2008 Legislation
Print Friendly

SENATE BILL NO. 1426<br /> – Mentally ill, care/commitment

SENATE BILL NO. 1426

View Bill Status

View Bill Text

View Amendment

View Engrossed Bill (Original Bill with Amendment(s) Incorporated)

View Statement of Purpose / Fiscal Impact



Text to be added within a bill has been marked with Bold and
Underline. Text to be removed has been marked with
Strikethrough and Italic. How these codes are actually displayed will
vary based on the browser software you are using.

This sentence is marked with bold and underline to show added text.

This sentence is marked with strikethrough and italic, indicating
text to be removed.

Bill Status



S1426aaH..............................................by HEALTH AND WELFARE
MENTAL ILLNESS - HOSPITALIZATION - Amends  and repeals existing law
relating to the hospitalization of the mentally ill to revise definitions;
to provide that proceedings for the care of mentally ill persons shall be
had in the county where such person resides or in the county where such
person is found; to revise provisions for venue; to provide for
consideration of reasonable alternatives to commitment; to provide for
observation, care and treatment; to provide for outpatient treatment; to
provide for transport of a committed patient from outpatient treatment to
the least restrictive available facility on an inpatient basis; to provide
notice of such transfer; to provide for judicial review; to provide for
show cause order and determination; and to limit application.

02/11    Senate intro - 1st rdg - to printing
02/12    Rpt prt - to Health/Wel
02/15    Rpt out - rec d/p - to 2nd rdg
02/18    2nd rdg - to 3rd rdg
02/21    3rd rdg - PASSED - 33-0-2
      AYES -- Andreason, Bair, Bastian, Bilyeu, Broadsword, Cameron,
      Coiner, Corder, Darrington, Davis, Fulcher, Gannon, Geddes, Goedde,
      Hammond, Heinrich, Hill, Jorgenson, Kelly, Keough, Little, Lodge,
      Malepeai(Sagness), McGee, McKague, McKenzie, Pearce, Richardson,
      Schroeder, Siddoway, Stegner, Stennett, Werk
      NAYS -- None
      Absent and excused -- Burkett, Langhorst
    Floor Sponsor - Stegner
    Title apvd - to House
02/22    House intro - 1st rdg - to Health/Wel
03/11    Rpt out - to Gen Ord
    Rpt out amen - to 1st rdg as amen
03/12    1st rdg - to 2nd rdg as amen
03/13    2nd rdg - to 3rd rdg as amen
03/19    3rd rdg as amen - PASSED - 68-0-2
      AYES -- Anderson, Andrus, Barrett, Bayer, Bedke, Bell, Bilbao, Black,
      Block, Bock, Boe, Bolz, Bowers, Brackett, Bradford, Chadderdon,
      Chavez, Chew, Clark, Collins, Crane, Durst, Eskridge, Hagedorn, Hart,
      Harwood, Henbest, Henderson, Jaquet, Killen, King, Kren, Labrador,
      LeFavour, Loertscher, Luker, Marriott, Mathews, McGeachin, Mortimer,
      Moyle, Nielsen, Nonini, Pasley-Stuart, Patrick, Pence, Raybould,
      Ringo, Roberts, Ruchti, Rusche, Sayler, Schaefer, Shepherd(02),
      Shepherd(08), Shirley, Shively, Smith(30), Smith(24), Snodgrass,
      Stevenson, Thayn, Thomas, Vander Woude, Wills, Wood(27), Wood(35),
      Mr. Speaker
      NAYS -- None
      Absent and excused -- Lake, Trail
    Floor Sponsor - Block
    Title apvd - to Senate
03/19    Senate concurred in House amens - to engros
03/20    Rpt engros - 1st rdg - to 2nd rdg as amen
03/24    2nd rdg - to 3rd rdg as amen
03/25    3rd rdg as amen - PASSED - 35-0-0
      AYES -- Andreason, Bair, Bastian, Bilyeu, Broadsword, Burkett,
      Cameron, Coiner, Corder, Darrington, Davis, Fulcher, Gannon(Gannon),
      Geddes, Goedde, Hammond, Heinrich, Hill, Jorgenson, Kelly, Keough,
      Langhorst, Little, Lodge, Malepeai(Sagness), McGee, McKague,
      McKenzie, Pearce, Richardson, Schroeder, Siddoway, Stegner, Stennett,
      Werk
      NAYS -- None
      Absent and excused -- None
    Floor Sponsor - Stegner
    Title apvd - to enrol - Rpt enrol - Pres signed
03/26    Sp signed - to Governor
04/01    Governor signed
         Session Law Chapter 331
         Effective: 07/01/08

Bill Text




                                                                       
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-ninth Legislature                   Second Regular Session - 2008

                                                                       

                                       IN THE SENATE

                                    SENATE BILL NO. 1426

                              BY HEALTH AND WELFARE COMMITTEE

  1                                        AN ACT
  2    RELATING TO THE HOSPITALIZATION OF THE MENTALLY ILL; AMENDING SECTION  66-317,
  3        IDAHO CODE, TO REVISE DEFINITIONS; AMENDING SECTION 66-328, IDAHO CODE, TO
  4        PROVIDE THAT PROCEEDINGS FOR THE CARE OF MENTALLY ILL PERSONS SHALL BE HAD
  5        IN THE COUNTY WHERE SUCH PERSON RESIDES OR IN THE COUNTY WHERE SUCH PERSON
  6        IS  FOUND;  AMENDING SECTION 66-329, IDAHO CODE, TO MAKE TECHNICAL CORREC-
  7        TIONS, TO REVISE PROVISIONS RELATING TO VENUE, TO  PROVIDE  FOR  CONSIDER-
  8        ATION  OF  REASONABLE  ALTERNATIVES TO COMMITMENT, TO PROVIDE FOR OBSERVA-
  9        TION, CARE AND TREATMENT, TO PROVIDE FOR OUTPATIENT TREATMENT, TO  PROVIDE
 10        FOR  TRANSPORT  OF A COMMITTED PATIENT, TO PROVIDE FOR THE TRANSFER OF THE
 11        COMMITTED PATIENT FROM  OUTPATIENT  TREATMENT  TO  THE  LEAST  RESTRICTIVE
 12        AVAILABLE FACILITY ON AN INPATIENT BASIS, TO PROVIDE NOTICE OF SUCH TRANS-
 13        FER, TO PROVIDE FOR JUDICIAL REVIEW AND DETERMINATION, TO PROVIDE FOR SHOW
 14        CAUSE  ORDER AND TO LIMIT APPLICATION; AND REPEALING SECTION 66-338, IDAHO
 15        CODE, RELATING TO CONDITIONAL RELEASE, SECTION 66-339, IDAHO CODE,  RELAT-
 16        ING TO REHOSPITALIZATION OF PATIENTS CONDITIONALLY RELEASED FROM INPATIENT
 17        TREATMENT  FACILITIES, SECTION 66-339A, IDAHO CODE, RELATING TO OUTPATIENT
 18        COMMITMENT, SECTION 66-339B, IDAHO CODE, RELATING TO OUTPATIENT COMMITMENT
 19        HEARING, SECTION 66-339C, IDAHO CODE, RELATING TO NONCOMPLIANCE WITH COURT
 20        ORDER, AND SECTION 66-342, IDAHO CODE, RELATING TO CHANGE IN DISPOSITION.

 21    Be It Enacted by the Legislature of the State of Idaho:

 22        SECTION 1.  That Section 66-317, Idaho Code, be, and the  same  is  hereby
 23    amended to read as follows:

 24        66-317.  DEFINITIONS.  As  used in this chapter, terms shall have the fol-
 25    lowing meanings:
 26        (1)  "Department director" means the director of the state  department  of
 27    health and welfare.
 28        (2)  "Voluntary  patient"  means  an individual admitted to a facility for
 29    evaluation pursuant to section 18-211 or 20-520, Idaho Code, or admitted to  a
 30    facility for observation, diagnosis, evaluation, care or treatment pursuant to
 31    section 66-318, Idaho Code.
 32        (3)  "Involuntary  patient" means an individual committed pursuant to sec-
 33    tion 18-212, 66-329 or 66-1201, Idaho Code, or committed pursuant  to  section
 34    16-1619 or 20-520, Idaho Code, and admitted to a facility for the treatment of
 35    minors.
 36        (4)  "Licensed  physician"  means an individual licensed under the laws of
 37    this state to practice medicine or a medical officer of the government of  the
 38    United States while in this state in the performance of his official duties.
 39        (5)  "Designated examiner" means a psychiatrist, psychologist, psychiatric
 40    nurse,  or  social worker and such other mental health professionals as may be
 41    designated in accordance with rules promulgated pursuant to the provisions  of
 42    chapter 52, title 67, Idaho Code, by the department of health and welfare. Any
 43    person  designated  by  the department director will be specially qualified by

                                       2

  1    training and experience in the diagnosis and treatment of mental  or  mentally
  2    related illnesses or conditions.
  3        (6)  "Dispositioner" means a designated examiner employed by or under con-
  4    tract  with the department of health and welfare and designated by the depart-
  5    ment director  to determine the appropriate location for care and treatment of
  6    involuntary patients.
  7        (7)  "Facility" means any public or private hospital, sanatorium, institu-
  8    tion, mental health center or other organization designated in accordance with
  9    rules adopted by the board of health and  welfare  as  equipped  to  initially
 10    hold, evaluate, rehabilitate or to provide care or treatment, or both, for the
 11    mentally ill.
 12        (8)  "Lacks capacity to make informed decisions about treatment" means the
 13    inability, by reason of mental illness, to achieve a rudimentary understanding
 14    after  conscientious efforts at explanation of the purpose, nature, and possi-
 15    ble significant risks and benefits of treatment.
 16        (9)  "Inpatient treatment facility" means a facility in which an  individ-
 17    ual  receives  medical  and  mental  treatment  for not less than a continuous
 18    twenty-four (24) hour period.
 19        (10) "Supervised residential facility" means a facility,  other  than  the
 20    individual's  home, in which the individual lives and in which there lives, or
 21    are otherwise on duty during the  times  that  the  individual's  presence  is
 22    expected,  persons who are employed to supervise, direct, treat or monitor the
 23    individual.
 24        (11) "Likely to injure himself or others" means either:
 25        (a)  A substantial risk that physical harm will be inflicted by  the  pro-
 26        posed  patient upon his own person, as evidenced by threats or attempts to
 27        commit suicide or inflict physical harm on himself; or
 28        (b)  A substantial risk that physical harm will be inflicted by  the  pro-
 29        posed  patient upon another as evidenced by behavior which has caused such
 30        harm or which places another person or persons in reasonable fear of  sus-
 31        taining such harm; or
 32        (c)  A  substantial risk that, the proposed patient is so impaired that he
 33        lacks insight into his need for treatment and is unable  or  unwilling  to
 34        comply  with  treatment and that unless treated he will continue to physi-
 35        cally, emotionally or mentally deteriorate to the point  that  the  person
 36        will,  in  the  reasonably  near  future,  become a person described under
 37        either or both subsections (11)(a) or (11)(b) of this section.
 38        (12) "Mentally ill" means a person, who as a result of a substantial  dis-
 39    order  of  thought,  mood,  perception,  orientation, or memory, which grossly
 40    impairs judgment, behavior,  capacity  to  recognize  and  adapt  to  reality,
 41    requires care and treatment at a facility or through outpatient treatment.
 42        (13) "Gravely  disabled"  means a person who, as the result of mental ill-
 43    ness, is:
 44        (a)  Iin danger of serious physical harm due to the person's inability  to
 45        provide  for any of his own basic personal needs, for such as nourishment,
 46        or essential clothing, medical care, or shelter or safety; or
 47        (b)  So impaired that he is unable or unwilling to comply  with  treatment
 48        and  is unable to understand his need for treatment, to the point that, if
 49        left untreated, it will result in further deterioration  of  the  proposed
 50        patient's  physical,  mental  or emotional condition to the extent that he
 51        will, in the reasonably near future, become a person described in  subsec-
 52        tion (13)(a) of this section.
 53        (14) "Outpatient  commitment  treatment"  means  a court order directing a
 54    person to comply with specified mental  health  treatment,  requirements,  not
 55    involving the continuous supervision of a person in an inpatient setting, that

                                       3

  1    are is reasonably designed to alleviate or to reduce a person's mental illness
  2    or  disability, or to maintain or prevent deterioration of the person's physi-
  3    cal, mental or emotional functioning. The specified requirements Mental health
  4    services or treatment may include, but need not be  limited  to,  taking  pre-
  5    scribed  medication,  reporting  to  a  facility  to  permit monitoring of the
  6    person's condition, or participating in individual or  group  therapy.  or  in
  7    educational or vocational programs. Outpatient commitment may be up to one (1)
  8    year.
  9        (15) "Protection  and  advocacy system" means the agency designated by the
 10    governor as the state protection and advocacy system  pursuant  to  42  U.S.C.
 11    section 15043 and 42 U.S.C. sections 10801 et seq.
 12        (16) "Holding  proceedings  in  abeyance" means an alternative to judicial
 13    commitment based upon an agreement entered into by all parties, including  the
 14    proposed  patient,  and agreed to by the court, providing for voluntary condi-
 15    tions of treatment, which holds in a state of  suspension  or  inactivity  the
 16    petition for involuntary commitment.

 17        SECTION  2.  That  Section  66-328, Idaho Code, be, and the same is hereby
 18    amended to read as follows:

 19        66-328.  JURISDICTION OF PROCEEDINGS FOR COMMITMENT. Proceedings  for  the
 20    care  of mentally ill persons shall be had in the district court of the county
 21    where the person to be treated resides; except that such  proceedings  may  be
 22    had or in the district court of any other county of this state where such per-
 23    son  is  found.  upon the payment to such nonresident county by such residence
 24    county of such additional filing and hearing costs, and such reasonable  medi-
 25    cal  and  attorney  fees  or other fees as may be fixed by law or by the court
 26    where the proceedings are proposed to be had.

 27        SECTION 3.  That Section 66-329, Idaho Code, be, and the  same  is  hereby
 28    amended to read as follows:

 29        66-329.  COMMITMENT  TO  DEPARTMENT  DIRECTOR UPON COURT ORDER -- JUDICIAL
 30    PROCEDURE. (a1) Proceedings for the involuntary care and treatment of mentally
 31    ill persons by the department of health and welfare may be  commenced  by  the
 32    filing  of  a  written application with a court of competent jurisdiction by a
 33    friend, relative, spouse or guardian of the proposed patient, or by a licensed
 34    physician, prosecuting attorney, or other public official of  a  municipality,
 35    county or of the state of Idaho, or the director of any facility in which such
 36    patient may be.
 37        (b2)  The  application  shall state the name and last known address of the
 38    proposed patient; the name and address of either the spouse, guardian, next of
 39    kin or friend of the proposed patient; whether the  proposed  patient  can  be
 40    cared  for  privately  in the event commitment is not ordered; if the proposed
 41    patient is, at the time of the application, a voluntary patient;  whether  the
 42    proposed  patient  has  applied  for release pursuant to section 66-320, Idaho
 43    Code; and a simple and precise statement of the facts showing  that  the  pro-
 44    posed patient is mentally ill and either likely to injure himself or others or
 45    is gravely disabled due to mental illness.
 46        (c3)  Any such application shall be accompanied by a certificate of a des-
 47    ignated  examiner stating that he has personally examined the proposed patient
 48    within the last fourteen (14) days and is of the  opinion  that  the  proposed
 49    patient  is:  (i)  mentally ill; (ii) likely to injure himself or others or is
 50    gravely disabled due to mental illness;  and  (iii)  lacks  capacity  to  make
 51    informed  decisions  about  treatment, or a written statement by the applicant

                                       4

  1    that the proposed patient has refused to submit to examination by a designated
  2    examiner.
  3        (d4)  Upon receipt of an application for commitment,  the  court    shall,
  4    within  forty-eight  (48)  hours appoint another designated examiner to make a
  5    personal examination of the proposed patient or if the  proposed  patient  has
  6    not  been  examined,  the  court shall appoint two (2) designated examiners to
  7    make individual personal examinations of the proposed patient  and  may  order
  8    the  proposed patient to submit to an immediate examination. If neither desig-
  9    nated examiner is a physician, the court shall order a physical examination of
 10    the proposed patient. At least one (1) designated examiner shall be a psychia-
 11    trist, licensed physician or licensed psychologist. The  designated  examiners
 12    shall report to the court their findings within the following seventy-two (72)
 13    hours as to the mental condition of the proposed patient and his need for cus-
 14    tody,  care,  or  treatment by a facility. The reports shall be in the form of
 15    written certificates which shall be filed with the court. The court may termi-
 16    nate the proceedings and dismiss the application without  taking  any  further
 17    action  in the event the reports of the designated examiners are to the effect
 18    that the proposed patient is not mentally ill or, although  mentally  ill,  is
 19    not  likely to injure himself or others or is not gravely disabled due to men-
 20    tal illness. If the proceedings are terminated, the proposed patient shall  be
 21    released immediately.
 22        (e5)  If  the  designated  examiner's certificate states a belief that the
 23    proposed patient is mentally ill and either likely to injure himself or others
 24    or is gravely disabled due to mental illness, the judge of  such  court  shall
 25    issue an order authorizing any health officer, peace officer, or director of a
 26    facility  to take the proposed patient to a facility in the community in which
 27    the proposed patient is residing or to the nearest facility to await the hear-
 28    ing and for good cause may authorize treatment during such period  subject  to
 29    the  provisions  of  section  66-346(a)(4), Idaho Code. Under no circumstances
 30    shall the proposed patient be detained in  a  nonmedical  unit  used  for  the
 31    detention of individuals charged with or convicted of penal offenses.
 32        (f6)  Upon  receipt  of such application and designated examiners' reports
 33    the court shall appoint a time and place for hearing not more than  seven  (7)
 34    days from the receipt of such designated examiners' reports and thereupon give
 35    written  notice of such time and place of such hearing together with a copy of
 36    the application, designated examiner's certificates, and notice  of  the  pro-
 37    posed  patient's right to be represented by an attorney, or if indigent, to be
 38    represented by a court-appointed attorney, to the applicant, to  the  proposed
 39    patient,  to  the  proposed patient's spouse, guardian, next of kin or friend.
 40    With the consent of the proposed patient and his attorney, the hearing may  be
 41    held  immediately.  Upon  motion  of the proposed patient and attorney and for
 42    good cause shown, the court may continue the hearing up to an additional four-
 43    teen (14) days during which time, for good cause shown, the court may  author-
 44    ize treatment.
 45        (g7)  An  opportunity  to  be  represented by counsel shall be afforded to
 46    every proposed patient, and if neither the proposed patient nor others provide
 47    counsel, the court shall appoint counsel in accordance with chapter  8,  title
 48    19,  Idaho  Code,  no  later  than the time the application is received by the
 49    court.
 50        (h8)  If the involuntary detention was commenced under this section,  tThe
 51    hearing  shall  be held at a facility, at the home of the proposed patient, or
 52    at any other suitable place not likely to have a harmful effect  on  the  pro-
 53    posed  patient's  physical or mental health. Venue for the hearing shall be in
 54    the county of residence of the proposed patient, unless the patient waives the
 55    right to have venue fixed there or in the county where  the  proposed  patient

                                       5

  1    was found immediately prior to commencement of such proceedings.
  2        (i9)  In all proceedings under this section, any existing provision of the
  3    law prohibiting the disclosure of confidential communications between the des-
  4    ignated examiner and proposed patient shall not apply and any designated exam-
  5    iner who shall have examined the proposed patient shall be a competent witness
  6    to testify as to the proposed patient's condition.
  7        (j10) The  proposed  patient, the applicant, and any other persons to whom
  8    notice is required to be given shall be afforded an opportunity to  appear  at
  9    the  hearing, to testify, and to present and cross-examine witnesses. The pro-
 10    posed patient shall be required to be present at the hearing unless the  court
 11    determines  that  the mental or physical state of the proposed patient is such
 12    that his presence  at  the  hearing  would  be  detrimental  to  the  proposed
 13    patient's health or would unduly disrupt the proceedings. A record of the pro-
 14    ceedings  shall be made as for other civil hearings. The hearing shall be con-
 15    ducted in as informal a manner as may be consistent  with  orderly  procedure.
 16    The court shall receive all relevant and material evidence consistent with the
 17    rules of evidence.
 18        (k11) If,  upon completion of the hearing and consideration of the record,
 19    and after consideration of reasonable alternatives including, but not  limited
 20    to,  holding  the  proceedings  in  abeyance for a period of up to thirty (30)
 21    days, the court finds by clear  and  convincing  evidence  that  the  proposed
 22    patient:
 23        (1a)  is mentally ill; and
 24        (2b)  is,  because  of such condition, likely to injure himself or others,
 25        or is gravely disabled due to mental illness;
 26    the court shall order the proposed patient committed to  the  custody  of  the
 27    department  director  for observation, care and treatment for an indeterminate
 28    period of time not to exceed one (1) year. The  department  director,  through
 29    his  dispositioner,  shall  determine  within twenty-four (24) hours the least
 30    restrictive available facility or outpatient treatment,  consistent  with  the
 31    needs  of each patient committed under this section for observation, care, and
 32    treatment.
 33        (12)  The commitment order constitutes a continuing authorization for  the
 34    department  of health and welfare, law enforcement, or director of a facility,
 35    upon request of the director of the outpatient facility, the physician, or the
 36    department director  through  his  dispositioner,  to  transport  a  committed
 37    patient  to  designated outpatient treatment for the purpose of making reason-
 38    able efforts to obtain the committed patient's compliance with the  terms  and
 39    conditions  of outpatient treatment.  If the director of the outpatient facil-
 40    ity,  the  treating  physician,  or  the  department  director   through   his
 41    dispositioner determines any of the following:
 42        (a)  The  patient is failing to adhere to the terms and conditions of out-
 43        patient treatment or the patient refuses outpatient treatment  after  rea-
 44        sonable efforts at compliance have been made; or
 45        (b)  Outpatient  treatment  is not effective after reasonable efforts have
 46        been made;
 47    the department director through his dispositioner shall  cause  the  committed
 48    patient  to  be  transported  by  the  department  of  health and welfare, law
 49    enforcement, or director of a facility  to  the  least  restrictive  available
 50    facility  for  observation,  care  and treatment on an inpatient basis. Within
 51    forty-eight (48) hours of  a  committed  patient's  transfer  from  outpatient
 52    treatment  to  a  facility  for  inpatient  treatment, the department director
 53    through his dispositioner shall notify the court that originally  ordered  the
 54    commitment,  the  committed  patient's  attorney,  and  either  the  committed
 55    patient's  spouse, guardian, adult next of kin or friend of the change in dis-

                                       6

  1    position and provide a detailed affidavit reciting the facts and circumstances
  2    supporting the transfer from outpatient treatment to inpatient treatment at  a
  3    facility. The court shall conduct an ex parte review of the notice and affida-
  4    vit  within  forty-eight (48) hours of filing and determine whether the change
  5    in disposition from outpatient treatment to inpatient treatment at a  facility
  6    is  supported  by  probable cause. In no event shall the calculation of forty-
  7    eight (48) hours provided for in this  subsection  include  holidays  formally
  8    recognized  and  observed  by  the  state  of Idaho, nor shall the calculation
  9    include weekends. If the court determines  that  probable  cause  exists,  the
 10    department  director  through  his  dispositioner shall continue with care and
 11    treatment on an inpatient basis at the least restrictive  available  facility.
 12    Within  twenty-four (24) hours of a finding of probable cause, the court shall
 13    issue a show cause order to the committed  patient,  the  committed  patient's
 14    attorney  and  either  the committed patient's spouse, guardian, adult next of
 15    kin, or friend to submit to the court sufficient reasons not to find  probable
 16    cause.  In  no  event shall the calculation of twenty-four (24) hours provided
 17    for in this subsection include holidays formally recognized  and  observed  by
 18    the  state  of  Idaho,  nor  shall the calculation include weekends. The court
 19    shall rule upon such show cause order within fifteen (15) days of issuance. If
 20    the court determines that a change in disposition from outpatient treatment to
 21    inpatient treatment is not supported by probable cause, the department  direc-
 22    tor  through  his dispositioner will continue with outpatient treatment on the
 23    same or modified terms and conditions.  Nothing provided in this section shall
 24    limit the authority of any law enforcement officer to detain a patient  pursu-
 25    ant to the emergency authority conferred by section 66-326, Idaho Code.
 26        (l13)  Nothing  in  this  chapter  or in any rule adopted pursuant thereto
 27    shall be construed to authorize the detention or involuntary  admission  to  a
 28    hospital or other facility of an individual who:
 29        (1a)  hHas  epilepsy,  a  developmental disability, a physical disability,
 30        mental retardation, is impaired by chronic alcoholism or  drug  abuse,  or
 31        aged, unless in addition to such condition, such person is mentally ill;
 32        (2b)  iIs  a  patient  under  treatment  by spiritual means alone, through
 33        prayer, in accordance with the tenets and practices of a recognized church
 34        or religious denomination by a duly accredited  practitioner  thereof  and
 35        who  asserts  to  any  authority attempting to detain him that he is under
 36        such treatment and who gives the name of a practitioner so treating him to
 37        such authority; or
 38        (3c)  cCan be properly cared for privately with the help  of  willing  and
 39        able  family or friends, and provided, that such person may be detained or
 40        involuntarily admitted if such person is mentally ill and presents a  sub-
 41        stantial  risk of injury to himself or others if allowed to remain at lib-
 42        erty.
 43        (m14)  The order of commitment shall state whether  the  proposed  patient
 44    lacks  capacity  to  make  informed  decisions  about  treatment, the name and
 45    address of the patient's attorney and either the patient's  spouse,  guardian,
 46    adult next of kin, or friend.
 47        (n15)  If  the  patient  has  no spouse or guardian and if the patient has
 48    property which may not be cared for pursuant to chapter  5,  title  66,  Idaho
 49    Code,  or by the patient while confined at a facility, the court shall appoint
 50    a guardian ad litem for the purpose of preserving the patient's estate,  pend-
 51    ing further guardianship or conservatorship proceedings.
 52        (o16)  The  commitment  shall  continue until the commitment is terminated
 53    and shall be unaffected by the patient's conditional release or change in dis-
 54    position.

                                       7

  1        SECTION 4.  That Sections 66-338, 66-339, 66-339A,  66-339B,  66-339C  and
  2    66-342, Idaho Code, be, and the same are hereby repealed.

Amendment




                                                                       
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-ninth Legislature                   Second Regular Session - 2008

                                                                       

                                                     Moved by    Henbest

                                                     Seconded by Rusche


                              IN THE HOUSE OF REPRESENTATIVES
                              HOUSE AMENDMENT TO S.B. NO. 1426


  1                               AMENDMENTS TO SECTION 1
  2        On page 2 of the printed bill, delete lines 32 through 37 and insert:
  3        "(c)  The proposed patient lacks insight into his need for  treatment  and
  4        is  unable or unwilling to comply with treatment and, based on his psychi-
  5        atric history, clinical observation or other clinical evidence, if he does
  6        not receive and comply with treatment, there is a substantial risk he will
  7        continue to physically, emotionally or mentally deteriorate to  the  point
  8        that the person will, in the reasonably near future, inflict physical harm
  9        on himself or another person.";
 10    and delete lines 47 through 52 and insert:
 11        "(b)  Lacking insight into his need for treatment and is unable or unwill-
 12        ing to comply with treatment and, based on his psychiatric history, clini-
 13        cal  observation  or  other  clinical evidence, if he does not receive and
 14        comply with treatment, there is a substantial risk  he  will  continue  to
 15        physically, emotionally or mentally deteriorate to the point that the per-
 16        son  will, in the reasonably near future, be in danger of serious physical
 17        harm due to the person's inability to provide for any  of  his  own  basic
 18        personal  needs  such  as  nourishment,  essential clothing, medical care,
 19        shelter or safety.".

 20                               AMENDMENTS TO SECTION 3
 21        On page 6, delete lines 12 through 15, and in line 16, delete "cause"  and
 22    insert:  "Within  twenty-four  (24)  hours of a finding of probable cause, the
 23    court shall issue an order to show cause why the patient  does  not  meet  the
 24    conditions  in  subsection (12)(a) or (12)(b) of this section. The order shall
 25    be served on the committed  patient,  the  committed  patient's  attorney  and
 26    either  the committed patient's spouse, guardian, adult next of kin or friend.
 27    The patient shall have fifteen (15) days to present evidence that  the  condi-
 28    tions  in subsection (12)(a) or (12)(b) of this section have not been met"; in
 29    lines 18 and 19, delete "The court shall  rule  upon  such  show  cause  order
 30    within  fifteen  (15)  days of issuance."; and in line 21, delete "is not sup-
 31    ported by probable cause" and insert: "does not meet the conditions in subsec-
 32    tion (12)(a) or (12)(b) of this section".

Engrossed Bill (Original Bill with Amendment(s) Incorporated)




                                                                       
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-ninth Legislature                   Second Regular Session - 2008

                                                                       

                                       IN THE SENATE

                       SENATE BILL NO. 1426, As Amended in the House

                              BY HEALTH AND WELFARE COMMITTEE

  1                                        AN ACT
  2    RELATING TO THE HOSPITALIZATION OF THE MENTALLY ILL; AMENDING SECTION  66-317,
  3        IDAHO CODE, TO REVISE DEFINITIONS; AMENDING SECTION 66-328, IDAHO CODE, TO
  4        PROVIDE THAT PROCEEDINGS FOR THE CARE OF MENTALLY ILL PERSONS SHALL BE HAD
  5        IN THE COUNTY WHERE SUCH PERSON RESIDES OR IN THE COUNTY WHERE SUCH PERSON
  6        IS  FOUND;  AMENDING SECTION 66-329, IDAHO CODE, TO MAKE TECHNICAL CORREC-
  7        TIONS, TO REVISE PROVISIONS RELATING TO VENUE, TO  PROVIDE  FOR  CONSIDER-
  8        ATION  OF  REASONABLE  ALTERNATIVES TO COMMITMENT, TO PROVIDE FOR OBSERVA-
  9        TION, CARE AND TREATMENT, TO PROVIDE FOR OUTPATIENT TREATMENT, TO  PROVIDE
 10        FOR  TRANSPORT  OF A COMMITTED PATIENT, TO PROVIDE FOR THE TRANSFER OF THE
 11        COMMITTED PATIENT FROM  OUTPATIENT  TREATMENT  TO  THE  LEAST  RESTRICTIVE
 12        AVAILABLE FACILITY ON AN INPATIENT BASIS, TO PROVIDE NOTICE OF SUCH TRANS-
 13        FER, TO PROVIDE FOR JUDICIAL REVIEW AND DETERMINATION, TO PROVIDE FOR SHOW
 14        CAUSE  ORDER AND TO LIMIT APPLICATION; AND REPEALING SECTION 66-338, IDAHO
 15        CODE, RELATING TO CONDITIONAL RELEASE, SECTION 66-339, IDAHO CODE,  RELAT-
 16        ING TO REHOSPITALIZATION OF PATIENTS CONDITIONALLY RELEASED FROM INPATIENT
 17        TREATMENT  FACILITIES, SECTION 66-339A, IDAHO CODE, RELATING TO OUTPATIENT
 18        COMMITMENT, SECTION 66-339B, IDAHO CODE, RELATING TO OUTPATIENT COMMITMENT
 19        HEARING, SECTION 66-339C, IDAHO CODE, RELATING TO NONCOMPLIANCE WITH COURT
 20        ORDER, AND SECTION 66-342, IDAHO CODE, RELATING TO CHANGE IN DISPOSITION.

 21    Be It Enacted by the Legislature of the State of Idaho:

 22        SECTION 1.  That Section 66-317, Idaho Code, be, and the  same  is  hereby
 23    amended to read as follows:

 24        66-317.  DEFINITIONS.  As  used in this chapter, terms shall have the fol-
 25    lowing meanings:
 26        (1)  "Department director" means the director of the state  department  of
 27    health and welfare.
 28        (2)  "Voluntary  patient"  means  an individual admitted to a facility for
 29    evaluation pursuant to section 18-211 or 20-520, Idaho Code, or admitted to  a
 30    facility for observation, diagnosis, evaluation, care or treatment pursuant to
 31    section 66-318, Idaho Code.
 32        (3)  "Involuntary  patient" means an individual committed pursuant to sec-
 33    tion 18-212, 66-329 or 66-1201, Idaho Code, or committed pursuant  to  section
 34    16-1619 or 20-520, Idaho Code, and admitted to a facility for the treatment of
 35    minors.
 36        (4)  "Licensed  physician"  means an individual licensed under the laws of
 37    this state to practice medicine or a medical officer of the government of  the
 38    United States while in this state in the performance of his official duties.
 39        (5)  "Designated examiner" means a psychiatrist, psychologist, psychiatric
 40    nurse,  or  social worker and such other mental health professionals as may be
 41    designated in accordance with rules promulgated pursuant to the provisions  of
 42    chapter 52, title 67, Idaho Code, by the department of health and welfare. Any
 43    person  designated  by  the department director will be specially qualified by

                                       2

  1    training and experience in the diagnosis and treatment of mental  or  mentally
  2    related illnesses or conditions.
  3        (6)  "Dispositioner" means a designated examiner employed by or under con-
  4    tract  with the department of health and welfare and designated by the depart-
  5    ment director  to determine the appropriate location for care and treatment of
  6    involuntary patients.
  7        (7)  "Facility" means any public or private hospital, sanatorium, institu-
  8    tion, mental health center or other organization designated in accordance with
  9    rules adopted by the board of health and  welfare  as  equipped  to  initially
 10    hold, evaluate, rehabilitate or to provide care or treatment, or both, for the
 11    mentally ill.
 12        (8)  "Lacks capacity to make informed decisions about treatment" means the
 13    inability, by reason of mental illness, to achieve a rudimentary understanding
 14    after  conscientious efforts at explanation of the purpose, nature, and possi-
 15    ble significant risks and benefits of treatment.
 16        (9)  "Inpatient treatment facility" means a facility in which an  individ-
 17    ual  receives  medical  and  mental  treatment  for not less than a continuous
 18    twenty-four (24) hour period.
 19        (10) "Supervised residential facility" means a facility,  other  than  the
 20    individual's  home, in which the individual lives and in which there lives, or
 21    are otherwise on duty during the  times  that  the  individual's  presence  is
 22    expected,  persons who are employed to supervise, direct, treat or monitor the
 23    individual.
 24        (11) "Likely to injure himself or others" means either:
 25        (a)  A substantial risk that physical harm will be inflicted by  the  pro-
 26        posed  patient upon his own person, as evidenced by threats or attempts to
 27        commit suicide or inflict physical harm on himself; or
 28        (b)  A substantial risk that physical harm will be inflicted by  the  pro-
 29        posed  patient upon another as evidenced by behavior which has caused such
 30        harm or which places another person or persons in reasonable fear of  sus-
 31        taining such harm; or
 32        (c)  The proposed patient lacks insight into his need for treatment and is
 33        unable or unwilling to comply with treatment and, based on his psychiatric
 34        history,  clinical  observation or other clinical evidence, if he does not
 35        receive and comply with treatment, there is a  substantial  risk  he  will
 36        continue  to  physically, emotionally or mentally deteriorate to the point
 37        that the person will, in the reasonably near future, inflict physical harm
 38        on himself or another person.
 39        (12) "Mentally ill" means a person, who as a result of a substantial  dis-
 40    order  of  thought,  mood,  perception,  orientation, or memory, which grossly
 41    impairs judgment, behavior,  capacity  to  recognize  and  adapt  to  reality,
 42    requires care and treatment at a facility or through outpatient treatment.
 43        (13) "Gravely  disabled"  means a person who, as the result of mental ill-
 44    ness, is:
 45        (a)  Iin danger of serious physical harm due to the person's inability  to
 46        provide  for any of his own basic personal needs, for such as nourishment,
 47        or essential clothing, medical care, or shelter or safety; or
 48        (b)  Lacking insight into his need for treatment and is unable or  unwill-
 49        ing to comply with treatment and, based on his psychiatric history, clini-
 50        cal  observation  or  other  clinical evidence, if he does not receive and
 51        comply with treatment, there is a substantial risk  he  will  continue  to
 52        physically, emotionally or mentally deteriorate to the point that the per-
 53        son  will, in the reasonably near future, be in danger of serious physical
 54        harm due to the person's inability to provide for any  of  his  own  basic
 55        personal  needs  such  as  nourishment,  essential clothing, medical care,

                                       3

  1        shelter or safety.
  2        (14) "Outpatient commitment treatment" means a  court  order  directing  a
  3    person  to  comply  with  specified mental health treatment, requirements, not
  4    involving the continuous supervision of a person in an inpatient setting, that
  5    are is reasonably designed to alleviate or to reduce a person's mental illness
  6    or disability, or to maintain or prevent deterioration of the person's  physi-
  7    cal, mental or emotional functioning. The specified requirements Mental health
  8    services  or  treatment  may  include, but need not be limited to, taking pre-
  9    scribed medication, reporting to  a  facility  to  permit  monitoring  of  the
 10    person's  condition,  or  participating  in individual or group therapy. or in
 11    educational or vocational programs. Outpatient commitment may be up to one (1)
 12    year.
 13        (15) "Protection and advocacy system" means the agency designated  by  the
 14    governor  as  the  state  protection and advocacy system pursuant to 42 U.S.C.
 15    section 15043 and 42 U.S.C. sections 10801 et seq.
 16        (16) "Holding proceedings in abeyance" means an  alternative  to  judicial
 17    commitment  based upon an agreement entered into by all parties, including the
 18    proposed patient, and agreed to by the court, providing for  voluntary  condi-
 19    tions  of  treatment,  which  holds in a state of suspension or inactivity the
 20    petition for involuntary commitment.

 21        SECTION 2.  That Section 66-328, Idaho Code, be, and the  same  is  hereby
 22    amended to read as follows:

 23        66-328.  JURISDICTION  OF  PROCEEDINGS FOR COMMITMENT. Proceedings for the
 24    care of mentally ill persons shall be had in the district court of the  county
 25    where  the  person  to be treated resides; except that such proceedings may be
 26    had or in the district court of any other county of this state where such per-
 27    son is found. upon the payment to such nonresident county  by  such  residence
 28    county  of such additional filing and hearing costs, and such reasonable medi-
 29    cal and attorney fees or other fees as may be fixed by law  or  by  the  court
 30    where the proceedings are proposed to be had.

 31        SECTION  3.  That  Section  66-329, Idaho Code, be, and the same is hereby
 32    amended to read as follows:

 33        66-329.  COMMITMENT TO DEPARTMENT DIRECTOR UPON COURT  ORDER  --  JUDICIAL
 34    PROCEDURE. (a1) Proceedings for the involuntary care and treatment of mentally
 35    ill  persons  by  the department of health and welfare may be commenced by the
 36    filing of a written application with a court of competent  jurisdiction  by  a
 37    friend, relative, spouse or guardian of the proposed patient, or by a licensed
 38    physician,  prosecuting  attorney, or other public official of a municipality,
 39    county or of the state of Idaho, or the director of any facility in which such
 40    patient may be.
 41        (b2)  The application shall state the name and last known address  of  the
 42    proposed patient; the name and address of either the spouse, guardian, next of
 43    kin  or  friend  of  the proposed patient; whether the proposed patient can be
 44    cared for privately in the event commitment is not ordered;  if  the  proposed
 45    patient  is,  at the time of the application, a voluntary patient; whether the
 46    proposed patient has applied for release pursuant  to  section  66-320,  Idaho
 47    Code;  and  a  simple and precise statement of the facts showing that the pro-
 48    posed patient is mentally ill and either likely to injure himself or others or
 49    is gravely disabled due to mental illness.
 50        (c3)  Any such application shall be accompanied by a certificate of a des-
 51    ignated examiner stating that he has personally examined the proposed  patient

                                       4

  1    within  the  last  fourteen  (14) days and is of the opinion that the proposed
  2    patient is: (i) mentally ill; (ii) likely to injure himself or  others  or  is
  3    gravely  disabled  due  to  mental  illness;  and (iii) lacks capacity to make
  4    informed decisions about treatment, or a written statement  by  the  applicant
  5    that the proposed patient has refused to submit to examination by a designated
  6    examiner.
  7        (d4)  Upon  receipt  of  an  application for commitment, the court  shall,
  8    within forty-eight (48) hours appoint another designated examiner  to  make  a
  9    personal  examination  of  the proposed patient or if the proposed patient has
 10    not been examined, the court shall appoint two  (2)  designated  examiners  to
 11    make  individual  personal  examinations of the proposed patient and may order
 12    the proposed patient to submit to an immediate examination. If neither  desig-
 13    nated examiner is a physician, the court shall order a physical examination of
 14    the proposed patient. At least one (1) designated examiner shall be a psychia-
 15    trist,  licensed  physician or licensed psychologist. The designated examiners
 16    shall report to the court their findings within the following seventy-two (72)
 17    hours as to the mental condition of the proposed patient and his need for cus-
 18    tody, care, or treatment by a facility. The reports shall be in  the  form  of
 19    written certificates which shall be filed with the court. The court may termi-
 20    nate  the  proceedings  and dismiss the application without taking any further
 21    action in the event the reports of the designated examiners are to the  effect
 22    that  the  proposed  patient is not mentally ill or, although mentally ill, is
 23    not likely to injure himself or others or is not gravely disabled due to  men-
 24    tal  illness. If the proceedings are terminated, the proposed patient shall be
 25    released immediately.
 26        (e5)  If the designated examiner's certificate states a  belief  that  the
 27    proposed patient is mentally ill and either likely to injure himself or others
 28    or  is  gravely  disabled due to mental illness, the judge of such court shall
 29    issue an order authorizing any health officer, peace officer, or director of a
 30    facility to take the proposed patient to a facility in the community in  which
 31    the proposed patient is residing or to the nearest facility to await the hear-
 32    ing  and  for good cause may authorize treatment during such period subject to
 33    the provisions of section 66-346(a)(4), Idaho  Code.  Under  no  circumstances
 34    shall  the  proposed  patient  be  detained  in a nonmedical unit used for the
 35    detention of individuals charged with or convicted of penal offenses.
 36        (f6)  Upon receipt of such application and designated  examiners'  reports
 37    the  court  shall appoint a time and place for hearing not more than seven (7)
 38    days from the receipt of such designated examiners' reports and thereupon give
 39    written notice of such time and place of such hearing together with a copy  of
 40    the  application,  designated  examiner's certificates, and notice of the pro-
 41    posed patient's right to be represented by an attorney, or if indigent, to  be
 42    represented  by  a court-appointed attorney, to the applicant, to the proposed
 43    patient, to the proposed patient's spouse, guardian, next of  kin  or  friend.
 44    With  the consent of the proposed patient and his attorney, the hearing may be
 45    held immediately. Upon motion of the proposed patient  and  attorney  and  for
 46    good cause shown, the court may continue the hearing up to an additional four-
 47    teen  (14) days during which time, for good cause shown, the court may author-
 48    ize treatment.
 49        (g7)  An opportunity to be represented by counsel  shall  be  afforded  to
 50    every proposed patient, and if neither the proposed patient nor others provide
 51    counsel,  the  court shall appoint counsel in accordance with chapter 8, title
 52    19, Idaho Code, no later than the time the  application  is  received  by  the
 53    court.
 54        (h8)  If  the involuntary detention was commenced under this section, tThe
 55    hearing shall be held at a facility, at the home of the proposed  patient,  or

                                       5

  1    at  any  other  suitable place not likely to have a harmful effect on the pro-
  2    posed patient's physical or mental health. Venue for the hearing shall  be  in
  3    the county of residence of the proposed patient, unless the patient waives the
  4    right  to  have  venue fixed there or in the county where the proposed patient
  5    was found immediately prior to commencement of such proceedings.
  6        (i9)  In all proceedings under this section, any existing provision of the
  7    law prohibiting the disclosure of confidential communications between the des-
  8    ignated examiner and proposed patient shall not apply and any designated exam-
  9    iner who shall have examined the proposed patient shall be a competent witness
 10    to testify as to the proposed patient's condition.
 11        (j10) The proposed patient, the applicant, and any other persons  to  whom
 12    notice  is  required to be given shall be afforded an opportunity to appear at
 13    the hearing, to testify, and to present and cross-examine witnesses. The  pro-
 14    posed  patient shall be required to be present at the hearing unless the court
 15    determines that the mental or physical state of the proposed patient  is  such
 16    that  his  presence  at  the  hearing  would  be  detrimental  to the proposed
 17    patient's health or would unduly disrupt the proceedings. A record of the pro-
 18    ceedings shall be made as for other civil hearings. The hearing shall be  con-
 19    ducted  in  as  informal a manner as may be consistent with orderly procedure.
 20    The court shall receive all relevant and material evidence consistent with the
 21    rules of evidence.
 22        (k11) If, upon completion of the hearing and consideration of the  record,
 23    and  after consideration of reasonable alternatives including, but not limited
 24    to, holding the proceedings in abeyance for a period  of  up  to  thirty  (30)
 25    days,  the  court  finds  by  clear  and convincing evidence that the proposed
 26    patient:
 27        (1a)  is mentally ill; and
 28        (2b)  is, because of such condition, likely to injure himself  or  others,
 29        or is gravely disabled due to mental illness;
 30    the  court  shall  order  the proposed patient committed to the custody of the
 31    department director for observation, care and treatment for  an  indeterminate
 32    period  of  time  not to exceed one (1) year. The department director, through
 33    his dispositioner, shall determine within twenty-four  (24)  hours  the  least
 34    restrictive  available  facility  or outpatient treatment, consistent with the
 35    needs of each patient committed under this section for observation, care,  and
 36    treatment.
 37        (12)  The  commitment order constitutes a continuing authorization for the
 38    department of health and welfare, law enforcement, or director of a  facility,
 39    upon request of the director of the outpatient facility, the physician, or the
 40    department  director  through  his  dispositioner,  to  transport  a committed
 41    patient to designated outpatient treatment for the purpose of  making  reason-
 42    able  efforts  to obtain the committed patient's compliance with the terms and
 43    conditions of outpatient treatment.  If the director of the outpatient  facil-
 44    ity,   the   treating  physician,  or  the  department  director  through  his
 45    dispositioner determines any of the following:
 46        (a)  The patient is failing to adhere to the terms and conditions of  out-
 47        patient  treatment  or the patient refuses outpatient treatment after rea-
 48        sonable efforts at compliance have been made; or
 49        (b)  Outpatient treatment is not effective after reasonable  efforts  have
 50        been made;
 51    the  department  director  through his dispositioner shall cause the committed
 52    patient to be transported  by  the  department  of  health  and  welfare,  law
 53    enforcement,  or  director  of  a  facility to the least restrictive available
 54    facility for observation, care and treatment on  an  inpatient  basis.  Within
 55    forty-eight  (48)  hours  of  a  committed  patient's transfer from outpatient

                                       6

  1    treatment to a facility  for  inpatient  treatment,  the  department  director
  2    through  his  dispositioner shall notify the court that originally ordered the
  3    commitment,  the  committed  patient's  attorney,  and  either  the  committed
  4    patient's spouse, guardian, adult next of kin or friend of the change in  dis-
  5    position and provide a detailed affidavit reciting the facts and circumstances
  6    supporting  the transfer from outpatient treatment to inpatient treatment at a
  7    facility. The court shall conduct an ex parte review of the notice and affida-
  8    vit within forty-eight (48) hours of filing and determine whether  the  change
  9    in  disposition from outpatient treatment to inpatient treatment at a facility
 10    is supported by probable cause. In no event shall the  calculation  of  forty-
 11    eight  (48)  hours  provided  for in this subsection include holidays formally
 12    recognized and observed by the state  of  Idaho,  nor  shall  the  calculation
 13    include  weekends.  If  the  court  determines that probable cause exists, the
 14    department director through his dispositioner shall  continue  with  care  and
 15    treatment  on  an inpatient basis at the least restrictive available facility.
 16    Within twenty-four (24) hours of a finding of probable cause, the court  shall
 17    issue  an  order to show cause why the patient does not meet the conditions in
 18    subsection (12)(a) or (12)(b) of this section. The order shall  be  served  on
 19    the committed patient, the committed patient's attorney and either the commit-
 20    ted patient's spouse, guardian, adult next of kin or friend. The patient shall
 21    have  fifteen  (15) days to present evidence that the conditions in subsection
 22    (12)(a) or (12)(b) of this section have not been met. In no  event  shall  the
 23    calculation  of twenty-four (24) hours provided for in this subsection include
 24    holidays formally recognized and observed by the state of Idaho, nor shall the
 25    calculation include weekends. If the court determines that a change in  dispo-
 26    sition from outpatient treatment to inpatient treatment does not meet the con-
 27    ditions  in  subsection  (12)(a)  or  (12)(b)  of this section, the department
 28    director through his dispositioner will continue with outpatient treatment  on
 29    the  same  or  modified terms and conditions. Nothing provided in this section
 30    shall limit the authority of any law enforcement officer to detain  a  patient
 31    pursuant to the emergency authority conferred by section 66-326, Idaho Code.
 32        (l13)  Nothing  in  this  chapter  or in any rule adopted pursuant thereto
 33    shall be construed to authorize the detention or involuntary  admission  to  a
 34    hospital or other facility of an individual who:
 35        (1a)  hHas  epilepsy,  a  developmental disability, a physical disability,
 36        mental retardation, is impaired by chronic alcoholism or  drug  abuse,  or
 37        aged, unless in addition to such condition, such person is mentally ill;
 38        (2b)  iIs  a  patient  under  treatment  by spiritual means alone, through
 39        prayer, in accordance with the tenets and practices of a recognized church
 40        or religious denomination by a duly accredited  practitioner  thereof  and
 41        who  asserts  to  any  authority attempting to detain him that he is under
 42        such treatment and who gives the name of a practitioner so treating him to
 43        such authority; or
 44        (3c)  cCan be properly cared for privately with the help  of  willing  and
 45        able  family or friends, and provided, that such person may be detained or
 46        involuntarily admitted if such person is mentally ill and presents a  sub-
 47        stantial  risk of injury to himself or others if allowed to remain at lib-
 48        erty.
 49        (m14)  The order of commitment shall state whether  the  proposed  patient
 50    lacks  capacity  to  make  informed  decisions  about  treatment, the name and
 51    address of the patient's attorney and either the patient's  spouse,  guardian,
 52    adult next of kin, or friend.
 53        (n15)  If  the  patient  has  no spouse or guardian and if the patient has
 54    property which may not be cared for pursuant to chapter  5,  title  66,  Idaho
 55    Code,  or by the patient while confined at a facility, the court shall appoint

                                       7

  1    a guardian ad litem for the purpose of preserving the patient's estate,  pend-
  2    ing further guardianship or conservatorship proceedings.
  3        (o16)  The  commitment  shall  continue until the commitment is terminated
  4    and shall be unaffected by the patient's conditional release or change in dis-
  5    position.

  6        SECTION 4.  That Sections 66-338, 66-339, 66-339A,  66-339B,  66-339C  and
  7    66-342, Idaho Code, be, and the same are hereby repealed.

Statement of Purpose / Fiscal Impact


                      STATEMENT OF PURPOSE

                            RS 17896
                                
This legislation is the recommendation of the Sub-Committee on
Mental Health of the Health Care Task Force and is the result of
a study of the involuntary commitment statutes of Idaho.  The
Sub-Committee on Mental Health held hearings and took testimony
this past year on the status of the involuntary commitment
process and laws in Idaho and determined that, for the most part,
they were not in need of any major overhaul.  

This legislation makes adjustments to the involuntary commitment
process in an attempt to improve identified deficiencies.  The
changes are as follows:
     
     Definitions of "Likely to Injure Himself or Others" and
"Gravely Disabled"
     Section 1. (Page 2, lines 32-37, lines 47-52) 
     In involuntary mental health commitment proceedings, before
ordering that an individual be involuntarily committed, a court
must find that the individual is mentally ill and, because of
such mental illness, is "likely to injure himself or others",or
is "gravely disabled" due to mental illness.  These changes
permit a court to consider the capacity of a proposed patient to
comprehend his need for treatment and his willingness or ability
to comply with a treatment order.  With these changes in
definitions, the court may consider whether the proposed patient
is so impaired that he is incapable of recognizing his need for
treatment, and if left untreated, will the proposed patient
likely further deteriorate to the point of becoming either a
"danger to himself or others," or gravely disabled".  These
broader definitions allow the court to consider a more historic
perspective of the proposed patient's behavior than do the
current standards.  

     Holding Proceedings in Abeyance
     Section 1.  (Page 3, lines 12-16)
     Section 3.  (Page 5, lines 18-21)
     The addition on page 3 defines the judicial practice of
"holding proceedings in abeyance" as an alternative to a
commitment order.  The page 5 addition codifies the ability of a
court to hold a commitment proceeding in abeyance for up to 30
days while retaining jurisdiction.  This option adds flexibility
to the court in the commitment process and enhances treatment
options for the patient. 
     
     
     
     Jurisdiction and Venue
     Section 2.  (Page 3, lines 21-26)
     Section 3.  (Page 4, lines 50-55 continuing on to Page 5,
line 1)
     Page 3 modifies the language dealing with the jurisdiction
of a county involved in a commitment proceeding. The new language
allows the district court of a county where a patient is found,
or the county of residence of the patient, to have jurisdiction. 
This change ensures that patients will not be released without
treatment simply because of a clouded jurisdictional dispute.
Pages 4 and 5 clarify that venue for a detention hearing shall be
in either the county of residence of the patient or the county
where the patient was found prior to the start of the
proceedings.  Also, language allowing the patient to waive the
right of venue location is removed because the mental competency
of the patient is assumed to be in question prior to the
proceedings.        
                              
     Outpatient Commitment Process (New)
     Section 3.  (Page 5, lines 33-55 continuing on to Page 6,
lines 1-25)
     This language establishes a new procedure that allows for a
court to consider an involuntary outpatient commitment rather
than an inpatient involuntary commitment that requires
confinement to an appropriate psychiatric facility.  While
outpatient involuntary commitment currently exists in Idaho code,
the process is cumbersome and seldom used by Idaho judges.  The
new language also details the process for the court, under
certain circumstances, to convert an outpatient commitment to an
inpatient commitment.  This change in law is proposed to give
judges more treatment options for mental illness patients that
appear before them when, upon the advise of medical professions,
outpatient commitments are an appropriate, less restrictive,
alternative to inpatient commitments.

     Repeal of Old Outpatient Commitment Statutes
     Section 4.  (Page 7)
     This section repeals the old outpatient commitment statutes
that have been rewritten.
          Section 66-338, Idaho Code, provides that the Director
of Health and Welfare may provide a "conditional release" of a
committed patient from an inpatient facility to outpatient
treatment.  This opportunity is now provided for in Section 66-
329, subsections (11) and (12).
          Section 66-339, Idaho Code, provides for re-
hospitalization of patients conditionally release to outpatient
treatment.  The provision in now included in Section 66-329,
subsection (12), which provides significant due process
protection for committed patients.
          
          Section 66-339A, Idaho Code, provides for a separate
hearing and standard for outpatient commitment.  This has now
been replaced by the single hearing and standard found in Section
66-329 and 66-317, subsections (11) and (13).
          Section 66-339B, Idaho Code, provides for the
outpatient commitment hearing.  This is replaced by the single
hearing afforded in 66-329.
          Section 66-339C, Idaho Code, provides a process to re-
institutionalize a patient when he fails to abide by the terms of
an outpatient commitment order.  This process is now covered by
the provisions of 66-329, subsection (12).
          Section 66-342, provides for a change in disposition
(from a less restrictive setting to a more restrictive setting)
upon the recommendation of a facility director.  This statute
also provides a patient the right to appeal, within 30 days, the
change in disposition.  These provisions are replaced by the new
legislation, which provides a detailed process governing a change
in disposition, and it provides for a more timely judicial
review.  Instead of 30 days, the court must act upon a show cause
order within 15 days of the change in disposition.

                          FISCAL NOTE
                                
There is no known fiscal impact to the General Fund as a result
of the passage of this bill.


                              


     

Contact: 
            
Co-Chair:  Senator Joe Stegner     Co-Chair: Rep. Sharon Block
(208) 332-1000                     (208) 332-1000
Senator Patti Anne Lodge           Rep. Fred Wood      
Senator Tim Corder                 Rep. Margaret Henbest

                              
STATEMENT OF PURPOSE/FISCAL NOTE                        S 1426