The Temporary Detention Order (TDO) Process—Part IILive webinar held May 29, 2014
Attendees were required to have a computer with access to high speed internet (to view the slide presentation) and computer speakers OR access to a telephone. Additional information was provided through the registration form.
Gina O’Halloran, MS
Gina O’Halloran, MS,is the Manager of Emergency Services at the Hampton Newport News Community Services Board.
Gina has provided crisis intervention services to children and adults for over 20 years and is skilled in the diagnosis and treatment of mental illness. She has worked in conjunction with the regional geriatric task force in an effort to provide person centered services to older adults who are in crisis. She is knowledgeable of the Temporary Detention Order (TDO) and Emergency Custody Order (ECO) process and provides training routinely both internally and externally to law enforcement, school personnel, and other private and public agencies.
Ms. O’Halloran holds a Master’s degree in Human Services and is a certified Prescreener.
Rich Goddard RRT, RN, BSN, MA
Rich Goddard RRT, RN, BSN, MA,received his ADN from Hocking College, a BSN degree from Liberty University, and MA in Professional Counseling from Liberty University.
Rich has provided assessment for clients in Emergency and Critical Care Settings across the life span for 20 years. Rich has provided Crisis Intervention for families while working as an RN in Emergency, Critical Care, Hospice and Organ Transplant situations. Rich is employed as a ES Crisis Counselor performing Pre Screens for TDO for clients across the developmental spectrum. Rich possesses certification for the Columbia Suicide Assessment tool and has received Masters Level training in Crisis Intervention. Rich has provided education for nursing students and has previously provided Community Emergency Response Training (CERT) for community members in Newport News, VA. Rich received an academic scholarship from the AACC and an award for bringing technology into the classroom while employed as a nursing instructor.
Rich appreciates the challenges faced by clinicians regarding clients who have acute and chronic medical issues as well as mental health diagnosis.
James M. Martinez, Jr. (Jim), MEd
James M. Martinez, Jr. (Jim), MEd,has held several positions with the Virginia Department of Behavioral Health and Developmental Services (DBHDS), and has managed the Department’s mental health, substance abuse, forensic, prevention, and youth initiatives and programs.
He is currently Director of the Office of Mental Health Services, where he supervises various administrative, policy and operational functions of Virginia’s statewide system of behavioral health services for adults. Throughout his career, Mr. Martinez has focused on developing community services and supports for people with serious mental illness and substance use disorders and their families, and on shaping and implementing Virginia’s Vision of a person-centered, recovery-oriented behavioral health system. In 2004, Virginia’s mental health consumers and advocates recognized Mr. Martinez with a Living the Vision of Recovery Governor’s Award for his work in this area. Mr. Martinez served as an advisor to the Supreme Court of Virginia’s Commission on Mental Health Law Reform (2006-11), and has led DBHDS efforts to improve Virginia’s involuntary treatment statutes and strengthen the safety net of behavioral health services for all Virginians.
Mr. Martinez is a graduate of the Virginia Executive Institute, and holds a B.A from Washington and Lee University and an M.Ed. from the University of Virginia.
E. Ayn Welleford, PhD
E. Ayn Welleford, PhD,received her BA in Management/Psychology from Averett College, M.S. in Gerontology and PhD in Developmental Psychology from Virginia Commonwealth University. She has taught extensively in the areas of Lifespan Development, and Adult Development and Aging, Geropsychology, and Aging & Human Values. As an educator, researcher, and previously as a practitioner she has worked with a broad spectrum of individuals across the caregiving and long term care continuum.
As Associate Professor and Chair of VCU’s Department of Gerontology, she currently works to “Improve Elder Care through Education” through her Teaching, Scholarship, and Community Engagement. Outside of the classroom, Dr. Welleford provides community education and serves on several boards and committees.
Dr. Welleford is former Chair of the Governor’s Commonwealth of Virginia Alzheimer’s and Related Disorders Commission, as well as a recipient of the AGHE Distinguished Teacher Award. In 2011, Dr. Welleford was honored by the Alzheimer’s Association at their annual Recognition Reception for her statewide advocacy. Dr. Welleford is the author of numerous publications and presentations given at national, state and local conferences, community engagement and continuing education forums. In 2012, Dr. Welleford was appointed to the Advisory Board for VCU’s West Grace Village project. She is also the recipient of the 2012 Mary Creath Payne Leadership Award from Senior Connections, the Capital Area Agency on Aging.
SLIDES AND EVENT RECORDING
OTHER QUESTIONS POSED DURING THE EVENT (we thank the panelists for taking the additional time to provide these answers):
Q: Wondering why "unable to care for self" was not mentioned? There are many persons in the community that present as unstable.
Q: Will state psychiatric facilities have acute units to accept TDOs?
Q: Where would you obtain a copy of "criteria" for TDO?
Q: What would you hope to see in an advance directive to help you as an ES evaluator? And/or how does DBHDS view ADs and WRAP as impacting the TDO process?
Q: What is considered alternative transportation?
Q: is there language that prevents private hospitals from taking patients that meet criteria for inpatient care but may not be uninsured?
Q: If an older adult, who is living at home, exhibits agitated behavior, what is the best immediate action for a family member to take? There are signs of early dementia, plus history of a stroke that affected cognitive functions. Most of the time trying to talk softly & giving the person space helps, but what if it doesn't?
Q: I was told here in VA ALF administrator can no longer do ECO. The police will need to see the client acting up. This was changed 1/1/2014 .
One is a paperless ECO that the police can initiate. The code for this type states “A law-enforcement officer who, based upon his observation or the reliable reports of others, has probable cause to believe that a person meets the criteria for emergency custody as stated in this section may take that person into custody and transport that person to an appropriate location to assess the need for hospitalization or treatment without prior authorization”.
The other is a “papered”, magistrate issued ECO. The code for this type states “Any magistrate shall issue, upon the sworn petition of any responsible person, treating physician, or upon his own motion, an emergency custody order when he has probable cause to believe that any person (i) has a mental illness and that there exists a substantial likelihood that, as a result of mental illness, the person will, in the near future, (a) cause serious physical harm to himself or others as evidenced by recent behavior causing, attempting, or threatening harm and other relevant information, if any, or (b) suffer serious harm due to his lack of capacity to protect himself from harm or to provide for his basic human needs, (ii) is in need of hospitalization or treatment, and (iii) is unwilling to volunteer or incapable of volunteering for hospitalization or treatment.”
I am not aware of any code change effective 1/1/2014.