62A-15-703 - Residential and inpatient settings -- Commitment proceeding -- Child in physical custody of local mental health authority.
62A-15-703. Residential and inpatient settings -- Commitment proceeding -- Childin physical custody of local mental health authority.
(1) A child may receive services from a local mental health authority in an inpatient orresidential setting only after a commitment proceeding, for the purpose of transferring physicalcustody, has been conducted in accordance with the requirements of this section.
(2) That commitment proceeding shall be initiated by a petition for commitment, andshall be a careful, diagnostic inquiry, conducted by a neutral and detached fact finder, pursuant tothe procedures and requirements of this section. If the findings described in Subsection (4) exist,the proceeding shall result in the transfer of physical custody to the appropriate local mentalhealth authority, and the child may be placed in an inpatient or residential setting.
(3) The neutral and detached fact finder who conducts the inquiry:
(a) shall be a designated examiner, as defined in Subsection 62A-15-602(3); and
(b) may not profit, financially or otherwise, from the commitment or physical placementof the child in that setting.
(4) Upon determination by the fact finder that the following circumstances clearly exist,he may order that the child be committed to the physical custody of a local mental healthauthority:
(a) the child has a mental illness, as defined in Subsection 62A-15-602(8);
(b) the child demonstrates a risk of harm to himself or others;
(c) the child is experiencing significant impairment in his ability to perform socially;
(d) the child will benefit from care and treatment by the local mental health authority;and
(e) there is no appropriate less-restrictive alternative.
(5) (a) The commitment proceeding before the neutral and detached fact finder shall beconducted in as informal manner as possible, and in a physical setting that is not likely to have aharmful effect on the child.
(b) The child, the child's parent or legal guardian, the person who submitted the petitionfor commitment, and a representative of the appropriate local mental health authority shall allreceive informal notice of the date and time of the proceeding. Those parties shall also beafforded an opportunity to appear and to address the petition for commitment.
(c) The neutral and detached fact finder may, in his discretion, receive the testimony ofany other person.
(d) The fact finder may allow the child to waive his right to be present at thecommitment proceeding, for good cause shown. If that right is waived, the purpose of the waivershall be made a matter of record at the proceeding.
(e) At the time of the commitment proceeding, the appropriate local mental healthauthority, its designee, or the psychiatrist who has been in charge of the child's care prior to thecommitment proceeding, shall provide the neutral and detached fact finder with the followinginformation, as it relates to the period of current admission:
(i) the petition for commitment;
(ii) the admission notes;
(iii) the child's diagnosis;
(iv) physicians' orders;
(v) progress notes;
(vi) nursing notes; and
(vii) medication records.
(f) The information described in Subsection (5)(e) shall also be provided to the child'sparent or legal guardian upon written request.
(g) (i) The neutral and detached fact finder's decision of commitment shall state theduration of the commitment. Any commitment to the physical custody of a local mental healthauthority may not exceed 180 days. Prior to expiration of the commitment, and if furthercommitment is sought, a hearing shall be conducted in the same manner as the initialcommitment proceeding, in accordance with the requirements of this section.
(ii) When a decision for commitment is made, the neutral and detached fact finder shallinform the child and his parent or legal guardian of that decision, and of the reasons for orderingcommitment at the conclusion of the hearing, and also in writing.
(iii) The neutral and detached fact finder shall state in writing the basis of his decision,with specific reference to each of the criteria described in Subsection (4), as a matter of record.
(6) Absent the procedures and findings required by this section, a child may betemporarily committed to the physical custody of a local mental health authority only inaccordance with the emergency procedures described in Subsection 62A-15-629(1) or (2). Achild temporarily committed in accordance with those emergency procedures may be held for amaximum of 72 hours, excluding Saturdays, Sundays, and legal holidays. At the expiration ofthat time period, the child shall be released unless the procedures and findings required by thissection have been satisfied.
(7) A local mental health authority shall have physical custody of each child committedto it under this section. The parent or legal guardian of a child committed to the physical custodyof a local mental health authority under this section, retains legal custody of the child, unlesslegal custody has been otherwise modified by a court of competent jurisdiction. In cases whenthe Division of Child and Family Services or the Division of Juvenile Justice Services has legalcustody of a child, that division shall retain legal custody for purposes of this part.
(8) The cost of caring for and maintaining a child in the physical custody of a localmental health authority shall be assessed to and paid by the child's parents, according to theirability to pay. For purposes of this section, the Division of Child and Family Services or theDivision of Juvenile Justice Services shall be financially responsible, in addition to the child'sparents, if the child is in the legal custody of either of those divisions at the time the child iscommitted to the physical custody of a local mental health authority under this section, unlessMedicaid regulation or contract provisions specify otherwise. The Office of Recovery Servicesshall assist those divisions in collecting the costs assessed pursuant to this section.
(9) Whenever application is made for commitment of a minor to a local mental healthauthority under any provision of this section by a person other than the child's parent or guardian,the local mental health authority or its designee shall notify the child's parent or guardian. Theparents shall be provided sufficient time to prepare and appear at any scheduled proceeding.
(10) (a) Each child committed pursuant to this section is entitled to an appeal within 30days after any order for commitment. The appeal may be brought on the child's own petition, orthat of his parent or legal guardian, to the juvenile court in the district where the child resides oris currently physically located. With regard to a child in the custody of the Division of Child andFamily Services or the Division of Juvenile Justice Services, the attorney general's office shallhandle the appeal, otherwise the appropriate county attorney's office is responsible for appealsbrought pursuant to this Subsection (10)(a).
(b) Upon receipt of the petition for appeal, the court shall appoint a designated examinerpreviously unrelated to the case, to conduct an examination of the child in accordance with thecriteria described in Subsection (4), and file a written report with the court. The court shall thenconduct an appeal hearing to determine whether the findings described in Subsection (4) exist byclear and convincing evidence.
(c) Prior to the time of the appeal hearing, the appropriate local mental health authority,its designee, or the mental health professional who has been in charge of the child's care prior tocommitment, shall provide the court and the designated examiner for the appeal hearing with thefollowing information, as it relates to the period of current admission:
(i) the original petition for commitment;
(ii) admission notes;
(iii) diagnosis;
(iv) physicians' orders;
(v) progress notes;
(vi) nursing notes; and
(vii) medication records.
(d) Both the neutral and detached fact finder and the designated examiner appointed forthe appeal hearing shall be provided with an opportunity to review the most current informationdescribed in Subsection (10)(c) prior to the appeal hearing.
(e) The child, his parent or legal guardian, the person who submitted the original petitionfor commitment, and a representative of the appropriate local mental health authority shall benotified by the court of the date and time of the appeal hearing. Those persons shall be affordedan opportunity to appear at the hearing. In reaching its decision, the court shall review the recordand findings of the neutral and detached fact finder, the report of the designated examinerappointed pursuant to Subsection (10)(b), and may, in its discretion, allow or require thetestimony of the neutral and detached fact finder, the designated examiner, the child, the child'sparent or legal guardian, the person who brought the initial petition for commitment, or any otherperson whose testimony the court deems relevant. The court may allow the child to waive hisright to appear at the appeal hearing, for good cause shown. If that waiver is granted, the purposeshall be made a part of the court's record.
(11) Each local mental health authority has an affirmative duty to conduct periodicevaluations of the mental health and treatment progress of every child committed to its physicalcustody under this section, and to release any child who has sufficiently improved so that thecriteria justifying commitment no longer exist.
(12) (a) A local mental health authority or its designee, in conjunction with the child'scurrent treating mental health professional may release an improved child to a less restrictiveenvironment, as they determine appropriate. Whenever the local mental health authority or itsdesignee, and the child's current treating mental health professional, determine that the conditionsjustifying commitment no longer exist, the child shall be discharged and released to his parent orlegal guardian. With regard to a child who is in the physical custody of the State Hospital, thetreating psychiatrist or clinical director of the State Hospital shall be the child's current treatingmental health professional.
(b) A local mental health authority or its designee, in conjunction with the child's currenttreating mental health professional, is authorized to issue a written order for the immediateplacement of a child not previously released from an order of commitment into a more restrictive
environment, if the local authority or its designee and the child's current treating mental healthprofessional has reason to believe that the less restrictive environment in which the child hasbeen placed is exacerbating his mental illness, or increasing the risk of harm to himself or others.
(c) The written order described in Subsection (12)(b) shall include the reasons forplacement in a more restrictive environment and shall authorize any peace officer to take thechild into physical custody and transport him to a facility designated by the appropriate localmental health authority in conjunction with the child's current treating mental health professional. Prior to admission to the more restrictive environment, copies of the order shall be personallydelivered to the child, his parent or legal guardian, the administrator of the more restrictiveenvironment, or his designee, and the child's former treatment provider or facility.
(d) If the child has been in a less restrictive environment for more than 30 days and isaggrieved by the change to a more restrictive environment, the child or his representative mayrequest a review within 30 days of the change, by a neutral and detached fact finder as describedin Subsection (3). The fact finder shall determine whether:
(i) the less restrictive environment in which the child has been placed is exacerbating hismental illness, or increasing the risk of harm to himself or others; or
(ii) the less restrictive environment in which the child has been placed is notexacerbating his mental illness, or increasing the risk of harm to himself or others, in which casethe fact finder shall designate that the child remain in the less restrictive environment.
(e) Nothing in this section prevents a local mental health authority or its designee, inconjunction with the child's current mental health professional, from discharging a child fromcommitment or from placing a child in an environment that is less restrictive than that designatedby the neutral and detached fact finder.
(13) Each local mental health authority or its designee, in conjunction with the child'scurrent treating mental health professional shall discharge any child who, in the opinion of thatlocal authority, or its designee, and the child's current treating mental health professional, nolonger meets the criteria specified in Subsection (4), except as provided by Section 78A-6-120. The local authority and the mental health professional shall assure that any further supportiveservices required to meet the child's needs upon release will be provided.
(14) Even though a child has been committed to the physical custody of a local mentalhealth authority pursuant to this section, the child is still entitled to additional due processproceedings, in accordance with Section 62A-15-704, before any treatment which may affect aconstitutionally protected liberty or privacy interest is administered. Those treatments include,but are not limited to, antipsychotic medication, electroshock therapy, and psychosurgery.
Amended by Chapter 3, 2008 General Session