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3 Mental Health Rights to Be Aware Of

Jan 20, 2021
Mental Health Rights to Be Aware Of – Burbank, CA – Spiga & Associates

Few professions are as emotionally taxing as the mental health profession. The field is relatively new and requires staying on top of research and development, which means if you aren't careful as a professional, you could violate rights that you didn't know were protected. 


Today, take a look at some of the most commonly contested mental health rights and take whatever steps you must to prevent your practice from infringing on them.


1. Confidentiality


For psychologists, psychiatrists, and any kind of counselor, one of the most common issues that may occur is a violation of patient confidentiality. Especially when the patient is a minor or under the care of another adult, a therapist will often feel responsible to inform the caretaker of some issues the patient faces. When the patient becomes harmful to self or others, the concern becomes necessary.


Despite the professional's intrinsic desire to help their patients, many ethical issues are rooted in any form of a confidentiality breach, where the plaintiff asserts that the doctor shared private information without consent. To avoid some of these suits, you can share as little as possible if you find you must break confidentiality, but bear in mind that your legal duty to report in certain cases will supersede these concerns and likely win your case.


2. Refusal of Treatment


Except for within a narrow set of circumstances, mental health patients are considered fully autonomous and are able to make decisions about their lives, including the treatments they will and will not accept. Your job, as their mental health professional, is to present them with options that will help them get through life, not force them along any specific path.


Mental health is a process that each person must go through for themselves, and forcing any particular treatment will only damage your relationship with your patient without doing any good. Avoid charges of forced or coerced treatment by keeping careful records of any agreements you and your patient make, as well as copies of the prescriptions or therapy assignments you might give them.


Advance directives are making their way onto the scene as a helpful way to let mental health patients retain some level of autonomy. When the patient is in a healthy state of mind, you can help them work through their preferred treatment options if a crisis occurs where they cannot make wise decisions. Having this in writing will help protect them from treatments they don't want and protect you from accusations of using force.


3. Informed Consent


Of course, your patients won't be able to make these decisions without understanding their position and their options, which falls to you and their other medical professionals to explain. In every case, the patient should feel that they have the information necessary to determine what they would prefer and how they need to receive treatment.


You can foster that sense of being informed if you strive to break down barriers to understanding as much as you can with each patient. While they may not be able to grasp all of the intricacies that come from your study of their conditions, if they feel that you explained everything well, you're less likely to receive a charge of coercing treatment via lack of information. 


For any legal issues in the medical field, you'll need a lawyer who can fight to defend you. Look no further than Spiga and Associates. We've been fighting to protect the rights and licenses of medical professionals for 28 years, in over 100 distinct cases. Contact us today and see how we can advocate for you in an arduous legal world. 

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You see him or her on your television, in your professional journals, and on your home page . . . the “Poster Child.” The Physician existing on the fringe of the profession, who gets arrested for overwriting prescriptions for Schedule II substances . Their example is easy to dismiss. The average M.D. engaged in legitimate practice seemingly has nothing to worry about. This fate befalls the slacker, the greedy, the foolhardy. Don't be so sure, any M.D. who prescribes Schedule II substances as a regular part of their practice is only one adverse patient outcome away from California Medical Board and possibly criminal investigation. For example, Surgeons and Physicians practicing in Emergency Medicine, Oncology, and Pain Management, routinely write hundreds, if not thousands of prescriptions for Schedule II substances. There is no way for a Physician to control the patient’s use of controlled substances, yet a dangerous and influential myth is being propagated that a physician is a fortune teller and can predict which patients will misuse the substances provided. Further complicating the issue is the difficult ethical landscape navigated by Physicians dealing with patients presenting legitimate symptoms demanding treatment with Schedule II and III substances, but who are nevertheless, drug dependent. Long term pain management patients are at particular risk of overdose due to their high tolerances leading to increasing dosages and the difficulty in weaning them off the substances they have become dependent upon. Should a patient die or suffer an adverse outcome that is somehow connected to a prescription for a schedule II substance, a criminal and California Medical Board investigation is sure to follow. Oftentimes the investigation will be spearheaded by investigators for the California Department of Consumer Affairs working in conjunction with local law enforcement but who also work on behalf of the Medical Board of California. These investigators are sworn peace officers and have the power to arrest and working with the Attorney General or local District Attorney also have the ability to bring criminal charges against a Physician. These investigations start out invisibly with scrutiny of CURES II reports detailing a Physician’s prescription history. All patients receiving scheduled substances will be given particular attention. Soon after, the physician will receive a request for patient records, followed by a letter of investigation from a California Department of Consumer Affairs Investigator indicating that a complaint has been made and requesting an interview. They do not inform the Physician of his or her right to counsel or whether the Physician even has the right to refuse the interview. Nor do they inform him or her of their right to review the complaint. Believe it or not, one of the common mistakes Physicians make in dealing with these investigations is not taking it seriously. They will delay responding or not respond at all. Often Physicians confident in their prescribing practices will have a false sense of confidence going in to such an interview and will wing it without consulting consul. Those Physicians learn the error of that approach through hard experience. If you are facing such an inquiry. Take it very seriously, Your medical license is your most important asset. If you have an adverse patient outcome that has come to the attention of your Hospital Administration, The Medical Board of California or local law enforcement, call Spiga and Associates immediately. Because of our 25 years of experience in both Criminal and Administrative defense we are uniquely qualified to defend you and your medical license.
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