Education event

Managing Patients with Behavioral Health Needs in Acute and ED Settings
Managing patients in crisis, do's and don'ts of involuntary holds, working effectively with your county

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July 25, Pasadena


Patients with behavioral health needs are seeking hospital care in increasing numbers, making it imperative to understand the unique challenges related to this patient population. Because of the complex nature of patient care delivery, hospitals and their emergency departments need to know what resources are available, as well as how to implement the necessary changes to assist staff and provide the best care for patients and families. Topics presented at this seminar include:

  • Managing patients in crisis — examine the different levels of care available when managing patients with behavioral health needs.
  • Involuntary holds — gain an understanding of the laws surrounding patients on a 5150 hold in an ED setting, designated and non-designated facilities, role of law enforcement, myths associated with HIPAA and guidelines for 24-hour holds.
  • Family involvement — learn about existing resources available to assist family members and what patient information they may receive.
  • County behavioral health departments — understand health care coverage plans, available resources and how to improve lines of communication.

Free Manual
All participants will receive a free copy of CHA’s recently updated Mental Health Law Manual.    This aThisThis pHospitals are under increasing scrutiny. It’s more important than ever to do everything right — to know the all the health care laws and requirements and document carefully. Slip up and you may face penalties — big ones.Hospitals are under increasing scrutiny. It’s more important than ever to do everything right — to know the all the health care laws and requirements and document carefully. Slip up and you may face penalties — big ones.Hospitals are under increasing scrutiny. It’s more important than ever to do everything right — to know the all the health care laws and requirements and document carefully. Slip up and you may face penalties — big ones.Hospitals are under increasing scrutiny. It’s more important than ever to do everything right — to know the all the health care laws and requirements and document carefully. Slip up and you may face penalties — big onesHospitals are under increasing scrutiny. It’s more important than ever to do everything right — to know the all the health care laws and requirements and document carefully. Slip up and you may face penaltie

Recommended for:

Clinical leadership and staff in acute and ED settings, risk managers, case managers, in-house legal counsel and hospital security.


9:00 a.m. – 12:00 p.m.

NAMI: A Vital Partner in Patient Care

  • Communicating with patients and families in crisis
  • Why it’s important to partner with NAMI
  • Ways NAMI can support staff in EDs, other treatment levels
  • NAMI programs — Family-to-Family, Peer-to-Peer, Mentors on Discharge

5150’s Impact on Emergency Departments

  • Laws that govern mental health treatment — LPS, HIPAA, CMIA
  • County, hospital variations in managing involuntary holds
  • Dispelling the myths surrounding patient screening
  • Confidentiality — when you can and can’t share patient information
  • Understanding patients’ rights — leaving against medical advice, restraints
  • 24-hour “holds” — when to use, who can initiate and release

Working with County Behavioral Health Resources

  • Understanding how county mental health operations work
  • Steps to establish and build upon existing relationships
  • Discovering your county mental health resources
  • Tips for navigating health care coverage

12:00 – 1:00 p.m. Hosted Luncheon

CEOs from the Regional Hospital Associations share activities in support of behavioral health

1:00 – 4:00 p.m.

EMTALA and 5150s — A No-Holds-Barred Review

  • Application of 5150 holds to the EMTALA obligations
  • The regulatory bind over psychiatric ED services
  • Assessing EMTALA risks for patients with psychiatric issues
  • Evaluation of the 24-hour hold — is this a practical alternative?
  • The abyss of ED payment — all pain and little gain
  • Strategies to improve your ED mental health well-being

Opportunities to Improve Crisis Services

  • Effective ways to work within existing resources
  • Enhanced operations including tele-mental health, crisis stabilization units, mental health professionals and more
  • Potential barriers and solutions to implementing crisis services
  • Establishing resources to bridge care transitions


Kirsten Barlow, MSW, is the executive director of the County Behavioral Health Directors Association (CBHDA). Ms. Barlow works with the Council on Mentally Ill Offenders to develop strategies for keeping youth and adults with mental illness out of the criminal justice system. She has also directed the Association’s legislative and budget advocacy efforts.

Linda Garrett of Garrett Consulting Group, LLC, provides risk management consulting services to more than 45 county public health, mental health and correctional health care programs in addition to several county hospitals. Ms. Garrett’s work includes providing training and consultation on a variety of medical/legal topics to health care providers, administrators, compliance and privacy officers, and QA/QI coordinators.

Shannon Jaccard is the chief executive officer of the National Alliance on Mental Illness (NAMI) San Diego. Shannon serves on several board of directors including the international organization, Recovery Innovations and the Meeting Place Clubhouse in San Diego County. Shannon has received numerous awards such as; Outstanding Young Californian by the San Diego Junior Chamber of Commerce and the Channel 10 News Leadership Award. She was named one of San Diego’s “50 People to Watch” by San Diego Magazine. In 2002, Shannon founded Compeer San Diego, a nonprofit organization to provide friendship and support to individuals with a mental illness.

Steve Lipton is a partner in the San Francisco office of Hooper, Lundy and Bookman, PC, and the author of CHA’s manual, EMTALA — A Guide to Patient Anti-Dumping Laws. A noted expert on patient anti-dumping laws, he has worked extensively with hospitals on EMTALA civil sanction matters, as well as compliance interpretation, policy development and education.

Mike Phillips is the director and supervising attorney for the Jewish Family Service Patient Advocacy Program. Mr. Philips provides instruction and training for the mental health community, including providing information on due process rights for psychiatric patients throughout San Diego County. Mr. Philips also consults at the state level on LPS reform and regularly provides law enforcement training on mental health issues.

Scott Zeller, MD, is vice president for acute psychiatric medicine at CEP America. Dr. Zeller is co-founder of JSA Health Telepsychiatry, a provider of on-demand psychiatric consultation to hospitals. Dr. Zeller is also co-editor and author of Emergency Psychiatry: Principles and Practice, considered to be the first comprehensive textbook of emergency psychiatry.


Regional Hospital Association President/CEO Luncheon Session

Art Sponseller, Hospital Council of Northern and Central California (Sacramento)
George W. Greene, Hospital Association of Southern California (Pasadena)
Dimitrios Alexiou, Hospital Association of San Diego & Imperial Counties (Pasadena)


July 25
Hilton Pasadena

168 South Los Robles Avenue
Pasadena, CA 91101


Presentations will be available online only
You will receive an email before the event with instructions on how to download the presentations to your laptop/tablet for viewing on-site or to print and bring with you. Be sure to download the materials in advance; WiFi access on-site may be limited.

*Members $345
**Nonmembers $565
*Members are CHA member hospitals, CHA associate members and government agencies.
**Nonmembers are limited to non-hospital health care providers, clinics, post-acute facilities, and consultants, insurance companies, law firms and other entities that serve hospitals. Education programs and publications are a membership benefit and are not available to eligible nonmember California hospitals.

Tuition includes CEs, lunch and a free copy of CHA’s updated Mental Health Law Manual.

Cancellation Policy/Late Payment: A $50 nonrefundable processing fee will be retained for each cancellation. Cancellations must be made in writing seven or more days prior to the scheduled session and emailed to No refunds will be made after these dates. Substitutions are encouraged. Please note: payment is due on or before program. Payments not received by the seminar date may be subject to a 10% late fee. In the unlikely event the program is cancelled, CHA will fully refund paid participants within 30 days.

Special Accommodations or Questions: If you require special accommodations pursuant to the Americans with Disabilities Act, or have other questions, please call (916) 552-7637.

Quality Assurance/Grievance: We welcome your feedback. If you have any concerns or dissatisfaction with the quality of a CHA education program, please contact Liz Mekjavich, Vice President, Publishing & Education at (916) 552-7500 or email The CHA education quality assurance/grievance policy is available upon request by emailing

Continuing Education

Full attendance at the educational session is a prerequisite for receiving professional continuing education. Attendees must sign in at the seminar and, when required, include their state bar or professional license number. CE certificates will be emailed.

Behavioral/Social Work — Course meets the qualifications for 5.5 hours of continuing education credit for LMFTs or LCSWs as required by the California Board of Behavioral Sciences. CHA is approved by the California Association of Marriage and Family Therapists to sponsor continuing education for LMFTs or LCSWs. Provider approval number 128427. CHA maintains responsibility for this program/course and its content.

Learning objectives: At the conclusion of this seminar, participants will be able to:

  • Describe new laws impacting health care providers and know which workplace practices to revise to maintain compliance.
  • List the characteristics of, and guidelines for, managing patients with pain management or opioid-addictive behaviors.
  • Describe situations in the health care setting that require reporting, and to which authorities.
  • Summarize changes to practice as a result of implementation of the End of Life Option Act.
  • Discuss, analyze and develop logical answers to common, but complex, critical thinking session topics.

Health Care Executives — CHA is authorized to award 5.5 hours of pre-approved ACHE Qualified Education credit for this program toward advancement, or recertification, in the American College of Healthcare Executives. Participants in this program who wish to have the continuing education hours applied toward ACHE Qualified Education credit must self-report their participation. To self-report, participants must log into their MyACHE account and select ACHE Qualified Education Credit.

Legal — CHA is a State Bar of California approved MCLE provider. Provider #1980. This participatory activity has been approved for 3 hours of MCLE credit for the following sessions only: “5150’s Impact on Emergency Departments” and “EMTALA and 5150s — A No-Holds-Barred Review.

Nursing — Provider approved by the California Board of Registered Nursing, CEP #11924, for 6.6 Contact Hours.

Free Manual

Providing care to patients with mental health issues is complicated. It isn’t always easy to know what is “right” and what is “legal.”

The Mental Health Law Manual was written to help hospitals understand the laws governing mental health treatment, as well as the rights of the patients they serve. The manual also details special protections for individuals who may be unable to make rational decisions regarding their care, specific requirements regarding the use and disclosure of health information, and unique reporting requirements.

Written in a user-friendly manner, the manual has been updated to reflect all changes in state and federal laws governing mental health treatment and privacy through January 2017.

If you are unable to attend the seminar but would like to purchase the manual, go to

(11th edition, 2017)