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Title: Appropriate and Inappropriate Use of Baker Act Procedures in Community and Long-Term Care Settings: Clinical and Policy Implications
Presenter: Jennifer E. Bond, PsyD, and Martha R. Lenderman, MSW
Type of Presentation: Concurrent Workshop Session 2A
Date/Time: Monday, Oct 17, 2005
2:45 pm – 4:30 pm
Abstract: In this session, the Florida Baker Act procedures are examined as used with older adults in long-term care settings. The Baker Act provides a bill of rights to persons of all ages with mental illnesses. Since a rewrite of the law in 1996, after abuses to elders were revealed, greater rights were assured to all persons, with an extraordinary level of protection for older adults residing in long-term care settings. There were 374,966 involuntary examinations in Florida from 2000 through 2003. Those 65 and over accounted for 8.5% of these exams. Information about these examinations can give us insight into how older adults experience acute mental healthcare. This is particularly important given the number of exams for this population, its vulnerability, and its growing numbers. Baker Act receiving facilities report that large numbers of older adults who exhibit behavioral problems undergo emergency transfers from long-term care facilities that often refuse to accept these residents back. The federal OBRA law and the state's Baker Act address these and related issues.
Goal: Increase the participant's awareness of the impact of the Baker Act procedures with older adults in long-term care settings.
Objective 1: Participants will define and identify criteria for voluntary and involuntary examinations of older adults.
Objective 2: Participants will identify the impact of emergency transfers of older adults to psychiatric facilities.
Objective 3: Participants will identify the extent to which older adults are subject to psychiatric hospitalizations.
Objective 4: Participants will identify ways of lessening the impact of behavioral problems within long-term care facilities and share experiences and knowledge of best practices.

 

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