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S.B. 285 Enrolled

             1     

INVOLUNTARY CIVIL COMMITMENT INFORMATION

             2     
AMENDMENTS

             3     
2013 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Chief Sponsor: Daniel W. Thatcher

             6     
House Sponsor: Lee B. Perry

             7     
             8      LONG TITLE
             9      General Description:
             10          This bill adds requirements for collecting certain information for an individual who a
             11      court orders to be involuntarily civilly committed.
             12      Highlighted Provisions:
             13          This bill:
             14          .    adds a requirement that an application for an individual to be involuntarily civilly
             15      committed, if reasonably available, contain the individual's name, date of birth, and
             16      Social Security number.
             17      Money Appropriated in this Bill:
             18          None
             19      Other Special Clauses:
             20          None
             21      Utah Code Sections Affected:
             22      AMENDS:
             23          62A-15-631, as last amended by Laws of Utah 2012, Chapter 248
             24     
             25      Be it enacted by the Legislature of the state of Utah:
             26          Section 1. Section 62A-15-631 is amended to read:
             27           62A-15-631. Involuntary commitment under court order -- Examination --
             28      Hearing -- Power of court -- Findings required -- Costs.
             29          (1) Proceedings for involuntary commitment of an individual who is 18 years of age or


             30      older may be commenced by filing a written application with the district court of the county in
             31      which the proposed patient resides or is found, by a responsible person who has reason to know
             32      of the condition or circumstances of the proposed patient which lead to the belief that the
             33      individual has a mental illness and should be involuntarily committed. [That] The application
             34      shall [be accompanied by] include:
             35          (a) unless the court finds that the information is not reasonably available, the
             36      individual's:
             37          (i) name;
             38          (ii) date of birth; and
             39          (iii) Social Security number; and
             40          (b) either:
             41          [(a)] (i) a certificate of a licensed physician or a designated examiner stating that within
             42      a seven-day period immediately preceding the certification the physician or designated
             43      examiner has examined the individual, and that the physician or designated examiner is of the
             44      opinion that the individual is mentally ill and should be involuntarily committed; or
             45          [(b)] (ii) a written statement by the applicant that:
             46          [(i)] (A) the individual has been requested to, but has refused to, submit to an
             47      examination of mental condition by a licensed physician or designated examiner;
             48          [(ii)] (B) is sworn to under oath; and
             49          [(iii)] (C) states the facts upon which the application is based.
             50          (2) Before issuing a judicial order, the court may require the applicant to consult with
             51      the appropriate local mental health authority, or may direct a mental health professional from
             52      that local mental health authority to interview the applicant and the proposed patient to
             53      determine the existing facts and report them to the court.
             54          (3) If the court finds from the application, from any other statements under oath, or
             55      from any reports from a mental health professional that there is a reasonable basis to believe
             56      that the proposed patient has a mental illness which poses a substantial danger, as defined in
             57      Section 62A-15-602 , to self or others requiring involuntary commitment pending examination


             58      and hearing; or, if the proposed patient has refused to submit to an interview with a mental
             59      health professional as directed by the court or to go to a treatment facility voluntarily, the court
             60      may issue an order, directed to a mental health officer or peace officer, to immediately place
             61      the proposed patient in the custody of a local mental health authority or in a temporary
             62      emergency facility as provided in Section 62A-15-634 to be detained for the purpose of
             63      examination. Within 24 hours of the issuance of the order for examination, a local mental
             64      health authority or its designee shall report to the court, orally or in writing, whether the patient
             65      is, in the opinion of the examiners, mentally ill, whether the patient has agreed to become a
             66      voluntary patient under Section 62A-15-625 , and whether treatment programs are available and
             67      acceptable without court proceedings. Based on that information, the court may, without
             68      taking any further action, terminate the proceedings and dismiss the application. In any event,
             69      if the examiner reports orally, the examiner shall immediately send the report in writing to the
             70      clerk of the court.
             71          (4) Notice of commencement of proceedings for involuntary commitment, setting forth
             72      the allegations of the application and any reported facts, together with a copy of any official
             73      order of detention, shall be provided by the court to a proposed patient before, or upon,
             74      placement in the custody of a local mental health authority or, with respect to any individual
             75      presently in the custody of a local mental health authority whose status is being changed from
             76      voluntary to involuntary, upon the filing of an application for that purpose with the court. A
             77      copy of that order of detention shall be maintained at the place of detention.
             78          (5) Notice of commencement of those proceedings shall be provided by the court as
             79      soon as practicable to the applicant, any legal guardian, any immediate adult family members,
             80      legal counsel for the parties involved, and any other persons whom the proposed patient or the
             81      court shall designate. That notice shall advise those persons that a hearing may be held within
             82      the time provided by law. If the patient has refused to permit release of information necessary
             83      for provisions of notice under this subsection, the extent of notice shall be determined by the
             84      court.
             85          (6) Proceedings for commitment of an individual under the age of 18 years to the


             86      division may be commenced by filing a written application with the juvenile court in
             87      accordance with the provisions of Part 7, Commitment of Persons Under Age 18 to Division of
             88      Substance Abuse and Mental Health.
             89          (7) The district court may, in its discretion, transfer the case to any other district court
             90      within this state, provided that the transfer will not be adverse to the interest of the proposed
             91      patient.
             92          (8) (a) Within 24 hours, excluding Saturdays, Sundays, and legal holidays, of the
             93      issuance of a judicial order, or after commitment of a proposed patient to a local mental health
             94      authority under court order for detention or examination, the court shall appoint two designated
             95      examiners to examine the proposed patient. If requested by the proposed patient's counsel, the
             96      court shall appoint, as one of the examiners, a reasonably available qualified person designated
             97      by counsel. The examinations, to be conducted separately, shall be held at the home of the
             98      proposed patient, a hospital or other medical facility, or at any other suitable place that is not
             99      likely to have a harmful effect on the patient's health.
             100          (b) The examiner shall inform the patient if not represented by an attorney that, if
             101      desired, the patient does not have to say anything, the nature and reasons for the examination,
             102      that it was ordered by the court, that any information volunteered could form part of the basis
             103      for his or her involuntary commitment, and that findings resulting from the examination will be
             104      made available to the court.
             105          (c) A time shall be set for a hearing to be held within 10 calendar days of the
             106      appointment of the designated examiners, unless those examiners or a local mental health
             107      authority or its designee informs the court prior to that hearing date that the patient is not
             108      mentally ill, that the patient has agreed to become a voluntary patient under Section
             109      62A-15-625 , or that treatment programs are available and acceptable without court
             110      proceedings, in which event the court may, without taking any further action, terminate the
             111      proceedings and dismiss the application.
             112          (9) (a) Before the hearing, an opportunity to be represented by counsel shall be
             113      afforded to every proposed patient, and if neither the patient nor others provide counsel, the


             114      court shall appoint counsel and allow counsel sufficient time to consult with the patient before
             115      the hearing. In the case of an indigent patient, the payment of reasonable attorney fees for
             116      counsel, as determined by the court, shall be made by the county in which the patient resides or
             117      was found.
             118          (b) The proposed patient, the applicant, and all other persons to whom notice is
             119      required to be given shall be afforded an opportunity to appear at the hearing, to testify, and to
             120      present and cross-examine witnesses. The court may, in its discretion, receive the testimony of
             121      any other person. The court may allow a waiver of the patient's right to appear only for good
             122      cause shown, and that cause shall be made a matter of court record.
             123          (c) The court is authorized to exclude all persons not necessary for the conduct of the
             124      proceedings and may, upon motion of counsel, require the testimony of each examiner to be
             125      given out of the presence of any other examiners.
             126          (d) The hearing shall be conducted in as informal a manner as may be consistent with
             127      orderly procedure, and in a physical setting that is not likely to have a harmful effect on the
             128      mental health of the proposed patient.
             129          (e) The court shall consider all relevant historical and material information which is
             130      offered, subject to the rules of evidence, including reliable hearsay under Rule 1102, Utah
             131      Rules of Evidence.
             132          (f) (i) A local mental health authority or its designee, or the physician in charge of the
             133      patient's care shall, at the time of the hearing, provide the court with the following information:
             134          (A) the detention order;
             135          (B) admission notes;
             136          (C) the diagnosis;
             137          (D) any doctors' orders;
             138          (E) progress notes;
             139          (F) nursing notes; and
             140          (G) medication records pertaining to the current commitment.
             141          (ii) That information shall also be supplied to the patient's counsel at the time of the


             142      hearing, and at any time prior to the hearing upon request.
             143          (10) The court shall order commitment of an individual who is 18 years of age or older
             144      to a local mental health authority if, upon completion of the hearing and consideration of the
             145      information presented in accordance with Subsection (9)(e), the court finds by clear and
             146      convincing evidence that:
             147          (a) the proposed patient has a mental illness;
             148          (b) because of the proposed patient's mental illness the proposed patient poses a
             149      substantial danger, as defined in Section 62A-15-602 , to self or others, which may include the
             150      inability to provide the basic necessities of life such as food, clothing, and shelter, if allowed to
             151      remain at liberty;
             152          (c) the patient lacks the ability to engage in a rational decision-making process
             153      regarding the acceptance of mental treatment as demonstrated by evidence of inability to weigh
             154      the possible risks of accepting or rejecting treatment;
             155          (d) there is no appropriate less-restrictive alternative to a court order of commitment;
             156      and
             157          (e) the local mental health authority can provide the individual with treatment that is
             158      adequate and appropriate to the individual's conditions and needs. In the absence of the
             159      required findings of the court after the hearing, the court shall forthwith dismiss the
             160      proceedings.
             161          (11) (a) The order of commitment shall designate the period for which the individual
             162      shall be treated. When the individual is not under an order of commitment at the time of the
             163      hearing, that period may not exceed six months without benefit of a review hearing. Upon
             164      such a review hearing, to be commenced prior to the expiration of the previous order, an order
             165      for commitment may be for an indeterminate period, if the court finds by clear and convincing
             166      evidence that the required conditions in Subsection (10) will last for an indeterminate period.
             167          (b) The court shall maintain a current list of all patients under its order of commitment.
             168      That list shall be reviewed to determine those patients who have been under an order of
             169      commitment for the designated period. At least two weeks prior to the expiration of the


             170      designated period of any order of commitment still in effect, the court that entered the original
             171      order shall inform the appropriate local mental health authority or its designee. The local
             172      mental health authority or its designee shall immediately reexamine the reasons upon which the
             173      order of commitment was based. If the local mental health authority or its designee determines
             174      that the conditions justifying that commitment no longer exist, it shall discharge the patient
             175      from involuntary commitment and immediately report that to the court. Otherwise, the court
             176      shall immediately appoint two designated examiners and proceed under Subsections (8)
             177      through (10).
             178          (c) The local mental health authority or its designee responsible for the care of a patient
             179      under an order of commitment for an indeterminate period, shall at six-month intervals
             180      reexamine the reasons upon which the order of indeterminate commitment was based. If the
             181      local mental health authority or its designee determines that the conditions justifying that
             182      commitment no longer exist, that local mental health authority or its designee shall discharge
             183      the patient from its custody and immediately report the discharge to the court. If the local
             184      mental health authority or its designee determines that the conditions justifying that
             185      commitment continue to exist, the local mental health authority or its designee shall send a
             186      written report of those findings to the court. The patient and his counsel of record shall be
             187      notified in writing that the involuntary commitment will be continued, the reasons for that
             188      decision, and that the patient has the right to a review hearing by making a request to the court.
             189      Upon receiving the request, the court shall immediately appoint two designated examiners and
             190      proceed under Subsections (8) through (10).
             191          (12) In the event that the designated examiners are unable, because a proposed patient
             192      refuses to submit to an examination, to complete that examination on the first attempt, the
             193      court shall fix a reasonable compensation to be paid to those designated examiners for their
             194      services.
             195          (13) Any person committed as a result of an original hearing or a person's legally
             196      designated representative who is aggrieved by the findings, conclusions, and order of the court
             197      entered in the original hearing has the right to a new hearing upon a petition filed with the court


             198      within 30 days of the entry of the court order. The petition must allege error or mistake in the
             199      findings, in which case the court shall appoint three impartial designated examiners previously
             200      unrelated to the case to conduct an additional examination of the patient. The new hearing
             201      shall, in all other respects, be conducted in the manner otherwise permitted.
             202          (14) Costs of all proceedings under this section shall be paid by the county in which the
             203      proposed patient resides or is found.


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