| 34 | 35 | | |
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| 35 | 36 | | |
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| 36 | 37 | | |
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| 37 | 38 | | |
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| 38 | 39 | | An Act relating to mental health; amending 43A O.S. |
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| 39 | 40 | | 2021, Section 1-103, as last amended by Section 1, |
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| 40 | 41 | | Chapter 96, O.S.L. 2024 (43A O.S. Supp. 2024, Section |
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| 41 | 42 | | 1-103), which relates to definitions; modifying |
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| 42 | 43 | | certain definitions; and providing an effective date . |
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| 43 | 44 | | |
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| 44 | 45 | | |
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| 45 | 46 | | |
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| 46 | 47 | | |
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| 47 | 48 | | |
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| 48 | 49 | | BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: |
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| 49 | 50 | | SECTION 1. AMENDATORY 43A O.S. 2021, Section 1 -103, as |
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| 50 | 51 | | last amended by Section 1, Chapter 96, O.S.L. 2024 (43A O.S. Supp. |
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| 51 | 52 | | 2024, Section 1-103), is amended to read as follows: |
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| 52 | 53 | | Section 1-103. When used in this title, unless otherwise |
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| 53 | 54 | | expressly stated, or unless the context or subject matter otherwise |
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| 54 | 55 | | requires: |
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| 55 | 56 | | 1. “Department” means the Department of Mental Health and |
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| 56 | 57 | | Substance Abuse Services; |
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| 57 | 58 | | 2. “Chair” means the chair of the Board of Mental Health and |
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| 58 | 59 | | Substance Abuse Services; |
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| 59 | 60 | | 3. “Mental illness” means a substantial disorder of thought, |
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| 60 | 61 | | mood, perception, psychological orientation or memory th at |
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| 86 | 88 | | |
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| 87 | 89 | | significantly impairs judgment, behavior, capacity to recognize |
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| 88 | 90 | | reality or ability to meet the ordinary demands of life; |
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| 89 | 91 | | 4. “Board” means the Board of Mental Health and Substance Abuse |
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| 90 | 92 | | Services as established by the Mental Health Law; |
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| 91 | 93 | | 5. “Commissioner” means the Commissioner of Mental Health and |
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| 92 | 94 | | Substance Abuse Services; |
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| 93 | 95 | | 6. “Indigent person” means a person who does not have |
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| 94 | 96 | | sufficient assets or resources to support the person and to support |
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| 95 | 97 | | members of the family of the person lawfully dependent on the person |
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| 96 | 98 | | for support; |
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| 97 | 99 | | 7. “Facility” means any hospital, school, building, house or |
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| 98 | 100 | | retreat, authorized by law to have the care, treatment or custody of |
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| 99 | 101 | | an individual with mental illness, drug or alcohol dependency, |
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| 100 | 102 | | gambling addiction, or an eating disorder including, but not limited |
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| 101 | 103 | | to, public or private hospitals, community mental he alth centers, |
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| 102 | 104 | | clinics, satellites, and community -based structured crisis centers; |
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| 103 | 105 | | provided, that facility shall not mean a child guidance center |
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| 104 | 106 | | operated by the State Departmen t of Health; |
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| 105 | 107 | | 8. “Consumer” means a person under care or treatment in a |
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| 106 | 108 | | facility pursuant to the Mental Health Law, or in an outpatient |
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| 107 | 109 | | status; |
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| 108 | 110 | | 9. “Care and treatment” means medical care and behavioral |
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| 109 | 111 | | health services, as well as food, clothing and mainte nance, |
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| 110 | 112 | | furnished to a person; |
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| 136 | 139 | | |
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| 137 | 140 | | 10. Whenever in this law or in any other law, or in any rule or |
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| 138 | 141 | | order made or promulgated pursuant to this law or to any other law, |
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| 139 | 142 | | or in the printed forms prepared for the admission of consumers or |
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| 140 | 143 | | for statistical reports, t he words “insane”, “insanity”, “lunacy”, |
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| 141 | 144 | | “mentally sick”, “mental disease” or “mental disorder” are used, |
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| 142 | 145 | | such terms shall have equal significance to the words “mental |
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| 143 | 146 | | illness”; |
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| 144 | 147 | | 11. “Licensed mental health professional ” means: |
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| 145 | 148 | | a. a psychiatrist who is a d iplomate of the American |
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| 146 | 149 | | Board of Psychiatry and Neurology, |
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| 147 | 150 | | b. a psychiatrist who is a diplomate of the American |
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| 148 | 151 | | Osteopathic Board of Neurology and Psychiatry, |
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| 149 | 152 | | c. a physician licensed pursuant to the Oklahoma |
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| 150 | 153 | | Allopathic Medical and Surgical Licensure and |
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| 151 | 154 | | Supervision Act or the Oklahoma Osteopathic Medicine |
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| 152 | 155 | | Act, |
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| 153 | 156 | | d. a clinical psychologist who is duly licensed to |
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| 154 | 157 | | practice by the State Board of Examiners of |
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| 155 | 158 | | Psychologists, |
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| 156 | 159 | | e. a professional counselor licensed pursuant to the |
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| 157 | 160 | | Licensed Professional Counselors Act , |
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| 158 | 161 | | f. a person licensed as a clinical social worker pursuant |
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| 159 | 162 | | to the provisions of the Social Worker’s Licensing |
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| 160 | 163 | | Act, |
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| 186 | 190 | | |
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| 187 | 191 | | g. a licensed marital and family therapist as defined in |
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| 188 | 192 | | the Marital and Family Therapist Licensure Act, |
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| 189 | 193 | | h. a licensed behavioral practition er as defined in the |
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| 190 | 194 | | Licensed Behavioral Practitioner Act , |
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| 191 | 195 | | i. an advanced practice nurse as defined in the Oklahoma |
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| 192 | 196 | | Nursing Practice Act, |
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| 193 | 197 | | j. a physician’s assistant who is licensed in good |
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| 194 | 198 | | standing in this state, or |
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| 195 | 199 | | k. a licensed alcohol and drug counselor /mental health |
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| 196 | 200 | | (LADC/MH) as defined in the Licensed Alcohol and Drug |
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| 197 | 201 | | Counselors Act; |
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| 198 | 202 | | 12. “Mentally incompetent person ” means any person who has been |
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| 199 | 203 | | adjudicated mentally or legally incompetent by an appropriate |
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| 200 | 204 | | district court; |
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| 201 | 205 | | 13. a. “Person requiring tre atment” means a person who |
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| 202 | 206 | | because of his or her mental illness or drug or |
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| 203 | 207 | | alcohol dependency meets at least one of the |
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| 204 | 208 | | following: |
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| 205 | 209 | | (1) poses a substantial risk of immediate physical |
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| 206 | 210 | | harm to self as manifested by evidence or serious |
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| 207 | 211 | | threats of or attempts a t suicide or other |
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| 208 | 212 | | significant self-inflicted bodily harm, |
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| 209 | 213 | | (2) poses a substantial risk of immediate physical |
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| 210 | 214 | | harm to another person or persons as manifested |
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| 236 | 241 | | |
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| 237 | 242 | | by evidence of violent behavior directed toward |
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| 238 | 243 | | another person or persons, |
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| 239 | 244 | | (3) has placed another person or persons in a |
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| 240 | 245 | | reasonable fear of violent behavior directed |
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| 241 | 246 | | towards such person or persons or serious |
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| 242 | 247 | | physical harm to them as manifested by serious |
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| 243 | 248 | | and immediate threats, |
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| 244 | 249 | | (4) is in a condition of severe deterioration that is |
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| 245 | 250 | | continuing, as has bee n observed within the |
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| 246 | 251 | | previous seventy-two (72) hour period such that, |
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| 247 | 252 | | without immediate intervention, there exists a |
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| 248 | 253 | | substantial risk that severe impairment or injury |
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| 249 | 254 | | will result to the person , or |
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| 250 | 255 | | (5) poses a substantial risk of immediate serious |
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| 251 | 256 | | physical injury harm to self or death as |
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| 252 | 257 | | manifested by evidence that the person is unable |
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| 253 | 258 | | to provide for and is not providing for his or |
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| 254 | 259 | | her basic physical needs. |
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| 255 | 260 | | b. To the extent it is reasonably available, the relevant |
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| 256 | 261 | | mental health or substance abuse history of the person |
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| 257 | 262 | | shall be considered and may be proffered as part of |
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| 258 | 263 | | the evidence to determine whether the person is a |
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| 259 | 264 | | person requiring treatment or an assisted outpatient. |
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| 260 | 265 | | The mental health or substance abuse history of the |
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| 286 | 292 | | |
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| 287 | 293 | | person shall not be the sole basis for this |
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| 288 | 294 | | determination. |
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| 289 | 295 | | c. Unless a person also meets the criteria established in |
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| 290 | 296 | | subparagraph a or b of this paragraph, “person |
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| 291 | 297 | | requiring treatment” or an “assisted outpatient” shall |
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| 292 | 298 | | not mean: |
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| 293 | 299 | | (1) a person whose mental processes have been |
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| 294 | 300 | | weakened or impaired by reason of advanced years, |
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| 295 | 301 | | dementia, or Alzheimer ’s disease, |
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| 296 | 302 | | (2) a person with intellectual or developmental |
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| 297 | 303 | | disability as defined in Title 10 of the Oklahoma |
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| 298 | 304 | | Statutes, |
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| 299 | 305 | | (3) a person with seizure disorder, or |
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| 300 | 306 | | (4) a person with a traumatic brain injur y, or |
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| 301 | 307 | | (5) a person who is homeless . |
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| 302 | 308 | | d. (1) A person who meets the criteria established in |
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| 303 | 309 | | this paragraph but who is medically unstable may |
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| 304 | 310 | | be discharged and transported in accordance with |
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| 305 | 311 | | Section 1-110 of this title. Alternatively, if |
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| 306 | 312 | | the facility holding the person is able to treat |
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| 307 | 313 | | the additional medical conditions of that person, |
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| 308 | 314 | | the facility may treat the additional medical |
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| 309 | 315 | | conditions in an effort to medically stabilize |
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| 310 | 316 | | the patient. |
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| 336 | 343 | | |
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| 337 | 344 | | (2) If the facility holding the person is unable to |
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| 338 | 345 | | treat the additional medical conditions of a |
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| 339 | 346 | | person who meets the criteria established in this |
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| 340 | 347 | | paragraph, the patient shall be discharged and |
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| 341 | 348 | | transported in accordance with Section 1 -110 of |
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| 342 | 349 | | this title. |
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| 343 | 350 | | (3) All time elapsed during medical stabilization |
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| 344 | 351 | | tolls the twelve (12) h our time for an initial |
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| 345 | 352 | | assessment pursuant to paragraph 1 of subsection |
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| 346 | 353 | | A of Section 5-208 of this title, and the one - |
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| 347 | 354 | | hundred-twenty-hour emergency detention time |
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| 348 | 355 | | pursuant to paragraph 3 of subsection A of |
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| 349 | 356 | | Section 5-208 of this title; |
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| 350 | 357 | | 14. “Petitioner” means a person who files a petition alleging |
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| 351 | 358 | | that an individual is a person requiring treatment or an assisted |
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| 352 | 359 | | outpatient; |
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| 353 | 360 | | 15. “Executive director” means the person in charge of a |
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| 354 | 361 | | facility as defined in this section; |
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| 355 | 362 | | 16. “Private hospital or facility ” means any general hospital |
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| 356 | 363 | | maintaining a neuro-psychiatric unit or ward, or any priv ate |
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| 357 | 364 | | hospital or facility for care and treatment of a person having a |
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| 358 | 365 | | mental illness, which is not supported by the state or federal |
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| 359 | 366 | | government. The term “private hospital” or “facility” shall not |
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| 385 | 393 | | |
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| 386 | 394 | | include nursing homes or other facilities maintained primarily for |
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| 387 | 395 | | the care of elderly and disabled persons; |
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| 388 | 396 | | 17. “Individualized treatment plan ” means a proposal developed |
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| 389 | 397 | | during the stay of an individual in a facility, under the prov isions |
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| 390 | 398 | | of this title, which is specifically tailored to the treatment needs |
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| 391 | 399 | | of the individual. Each plan shall clearly include the following: |
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| 392 | 400 | | a. a statement of treatment goals or objectives, based |
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| 393 | 401 | | upon and related to a clinical evaluation, which can |
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| 394 | 402 | | be reasonably achieved within a designated time |
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| 395 | 403 | | interval, |
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| 396 | 404 | | b. treatment methods and procedures to be used to obtain |
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| 397 | 405 | | these goals, which methods and procedures are related |
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| 398 | 406 | | to each of these goals and which include specific |
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| 399 | 407 | | prognosis for achieving each of these goal s, |
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| 400 | 408 | | c. identification of the types of professional personnel |
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| 401 | 409 | | who will carry out t he treatment procedures including |
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| 402 | 410 | | appropriate medical or other professional involvement |
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| 403 | 411 | | by a physician or other health professional properly |
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| 404 | 412 | | qualified to fulfill legal requirem ents mandated under |
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| 405 | 413 | | state and federal law, |
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| 406 | 414 | | d. documentation of involvement by the individual |
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| 407 | 415 | | receiving treatment and, if applicable, the accordance |
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| 408 | 416 | | of the individual with the treatment plan, and |
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| 434 | 443 | | |
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| 435 | 444 | | e. a statement attesting that the executive director of |
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| 436 | 445 | | the facility or clinical director has made a |
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| 437 | 446 | | reasonable effort to meet the plan ’s individualized |
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| 438 | 447 | | treatment goals in the least restrictive environment |
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| 439 | 448 | | possible closest to the home community of the |
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| 440 | 449 | | individual; |
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| 441 | 450 | | 18. “Telemedicine” means technology-enabled health and care |
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| 442 | 451 | | management and delivery systems that extend capacity and access, |
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| 443 | 452 | | which includes: |
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| 444 | 453 | | a. synchronous mechanisms, which may include live |
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| 445 | 454 | | audiovisual interaction between a patient and a health |
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| 446 | 455 | | care professional or real -time provider to provider |
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| 447 | 456 | | consultation through live interactive audiovisual |
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| 448 | 457 | | means, |
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| 449 | 458 | | b. asynchronous mechanisms, which include store and |
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| 450 | 459 | | forward transfers, online exchange of health |
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| 451 | 460 | | information between a patient and a health care |
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| 452 | 461 | | professional and online exchange of health information |
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| 453 | 462 | | between health care professionals, but shall not |
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| 454 | 463 | | include the use of automated text messages or |
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| 455 | 464 | | automated mobile applications that serve as the sole |
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| 456 | 465 | | interaction between a patient and a health care |
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| 457 | 466 | | professional, |
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| 458 | 467 | | c. remote patient monitoring, and |
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| 459 | 468 | | |
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| 484 | 494 | | |
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| 485 | 495 | | d. other electronic means that support clinical health |
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| 486 | 496 | | care, professional consultation, patient and |
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| 487 | 497 | | professional health-related education, public health |
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| 488 | 498 | | and health administration; |
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| 489 | 499 | | 19. “Recovery and recovery support ” means nonclinical services |
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| 490 | 500 | | that assist individuals and famil ies to recover from alcohol or drug |
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| 491 | 501 | | problems. They include social support, linkage to and coordination |
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| 492 | 502 | | among allied service providers including but not limited to |
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| 493 | 503 | | transportation to and from treatment or employment, employment |
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| 494 | 504 | | services and job training, ca se management and individual services |
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| 495 | 505 | | coordination, life skills education, relap se prevention, housing |
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| 496 | 506 | | assistance, child care, and substance abuse education; |
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| 497 | 507 | | 20. “Assisted outpatient” means a person who: |
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| 498 | 508 | | a. is either currently under the care of a facility |
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| 499 | 509 | | certified by the Department of Mental Health and |
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| 500 | 510 | | Substance Abuse Services as a Community Mental Health |
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| 501 | 511 | | Center, or is being discharged from the custody of the |
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| 502 | 512 | | Oklahoma Department of Corrections, or is being |
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| 503 | 513 | | discharged from a residential placement by the Of fice |
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| 504 | 514 | | of Juvenile Affairs, |
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| 505 | 515 | | b. is suffering from a mental illness, |
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| 506 | 516 | | c. is unlikely to survive safely in the community without |
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| 507 | 517 | | supervision, based on a clinical determination, |
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| 533 | 544 | | |
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| 534 | 545 | | d. has a history of lack of compliance with treatment for |
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| 535 | 546 | | mental illness that has: |
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| 536 | 547 | | (1) prior to the filing of a petition, at least twice |
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| 537 | 548 | | within the last thirty -six (36) months been a |
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| 538 | 549 | | significant factor in necessitating |
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| 539 | 550 | | hospitalization or treatment in a hospital or |
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| 540 | 551 | | residential facility including admission to a |
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| 541 | 552 | | community-based structured cri sis center as |
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| 542 | 553 | | certified by the Oklahoma Department of Mental |
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| 543 | 554 | | Health and Substance Abuse Services, or receipt |
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| 544 | 555 | | of services in a forensic or other mental health |
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| 545 | 556 | | unit of a correctional facility, or a specialized |
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| 546 | 557 | | treatment plan for treatment of mental illness i n |
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| 547 | 558 | | a secure juvenile facility or placement in a |
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| 548 | 559 | | specialized residential program for juveniles, or |
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| 549 | 560 | | (2) prior to the filing of the petition, resulted in |
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| 550 | 561 | | one or more acts of serious violent behavior |
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| 551 | 562 | | toward self or others or threats of, or attempts |
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| 552 | 563 | | at, serious physical harm to self or others |
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| 553 | 564 | | within the last twenty-four (24) thirty-six (36) |
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| 554 | 565 | | months, |
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| 555 | 566 | | e. is, as a result of his or her mental illness, unlikely |
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| 556 | 567 | | to voluntarily participate in outpatient treatment |
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| 557 | 568 | | |
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| 582 | 594 | | |
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| 583 | 595 | | that would enable him or her to live safely in the |
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| 584 | 596 | | community, |
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| 585 | 597 | | f. in view of his or her treatment history and current |
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| 586 | 598 | | behavior, is in need of assisted outpatient treatment |
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| 587 | 599 | | in order to prevent a relapse or deterioration which |
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| 588 | 600 | | would be likely to result in serious harm to the |
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| 589 | 601 | | person or persons as defined in this sect ion, and |
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| 590 | 602 | | g. is likely to benefit from assisted outpatient |
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| 591 | 603 | | treatment; |
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| 592 | 604 | | 21. “Assisted outpatient treatment ” means outpatient services |
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| 593 | 605 | | which have been ordered by the court pursuant to a treatment plan |
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| 594 | 606 | | approved by the court to treat an assisted outpatient ’s mental |
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| 595 | 607 | | illness and to assist the person in living and functioning in the |
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| 596 | 608 | | community, or to attempt to prevent a relapse or deterioration that |
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| 597 | 609 | | may reasonably be predicted to result in suicide or the need for |
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| 598 | 610 | | hospitalization; and |
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| 599 | 611 | | 22. “Urgent recovery clinic ” means a clinic that offers |
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| 600 | 612 | | voluntary services aimed at the assessment and immedia te |
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| 601 | 613 | | stabilization of acute symptoms of mental illness, alcohol and other |
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| 602 | 614 | | drug abuse, and emotional distress. Unless the person receiving |
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| 603 | 615 | | treatment consents to a longer duration or unless the person is |
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| 604 | 616 | | placed into emergency detention under Sections 5 -206 through 5-209 |
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| 605 | 617 | | of this title, no more than twenty -three (23) hours and fifty -nine |
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| 606 | 618 | | |
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