Forms
Notice of Emergency Detention and Application for Examination
MC 105
A person the court appoints to manage the affairs of another person...
Guardian
Psychiatric Facility located in Fairbanks
Fairbanks Memorial Hospital
Clinical Interview or Petition to Court (in a typical hospital exparte)
Clinical Interview
Deeply unhappy or depressed and likely to commit suicide.
Suicidal
Petition for Order Authorizing Hospitalization for Evaluation
MC-100
Means a person who poses a substantial risk of bodically harm to that person's self, as manifested by recent behavior causing, attempting, or threatening that harm, etc.
Likely to cause serious harm
Bartlett
Columbia Screener or Safety Plan
Columbia Screener
a severe mental condition in which thought and emotions are so affected that contact is lost with external reality.
Psychosis
Notice of Rights during Court-Ordered Evaluation
MC-405
Means a condition in which a person as a result of mental illness is in danger of physical harm arising from such complete neglect of basic needs, etc.
Gravely disabled
Psychiatric Facility located in Anchorage
Alaska Psychiatric Institute
MC-100 or MC-105 (in a typical exparte at the hospital)
MC-105
of, relating to, or having tendencies toward the killing of another person
Homicidal
Notice of Rights during Emergency Detention
MC-404
Means an organic, mental, or emotional impairments that has substantial adverse effects on a person's ability to perceiver reality or to reason or understand, etc.
Mental Illness
Psychiatric Facility located in the Valley
Mat-Su Regional Medical Center
Approval Letter from Psychiatric Facility or Transportation Request
Approval Letter
a prioritized written list of coping strategies and sources of support patients can use who have been deemed to be at high risk for suicide.
Safety Plan
Notice of Release of Respondent prior to Transport
Means a psychiatrist or physician or a clinical psychologist, or a masters level professional counselor or clinical social worker.
Mental Health Professional
Psychiatric Facility noted on the MC-100 but is rarely/never used by SEARHC as such
PeaceHealth Ketchikan Medical Center
MC-404 or MC-405
MC-404
a time of intense difficulty, trouble, or danger.
Crisis