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Previously arranged with the admitting officers at the hospital for Mrs van Rhyn to be assessed. 57. Mrs van Rhyn was assessed at Waikato Hospital and was unlikely to have been admitted unless Dr van Rhyn had persuaded the Register on duty to keep Mrs van Rhyn in hospital for observation. 58. Mrs van Rhyn remained in Waikato Hospital from 4 February 1997 until 2 April 1997. Initially Mrs van Rhyn was admitted as a voluntary patient. She later became a "involuntary patient" and she was treated pursuant to the Mental Health Compulsory Assessment and Treatment ; Act 1993. Mrs van Rhyn's hospital status changed to involuntary patient when it was thought she had reached the stage of "willingness" to accept treatment, including ECT. 59. The Complaints Assessment Committee has raised concerns about Dr van Rhyn's continued role in Mrs van Rhyn's medical management while she was a patient at Waikato Hospital. The nursing notes certainly suggest Dr van Rhyn continued to play a role in Mrs van Rhyn's. Lansoprazole added to the BCF - The Council accepted blanket purchase agreements offered by Eisai Janssen for Afiphex and TAP Pharmaceuticals for lansoprazole Prevacid ; . Aciphwx remains on the BCF; Prevacid was added to the BCF and albuterol. Dowedoff describes guidelines and standards as a continuum where there are varying degrees of flexibility and enforceability and where the diversity of health care settings and resources need to be acknowledged. It is important to note that establishment of "standards' implies that a regulatory or accreditation body exists to ensure compliance. With respect to abortion procedures, in British Columbia provision of services is either through a hospital service under the auspices of Canadian Council on Health Services Accreditation, which is a generalized accreditation ; or a community-based clinic accredited by NAF ; . The likelihood of establishing a regulatory body specific to abortion services in B.C. is very remote, and it seems that the approach with the greatest likelihood of success would be to develop and promote evidence-based "guidelines for care" that would ensure the best possible level of care wherever that care is being provided. In order to ensure that the guidelines reflect a woman-centered care model, it is vital that desired outcomes are described in terms of the woman's experience of abortion when the guidelines are adhered to. For example in decision-making counselling, the best practice would be to assist the woman to examine her available options and consider each one in the context of her particular circumstances, to provide information about all of the options, including adoption, single parenthood, and abortion, and to support the woman when she has made a decision. When this. 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Location was changed from Las Vegas, NV to St. Louis, MO. Future meeting topics identified were: 1 ; telemedicine, 2 ; online prescriptions 3 ; job coaching 4 ; treatment of violent or dually diagnosed clients, and 4 ; the integration of mental health and substance abuse services. Gene Boccialetti, who presented at our February meeting, has offered to develop a series of workshops for the membership on integration strategies etc. A survey showed members in Northeast and Midwest with highest interest. Cost for the proposed workshop could be $500- $1000 per participant. The newly structured Executive Development Committee will be comprised of committee chairs and will be chaired by the Vice Chairman of MHCA's Board. CORPORATE STRUCTURES COMMITTEE: Keynoters Bill Knowlton and John Chesley met with the Committee in a forum format. Presentations on two of the four topics recommended for future meetings have been completed. Planned still are a presentation on environmental mapping and cost issues, valuation of partnerships etc. EXECUTIVE COMMITTEE: The Committee discussed proposed change in committee structure and meeting schedule. General response by the membership has been good. Arranging for meeting space to accommodate the new structure has mandated that we phase in the changes over several meetings. The new schedule will be fully implemented by the November meeting. Gary also reported that the employment contract for Don Hevey has been signed for another three years. There are now two vacancies on the board. It was recommended that Chuck Thayer's position be filled by the regular nomination election process in August 1999. Due to the fact that John Barnette's term has 2.5 years remaining, a recommendation was made to fill that vacancy by appointment. Wayne Dreggors was recommended to fill the term. A motion was made, seconded and approved to appoint Dreggors. Tom Riggs suggested that the Executive Development Committee meet during lunch to allow members to attend more of the forums that are planned for Wednesday. Don noted the logistical difficulties of doing so. Bill Peel suggested that due to the need for more meeting time and expense of travel we include Tuesday as another full meeting day. MHCA ENTERPRISES BOARD: The Board reviewed terms of office and board vacancies. Elected as officers were: Wes Davidson, Chairman, Erv Brinker, Vice Chairman, Tony Kopera, Treasurer and Kris Angell, Secretary. Bill Sette was recognized for his many years of service on the Board. v and altace. The landmark stroke prevention by aggressive reduction in cholesterol levels sparcl ; trial was published today in the new england journal of medicine. Havior. Pharmacol Biochem Behav 198 l; l5: 477-84. 99. McLean 5, Hoebel BO. Feeding induced by opiates. 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