1 Section 5150 et. seq. David N. Vandenberg, J.D.

2 Introduction To provide an overview of the involuntary psychiatric detention process. I have been the county patients’ rights advocate since Job duties include training staff who write 5150 applications and the investigation and resolution of patient complaints

3 Topics of Discussion Involuntary detention and transport Detention criteria County-designated personnel County-designated facilities Pre-admission assessment Admission or discharge Evaluation and treatment Types of certification for intensive treatment LPS Conservatorship

4 Detention and Transport Who may detain individuals for transport to mental health facilities? Which facilities are designated to receive individuals for assessment?

5 Assessment What is an Assessment? Who performs the Assessment? What happens if no Assessment is conducted?

6 Admission and Release Who is authorized to admit a person detained pursuant to Section 5150? Upon admission Staff required to provide Oral and Written Advisement to Patient in his or her language Certification for intensive treatment Re-Certification for intensive treatment Temporary and Full Conservatorship

7 Real Life Abuse of Involuntary detention law resulted in requirement of pre- admission assessment in late 1985 Right to informed consent in absence of emergency or judicial determination of incapacity prior to administration of A-P meds established in 1989

8 What This Means Suggestions for an 8 hour limit: use it or lose it policy

9 Next Steps Physicians should consider obtaining more training and materials about subject Advocate available to provide 5150 related training for those interested in specifics