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Lanterman-Petris-Short Handbook Aging and Adult Services Developed by: Program Development Division IT-110912 LANTERMAN-PETRIS-SHORT HANDBOOK CHAPTER A LPS Temporary Conservatorship Table of Contents

How to fill out lanterman-petris-short

How to fill out the Lanterman-Petris-Short form:

1. Obtain the form: The Lanterman-Petris-Short (LPS) form is typically provided by a mental health professional or a designated authority. You can request it from your doctor, therapist, or local mental health department.
2. Complete personal information: Start by entering your full name, address, date of birth, and contact information. Make sure to provide accurate details to ensure proper identification.
3. Provide relevant medical history: The LPS form may require you to disclose any previous mental health diagnoses or treatment you have received. This includes information about hospitalizations, medications taken, and any previous encounters with the mental health system.
4. Document current mental health condition: Describe your current mental health condition or symptoms in detail. Be as specific as possible and provide any accompanying information that might be useful for the evaluating professional.
5. List any medications: If you are currently taking any medications for your mental health, mention them on the form along with the dosages and frequency of use. It is essential to provide accurate information to ensure appropriate care.
6. Include emergency contact information: Specify the name and contact details of a trusted person who can be contacted in case of an emergency or if additional information is required.
7. Sign and date the form: Before submitting the form, make sure to read it thoroughly and sign it, acknowledging that the information provided is accurate to the best of your knowledge. Don't forget to date the form as well.

Who needs Lanterman-Petris-Short (LPS)?

1. Individuals with severe mental illnesses: The LPS form is often used for individuals who have been diagnosed with severe mental health conditions such as schizophrenia, bipolar disorder, or major depression. It helps determine the level of care needed and facilitates involuntary treatment if required.
2. Individuals at risk of harming themselves or others: The LPS form may be necessary for individuals who pose a threat to themselves or others due to their mental health condition. It allows mental health professionals to evaluate the situation and determine the appropriate course of action, including involuntary hospitalization if necessary.
3. People in crisis situations: When someone is experiencing a mental health crisis and requires immediate intervention, the LPS form can be used to initiate emergency mental health services. It enables professionals to intervene and ensure the safety and well-being of the individual in crisis.
4. Family members or concerned parties: In some cases, family members or concerned individuals may complete the LPS form on behalf of someone who is unable to do so themselves due to their mental health condition. This is typically done when there is a perceived need for intervention or assistance.

It is important to note that the specific requirements and regulations regarding the Lanterman-Petris-Short form may vary depending on the jurisdiction. It is recommended to consult with a mental health professional or legal advisor for accurate and up-to-date information.

For pdfFiller’s FAQs

What is lanterman-petris-short?

Lanterman-Petris-Short (LPS) Act is a California law that outlines the rights of individuals with mental illness, including their right to treatment and their right to refuse treatment.

Who is required to file lanterman-petris-short?

Health facilities and mental health professionals are required to adhere to the regulations outlined in the Lanterman-Petris-Short Act.

How to fill out lanterman-petris-short?

To fill out Lanterman-Petris-Short forms, mental health professionals must provide detailed information about the individual's mental health condition, treatment plan, and legal status.

What is the purpose of lanterman-petris-short?

The purpose of the Lanterman-Petris-Short Act is to ensure that individuals with mental illness receive appropriate treatment and that their rights are protected.

What information must be reported on lanterman-petris-short?

Information regarding the individual's mental health diagnosis, treatment plan, legal status, and rights must be reported on Lanterman-Petris-Short forms.

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