Legal Issues in Treating Pain and Addiction (DRAFT)

Mapping Intimacies ◽

10.1093/med/9780190265366.003.0007 ◽

2018 ◽

Author(s):

Edwin A. Salsitz

Keyword(s):

Substance Use ◽

Substance Use Disorders ◽

Legal Issues ◽

Federal State ◽

Duty To Warn ◽

Reporting Requirements ◽

Federal Laws ◽

State And Local ◽

Federal Rule ◽

Laws And Regulations

Competent treatment of both pain and addiction requires an understanding of applicable federal, state, and local laws and regulations. Key requirements of federal laws and regulations are outlined in this chapter; the authors emphasize the need for an understanding of local and regional laws and precedents, which goes beyond the scope of the chapter, and a separate text box is provided with resources. Also provided is a text box analyzing 2017 changes to the federal Rule 42, CFR, relating to confidentiality and re-disclosure of information specific to treatment of substance use disorders. Areas of chapter focus include: HIPAA, confidentiality, general medical recordkeeping principles and obligations, federal audits (DATA 2000 and buprenorphine), medication storage, reporting requirements and the duty to warn, reports to employers, and the management of an office closure.

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Preparing communities: The critical integration of faith-based organizations into emergency planning and response

Journal of Emergency Management ◽

10.5055/jem.2009.0008 ◽

2009 ◽

Vol 7 (3) ◽

pp. 11 ◽

Cited By ~ 1

Author(s):

Jessica L. Hurst, BS, JD ◽

Jessica P. George, BA, JD

Keyword(s):

Paradigm Shift ◽

Legal Issues ◽

Emergency Planning ◽

Federal State ◽

Management Planning ◽

Faith Based ◽

Emergency Management Planning ◽

Response And Recovery ◽

Faith Based Organizations ◽

State And Local

This article discusses the paradigm shift that is taking place in emergency management planning with regard to the integration of faith-based organizations in federal, state, and local preparedness, response, and recovery efforts. In addition, this article explores potential legal issues related to government funding and support of faith-based emergency planning initiatives. Finally, the article proposes recommendations for initiating and expanding emergency planning among faith-based organizations to fully utilize the unique knowledge these groups have of the needs of their communities.

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Coordinating across correctional, community, and VA systems: applying the Collaborative Chronic Care Model to post-incarceration healthcare and reentry support for veterans with mental health and substance use disorders

Health & Justice ◽

10.1186/s40352-019-0099-4 ◽

2019 ◽

Vol 7 (1) ◽

Cited By ~ 1

Author(s):

Bo Kim ◽

Rendelle E. Bolton ◽

Justeen Hyde ◽

B. Graeme Fincke ◽

Mari-Lynn Drainoni ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Substance Use ◽

Substance Use Disorders ◽

Chronic Care Model ◽

Chronic Care ◽

Federal State ◽

Care Model ◽

Increased Risk ◽

Correctional Community

Abstract Background Between 12,000 and 16,000 veterans leave incarceration annually. As is known to be the case for justice-involved populations in general, mental health disorders (MHDs) and substance use disorders (SUDs) are highly prevalent among incarcerated veterans, and individuals with MHDs and SUDs reentering the community are at increased risk of deteriorating health and recidivism. We sought to identify opportunities to better coordinate care/services across correctional, community, and VA systems for reentry veterans with MHDs and SUDs. Methods We interviewed 16 veterans post-incarceration and 22 stakeholders from reentry-involved federal/state/community organizations. We performed a grounded thematic analysis, and recognizing consistencies between the emergent themes and the evidence-based Collaborative Chronic Care Model (CCM), we mapped findings to the CCM’s elements – work role redesign (WRR), patient self-management support (PSS), provider decision support (PDS), clinical information systems (CIS), linkages to community resources (LCR), and organizational/leadership support (OLS). Results Emergent themes included (i) WRR – coordination challenges among organizations involved in veterans’ reentry; (ii) PSS – veterans’ fear of reentering society; (iii) PDS – uneven knowledge by reentry support providers regarding available services when deciding which services to connect a reentry veteran to and whether he/she is ready and/or willing to receive services; (iv) CIS – lapses in MHD/SUD medications between release and a first scheduled health care appointment, as well as challenges in transfer of medical records; (v) LCR – inconsistent awareness of existing services and resources available across a disparate reentry system; and (vi) OLS – reentry plans designed to address only immediate transitional needs upon release, which do not always prioritize MHD/SUD needs. Conclusions Applying the CCM to coordinating cross-system health care and reentry support may contribute to reductions in mental health crises and overdoses in the precarious first weeks of the reentry period.

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Under the Law

Phi Delta Kappan ◽

10.1177/0031721717696486 ◽

2017 ◽

Vol 98 (6) ◽

pp. 74-75

Author(s):

Julie Underwood

Keyword(s):

School Districts ◽

Secondary Schools ◽

Student Behavior ◽

Federal State ◽

Local School ◽

State Laws ◽

Federal Laws ◽

State And Local ◽

The Right ◽

School Property

The weapons ban at elementary and secondary schools began with passage of the Gun-Free School Zones Act in 1990. Schools are subject to federal, state, and local policies regarding the presence of guns on school property. The federal laws affect both adult and student behavior regarding guns at schools. State laws tend to address both possession of weapons at schools in addition to the right to conceal weapons. States also determine whether local school districts can enact their own more restrictive policies regarding guns at schools.

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Ethical and Legal Considerations

ASAM Handbook of Addiction Medicine ◽

10.1093/med/9780197506172.003.0017 ◽

2020 ◽

pp. 409-422

Author(s):

Michael I. Fingerhood

Keyword(s):

Substance Use ◽

Substance Use Disorders ◽

Drug Testing ◽

Ethical Issues ◽

Legal Issues ◽

Patient Confidentiality ◽

Effective Strategies ◽

Ethical Care ◽

Ethical And Legal Considerations ◽

Legal And Ethical Issues

Providing care to individuals with substance use disorders raises legal and ethical issues. The two major legal issues are regulation of scheduled drugs and patient confidentiality. Many patients make poor choices; nevertheless, all deserve medical care incorporating the principles of ethical care. General ethical principles apply to the treatment of substance use disorders. These include autonomy, beneficence, nonmaleficence, justice, fidelity, and futility. Treatment of individuals with substance use disorders may create situations in which there is conflict or disagreement with clinicians. Effective strategies can help avoid or mitigate dilemmas. Drug testing, employment, and pregnancy raise specific legal and ethical issues.

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Improving Speech and Language Services through Effective Time Management

Language Speech and Hearing Services in Schools ◽

10.1044/0161-1461.1402.86 ◽

1983 ◽

Vol 14 (2) ◽

pp. 86-91 ◽

Cited By ~ 1

Author(s):

Barbara W. Travers

Keyword(s):

Time Management ◽

Management Strategies ◽

Federal State ◽

Speech Language Pathologist ◽

School Based ◽

Work Area ◽

Paper Work ◽

Areas Of Concern ◽

State And Local ◽

Therapeutic Services

This paper presents strategies for increasing the effectiveness and efficiency of the school-based speech-language pathologist. Various time management strategies are adapted and outlined for three major areas of concern: using time, organizing the work area, and managing paper work. It is suggested that the use of such methods will aid the speech-language pathologist in coping with federal, state, and local regulations while continuing to provide quality therapeutic services.

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