A. When CAPS staff determines that a student's mental status is seriously compromised and the student may require an in-patient setting to decrease an imminent risk of harm to self or others, CAPS staff should refer that student to the HUP Psychiatric Emergency Evaluation Center (PEEC).
B. A "seriously compromised" mental status exam includes evidence of suicidal, bizarre, agitated or disruptive behaviors, a demonstrable thought or mood disorder, or clearly impaired impulse control or judgment
1. If hospitalization is a consideration, intern must immediately consult with a senior staff clinician.
2. If hospitalization is decided upon, intern or another staff member should phone PEEC (215-662-2121) to inform them that student and escorts (staff members, friends, etc.) will be walking over.
C. When safety, impulse control, etc. are concerns, staff may request an accompanying member of the University of Pennsylvania's Police Force's Special Services (898-4481).
D. Protocol for students requiring evaluation for possible hospitalization:
1. Involuntary admission under Section 302 the Pennsylvania Health Act.
a. If involuntary commitment is indicated, the intern will work with an Associate Director/Other Senior Staff to follow through 302 petition.
b. The CAPS staff person calls the Philadelphia Office of Mental Health (685-6440) and reads the petition to the Mental Health Delegate who may ask them to have the petitioner elaborate on the information written and may then agree to accept the 302. At that time they will need to help the Staff member complete Part II authorizing transportation of the student.
c. The Special Services (898-4481) or the Philadelphia Police will then be notified of the approved 302, the need to locate the student and may bring him/her to the nearest mental health facility for evaluation. If the examining psychiatrist agrees with the need for hospital observation, they will complete the 302 and call it into the Office of Mental Health. The student may then be held for 120 hours (5 days) of observation before a mental health hearing must be held.
2. Student's Disposition
- When a student is evaluated by a HUP Psychiatric Resident in the PEEC they are encouraged to obtain the student's permission to notify the appropriate CAPS staff member (Associate Director, or other pre-determined Senior Staff member) in order to discuss the student's disposition.
- More significantly, we would like to be notified when a referred student can not be admitted and is to be discharged back to campus. Arrangements must then be made with those on campus who may have some responsibility for the student's well being. It is extremely useful to consult with the Assistant to the Vice Provost of University Life, about potential means to address the student's immediate needs. The CAPS staff member will inform the Associate Director, Clinical Services, or the Director and keep them appraised of any updates.
3. Continuity of Care
- A CAPS clinician, assigned by the Deputy Director of Clinical Services will confer with the In-Patient team to maintain continuity of care and assist in discharge planning for the hospitalized student.
- When a student is hospitalized, a CAPS clinician will request that the student sign a release to disclose information to the in-patient unit as well as a release to obtain information from the in-patient unit.