HLS 12RS-1253 REENGROSSED Page 1 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Regular Session, 2012 HOUSE BILL NO. 846 BY REPRESENTATIVES SIMON, BADON, BERTHELOT, BILLIOT, WESLEY BISHOP, BROWN, HENRY BURNS, COX, DOVE, GAROFALO, GISCLAIR, HARRIS, HOFFMANN, HOWARD, JAMES, JEFFERSON, LEGER, LIGI, MORENO, POPE, REYNOLDS, RICHARD, RICHARDSON, SHADOIN, AND THOMPSON 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 HLS 12RS-1253 REENGROSSED HB NO. 846 Page 2 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (17) "Patient" means any person detained and taken care of as a person who1 is mentally ill person or person who is suffering from substance abuse.2 * * *3 (29)(a) "Treatment facility" means any public or private hospital, retreat,4 institution, mental health center, or facility licensed by the state in which any person5 who is mentally ill person or person who is suffering from substance abuse is6 received or detained as a patient. The term includes Veterans Administration and7 public health hospitals and forensic facilities. "Treatment facility" includes but is not8 limited to the following, and shall be selected with consideration of first, medical9 suitability; second, least restriction of the person's liberty; third, nearness to the10 patient's usual residence; and fourth, financial or other status of the patient, except11 that such considerations shall not apply to forensic facilities:12 * * *13 §52. Voluntary admissions; general provisions14 A. Any person who is mentally ill person or person who is suffering from15 substance abuse may apply for voluntary admission to a treatment facility. The16 admitting physician may admit the person on either a formal or informal basis, as17 hereinafter provided.18 * * *19 C. No director of a treatment facility shall prohibit any person who is20 mentally ill person or person who is suffering from substance abuse from applying21 for conversion of involuntary or emergency admission status to voluntary admission22 status. Any patient on an involuntary admission status shall have the right to apply23 for a writ of habeas corpus in order to have his admission status changed to voluntary24 status.25 * * *26 §52.1. Informal voluntary admission27 A. In the discretion of the director, any person who is mentally ill person or28 person who is suffering from substance abuse desiring admission to a treatment29 HLS 12RS-1253 REENGROSSED HB NO. 846 Page 3 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. facility for diagnosis or treatment of a psychiatric disorder or substance abuse may1 be admitted upon the patient's request without a formal application.2 * * *3 §52.2. Formal voluntary admission4 A. Any person who is mentally ill person or person who is suffering from5 substance abuse desiring admission to a treatment facility for diagnosis and/or6 treatment of a psychiatric disorder or substance abuse and who is deemed suitable7 for formal voluntary admission by the admitting physician may be so admitted upon8 his written request.9 * * *10 §52.3. Noncontested admission 11 A. A person who is mentally ill person or person who is suffering from12 substance abuse who does not have the capacity to make a knowing and voluntary13 consent to a voluntary admission status and who does not object to his admission to14 a treatment facility may be admitted to a treatment facility as a noncontested15 admission. Such person shall be subject to the same rules and regulations as a person16 admitted on a voluntary admission status and his treatment shall be governed by the17 provisions of R.S. 28:52H R.S. 28:52(H).18 * * *19 §53. Admission by emergency certificate; extension20 A.(1) A person who is mentally ill person or a person who is suffering from21 substance abuse may be admitted and detained at a treatment facility for observation,22 diagnosis, and treatment for a period not to exceed fifteen days under an emergency23 certificate.24 * * *25 §55. Judicial hearings26 * * *27 J. No director of a treatment facility shall prohibit any person who is28 mentally ill person or person who is suffering from substance abuse from applying29 HLS 12RS-1253 REENGROSSED HB NO. 846 Page 4 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. for conversion of involuntary or emergency admission status to voluntary admission1 status. Any patient on an involuntary admission status shall have the right to apply2 for a writ of habeas corpus to have his admission status changed to voluntary status.3 * * *4 §64. Mental Health Advocacy Service; creation; board of trustees; organization;5 powers; duties 6 * * *7 D.(1) Any attorney representing a person who is mentally ill person or a8 respondent as defined herein shall have ready access to view and copy all mental9 health and developmental disability records pertaining to his client, unless the client10 objects. If the patient or respondent later retains a private attorney to represent him,11 the mental health advocacy service shall destroy all copies of records pertaining to12 his case. 13 (2) Any attorney representing a person who is mentally ill person or a14 respondent as defined herein shall have the opportunity to consult with his client15 whenever necessary in the performance of his duties. A treatment facility shall16 provide adequate space and privacy for the purpose of attorney-client consultation.17 * * *18 §171.1. Principles for the mental health system19 The department and any entity which receives funding through a state20 contract to provide services to persons who are mentally ill shall provide, to the21 maximum extent possible, mental health treatment, services, and supports which are22 consistent with the following principles:23 (1) Treatment, services, and supports assist in enabling people to exercise24 self-determination in their lives.25 (2) Treatment, services, and supports assist in enabling people to achieve26 their maximum potential through increased independence, productivity, and27 inclusion in their communities.28 HLS 12RS-1253 REENGROSSED HB NO. 846 Page 5 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (3) Personal outcomes and goals are considered in the development of1 individualized supports for each person.2 (4) The community where the person chooses to live and work is an3 appropriate place to provide treatment, supports, and services.4 (5) Persons with mental illness are generally best able to determine their own5 needs, rather than their needs being determined by others.6 (6) For children with mental illness, the needs of the entire family should be7 considered in the development of family supports.8 (7) Family supports may enable children to live in stable family9 environments with enduring relationships with one or more adults regardless of the10 severity of the mental illness of the child or the degree of support necessary.11 (8) Children and young adults with mental illness receive and participate in12 an appropriate education which enables them to have increased opportunities for well13 being, development, and inclusion in their communities.14 (9) Existing natural supports and community resources are promoted and15 utilized.16 * * *17 §772. Funding of regional addictive disorder services18 * * *19 E. The secretary or assistant secretary of the department shall submit an20 annual report to each member of the legislature listing the contractors and the21 amounts such contractors received for the provision of regional addictive disorder22 services and services provided through grants which were received through23 application by the department or a regional office of the department.24 * * *25 HLS 12RS-1253 REENGROSSED HB NO. 846 Page 6 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. 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 that the Dept. of Health and Hospitals and any entity which receives funding through a state contract to provide services to persons who are mentally ill shall provide, to the maximum extent possible, mental health treatment, services, and supports which are consistent with the following principles: (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) Summary of Amendments Adopted by House House Floor Amendments to the engrossed bill. 1. Provided that in addition to the Dept. of Health and Hospitals, any entity which receives funding through a state contract to provide services to persons who are HLS 12RS-1253 REENGROSSED HB NO. 846 Page 7 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. mentally ill shall do so in a manner which is consistent with the principles for the mental health system established in proposed law. 2. Made technical changes.