Patient Mental Status• Collateral Contact• Available Current Reports• Available Clinical Information (history)13

Screener’s Job• Screening and Screening Outreach Program,New Jersey Statutes Annotated (NJSA)Title 30.4-27.1 ‘Screening Law’;10:31-1.2 PURPOSE…... To provide clinical assessment and crisisstabilization so as to disposition patient to theleast restrictive clinically appropriate setting.14

The Screening Law30:4-27 NJInvoluntary Hospitalization16

NJ SCREENING LAW criteriaA person that is mentally ill, , that themental illness causes the person tobe dangerous to self or dangerousto others or property where s/he isunwilling to be admitted to afacility voluntary for care.17

Involuntary Commitment Process• A person is first brought to a screeningservice to be assessed to determine whatmental health services are appropriate.• The individual is examined by a mentalhealth screener who determines if thepatient meets the legal criteria forinvoluntary commitment.• If so, the screener provides a screeningdocument.18

Involuntary Commitment Process• The individual is then examined by apsychiatrist who determines whether or notthe individual meets clinical requirements forcommitment.• If so, the psychiatrist completes thescreening certificate.• Both screener and psychiatrist must agree.19

Patient’s s Rights20

Patient RightsState of New Jersey Patient’s s RightsTo refuse medication and treatmentafter possible consequences of thisdecision have been explained clearlyto you, unless the situation is lifethreatening or the procedure isrequired by law.21

Outreach Team22

ScreeningChildren Outreach• Child & Family Crisis Clinician• Outreach throughout geographic area ofMonmouth County• assess patient in the community setting todetermine most appropriate clinical dispositionor need for hospitalization23

Screening Request BASICSInformation needed beforecalling screening.24

Screening Request BASICS1. All patient information– Demographics– Medications and History– CURRENT LOCATION25

Screening Request BASICS2. What makes today different?Why does the patient need tobe seen today instead oftomorrow or yesterday?26

Screening Request BASICS3. What is different today fromthe patient’s s norm?27

Screening Request BASICS4. What are the objective findingsofCURRENT DANGEROUSNESS?– Facts not Feelings– Facts not Rumor(cont..)28

Screening Request BASICS4. Continued…Does the dangerousnessrequire immediate policeintervention?29

Screening Request BASICS5. What does the patient’scurrent treatment teamrecommend?30

How to reach us?Call(732) 923-699931