HLS 12RS-1253 ORIGINAL Page 1 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Regular Session, 2012 HOUSE BILL NO. 846 BY REPRESENTATIVE SIMON MENTAL HEALTH: Establishes principles for the state mental health system AN ACT1 To amend and reenact R.S. 28:2(14), (17), and (29)(a)(introductory paragraph), 52(A) and2 (C), 52.1(A), 52.2(A), 52.3(A), 53(A)(1), 55(J), 64(D), and 772(E) and to enact R.S.3 28:171.1, relative to mental health law; to provide for definitions; to establish4 principles for the state mental health system; and to provide for related matters.5 Be it enacted by the Legislature of Louisiana:6 Section 1. R.S. 28:2(14), (17), and (29)(a)(introductory paragraph), 52(A) and (C),7 52.1(A), 52.2(A), 52.3(A), 53(A)(1), 55(J), 64(D), and 772(E) are hereby amended and8 reenacted and R.S. 28:171.1 is hereby enacted to read as follows: 9 §2. Definitions10 Whenever used in this Title, the masculine shall include the feminine, the11 singular shall include the plural, and the following definitions shall apply:12 * * *13 (14) "Mentally ill person" "Person who is mentally ill" means any person14 with a psychiatric disorder which has substantial adverse effects on his ability to15 function and who requires care and treatment. It does not refer to a person suffering16 solely from mental retardation, epilepsy, alcoholism, or drug abuse.17 * * *18 (17) "Patient" means any person detained and taken care of as a person who19 is mentally ill person or person suffering from substance abuse.20 * * *21 HLS 12RS-1253 ORIGINAL HB NO. 846 Page 2 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (29)(a) "Treatment facility" means any public or private hospital, retreat,1 institution, mental health center, or facility licensed by the state in which any person2 who is mentally ill person or person suffering from substance abuse is received or3 detained as a patient. The term includes Veterans Administration and public health4 hospitals and forensic facilities. "Treatment facility" includes but is not limited to5 the following, and shall be selected with consideration of first, medical suitability;6 second, least restriction of the person's liberty; third, nearness to the patient's usual7 residence; and fourth, financial or other status of the patient, except that such8 considerations shall not apply to forensic facilities:9 * * *10 §52. Voluntary admissions; general provisions11 A. Any person who is mentally ill person or person suffering from substance12 abuse may apply for voluntary admission to a treatment facility. The admitting13 physician may admit the person on either a formal or informal basis, as hereinafter14 provided.15 * * *16 C. No director of a treatment facility shall prohibit any person who is17 mentally ill person or person suffering from substance abuse from applying for18 conversion of involuntary or emergency admission status to voluntary admission19 status. Any patient on an involuntary admission status shall have the right to apply20 for a writ of habeas corpus in order to have his admission status changed to voluntary21 status.22 * * *23 §52.1. Informal voluntary admission24 A. In the discretion of the director, any person who is mentally ill person or25 person suffering from substance abuse desiring admission to a treatment facility for26 diagnosis or treatment of a psychiatric disorder or substance abuse may be admitted27 upon the patient's request without a formal application.28 * * *29 HLS 12RS-1253 ORIGINAL HB NO. 846 Page 3 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. §52.2. Formal voluntary admission1 A. Any person who is mentally ill person or person suffering from substance2 abuse desiring admission to a treatment facility for diagnosis and/or treatment of a3 psychiatric disorder or substance abuse and who is deemed suitable for formal4 voluntary admission by the admitting physician may be so admitted upon his written5 request.6 * * *7 §52.3. Noncontested admission 8 A. A person who is mentally ill person or person suffering from substance9 abuse who does not have the capacity to make a knowing and voluntary consent to10 a voluntary admission status and who does not object to his admission to a treatment11 facility may be admitted to a treatment facility as a noncontested admission. Such12 person shall be subject to the same rules and regulations as a person admitted on a13 voluntary admission status and his treatment shall be governed by the provisions of14 R.S. 28:52H R.S. 28:52(H).15 * * *16 §53. Admission by emergency certificate; extension17 A.(1) A person who is mentally ill person or a person suffering from18 substance abuse may be admitted and detained at a treatment facility for observation,19 diagnosis, and treatment for a period not to exceed fifteen days under an emergency20 certificate.21 * * *22 §55. Judicial hearings23 * * *24 J. No director of a treatment facility shall prohibit any person who is25 mentally ill person or person suffering from substance abuse from applying for26 conversion of involuntary or emergency admission status to voluntary admission27 HLS 12RS-1253 ORIGINAL HB NO. 846 Page 4 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. status. Any patient on an involuntary admission status shall have the right to apply1 for a writ of habeas corpus to have his admission status changed to voluntary status.2 * * *3 §64. Mental Health Advocacy Service; creation; board of trustees; organization;4 powers; duties 5 * * *6 D.(1) Any attorney representing a person who is mentally ill person or a7 respondent as defined herein shall have ready access to view and copy all mental8 health and developmental disability records pertaining to his client, unless the client9 objects. If the patient or respondent later retains a private attorney to represent him,10 the mental health advocacy service shall destroy all copies of records pertaining to11 his case. 12 (2) Any attorney representing a person who is mentally ill person or a13 respondent as defined herein shall have the opportunity to consult with his client14 whenever necessary in the performance of his duties. A treatment facility shall15 provide adequate space and privacy for the purpose of attorney-client consultation.16 * * *17 §171.1. Principles for the mental health system18 The department shall provide, to the maximum extent possible, mental health19 treatment, services, and supports which are consistent with the following principles:20 (1) Treatment, services, and supports assist in enabling people to exercise21 self-determination in their lives.22 (2) Treatment, services, and supports assist in enabling people to achieve23 their maximum potential through increased independence, productivity, and24 inclusion in their communities.25 (3) Personal outcomes and goals are considered in the development of26 individualized supports for each person.27 (4) The community where the person chooses to live and work is an28 appropriate place to provide treatment, supports, and services.29 HLS 12RS-1253 ORIGINAL HB NO. 846 Page 5 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (5) Persons with mental illness are generally best able to determine their own1 needs, rather than their needs being determined by others.2 (6) For children with mental illness, the needs of the entire family should be3 considered in the development of family supports.4 (7) Family supports may enable children to live in stable family5 environments with enduring relationships with one or more adults regardless of the6 severity of the mental illness of the child or the degree of support necessary.7 (8) Children and young adults with mental illness receive and participate in8 an appropriate education which enables them to have increased opportunities for well9 being, development, and inclusion in their communities.10 (9) Existing natural supports and community resources are promoted and11 utilized.12 * * *13 §772. Funding of regional addictive disorder services14 * * *15 E. The secretary or assistant secretary of the department shall submit an16 annual report to each member of the legislature listing the contractors and the17 amounts such contractors received for the provision of regional addictive disorder18 services and services provided through grants which were received through19 application by the department or a regional office of the department.20 * * *21 DIGEST The digest printed below was prepared by House Legislative Services. It constitutes no part of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)] Simon HB No. 846 Abstract: Establishes principles for the state mental health system. Proposed law amends provisions of present law to change the term "mentally ill person" to "person who is mentally ill". Proposed law provides codified principles for the state mental health system which include the following: HLS 12RS-1253 ORIGINAL HB NO. 846 Page 6 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (1)Treatment, services, and supports assist in enabling people to exercise self-determination in their lives. (2)Treatment, services, and supports assist in enabling people to achieve their maximum potential through increased independence, productivity, and inclusion in their communities. (3)Personal outcomes and goals are considered in the development of individualized supports for each person. (4)The community where the person chooses to live and work is an appropriate place to provide treatment, supports, and services. (5)Persons with mental illness are generally best able to determine their own needs, rather than their needs being determined by others. (6)For children with mental illness, the needs of the entire family should be considered in the development of family supports. (7)Family supports may enable children to live in stable family environments with enduring relationships with one or more adults regardless of the severity of the mental illness of the child or the degree of support necessary. (8)Children and young adults with mental illness receive and participate in an appropriate education which enables them to have increased opportunities for well being, development, and inclusion in their communities. (9)Existing natural supports and community resources are promoted and utilized. (Amends R.S. 28:2(14), (17), and (29)(a)(intro. para.), 52(A) and (C), 52.1(A), 52.2(A), 52.3(A), 53(A)(1), 55(J), 64(D), and 772(E); Adds R.S. 28:171.1)