Psychiatry Adult Child & Adolescent Forms for San Diego
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FAQ
What is a 5250? If someone has been 5150'd and at the end of the 72 hours the person continues to meet one of the three criteria, the attending psychiatrist can file a 5250, or "certification for up to fourteen days of intensive psychiatric treatment". By law the client must receive a copy of this certification.
With this new policy, California's Medi-Cal program will now cover family therapy for children without a mental health diagnosis but at risk for later concerns, as well as those with a mental health diagnosis.
Services covered by Medi-Cal include outpatient mental health services such as individual or group counseling, outpatient specialty mental health services, inpatient mental health services, outpatient substance use disorder services, residential treatment services, and voluntary inpatient detoxification.
Just as with the 5150 hold, during the 5250 hold, the individual is continually being assessed by psychiatric staff. Again, if the individual is (at any time) deemed to be no longer a danger or gravely disabled, they are then released from the hospital.
Under the Affordable Care Act, all plans purchased through the Health Insurance Marketplace must cover 10 essential health benefits. These include mental health services and substance use disorder services. All Marketplace plans, whether they're state or federally managed, include coverage for mental health.
During the 5250 hearing, a neutral party determines if there is strong enough evidence to keep you at the facility against your will. If the neutral party believes there isn't enough evidence to continue holding you, then the facility will be forced to let you go.