279 | | - | 136 |
---|
280 | | - | Section 2. Section 63I-2-275 is amended to read: |
---|
281 | | - | 137 |
---|
| 384 | + | 187 |
---|
| 385 | + | Section 2. Section 26B-2-121 is amended to read: |
---|
| 386 | + | 188 |
---|
| 387 | + | 26B-2-121 . Access to abuse and neglect information. |
---|
| 388 | + | 189 |
---|
| 389 | + | (1) As used in this section: |
---|
| 390 | + | 190 |
---|
| 391 | + | (a) "Direct service worker" means the same as that term is defined in Section 26B-6-401. |
---|
| 392 | + | 191 |
---|
| 393 | + | (b) "Personal care attendant" means the same as that term is defined in Section [ |
---|
| 394 | + | 192 |
---|
| 395 | + | 26B-6-401] 26B-6-101. |
---|
| 396 | + | 193 |
---|
| 397 | + | (2) With respect to a licensee, a direct service worker, or a personal care attendant, the |
---|
| 398 | + | 194 |
---|
| 399 | + | department may access only the Licensing Information System of the Division of Child |
---|
| 400 | + | 195 |
---|
| 401 | + | and Family Services created by Section 80-2-1002 and juvenile court records under |
---|
| 402 | + | 196 |
---|
| 403 | + | Subsection 80-3-404(4), for the purpose of: |
---|
| 404 | + | 197 |
---|
| 405 | + | (a)(i) determining whether a person associated with a licensee, with direct access to |
---|
| 406 | + | 198 |
---|
| 407 | + | children: |
---|
| 408 | + | - 6 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 409 | + | 199 |
---|
| 410 | + | (A) is listed in the Licensing Information System; or |
---|
| 411 | + | 200 |
---|
| 412 | + | (B) has a substantiated finding by a juvenile court of a severe type of child abuse |
---|
| 413 | + | 201 |
---|
| 414 | + | or neglect under Subsections 80-3-404(1) and (2); and |
---|
| 415 | + | 202 |
---|
| 416 | + | (ii) informing a licensee that a person associated with the licensee: |
---|
| 417 | + | 203 |
---|
| 418 | + | (A) is listed in the Licensing Information System; or |
---|
| 419 | + | 204 |
---|
| 420 | + | (B) has a substantiated finding by a juvenile court of a severe type of child abuse |
---|
| 421 | + | 205 |
---|
| 422 | + | or neglect under Subsections 80-3-404(1) and (2); |
---|
| 423 | + | 206 |
---|
| 424 | + | (b)(i) determining whether a direct service worker: |
---|
| 425 | + | 207 |
---|
| 426 | + | (A) is listed in the Licensing Information System; or |
---|
| 427 | + | 208 |
---|
| 428 | + | (B) has a substantiated finding by a juvenile court of a severe type of child abuse |
---|
| 429 | + | 209 |
---|
| 430 | + | or neglect under Subsections 80-3-404(1) and (2); and |
---|
| 431 | + | 210 |
---|
| 432 | + | (ii) informing a direct service worker or the direct service worker's employer that the |
---|
| 433 | + | 211 |
---|
| 434 | + | direct service worker: |
---|
| 435 | + | 212 |
---|
| 436 | + | (A) is listed in the Licensing Information System; or |
---|
| 437 | + | 213 |
---|
| 438 | + | (B) has a substantiated finding by a juvenile court of a severe type of child abuse |
---|
| 439 | + | 214 |
---|
| 440 | + | or neglect under Subsections 80-3-404(1) and (2); or |
---|
| 441 | + | 215 |
---|
| 442 | + | (c)(i) determining whether a personal care attendant: |
---|
| 443 | + | 216 |
---|
| 444 | + | (A) is listed in the Licensing Information System; or |
---|
| 445 | + | 217 |
---|
| 446 | + | (B) has a substantiated finding by a juvenile court of a severe type of child abuse |
---|
| 447 | + | 218 |
---|
| 448 | + | or neglect under Subsections 80-3-404(1) and (2); and |
---|
| 449 | + | 219 |
---|
| 450 | + | (ii) informing a person described in Subsections 26B-6-101(9)(a)(i) through (iv) that |
---|
| 451 | + | 220 |
---|
| 452 | + | a personal care attendant: |
---|
| 453 | + | 221 |
---|
| 454 | + | (A) is listed in the Licensing Information System; or |
---|
| 455 | + | 222 |
---|
| 456 | + | (B) has a substantiated finding by a juvenile court of a severe type of child abuse |
---|
| 457 | + | 223 |
---|
| 458 | + | or neglect under Subsections 80-3-404(1) and (2). |
---|
| 459 | + | 224 |
---|
| 460 | + | (3) Notwithstanding Subsection (2), the department may access the Division of Child and |
---|
| 461 | + | 225 |
---|
| 462 | + | Family Services' Management Information System under Section 80-2-1001: |
---|
| 463 | + | 226 |
---|
| 464 | + | (a) for the purpose of licensing and monitoring foster parents; |
---|
| 465 | + | 227 |
---|
| 466 | + | (b) for the purposes described in Subsection 80-2-1001(5)(b)(iii); and |
---|
| 467 | + | 228 |
---|
| 468 | + | (c) for the purpose described in Section 26B-1-211. |
---|
| 469 | + | 229 |
---|
| 470 | + | (4) The department shall receive and process personal identifying information under |
---|
| 471 | + | 230 |
---|
| 472 | + | Subsection 26B-2-120(1) for the purposes described in Subsection (2). |
---|
| 473 | + | 231 |
---|
| 474 | + | (5) The department shall adopt rules under Title 63G, Chapter 3, Utah Administrative |
---|
| 475 | + | 232 |
---|
| 476 | + | Rulemaking Act, consistent with this part, defining the circumstances under which a |
---|
| 477 | + | - 7 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 478 | + | 233 |
---|
| 479 | + | person may have direct access or provide services to children when: |
---|
| 480 | + | 234 |
---|
| 481 | + | (a) the person is listed in the Licensing Information System of the Division of Child and |
---|
| 482 | + | 235 |
---|
| 483 | + | Family Services created by Section 80-2-1002; or |
---|
| 484 | + | 236 |
---|
| 485 | + | (b) juvenile court records show that a court made a substantiated finding under Section |
---|
| 486 | + | 237 |
---|
| 487 | + | 80-3-404, that the person committed a severe type of child abuse or neglect. |
---|
| 488 | + | 238 |
---|
| 489 | + | Section 3. Section 26B-2-122 is amended to read: |
---|
| 490 | + | 239 |
---|
| 491 | + | 26B-2-122 . Access to vulnerable adult abuse and neglect information. |
---|
| 492 | + | 240 |
---|
| 493 | + | (1) For purposes of this section: |
---|
| 494 | + | 241 |
---|
| 495 | + | (a) "Direct service worker" means the same as that term is defined in Section 26B-6-401. |
---|
| 496 | + | 242 |
---|
| 497 | + | (b) "Personal care attendant" means the same as that term is defined in Section [ |
---|
| 498 | + | 243 |
---|
| 499 | + | 26B-6-401] 26B-6-101. |
---|
| 500 | + | 244 |
---|
| 501 | + | (2) With respect to a licensee, a direct service worker, or a personal care attendant, the |
---|
| 502 | + | 245 |
---|
| 503 | + | department may access the database created by Section 26B-6-210 for the purpose of: |
---|
| 504 | + | 246 |
---|
| 505 | + | (a)(i) determining whether a person associated with a licensee, with direct access to |
---|
| 506 | + | 247 |
---|
| 507 | + | vulnerable adults, has a supported or substantiated finding of: |
---|
| 508 | + | 248 |
---|
| 509 | + | (A) abuse; |
---|
| 510 | + | 249 |
---|
| 511 | + | (B) neglect; or |
---|
| 512 | + | 250 |
---|
| 513 | + | (C) exploitation; and |
---|
| 514 | + | 251 |
---|
| 515 | + | (ii) informing a licensee that a person associated with the licensee has a supported or |
---|
| 516 | + | 252 |
---|
| 517 | + | substantiated finding of: |
---|
| 518 | + | 253 |
---|
| 519 | + | (A) abuse; |
---|
| 520 | + | 254 |
---|
| 521 | + | (B) neglect; or |
---|
| 522 | + | 255 |
---|
| 523 | + | (C) exploitation; |
---|
| 524 | + | 256 |
---|
| 525 | + | (b)(i) determining whether a direct service worker has a supported or substantiated |
---|
| 526 | + | 257 |
---|
| 527 | + | finding of: |
---|
| 528 | + | 258 |
---|
| 529 | + | (A) abuse; |
---|
| 530 | + | 259 |
---|
| 531 | + | (B) neglect; or |
---|
| 532 | + | 260 |
---|
| 533 | + | (C) exploitation; and |
---|
| 534 | + | 261 |
---|
| 535 | + | (ii) informing a direct service worker or the direct service worker's employer that the |
---|
| 536 | + | 262 |
---|
| 537 | + | direct service worker has a supported or substantiated finding of: |
---|
| 538 | + | 263 |
---|
| 539 | + | (A) abuse; |
---|
| 540 | + | 264 |
---|
| 541 | + | (B) neglect; or |
---|
| 542 | + | 265 |
---|
| 543 | + | (C) exploitation; or |
---|
| 544 | + | 266 |
---|
| 545 | + | (c)(i) determining whether a personal care attendant has a supported or substantiated |
---|
| 546 | + | - 8 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 547 | + | 267 |
---|
| 548 | + | finding of: |
---|
| 549 | + | 268 |
---|
| 550 | + | (A) abuse; |
---|
| 551 | + | 269 |
---|
| 552 | + | (B) neglect; or |
---|
| 553 | + | 270 |
---|
| 554 | + | (C) exploitation; and |
---|
| 555 | + | 271 |
---|
| 556 | + | (ii) informing a person described in Subsections 26B-6-401(9)(a)(i) through (iv) that |
---|
| 557 | + | 272 |
---|
| 558 | + | a personal care attendant has a supported or substantiated finding of: |
---|
| 559 | + | 273 |
---|
| 560 | + | (A) abuse; |
---|
| 561 | + | 274 |
---|
| 562 | + | (B) neglect; or |
---|
| 563 | + | 275 |
---|
| 564 | + | (C) exploitation. |
---|
| 565 | + | 276 |
---|
| 566 | + | (3) The department shall receive and process personal identifying information under |
---|
| 567 | + | 277 |
---|
| 568 | + | Subsection 26B-2-120(2) for the purposes described in Subsection (2). |
---|
| 569 | + | 278 |
---|
| 570 | + | (4) The department shall adopt rules under Title 63G, Chapter 3, Utah Administrative |
---|
| 571 | + | 279 |
---|
| 572 | + | Rulemaking Act, consistent with this part and Chapter 6, Part 2, Abuse, Neglect, or |
---|
| 573 | + | 280 |
---|
| 574 | + | Exploitation of a Vulnerable Adult, defining the circumstances under which a person |
---|
| 575 | + | 281 |
---|
| 576 | + | may have direct access or provide services to vulnerable adults when the person is listed |
---|
| 577 | + | 282 |
---|
| 578 | + | in the statewide database of the Division of Aging and Adult Services created by Section |
---|
| 579 | + | 283 |
---|
| 580 | + | 26B-6-210 as having a supported or substantiated finding of abuse, neglect, or |
---|
| 581 | + | 284 |
---|
| 582 | + | exploitation. |
---|
| 583 | + | 285 |
---|
| 584 | + | Section 4. Section 26B-5-301 is amended to read: |
---|
| 585 | + | 286 |
---|
| 586 | + | 26B-5-301 . Definitions. |
---|
| 587 | + | 287 |
---|
| 588 | + | As used in this part, Part 4, Commitment of Persons Under Age 18, and Part 5, Essential |
---|
| 589 | + | 288 |
---|
| 590 | + | Treatment and Intervention: |
---|
| 591 | + | 289 |
---|
| 592 | + | (1) "Adult" means an individual 18 years old or older. |
---|
| 593 | + | 290 |
---|
| 594 | + | (2) "Approved treatment facility or program" means a mental health or substance use |
---|
| 595 | + | 291 |
---|
| 596 | + | treatment provider that meets the goals and measurements described in Subsection |
---|
| 597 | + | 292 |
---|
| 598 | + | 26B-5-102(2)(j). |
---|
| 599 | + | 293 |
---|
| 600 | + | (3) "Assisted outpatient treatment" means involuntary outpatient mental health treatment |
---|
| 601 | + | 294 |
---|
| 602 | + | ordered under Section 26B-5-351. |
---|
| 603 | + | 295 |
---|
| 604 | + | (4) "Attending physician" means a physician licensed to practice medicine in this state who |
---|
| 605 | + | 296 |
---|
| 606 | + | has primary responsibility for the care and treatment of the declarant. |
---|
| 607 | + | 297 |
---|
| 608 | + | (5) "Attorney-in-fact" means an adult properly appointed under this part to make mental |
---|
| 609 | + | 298 |
---|
| 610 | + | health treatment decisions for a declarant under a declaration for mental health treatment. |
---|
| 611 | + | 299 |
---|
| 612 | + | (6) "Commitment to the custody of a local mental health authority" means that an adult is |
---|
| 613 | + | 300 |
---|
| 614 | + | committed to the custody of the local mental health authority that governs the mental |
---|
| 615 | + | - 9 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 616 | + | 301 |
---|
| 617 | + | health catchment area where the adult resides or is found. |
---|
| 618 | + | 302 |
---|
| 619 | + | (7) "Community mental health center" means an entity that provides treatment and services |
---|
| 620 | + | 303 |
---|
| 621 | + | to a resident of a designated geographical area, that operates by or under contract with a |
---|
| 622 | + | 304 |
---|
| 623 | + | local mental health authority, and that complies with state standards for community |
---|
| 624 | + | 305 |
---|
| 625 | + | mental health centers. |
---|
| 626 | + | 306 |
---|
| 627 | + | (8) "Designated examiner" means: |
---|
| 628 | + | 307 |
---|
| 629 | + | (a) a licensed physician, preferably a psychiatrist, who is designated by the division as |
---|
| 630 | + | 308 |
---|
| 631 | + | specially qualified by training or experience in the diagnosis of mental or related |
---|
| 632 | + | 309 |
---|
| 633 | + | illness; or |
---|
| 634 | + | 310 |
---|
| 635 | + | (b) a licensed mental health professional designated by the division as specially qualified |
---|
| 636 | + | 311 |
---|
| 637 | + | by training and who has at least five years' continual experience in the treatment of |
---|
| 638 | + | 312 |
---|
| 639 | + | mental illness. |
---|
| 640 | + | 313 |
---|
| 641 | + | (9) "Designee" means a physician who has responsibility for medical functions including |
---|
| 642 | + | 314 |
---|
| 643 | + | admission and discharge, an employee of a local mental health authority, or an employee |
---|
| 644 | + | 315 |
---|
| 645 | + | of a person that has contracted with a local mental health authority to provide mental |
---|
| 646 | + | 316 |
---|
| 647 | + | health services under Section 17-43-304. |
---|
| 648 | + | 317 |
---|
| 649 | + | (10) "Essential treatment" and "essential treatment and intervention" mean court-ordered |
---|
| 650 | + | 318 |
---|
| 651 | + | treatment at a local substance abuse authority or an approved treatment facility or |
---|
| 652 | + | 319 |
---|
| 653 | + | program for the treatment of an adult's substance use disorder. |
---|
| 654 | + | 320 |
---|
| 655 | + | (11) "Harmful sexual conduct" means the following conduct upon an individual without the |
---|
| 656 | + | 321 |
---|
| 657 | + | individual's consent, including the nonconsensual circumstances described in |
---|
| 658 | + | 322 |
---|
| 659 | + | Subsections 76-5-406(2)(a) through (l): |
---|
| 660 | + | 323 |
---|
| 661 | + | (a) sexual intercourse; |
---|
| 662 | + | 324 |
---|
| 663 | + | (b) penetration, however slight, of the genital or anal opening of the individual; |
---|
| 664 | + | 325 |
---|
| 665 | + | (c) any sexual act involving the genitals or anus of the actor or the individual and the |
---|
| 666 | + | 326 |
---|
| 667 | + | mouth or anus of either individual, regardless of the gender of either participant; or |
---|
| 668 | + | 327 |
---|
| 669 | + | (d) any sexual act causing substantial emotional injury or bodily pain. |
---|
| 670 | + | 328 |
---|
| 671 | + | (12) "Informed waiver" means the patient was informed of a right and, after being informed |
---|
| 672 | + | 329 |
---|
| 673 | + | of that right and the patient's right to waive the right, expressly communicated his or her |
---|
| 674 | + | 330 |
---|
| 675 | + | intention to waive that right. |
---|
| 676 | + | 331 |
---|
| 677 | + | (13) "Incapable" means that, in the opinion of the court in a guardianship proceeding under |
---|
| 678 | + | 332 |
---|
| 679 | + | Title 75, Utah Uniform Probate Code, or in the opinion of two physicians, a person's |
---|
| 680 | + | 333 |
---|
| 681 | + | ability to receive and evaluate information effectively or communicate decisions is |
---|
| 682 | + | 334 |
---|
| 683 | + | impaired to such an extent that the person currently lacks the capacity to make mental |
---|
| 684 | + | - 10 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 685 | + | 335 |
---|
| 686 | + | health treatment decisions. |
---|
| 687 | + | 336 |
---|
| 688 | + | (14) "Institution" means a hospital or a health facility licensed under Section 26B-2-206. |
---|
| 689 | + | 337 |
---|
| 690 | + | (15) "Lay person" means an individual identified and authorized by a patient to participate |
---|
| 691 | + | 338 |
---|
| 692 | + | in activities related to the patient's commitment, including court appearances, discharge |
---|
| 693 | + | 339 |
---|
| 694 | + | planning, and grievances, except that a patient may revoke a lay person's authorization at |
---|
| 695 | + | 340 |
---|
| 696 | + | any time. |
---|
| 697 | + | 341 |
---|
| 698 | + | (16) "Local substance abuse authority" means the same as that term is defined in Section |
---|
| 699 | + | 342 |
---|
| 700 | + | 26B-5-101 and described in Section 17-43-201. |
---|
| 701 | + | 343 |
---|
| 702 | + | [(16)] (17) "Mental health facility" means the Utah State Hospital or other facility that |
---|
| 703 | + | 344 |
---|
| 704 | + | provides mental health services under contract with the division, a local mental health |
---|
| 705 | + | 345 |
---|
| 706 | + | authority, a person that contracts with a local mental health authority, or a person that |
---|
| 707 | + | 346 |
---|
| 708 | + | provides acute inpatient psychiatric services to a patient. |
---|
| 709 | + | 347 |
---|
| 710 | + | [(17)] (18) "Mental health officer" means an individual who is designated by a local mental |
---|
| 711 | + | 348 |
---|
| 712 | + | health authority as qualified by training and experience in the recognition and |
---|
| 713 | + | 349 |
---|
| 714 | + | identification of mental illness, to: |
---|
| 715 | + | 350 |
---|
| 716 | + | (a) apply for and provide certification for a temporary commitment; or |
---|
| 717 | + | 351 |
---|
| 718 | + | (b) assist in the arrangement of transportation to a designated mental health facility. |
---|
| 719 | + | 352 |
---|
| 720 | + | [(18)] (19) "Mental illness" means: |
---|
| 721 | + | 353 |
---|
| 722 | + | (a) a psychiatric disorder that substantially impairs an individual's mental, emotional, |
---|
| 723 | + | 354 |
---|
| 724 | + | behavioral, or related functioning; or |
---|
| 725 | + | 355 |
---|
| 726 | + | (b) the same as that term is defined in: |
---|
| 727 | + | 356 |
---|
| 728 | + | (i) the current edition of the Diagnostic and Statistical Manual of Mental Disorders |
---|
| 729 | + | 357 |
---|
| 730 | + | published by the American Psychiatric Association; or |
---|
| 731 | + | 358 |
---|
| 732 | + | (ii) the current edition of the International Statistical Classification of Diseases and |
---|
| 733 | + | 359 |
---|
| 734 | + | Related Health Problems. |
---|
| 735 | + | 360 |
---|
| 736 | + | [(19)] (20) "Mental health treatment" means convulsive treatment, treatment with |
---|
| 737 | + | 361 |
---|
| 738 | + | psychoactive medication, or admission to and retention in a facility for a period not to |
---|
| 739 | + | 362 |
---|
| 740 | + | exceed 17 days. |
---|
| 741 | + | 363 |
---|
| 742 | + | [(20)] (21) "Patient" means an individual who is: |
---|
| 743 | + | 364 |
---|
| 744 | + | (a) under commitment to the custody or to the treatment services of a local mental health |
---|
| 745 | + | 365 |
---|
| 746 | + | authority; or |
---|
| 747 | + | 366 |
---|
| 748 | + | (b) undergoing essential treatment and intervention. |
---|
| 749 | + | 367 |
---|
| 750 | + | [(21)] (22) "Physician" means an individual who is: |
---|
| 751 | + | 368 |
---|
| 752 | + | (a) licensed as a physician under Title 58, Chapter 67, Utah Medical Practice Act; or |
---|
| 753 | + | - 11 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 754 | + | 369 |
---|
| 755 | + | (b) licensed as a physician under Title 58, Chapter 68, Utah Osteopathic Medical |
---|
| 756 | + | 370 |
---|
| 757 | + | Practice Act. |
---|
| 758 | + | 371 |
---|
| 759 | + | [(22)] (23) "Serious bodily injury" means bodily injury that involves a substantial risk of |
---|
| 760 | + | 372 |
---|
| 761 | + | death, unconsciousness, extreme physical pain, protracted and obvious disfigurement, or |
---|
| 762 | + | 373 |
---|
| 763 | + | protracted loss or impairment of the function of a bodily member, organ, or mental |
---|
| 764 | + | 374 |
---|
| 765 | + | faculty. |
---|
| 766 | + | 375 |
---|
| 767 | + | [(23)] (24) "State hospital" means the Utah State Hospital established in Section 26B-5-302. |
---|
| 768 | + | 376 |
---|
| 769 | + | [(24)] (25) "Substantial danger" means that due to mental illness, an individual is at serious |
---|
| 770 | + | 377 |
---|
| 771 | + | risk of: |
---|
| 772 | + | 378 |
---|
| 773 | + | (a) suicide; |
---|
| 774 | + | 379 |
---|
| 775 | + | (b) serious bodily self-injury; |
---|
| 776 | + | 380 |
---|
| 777 | + | (c) serious bodily injury because the individual is incapable of providing the basic |
---|
| 778 | + | 381 |
---|
| 779 | + | necessities of life, including food, clothing, or shelter; |
---|
| 780 | + | 382 |
---|
| 781 | + | (d) causing or attempting to cause serious bodily injury to another individual; |
---|
| 782 | + | 383 |
---|
| 783 | + | (e) engaging in harmful sexual conduct; or |
---|
| 784 | + | 384 |
---|
| 785 | + | (f) if not treated, suffering severe and abnormal mental, emotional, or physical distress |
---|
| 786 | + | 385 |
---|
| 787 | + | that: |
---|
| 788 | + | 386 |
---|
| 789 | + | (i) is associated with significant impairment of judgment, reason, or behavior; and |
---|
| 790 | + | 387 |
---|
| 791 | + | (ii) causes a substantial deterioration of the individual's previous ability to function |
---|
| 792 | + | 388 |
---|
| 793 | + | independently. |
---|
| 794 | + | 389 |
---|
| 795 | + | [(25)] (26) "Treatment" means psychotherapy, medication, including the administration of |
---|
| 796 | + | 390 |
---|
| 797 | + | psychotropic medication, or other medical treatments that are generally accepted |
---|
| 798 | + | 391 |
---|
| 799 | + | medical or psychosocial interventions for the purpose of restoring the patient to an |
---|
| 800 | + | 392 |
---|
| 801 | + | optimal level of functioning in the least restrictive environment. |
---|
| 802 | + | 393 |
---|
| 803 | + | Section 5. Section 26B-5-310 is amended to read: |
---|
| 804 | + | 394 |
---|
| 805 | + | 26B-5-310 . Restrictions and limitations -- Rights and privileges. |
---|
| 806 | + | 395 |
---|
| 807 | + | (1) Subject to the general rules of the division, subject to the requirement in Subsection (2) |
---|
| 808 | + | 396 |
---|
| 809 | + | that the reason, nature, and extent of any limitation or denial of a patient's right shall be |
---|
| 810 | + | 397 |
---|
| 811 | + | entered in the patient's treatment record, and except to the extent that the director or [his] |
---|
| 812 | + | 398 |
---|
| 813 | + | the director's designee determines that it is necessary for the welfare of the patient or the |
---|
| 814 | + | 399 |
---|
| 815 | + | patient's caretakers to impose restrictions, every patient is entitled to: |
---|
| 816 | + | 400 |
---|
| 817 | + | (a)(i) communicate, by sealed mail or otherwise, with persons, including official |
---|
| 818 | + | 401 |
---|
| 819 | + | agencies, inside or outside the [facility] responsible mental health authority, local |
---|
| 820 | + | 402 |
---|
| 821 | + | substance abuse authority, or approved treatment facility or program; |
---|
| 822 | + | - 12 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 823 | + | 403 |
---|
| 824 | + | (ii) be provided with letter-writing materials, including postage; and |
---|
| 825 | + | 404 |
---|
| 826 | + | (iii) have staff of the responsible mental health authority, local substance abuse |
---|
| 827 | + | 405 |
---|
| 828 | + | authority, or approved treatment facility or program assist the patient if the patient |
---|
| 829 | + | 406 |
---|
| 830 | + | is unable to write, prepare, or mail correspondence; |
---|
| 831 | + | 407 |
---|
| 832 | + | (b) have frequent and consistent opportunities to receive visitors[; and] at reasonable |
---|
| 833 | + | 408 |
---|
| 834 | + | times that do not interfere with clinical activities; |
---|
| 835 | + | 409 |
---|
| 836 | + | (c) speak or visit with the patient's attorney or clergy member within a reasonable period |
---|
| 837 | + | 410 |
---|
| 838 | + | of time; |
---|
| 839 | + | 411 |
---|
| 840 | + | (d) exercise all civil rights, including the right to dispose of property, execute |
---|
| 841 | + | 412 |
---|
| 842 | + | instruments, make purchases, enter contractual relationships, and vote, unless the |
---|
| 843 | + | 413 |
---|
| 844 | + | patient has been adjudicated to be incompetent and has not been restored to legal |
---|
| 845 | + | 414 |
---|
| 846 | + | capacity[.] ; |
---|
| 847 | + | 415 |
---|
| 848 | + | (e) while in an inpatient or residential facility, have access to adequate water and food |
---|
| 849 | + | 416 |
---|
| 850 | + | and have the patient's nutritional needs met in a manner that is consistent with |
---|
| 851 | + | 417 |
---|
| 852 | + | recognized dietary practices; |
---|
| 853 | + | 418 |
---|
| 854 | + | (f) be treated fairly, with respect and recognition of the patient's dignity and |
---|
| 855 | + | 419 |
---|
| 856 | + | individuality; |
---|
| 857 | + | 420 |
---|
| 858 | + | (g) not be discriminated against on the basis of a characteristic identified in Subsection |
---|
| 859 | + | 421 |
---|
| 860 | + | 57-21-5(1); |
---|
| 861 | + | 422 |
---|
| 862 | + | (h) within 72 business hours after the patient's request, see and receive the services of a |
---|
| 863 | + | 423 |
---|
| 864 | + | patient representative, including a peer specialist or patient advocate, who is not |
---|
| 865 | + | 424 |
---|
| 866 | + | involved in the direct clinical care of the patient; |
---|
| 867 | + | 425 |
---|
| 868 | + | (i) have the patient's behavioral health orders for scope of treatment, declaration for |
---|
| 869 | + | 426 |
---|
| 870 | + | mental health treatment, or other psychiatric advance directive reviewed and |
---|
| 871 | + | 427 |
---|
| 872 | + | considered as the preferred treatment option for involuntary administration of |
---|
| 873 | + | 428 |
---|
| 874 | + | medications by the responsible local mental health authority, local substance abuse |
---|
| 875 | + | 429 |
---|
| 876 | + | authority, or approved treatment facility or program, unless by clear and convincing |
---|
| 877 | + | 430 |
---|
| 878 | + | evidence the patient's directive does not qualify as effective participation in |
---|
| 879 | + | 431 |
---|
| 880 | + | behavioral health decision-making; |
---|
| 881 | + | 432 |
---|
| 882 | + | (j) with the patient's consent, have the patient's information or records disclosed to an |
---|
| 883 | + | 433 |
---|
| 884 | + | adult family member, the patient's lay person, or, in accordance with state and federal |
---|
| 885 | + | 434 |
---|
| 886 | + | law, to a protection and advocacy system designated pursuant to 42 U.S.C. Sec. |
---|
| 887 | + | 435 |
---|
| 888 | + | 10801 et seq.; |
---|
| 889 | + | 436 |
---|
| 890 | + | (k)(i) access to a telephone to make and receive private calls, unless determined a |
---|
| 891 | + | - 13 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 892 | + | 437 |
---|
| 893 | + | clinical or safety risk; and |
---|
| 894 | + | 438 |
---|
| 895 | + | (ii) staff assistance to be able to communicate with others, if the patient does not have |
---|
| 896 | + | 439 |
---|
| 897 | + | a contact list; |
---|
| 898 | + | 440 |
---|
| 899 | + | (l) wear the patient's own clothes, keep and use the patient's own possessions, and keep |
---|
| 900 | + | 441 |
---|
| 901 | + | and be allowed to spend a reasonable amount of the patient's own money, unless |
---|
| 902 | + | 442 |
---|
| 903 | + | deemed a clinical or safety risk; and |
---|
| 904 | + | 443 |
---|
| 905 | + | (m) be told: |
---|
| 906 | + | 444 |
---|
| 907 | + | (i) the reason for the patient's detainment and the limitation of the patient's |
---|
| 908 | + | 445 |
---|
| 909 | + | detainment, including a description of the patient's right to refuse medication |
---|
| 910 | + | 446 |
---|
| 911 | + | unless the patient requires emergency medications; and |
---|
| 912 | + | 447 |
---|
| 913 | + | (ii) that the patient's commitment does not mean all treatment during commitment is |
---|
| 914 | + | 448 |
---|
| 915 | + | mandatory. |
---|
| 916 | + | 449 |
---|
| 917 | + | (2)(a) When any right of a patient is limited or denied, the nature, extent, and reason for |
---|
| 918 | + | 450 |
---|
| 919 | + | that limitation or denial shall be entered in the patient's treatment record. |
---|
| 920 | + | 451 |
---|
| 921 | + | (b) Information pertaining to a denial of any right of a patient shall be made available, |
---|
| 922 | + | 452 |
---|
| 923 | + | upon request, to the patient, the patient's attorney, and the patient's lay person. |
---|
| 924 | + | 453 |
---|
| 925 | + | (c) Any continuing denial or limitation of any right of a patient shall be reviewed every |
---|
| 926 | + | 454 |
---|
| 927 | + | 30 days and shall also be entered in [that] the patient's treatment record. |
---|
| 928 | + | 455 |
---|
| 929 | + | (d) Notice of [that] a continuing denial of any right of a patient in excess of 30 days shall |
---|
| 930 | + | 456 |
---|
| 931 | + | be sent to the division, the [appropriate] responsible local mental health authority, the |
---|
| 932 | + | 457 |
---|
| 933 | + | appropriate local substance abuse authority, or an approved treatment facility or |
---|
| 934 | + | 458 |
---|
| 935 | + | program[, whichever is most applicable to the patient]. |
---|
| 936 | + | 459 |
---|
| 937 | + | [(3) Notwithstanding any limitations authorized under this section on the right of |
---|
| 938 | + | 460 |
---|
| 939 | + | communication, each patient is entitled to communicate by sealed mail with the |
---|
| 940 | + | 461 |
---|
| 941 | + | appropriate local mental health authority, the appropriate local substance abuse |
---|
| 942 | + | 462 |
---|
| 943 | + | authority, an approved treatment facility or program, the division, the patient's attorney, |
---|
| 944 | + | 463 |
---|
| 945 | + | and the court, if any, that ordered the patient's commitment or essential treatment. In no |
---|
| 946 | + | 464 |
---|
| 947 | + | case may the patient be denied a visit with the legal counsel or clergy of the patient's |
---|
| 948 | + | 465 |
---|
| 949 | + | choice.] |
---|
| 950 | + | 466 |
---|
| 951 | + | [(4)] (3) Local mental health authorities, local substance abuse authorities, and approved |
---|
| 952 | + | 467 |
---|
| 953 | + | treatment facilities or programs shall provide reasonable means and arrangements for |
---|
| 954 | + | 468 |
---|
| 955 | + | informing involuntary patients of their right to release as provided in this chapter, and |
---|
| 956 | + | 469 |
---|
| 957 | + | for assisting them in making and presenting requests for release. |
---|
| 958 | + | 470 |
---|
| 959 | + | [(5)] (4) [Mental] Local mental health facilities, local substance abuse authorities, and |
---|
| 960 | + | - 14 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 961 | + | 471 |
---|
| 962 | + | approved treatment facilities or programs shall post a statement, created by the division, |
---|
| 963 | + | 472 |
---|
| 964 | + | describing a patient's rights under Utah law. |
---|
| 965 | + | 473 |
---|
| 966 | + | [(6)] (5) A local mental health authority, local substance abuse authority, or approved |
---|
| 967 | + | 474 |
---|
| 968 | + | treatment facility or program may not intentionally retaliate or discriminate against a |
---|
| 969 | + | 475 |
---|
| 970 | + | detained patient or employee for contacting or providing information to any official or to |
---|
| 971 | + | 476 |
---|
| 972 | + | an employee of any state protection and advocacy agency or for initiating, participating |
---|
| 973 | + | 477 |
---|
| 974 | + | in, or testifying in a grievance procedure or in an action for any remedy authorized |
---|
| 975 | + | 478 |
---|
| 976 | + | pursuant to this section. |
---|
| 977 | + | 479 |
---|
| 978 | + | (6) Notwithstanding Section 53B-17-303, an individual committed under this chapter has |
---|
| 979 | + | 480 |
---|
| 980 | + | the right to determine the final disposition of that individual's body after death. |
---|
| 981 | + | 481 |
---|
| 982 | + | Section 6. Section 26B-5-322 is amended to read: |
---|
| 983 | + | 482 |
---|
| 984 | + | 26B-5-322 . Criminal's escape -- Penalty. |
---|
| 985 | + | 483 |
---|
| 986 | + | Any person committed to the state hospital under the provisions of [Title 77, Chapter 15, |
---|
| 987 | + | 484 |
---|
| 988 | + | Inquiry into Sanity of Defendant] Title 77, Chapter 15, Defendant's Competency to Proceed, or |
---|
| 989 | + | 485 |
---|
| 990 | + | Chapter 16a, Commitment and Treatment of Individuals with a Mental Condition, who escapes |
---|
| 991 | + | 486 |
---|
| 992 | + | or leaves the state hospital without proper legal authority is guilty of a class A misdemeanor. |
---|
| 993 | + | 487 |
---|
| 994 | + | Section 7. Section 26B-5-332 is amended to read: |
---|
| 995 | + | 488 |
---|
| 996 | + | 26B-5-332 . Involuntary commitment under court order -- Examination -- |
---|
| 997 | + | 489 |
---|
| 998 | + | Hearing -- Power of court -- Findings required -- Costs. |
---|
| 999 | + | 490 |
---|
| 1000 | + | (1) A responsible individual who has credible knowledge of an adult's mental illness and |
---|
| 1001 | + | 491 |
---|
| 1002 | + | the condition or circumstances that have led to the adult's need to be involuntarily |
---|
| 1003 | + | 492 |
---|
| 1004 | + | committed may initiate an involuntary commitment court proceeding by filing, in the |
---|
| 1005 | + | 493 |
---|
| 1006 | + | court in the county where the proposed patient resides or is found, a written application |
---|
| 1007 | + | 494 |
---|
| 1008 | + | that includes: |
---|
| 1009 | + | 495 |
---|
| 1010 | + | (a) unless the court finds that the information is not reasonably available, the proposed |
---|
| 1011 | + | 496 |
---|
| 1012 | + | patient's: |
---|
| 1013 | + | 497 |
---|
| 1014 | + | (i) name; |
---|
| 1015 | + | 498 |
---|
| 1016 | + | (ii) date of birth; and |
---|
| 1017 | + | 499 |
---|
| 1018 | + | (iii) social security number; |
---|
| 1019 | + | 500 |
---|
| 1020 | + | (b)(i) a certificate of a licensed physician or a designated examiner stating that within |
---|
| 1021 | + | 501 |
---|
| 1022 | + | the seven-day period immediately preceding the certification, the physician or |
---|
| 1023 | + | 502 |
---|
| 1024 | + | designated examiner examined the proposed patient and is of the opinion that the |
---|
| 1025 | + | 503 |
---|
| 1026 | + | proposed patient has a mental illness and should be involuntarily committed; or |
---|
| 1027 | + | 504 |
---|
| 1028 | + | (ii) a written statement by the applicant that: |
---|
| 1029 | + | - 15 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 1030 | + | 505 |
---|
| 1031 | + | (A) the proposed patient has been requested to, but has refused to, submit to an |
---|
| 1032 | + | 506 |
---|
| 1033 | + | examination of mental condition by a licensed physician or designated |
---|
| 1034 | + | 507 |
---|
| 1035 | + | examiner; |
---|
| 1036 | + | 508 |
---|
| 1037 | + | (B) is sworn to under oath; and |
---|
| 1038 | + | 509 |
---|
| 1039 | + | (C) states the facts upon which the application is based; and |
---|
| 1040 | + | 510 |
---|
| 1041 | + | (c) a statement whether the proposed patient has previously been under an assisted |
---|
| 1042 | + | 511 |
---|
| 1043 | + | outpatient treatment order, if known by the applicant. |
---|
| 1044 | + | 512 |
---|
| 1045 | + | (2) Before issuing a judicial order, the court: |
---|
| 1046 | + | 513 |
---|
| 1047 | + | (a) shall require the applicant to consult with the appropriate local mental health |
---|
| 1048 | + | 514 |
---|
| 1049 | + | authority at or before the hearing; and |
---|
| 1050 | + | 515 |
---|
| 1051 | + | (b) may direct a mental health professional from the local mental health authority to |
---|
| 1052 | + | 516 |
---|
| 1053 | + | interview the applicant and the proposed patient to determine the existing facts and |
---|
| 1054 | + | 517 |
---|
| 1055 | + | report the existing facts to the court. |
---|
| 1056 | + | 518 |
---|
| 1057 | + | (3) The court may issue an order, directed to a mental health officer or peace officer, to |
---|
| 1058 | + | 519 |
---|
| 1059 | + | immediately place a proposed patient in the custody of a local mental health authority or |
---|
| 1060 | + | 520 |
---|
| 1061 | + | in a temporary emergency facility, as described in Section 26B-5-334, to be detained for |
---|
| 1062 | + | 521 |
---|
| 1063 | + | the purpose of examination if: |
---|
| 1064 | + | 522 |
---|
| 1065 | + | (a) the court finds from the application, any other statements under oath, or any reports |
---|
| 1066 | + | 523 |
---|
| 1067 | + | from a mental health professional that there is a reasonable basis to believe that the |
---|
| 1068 | + | 524 |
---|
| 1069 | + | proposed patient has a mental illness that poses a danger to self or others and requires |
---|
| 1070 | + | 525 |
---|
| 1071 | + | involuntary commitment pending examination and hearing; or |
---|
| 1072 | + | 526 |
---|
| 1073 | + | (b) the proposed patient refuses to submit to an interview with a mental health |
---|
| 1074 | + | 527 |
---|
| 1075 | + | professional as directed by the court or to go to a treatment facility voluntarily. |
---|
| 1076 | + | 528 |
---|
| 1077 | + | (4)(a) The court shall provide notice of commencement of proceedings for involuntary |
---|
| 1078 | + | 529 |
---|
| 1079 | + | commitment, setting forth the allegations of the application and any reported facts, |
---|
| 1080 | + | 530 |
---|
| 1081 | + | together with a copy of any official order of detention, to a proposed patient before, |
---|
| 1082 | + | 531 |
---|
| 1083 | + | or upon, placement of the proposed patient in the custody of a local mental health |
---|
| 1084 | + | 532 |
---|
| 1085 | + | authority or, with respect to any proposed patient presently in the custody of a local |
---|
| 1086 | + | 533 |
---|
| 1087 | + | mental health authority whose status is being changed from voluntary to involuntary, |
---|
| 1088 | + | 534 |
---|
| 1089 | + | upon the filing of an application for that purpose with the court. |
---|
| 1090 | + | 535 |
---|
| 1091 | + | (b) The place of detention shall maintain a copy of the order of detention. |
---|
| 1092 | + | 536 |
---|
| 1093 | + | (5)(a) The court shall provide notice of commencement of proceedings for involuntary |
---|
| 1094 | + | 537 |
---|
| 1095 | + | commitment as soon as practicable to the applicant, any legal guardian, any |
---|
| 1096 | + | 538 |
---|
| 1097 | + | immediate adult family members, legal counsel for the parties involved, the local |
---|
| 1098 | + | - 16 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 1099 | + | 539 |
---|
| 1100 | + | mental health authority or the local mental health authority's designee, and any other |
---|
| 1101 | + | 540 |
---|
| 1102 | + | persons whom the proposed patient or the court designates. |
---|
| 1103 | + | 541 |
---|
| 1104 | + | (b) Except as provided in Subsection (5)(c), the notice under Subsection (5)(a) shall |
---|
| 1105 | + | 542 |
---|
| 1106 | + | advise the persons that a hearing may be held within the time provided by law. |
---|
| 1107 | + | 543 |
---|
| 1108 | + | (c) If the proposed patient refuses to permit release of information necessary for |
---|
| 1109 | + | 544 |
---|
| 1110 | + | provisions of notice under this subsection, the court shall determine the extent of |
---|
| 1111 | + | 545 |
---|
| 1112 | + | notice. |
---|
| 1113 | + | 546 |
---|
| 1114 | + | (6) Proceedings for commitment of an individual under 18 years old to a local mental health |
---|
| 1115 | + | 547 |
---|
| 1116 | + | authority may be commenced in accordance with Part 4, Commitment of Persons Under |
---|
| 1117 | + | 548 |
---|
| 1118 | + | Age 18. |
---|
| 1119 | + | 549 |
---|
| 1120 | + | (7)(a) The court may, in the court's discretion, transfer the case to any other district court |
---|
| 1121 | + | 550 |
---|
| 1122 | + | within this state, if the transfer will not be adverse to the interest of the proposed |
---|
| 1123 | + | 551 |
---|
| 1124 | + | patient. |
---|
| 1125 | + | 552 |
---|
| 1126 | + | (b) If a case is transferred under Subsection (7)(a), the parties to the case may be |
---|
| 1127 | + | 553 |
---|
| 1128 | + | transferred and the local mental health authority may be substituted in accordance |
---|
| 1129 | + | 554 |
---|
| 1130 | + | with Utah Rules of Civil Procedure, Rule 25. |
---|
| 1131 | + | 555 |
---|
| 1132 | + | (8) Within 24 hours, excluding Saturdays, Sundays, and legal holidays, of the issuance of a |
---|
| 1133 | + | 556 |
---|
| 1134 | + | judicial order, or after commitment of a proposed patient to a local mental health |
---|
| 1135 | + | 557 |
---|
| 1136 | + | authority or the local mental health authority's designee under court order for detention |
---|
| 1137 | + | 558 |
---|
| 1138 | + | or examination, the court shall appoint two designated examiners: |
---|
| 1139 | + | 559 |
---|
| 1140 | + | (a) who did not sign the civil commitment application nor the civil commitment |
---|
| 1141 | + | 560 |
---|
| 1142 | + | certification under Subsection (1); |
---|
| 1143 | + | 561 |
---|
| 1144 | + | (b) one of whom is: |
---|
| 1145 | + | 562 |
---|
| 1146 | + | (i) a licensed physician; or |
---|
| 1147 | + | 563 |
---|
| 1148 | + | (ii) a psychiatric mental health nurse practitioner or a psychiatric mental health |
---|
| 1149 | + | 564 |
---|
| 1150 | + | clinical nurse specialist who: |
---|
| 1151 | + | 565 |
---|
| 1152 | + | (A) is nationally certified; |
---|
| 1153 | + | 566 |
---|
| 1154 | + | (B) is doctorally trained; and |
---|
| 1155 | + | 567 |
---|
| 1156 | + | (C) has at least two years of inpatient mental health experience, regardless of the |
---|
| 1157 | + | 568 |
---|
| 1158 | + | license the individual held at the time of that experience; and |
---|
| 1159 | + | 569 |
---|
| 1160 | + | (c) one of whom may be designated by the proposed patient or the proposed patient's |
---|
| 1161 | + | 570 |
---|
| 1162 | + | counsel, if that designated examiner is reasonably available. |
---|
| 1163 | + | 571 |
---|
| 1164 | + | (9) The court shall schedule a hearing to be held within 10 calendar days after the day on |
---|
| 1165 | + | 572 |
---|
| 1166 | + | which the designated examiners are appointed. |
---|
| 1167 | + | - 17 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 1168 | + | 573 |
---|
| 1169 | + | (10)(a) The designated examiners shall[:] |
---|
| 1170 | + | 574 |
---|
| 1171 | + | [(i)] conduct the examinations separately[;] . |
---|
| 1172 | + | 575 |
---|
| 1173 | + | [(ii)] (b) [conduct the examinations at the home of the proposed patient, at a hospital or |
---|
| 1174 | + | 576 |
---|
| 1175 | + | other medical facility, or at any other suitable place, including] The designated |
---|
| 1176 | + | 577 |
---|
| 1177 | + | examiners shall conduct the examinations: |
---|
| 1178 | + | 578 |
---|
| 1179 | + | (i) through telehealth[,] unless the designated examiner determines that: |
---|
| 1180 | + | 579 |
---|
| 1181 | + | (A) a telehealth examination would not be sufficient to properly assess the |
---|
| 1182 | + | 580 |
---|
| 1183 | + | proposed patient; |
---|
| 1184 | + | 581 |
---|
| 1185 | + | (B) a telehealth examination would have a harmful effect on the proposed patient's |
---|
| 1186 | + | 582 |
---|
| 1187 | + | health; or |
---|
| 1188 | + | 583 |
---|
| 1189 | + | (C) an in-person examination can be conducted as effectively, conveniently, and |
---|
| 1190 | + | 584 |
---|
| 1191 | + | timely as an examination through telehealth; and |
---|
| 1192 | + | 585 |
---|
| 1193 | + | (ii) if the designated examiner determines, pursuant to Subsection (10)(b)(i), that the |
---|
| 1194 | + | 586 |
---|
| 1195 | + | examination should be conducted in person, at the home of the proposed patient, |
---|
| 1196 | + | 587 |
---|
| 1197 | + | at a hospital or other medical facility, or at any other suitable place that is not |
---|
| 1198 | + | 588 |
---|
| 1199 | + | likely to have a harmful effect on the proposed patient's health[;] . |
---|
| 1200 | + | 589 |
---|
| 1201 | + | [(iii)] (c) The designated examiners shall inform the proposed patient, if not represented |
---|
| 1202 | + | 590 |
---|
| 1203 | + | by an attorney: |
---|
| 1204 | + | 591 |
---|
| 1205 | + | [(A)] (i) that the proposed patient does not have to say anything; |
---|
| 1206 | + | 592 |
---|
| 1207 | + | [(B)] (ii) of the nature and reasons for the examination; |
---|
| 1208 | + | 593 |
---|
| 1209 | + | [(C)] (iii) that the examination was ordered by the court; |
---|
| 1210 | + | 594 |
---|
| 1211 | + | [(D)] (iv) that any information volunteered could form part of the basis for the |
---|
| 1212 | + | 595 |
---|
| 1213 | + | proposed patient's involuntary commitment; |
---|
| 1214 | + | 596 |
---|
| 1215 | + | [(E)] (v) that findings resulting from the examination will be made available to the |
---|
| 1216 | + | 597 |
---|
| 1217 | + | court; and |
---|
| 1218 | + | 598 |
---|
| 1219 | + | [(F)] (vi) that the designated examiner may, under court order, obtain the proposed |
---|
| 1220 | + | 599 |
---|
| 1221 | + | patient's mental health records[; and] . |
---|
| 1222 | + | 600 |
---|
| 1223 | + | [(iv)] (d) [within] Within 24 hours of examining the proposed patient, a designated |
---|
| 1224 | + | 601 |
---|
| 1225 | + | examiner shall report to the court, orally or in writing, whether the proposed patient |
---|
| 1226 | + | 602 |
---|
| 1227 | + | is mentally ill, has agreed to voluntary commitment, as described in Section |
---|
| 1228 | + | 603 |
---|
| 1229 | + | 26B-5-360, or has acceptable programs available to the proposed patient without |
---|
| 1230 | + | 604 |
---|
| 1231 | + | court proceedings. |
---|
| 1232 | + | 605 |
---|
| 1233 | + | [(b)] (e) If a designated examiner reports orally under Subsection [(10)(a)] (10)(d), the |
---|
| 1234 | + | 606 |
---|
| 1235 | + | designated examiner shall immediately send a written report to the clerk of the court. |
---|
| 1236 | + | - 18 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 1237 | + | 607 |
---|
| 1238 | + | (11) If a designated examiner is unable to complete an examination on the first attempt |
---|
| 1239 | + | 608 |
---|
| 1240 | + | because the proposed patient refuses to submit to the examination, the court shall fix a |
---|
| 1241 | + | 609 |
---|
| 1242 | + | reasonable compensation to be paid to the examiner. |
---|
| 1243 | + | 610 |
---|
| 1244 | + | (12) If the local mental health authority, the local mental health authority's designee, or a |
---|
| 1245 | + | 611 |
---|
| 1246 | + | medical examiner determines before the court hearing that the conditions justifying the |
---|
| 1247 | + | 612 |
---|
| 1248 | + | findings leading to a commitment hearing no longer exist, the local mental health |
---|
| 1249 | + | 613 |
---|
| 1250 | + | authority, the local mental health authority's designee, or the medical examiner shall |
---|
| 1251 | + | 614 |
---|
| 1252 | + | immediately report the determination to the court. |
---|
| 1253 | + | 615 |
---|
| 1254 | + | (13)(a) The court shall terminate the proceedings and dismiss the application before the |
---|
| 1255 | + | 616 |
---|
| 1256 | + | hearing if both designated examiners inform the court that the proposed patient does |
---|
| 1257 | + | 617 |
---|
| 1258 | + | not meet the criteria in Subsection (16). |
---|
| 1259 | + | 618 |
---|
| 1260 | + | (b) The court may terminate the proceedings and dismiss the application at any time, |
---|
| 1261 | + | 619 |
---|
| 1262 | + | including before the hearing, if the designated examiners or the local mental health |
---|
| 1263 | + | 620 |
---|
| 1264 | + | authority or the local mental health authority's designee informs the court that the |
---|
| 1265 | + | 621 |
---|
| 1266 | + | proposed patient: |
---|
| 1267 | + | 622 |
---|
| 1268 | + | [(a) does not meet the criteria in Subsection (16);] |
---|
| 1269 | + | 623 |
---|
| 1270 | + | [(b)] (i) has agreed to voluntary commitment, as described in Section 26B-5-360; |
---|
| 1271 | + | 624 |
---|
| 1272 | + | [(c)] (ii) has acceptable options for treatment programs that are available without |
---|
| 1273 | + | 625 |
---|
| 1274 | + | court proceedings; or |
---|
| 1275 | + | 626 |
---|
| 1276 | + | [(d)] (iii) meets the criteria for assisted outpatient treatment described in Section |
---|
| 1277 | + | 627 |
---|
| 1278 | + | 26B-5-351. |
---|
| 1279 | + | 628 |
---|
| 1280 | + | (14)(a) Before the hearing, the court shall provide the proposed patient an opportunity to |
---|
| 1281 | + | 629 |
---|
| 1282 | + | be represented by counsel, and if neither the proposed patient nor others provide |
---|
| 1283 | + | 630 |
---|
| 1284 | + | counsel, the court shall appoint counsel and allow counsel sufficient time to consult |
---|
| 1285 | + | 631 |
---|
| 1286 | + | with the proposed patient before the hearing. |
---|
| 1287 | + | 632 |
---|
| 1288 | + | (b) In the case of an indigent proposed patient, the county in which the proposed patient |
---|
| 1289 | + | 633 |
---|
| 1290 | + | resides or is found shall make payment of reasonable attorney fees for counsel, as |
---|
| 1291 | + | 634 |
---|
| 1292 | + | determined by the court. |
---|
| 1293 | + | 635 |
---|
| 1294 | + | (15)(a)(i) The court shall afford the proposed patient, the applicant, and any other |
---|
| 1295 | + | 636 |
---|
| 1296 | + | person to whom notice is required to be given an opportunity to appear at the |
---|
| 1297 | + | 637 |
---|
| 1298 | + | hearing, to testify, and to present and cross-examine witnesses. |
---|
| 1299 | + | 638 |
---|
| 1300 | + | (ii) The court may, in the court's discretion, receive the testimony of any other person. |
---|
| 1301 | + | 639 |
---|
| 1302 | + | (iii) The court may allow a waiver of the proposed patient's right to appear for good |
---|
| 1303 | + | 640 |
---|
| 1304 | + | cause, which cause shall be set forth in the record, or an informed waiver by the |
---|
| 1305 | + | - 19 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 1306 | + | 641 |
---|
| 1307 | + | patient, which shall be included in the record. |
---|
| 1308 | + | 642 |
---|
| 1309 | + | (b) The court is authorized to exclude any person not necessary for the conduct of the |
---|
| 1310 | + | 643 |
---|
| 1311 | + | proceedings and may, upon motion of counsel, require the testimony of each |
---|
| 1312 | + | 644 |
---|
| 1313 | + | designated examiner to be given out of the presence of any other designated |
---|
| 1314 | + | 645 |
---|
| 1315 | + | examiners. |
---|
| 1316 | + | 646 |
---|
| 1317 | + | (c) The court shall: |
---|
| 1318 | + | 647 |
---|
| 1319 | + | (i) conduct the hearing in as informal a manner as may be consistent with orderly |
---|
| 1320 | + | 648 |
---|
| 1321 | + | procedure[, and] ; and |
---|
| 1322 | + | 649 |
---|
| 1323 | + | (ii) while preserving the due process rights of the proposed patient: |
---|
| 1324 | + | 650 |
---|
| 1325 | + | (A) conduct the hearing remotely, in accordance with Utah Rules of Civil |
---|
| 1326 | + | 651 |
---|
| 1327 | + | Procedure, Rule 87, unless the court finds good cause under Rule 87 not to |
---|
| 1328 | + | 652 |
---|
| 1329 | + | conduct the hearing remotely; or |
---|
| 1330 | + | 653 |
---|
| 1331 | + | (B) if the court finds good cause under Rule 87 not to conduct the hearing |
---|
| 1332 | + | 654 |
---|
| 1333 | + | remotely, conduct the hearing in a physical setting that is not likely to have a |
---|
| 1334 | + | 655 |
---|
| 1335 | + | harmful effect on the mental health of the proposed patient[, while preserving |
---|
| 1336 | + | 656 |
---|
| 1337 | + | the due process rights of the proposed patient]. |
---|
| 1338 | + | 657 |
---|
| 1339 | + | (d) The court shall consider any relevant historical and material information that is |
---|
| 1340 | + | 658 |
---|
| 1341 | + | offered, subject to the rules of evidence, including reliable hearsay under Utah Rules |
---|
| 1342 | + | 659 |
---|
| 1343 | + | of Evidence, Rule 1102. |
---|
| 1344 | + | 660 |
---|
| 1345 | + | (e)(i) A local mental health authority or the local mental health authority's designee |
---|
| 1346 | + | 661 |
---|
| 1347 | + | or the physician in charge of the proposed patient's care shall, at the time of the |
---|
| 1348 | + | 662 |
---|
| 1349 | + | hearing, provide the court with the following information: |
---|
| 1350 | + | 663 |
---|
| 1351 | + | (A) the detention order; |
---|
| 1352 | + | 664 |
---|
| 1353 | + | (B) admission notes; |
---|
| 1354 | + | 665 |
---|
| 1355 | + | (C) the diagnosis; |
---|
| 1356 | + | 666 |
---|
| 1357 | + | (D) any doctors' orders; |
---|
| 1358 | + | 667 |
---|
| 1359 | + | (E) progress notes; |
---|
| 1360 | + | 668 |
---|
| 1361 | + | (F) nursing notes; |
---|
| 1362 | + | 669 |
---|
| 1363 | + | (G) medication records pertaining to the current commitment; and |
---|
| 1364 | + | 670 |
---|
| 1365 | + | (H) whether the proposed patient has previously been civilly committed or under |
---|
| 1366 | + | 671 |
---|
| 1367 | + | an order for assisted outpatient treatment. |
---|
| 1368 | + | 672 |
---|
| 1369 | + | (ii) The local mental health authority or the local mental health authority's designee |
---|
| 1370 | + | 673 |
---|
| 1371 | + | or the physician in charge of the proposed patient's care shall also supply the |
---|
| 1372 | + | 674 |
---|
| 1373 | + | information described in Subsection (15)(e)(i) [shall also be supplied ]to the |
---|
| 1374 | + | - 20 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 1375 | + | 675 |
---|
| 1376 | + | proposed patient's counsel at the time of the hearing, and at any time prior to the |
---|
| 1377 | + | 676 |
---|
| 1378 | + | hearing upon request by the proposed patient's counsel. |
---|
| 1379 | + | 677 |
---|
| 1380 | + | (16)(a) The court shall order commitment of an adult proposed patient to a local mental |
---|
| 1381 | + | 678 |
---|
| 1382 | + | health authority if, upon completion of the hearing and consideration of the |
---|
| 1383 | + | 679 |
---|
| 1384 | + | information presented, the court finds by clear and convincing evidence that: |
---|
| 1385 | + | 680 |
---|
| 1386 | + | (i)(A) the proposed patient has a mental illness; |
---|
| 1387 | + | 681 |
---|
| 1388 | + | (B) because of the proposed patient's mental illness the proposed patient poses a |
---|
| 1389 | + | 682 |
---|
| 1390 | + | substantial danger to self or others; |
---|
| 1391 | + | 683 |
---|
| 1392 | + | (C) the proposed patient lacks the ability to engage in a rational decision-making |
---|
| 1393 | + | 684 |
---|
| 1394 | + | process regarding the acceptance of mental treatment as demonstrated by |
---|
| 1395 | + | 685 |
---|
| 1396 | + | evidence of inability to weigh the possible risks of accepting or rejecting |
---|
| 1397 | + | 686 |
---|
| 1398 | + | treatment; |
---|
| 1399 | + | 687 |
---|
| 1400 | + | (D) there is no appropriate less-restrictive alternative to a court order of |
---|
| 1401 | + | 688 |
---|
| 1402 | + | commitment; and |
---|
| 1403 | + | 689 |
---|
| 1404 | + | (E) the local mental health authority can provide the proposed patient with |
---|
| 1405 | + | 690 |
---|
| 1406 | + | treatment that is adequate and appropriate to the proposed patient's conditions |
---|
| 1407 | + | 691 |
---|
| 1408 | + | and needs; or |
---|
| 1409 | + | 692 |
---|
| 1410 | + | (ii)(A) the proposed patient has been charged with a criminal offense; |
---|
| 1411 | + | 693 |
---|
| 1412 | + | (B) with respect to the charged offense, the proposed patient is found incompetent |
---|
| 1413 | + | 694 |
---|
| 1414 | + | to proceed as a result of a mental illness; |
---|
| 1415 | + | 695 |
---|
| 1416 | + | (C) the proposed patient has a mental illness; |
---|
| 1417 | + | 696 |
---|
| 1418 | + | (D) the proposed patient has a persistent unawareness of their mental illness and |
---|
| 1419 | + | 697 |
---|
| 1420 | + | the negative consequences of that illness, or within the preceding six months |
---|
| 1421 | + | 698 |
---|
| 1422 | + | has been requested or ordered to undergo mental health treatment but has |
---|
| 1423 | + | 699 |
---|
| 1424 | + | unreasonably refused to undergo that treatment; |
---|
| 1425 | + | 700 |
---|
| 1426 | + | (E) there is no appropriate less-restrictive alternative to a court order of |
---|
| 1427 | + | 701 |
---|
| 1428 | + | commitment; and |
---|
| 1429 | + | 702 |
---|
| 1430 | + | (F) the local mental health authority can provide the proposed patient with |
---|
| 1431 | + | 703 |
---|
| 1432 | + | treatment that is adequate and appropriate to the proposed patient's conditions |
---|
| 1433 | + | 704 |
---|
| 1434 | + | and needs. |
---|
| 1435 | + | 705 |
---|
| 1436 | + | (b)(i) If, at the hearing, the court determines that the proposed patient has a mental |
---|
| 1437 | + | 706 |
---|
| 1438 | + | illness but does not meet the other criteria described in Subsection (16)(a), the |
---|
| 1439 | + | 707 |
---|
| 1440 | + | court may consider whether the proposed patient meets the criteria for assisted |
---|
| 1441 | + | 708 |
---|
| 1442 | + | outpatient treatment under Section 26B-5-351. |
---|
| 1443 | + | - 21 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 1444 | + | 709 |
---|
| 1445 | + | (ii) The court may order the proposed patient to receive assisted outpatient treatment |
---|
| 1446 | + | 710 |
---|
| 1447 | + | in accordance with Section 26B-5-351 if, at the hearing, the court finds the |
---|
| 1448 | + | 711 |
---|
| 1449 | + | proposed patient meets the criteria for assisted outpatient treatment under Section |
---|
| 1450 | + | 712 |
---|
| 1451 | + | 26B-5-351. |
---|
| 1452 | + | 713 |
---|
| 1453 | + | (iii) If the court determines that neither the criteria for commitment under Subsection |
---|
| 1454 | + | 714 |
---|
| 1455 | + | (16)(a) nor the criteria for assisted outpatient treatment under Section 26B-5-351 |
---|
| 1456 | + | 715 |
---|
| 1457 | + | are met, the court shall dismiss the proceedings after the hearing. |
---|
| 1458 | + | 716 |
---|
| 1459 | + | (17)(a)(i) The order of commitment shall designate the period for which the patient |
---|
| 1460 | + | 717 |
---|
| 1461 | + | shall be treated. |
---|
| 1462 | + | 718 |
---|
| 1463 | + | (ii) If the patient is not under an order of commitment at the time of the hearing, the |
---|
| 1464 | + | 719 |
---|
| 1465 | + | patient's treatment period may not exceed six months without a review hearing. |
---|
| 1466 | + | 720 |
---|
| 1467 | + | (iii) Upon a review hearing, to be commenced before the expiration of the previous |
---|
| 1468 | + | 721 |
---|
| 1469 | + | order of commitment, an order for commitment may be for an indeterminate |
---|
| 1470 | + | 722 |
---|
| 1471 | + | period, if the court finds by clear and convincing evidence that the criteria |
---|
| 1472 | + | 723 |
---|
| 1473 | + | described in Subsection (16) will last for an indeterminate period. |
---|
| 1474 | + | 724 |
---|
| 1475 | + | (b)(i) The court shall maintain a current list of all patients under the court's order of |
---|
| 1476 | + | 725 |
---|
| 1477 | + | commitment and review the list to determine those patients who have been under |
---|
| 1478 | + | 726 |
---|
| 1479 | + | an order of commitment for the court designated period. |
---|
| 1480 | + | 727 |
---|
| 1481 | + | (ii) At least two weeks before the expiration of the designated period of any order of |
---|
| 1482 | + | 728 |
---|
| 1483 | + | commitment still in effect, the court that entered the original order of commitment |
---|
| 1484 | + | 729 |
---|
| 1485 | + | shall inform the appropriate local mental health authority or the local mental |
---|
| 1486 | + | 730 |
---|
| 1487 | + | health authority's designee of the expiration. |
---|
| 1488 | + | 731 |
---|
| 1489 | + | (iii) Upon receipt of the information described in Subsection (17)(b)(ii), the local |
---|
| 1490 | + | 732 |
---|
| 1491 | + | mental health authority or the local mental health authority's designee shall |
---|
| 1492 | + | 733 |
---|
| 1493 | + | immediately reexamine the reasons upon which the order of commitment was |
---|
| 1494 | + | 734 |
---|
| 1495 | + | based. |
---|
| 1496 | + | 735 |
---|
| 1497 | + | (iv) If, after reexamination under Subsection (17)(b)(iii), the local mental health |
---|
| 1498 | + | 736 |
---|
| 1499 | + | authority or the local mental health authority's designee determines that the |
---|
| 1500 | + | 737 |
---|
| 1501 | + | conditions justifying commitment no longer exist, the local mental health |
---|
| 1502 | + | 738 |
---|
| 1503 | + | authority or the local mental health authority's designee shall discharge the patient |
---|
| 1504 | + | 739 |
---|
| 1505 | + | from involuntary commitment and immediately report the discharge to the court. |
---|
| 1506 | + | 740 |
---|
| 1507 | + | (v) If, after reexamination under Subsection (17)(b)(iii), the local mental health |
---|
| 1508 | + | 741 |
---|
| 1509 | + | authority or the local mental health authority's designee determines that the |
---|
| 1510 | + | 742 |
---|
| 1511 | + | conditions justifying commitment continue to exist, the court shall immediately |
---|
| 1512 | + | - 22 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 1513 | + | 743 |
---|
| 1514 | + | appoint two designated examiners and proceed under Subsections (8) through (14). |
---|
| 1515 | + | 744 |
---|
| 1516 | + | (c)(i) The local mental health authority or the local mental health authority's designee |
---|
| 1517 | + | 745 |
---|
| 1518 | + | responsible for the care of a patient under an order of commitment for an |
---|
| 1519 | + | 746 |
---|
| 1520 | + | indeterminate period shall, at six-month intervals, reexamine the reasons upon |
---|
| 1521 | + | 747 |
---|
| 1522 | + | which the order of indeterminate commitment was based. |
---|
| 1523 | + | 748 |
---|
| 1524 | + | (ii) If the local mental health authority or the local mental health authority's designee |
---|
| 1525 | + | 749 |
---|
| 1526 | + | determines that the conditions justifying commitment no longer exist, the local |
---|
| 1527 | + | 750 |
---|
| 1528 | + | mental health authority or the local mental health authority's designee shall |
---|
| 1529 | + | 751 |
---|
| 1530 | + | discharge the patient from the local mental health authority's or the local mental |
---|
| 1531 | + | 752 |
---|
| 1532 | + | health authority designee's custody and immediately report the discharge to the |
---|
| 1533 | + | 753 |
---|
| 1534 | + | court. |
---|
| 1535 | + | 754 |
---|
| 1536 | + | (iii) If the local mental health authority or the local mental health authority's designee |
---|
| 1537 | + | 755 |
---|
| 1538 | + | determines that the conditions justifying commitment continue to exist, the local |
---|
| 1539 | + | 756 |
---|
| 1540 | + | mental health authority or the local mental health authority's designee shall send a |
---|
| 1541 | + | 757 |
---|
| 1542 | + | written report of the findings to the court. |
---|
| 1543 | + | 758 |
---|
| 1544 | + | (iv) [A] The local mental health authority or the local mental health authority's |
---|
| 1545 | + | 759 |
---|
| 1546 | + | designee shall notify the patient and the patient's counsel of record [shall be |
---|
| 1547 | + | 760 |
---|
| 1548 | + | notified ]in writing that the involuntary commitment will be continued under |
---|
| 1549 | + | 761 |
---|
| 1550 | + | Subsection (17)(c)(iii), the reasons for the decision to continue, and that the |
---|
| 1551 | + | 762 |
---|
| 1552 | + | patient has the right to a review hearing by making a request to the court. |
---|
| 1553 | + | 763 |
---|
| 1554 | + | (v) Upon receiving a request under Subsection (17)(c)(iv), the court shall |
---|
| 1555 | + | 764 |
---|
| 1556 | + | immediately appoint two designated examiners and proceed under Subsections (8) |
---|
| 1557 | + | 765 |
---|
| 1558 | + | through (14). |
---|
| 1559 | + | 766 |
---|
| 1560 | + | (18)(a) Any patient committed as a result of an original hearing or a patient's legally |
---|
| 1561 | + | 767 |
---|
| 1562 | + | designated representative who is aggrieved by the findings, conclusions, and order of |
---|
| 1563 | + | 768 |
---|
| 1564 | + | the court entered in the original hearing has the right to a new hearing upon filing a |
---|
| 1565 | + | 769 |
---|
| 1566 | + | petition [filed ]with the court within 30 days after the day on which the court entered |
---|
| 1567 | + | 770 |
---|
| 1568 | + | the order[ is entered]. |
---|
| 1569 | + | 771 |
---|
| 1570 | + | (b) The petition shall allege error or mistake in the findings, in which case the court shall |
---|
| 1571 | + | 772 |
---|
| 1572 | + | appoint three impartial designated examiners previously unrelated to the case to |
---|
| 1573 | + | 773 |
---|
| 1574 | + | conduct an additional examination of the patient. |
---|
| 1575 | + | 774 |
---|
| 1576 | + | (c) Except as provided in Subsection (18)(b), the court shall, in all other respects, |
---|
| 1577 | + | 775 |
---|
| 1578 | + | conduct the new hearing in the manner otherwise permitted. |
---|
| 1579 | + | 776 |
---|
| 1580 | + | (19) The county in which the proposed patient resides or is found shall pay the costs of all |
---|
| 1581 | + | - 23 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 1582 | + | 777 |
---|
| 1583 | + | proceedings under this section. |
---|
| 1584 | + | 778 |
---|
| 1585 | + | (20)(a) A local mental health authority shall provide discharge instructions to each |
---|
| 1586 | + | 779 |
---|
| 1587 | + | individual committed under this section at or before the time the individual is |
---|
| 1588 | + | 780 |
---|
| 1589 | + | discharged from the local mental health authority's custody, regardless of the |
---|
| 1590 | + | 781 |
---|
| 1591 | + | circumstances under which the individual is discharged. |
---|
| 1592 | + | 782 |
---|
| 1593 | + | (b) Discharge instructions provided under Subsection (20)(a) shall include: |
---|
| 1594 | + | 783 |
---|
| 1595 | + | (i) a summary of why the individual was committed to the local mental health |
---|
| 1596 | + | 784 |
---|
| 1597 | + | authority; |
---|
| 1598 | + | 785 |
---|
| 1599 | + | (ii) detailed information about why the individual is being discharged from the local |
---|
| 1600 | + | 786 |
---|
| 1601 | + | mental health authority's custody; |
---|
| 1602 | + | 787 |
---|
| 1603 | + | (iii) a safety plan for the individual based on the individual's mental illness or mental |
---|
| 1604 | + | 788 |
---|
| 1605 | + | or emotional state; |
---|
| 1606 | + | 789 |
---|
| 1607 | + | (iv) notification to the individual's primary care provider, if applicable; |
---|
| 1608 | + | 790 |
---|
| 1609 | + | (v) if the individual is discharged without food, housing, or economic security, a |
---|
| 1610 | + | 791 |
---|
| 1611 | + | referral to appropriate services, if such services exist in the individual's |
---|
| 1612 | + | 792 |
---|
| 1613 | + | community; |
---|
| 1614 | + | 793 |
---|
| 1615 | + | (vi) the phone number to call or text for a crisis services hotline, and information |
---|
| 1616 | + | 794 |
---|
| 1617 | + | about the availability of peer support services; |
---|
| 1618 | + | 795 |
---|
| 1619 | + | (vii) a copy of any psychiatric advance directive presented to the local mental health |
---|
| 1620 | + | 796 |
---|
| 1621 | + | authority, if applicable; |
---|
| 1622 | + | 797 |
---|
| 1623 | + | (viii) information about how to establish a psychiatric advance directive if one was |
---|
| 1624 | + | 798 |
---|
| 1625 | + | not presented to the local mental health authority; |
---|
| 1626 | + | 799 |
---|
| 1627 | + | (ix) as applicable, information about medications that were changed or discontinued |
---|
| 1628 | + | 800 |
---|
| 1629 | + | during the commitment; |
---|
| 1630 | + | 801 |
---|
| 1631 | + | (x) a list of any screening or diagnostic tests conducted during the commitment; |
---|
| 1632 | + | 802 |
---|
| 1633 | + | (xi) a summary of therapeutic treatments provided during the commitment; |
---|
| 1634 | + | 803 |
---|
| 1635 | + | (xii) any laboratory work, including blood samples or imaging, that was completed or |
---|
| 1636 | + | 804 |
---|
| 1637 | + | attempted during the commitment; and |
---|
| 1638 | + | 805 |
---|
| 1639 | + | (xiii) information about how to contact the local mental health authority if needed. |
---|
| 1640 | + | 806 |
---|
| 1641 | + | (c) If an individual's medications were changed, or if an individual was prescribed new |
---|
| 1642 | + | 807 |
---|
| 1643 | + | medications while committed under this section, discharge instructions provided |
---|
| 1644 | + | 808 |
---|
| 1645 | + | under Subsection (20)(a) shall include a clinically appropriate supply of medications, |
---|
| 1646 | + | 809 |
---|
| 1647 | + | as determined by a licensed health care provider, to allow the individual time to |
---|
| 1648 | + | 810 |
---|
| 1649 | + | access another health care provider or follow-up appointment. |
---|
| 1650 | + | - 24 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 1651 | + | 811 |
---|
| 1652 | + | (d) If an individual refuses to accept discharge instructions, the local mental health |
---|
| 1653 | + | 812 |
---|
| 1654 | + | authority shall document the refusal in the individual's medical record. |
---|
| 1655 | + | 813 |
---|
| 1656 | + | (e) If an individual's discharge instructions include referrals to services under Subsection |
---|
| 1657 | + | 814 |
---|
| 1658 | + | (20)(b)(v), the local mental health authority shall document those referrals in the |
---|
| 1659 | + | 815 |
---|
| 1660 | + | individual's medical record. |
---|
| 1661 | + | 816 |
---|
| 1662 | + | (f) The local mental health authority shall attempt to follow up with a discharged |
---|
| 1663 | + | 817 |
---|
| 1664 | + | individual at least 48 hours after discharge, and may use peer support professionals |
---|
| 1665 | + | 818 |
---|
| 1666 | + | when performing follow-up care or developing a continuing care plan. |
---|
| 1667 | + | 819 |
---|
| 1668 | + | (21) If any provision of Subsection (16)(a)(ii) or the application of any provision of |
---|
| 1669 | + | 820 |
---|
| 1670 | + | Subsection (16)(a)(ii) to any person or circumstance is held invalid by a court with |
---|
| 1671 | + | 821 |
---|
| 1672 | + | jurisdiction, the remainder of Subsection (16)(a)(ii) shall be given effect without the |
---|
| 1673 | + | 822 |
---|
| 1674 | + | invalid provision or application. The provisions of Subsection (16)(a)(ii) are severable. |
---|
| 1675 | + | 823 |
---|
| 1676 | + | Section 8. Section 26B-5-362 is amended to read: |
---|
| 1677 | + | 824 |
---|
| 1678 | + | 26B-5-362 . Commitment and care of criminally insane. |
---|
| 1679 | + | 825 |
---|
| 1680 | + | Nothing contained in this part may be construed to alter or change the method presently |
---|
| 1681 | + | 826 |
---|
| 1682 | + | employed for the commitment and care of the criminally insane as provided in [Title 77, |
---|
| 1683 | + | 827 |
---|
| 1684 | + | Chapter 15, Inquiry into Sanity of Defendant] Title 77, Chapter 15, Defendant's Competency to |
---|
| 1685 | + | 828 |
---|
| 1686 | + | Proceed. |
---|
| 1687 | + | 829 |
---|
| 1688 | + | Section 9. Section 26B-5-371 is amended to read: |
---|
| 1689 | + | 830 |
---|
| 1690 | + | 26B-5-371 . Utah Forensic Mental Health Facility -- Design and operation -- |
---|
| 1691 | + | 831 |
---|
| 1692 | + | Security. |
---|
| 1693 | + | 832 |
---|
| 1694 | + | (1) The forensic mental health facility is a secure treatment facility. |
---|
| 1695 | + | 833 |
---|
| 1696 | + | (2)(a) The forensic mental health facility accommodates the following populations: |
---|
| 1697 | + | 834 |
---|
| 1698 | + | (i) prison inmates displaying mental illness necessitating treatment in a secure mental |
---|
| 1699 | + | 835 |
---|
| 1700 | + | health facility; |
---|
| 1701 | + | 836 |
---|
| 1702 | + | (ii) criminally adjudicated persons found guilty with a mental illness or guilty with a |
---|
| 1703 | + | 837 |
---|
| 1704 | + | mental condition at the time of the offense undergoing evaluation for a mental |
---|
| 1705 | + | 838 |
---|
| 1706 | + | condition under Title 77, Chapter 16a, Commitment and Treatment of Individuals |
---|
| 1707 | + | 839 |
---|
| 1708 | + | with a Mental Condition; |
---|
| 1709 | + | 840 |
---|
| 1710 | + | (iii) criminally adjudicated persons undergoing evaluation for competency or found |
---|
| 1711 | + | 841 |
---|
| 1712 | + | guilty with a mental condition or guilty with a mental condition at the time of the |
---|
| 1713 | + | 842 |
---|
| 1714 | + | offense under Title 77, Chapter 16a, Commitment and Treatment of Individuals |
---|
| 1715 | + | 843 |
---|
| 1716 | + | with a Mental Condition, who also have an intellectual disability; |
---|
| 1717 | + | 844 |
---|
| 1718 | + | (iv) persons undergoing evaluation for competency or found by a court to be |
---|
| 1719 | + | - 25 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 1720 | + | 845 |
---|
| 1721 | + | incompetent to proceed in accordance with [Title 77, Chapter 15, Inquiry into |
---|
| 1722 | + | 846 |
---|
| 1723 | + | Sanity of Defendant] Title 77, Chapter 15, Defendant's Competency to Proceed, or |
---|
| 1724 | + | 847 |
---|
| 1725 | + | not guilty by reason of insanity under Title 77, Chapter 14, Defenses; |
---|
| 1726 | + | 848 |
---|
| 1727 | + | (v) persons who are civilly committed to the custody of a local mental health |
---|
| 1728 | + | 849 |
---|
| 1729 | + | authority in accordance with this part, and who may not be properly supervised by |
---|
| 1730 | + | 850 |
---|
| 1731 | + | the Utah State Hospital because of a lack of necessary security, as determined by |
---|
| 1732 | + | 851 |
---|
| 1733 | + | the superintendent or the superintendent's designee; and |
---|
| 1734 | + | 852 |
---|
| 1735 | + | (vi) persons ordered to commit themselves to the custody of the division for |
---|
| 1736 | + | 853 |
---|
| 1737 | + | treatment at the Utah State Hospital as a condition of probation or stay of sentence |
---|
| 1738 | + | 854 |
---|
| 1739 | + | pursuant to Title 77, Chapter 18, The Judgment. |
---|
| 1740 | + | 855 |
---|
| 1741 | + | (b) Placement of an offender in the forensic mental health facility under any category |
---|
| 1742 | + | 856 |
---|
| 1743 | + | described in Subsection (2)(a)(ii), (iii), (iv), or (vi) shall be made on the basis of the |
---|
| 1744 | + | 857 |
---|
| 1745 | + | offender's status as established by the court at the time of adjudication. |
---|
| 1746 | + | 858 |
---|
| 1747 | + | (c) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the |
---|
| 1748 | + | 859 |
---|
| 1749 | + | department shall make rules providing for the allocation of beds to the categories |
---|
| 1750 | + | 860 |
---|
| 1751 | + | described in Subsection (2)(a). |
---|
| 1752 | + | 861 |
---|
| 1753 | + | (3) The department shall: |
---|
| 1754 | + | 862 |
---|
| 1755 | + | (a) own and operate the forensic mental health facility; |
---|
| 1756 | + | 863 |
---|
| 1757 | + | (b) provide and supervise administrative and clinical staff; and |
---|
| 1758 | + | 864 |
---|
| 1759 | + | (c) provide security staff who are trained as psychiatric technicians. |
---|
| 1760 | + | 865 |
---|
| 1761 | + | (4) Pursuant to Subsection 26B-5-303(3) the executive director shall designate individuals |
---|
| 1762 | + | 866 |
---|
| 1763 | + | to perform security functions for the state hospital. |
---|
| 1764 | + | 867 |
---|
| 1765 | + | Section 10. Section 26B-6-401 is amended to read: |
---|
| 1766 | + | 868 |
---|
| 1767 | + | 26B-6-401 . Definitions. |
---|
| 1768 | + | 869 |
---|
| 1769 | + | As used in this part: |
---|
| 1770 | + | 870 |
---|
| 1771 | + | (1) "Approved provider" means a person approved by the division to provide home-and |
---|
| 1772 | + | 871 |
---|
| 1773 | + | community-based services. |
---|
| 1774 | + | 872 |
---|
| 1775 | + | (2) "Board" means the Utah State Developmental Center Board created under Section |
---|
| 1776 | + | 873 |
---|
| 1777 | + | 26B-1-429. |
---|
| 1778 | + | 874 |
---|
| 1779 | + | (3)(a) "Brain injury" means an acquired injury to the brain that is neurological in nature, |
---|
| 1780 | + | 875 |
---|
| 1781 | + | including a cerebral vascular accident. |
---|
| 1782 | + | 876 |
---|
| 1783 | + | (b) "Brain injury" does not include a deteriorating disease. |
---|
| 1784 | + | 877 |
---|
| 1785 | + | (4) "Designated intellectual disability professional" means: |
---|
| 1786 | + | 878 |
---|
| 1787 | + | (a) a psychologist licensed under Title 58, Chapter 61, Psychologist Licensing Act, who: |
---|
| 1788 | + | - 26 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 1789 | + | 879 |
---|
| 1790 | + | (i)(A) has at least one year of specialized training in working with persons with an |
---|
| 1791 | + | 880 |
---|
| 1792 | + | intellectual disability; or |
---|
| 1793 | + | 881 |
---|
| 1794 | + | (B) has at least one year of clinical experience with persons with an intellectual |
---|
| 1795 | + | 882 |
---|
| 1796 | + | disability; and |
---|
| 1797 | + | 883 |
---|
| 1798 | + | (ii) is designated by the division as specially qualified, by training and experience, in |
---|
| 1799 | + | 884 |
---|
| 1800 | + | the treatment of an intellectual disability; or |
---|
| 1801 | + | 885 |
---|
| 1802 | + | (b) a clinical social worker, certified social worker, marriage and family therapist, or |
---|
| 1803 | + | 886 |
---|
| 1804 | + | professional counselor, licensed under Title 58, Chapter 60, Mental Health |
---|
| 1805 | + | 887 |
---|
| 1806 | + | Professional Practice Act, who: |
---|
| 1807 | + | 888 |
---|
| 1808 | + | (i) has at least two years of clinical experience with persons with an intellectual |
---|
| 1809 | + | 889 |
---|
| 1810 | + | disability; and |
---|
| 1811 | + | 890 |
---|
| 1812 | + | (ii) is designated by the division as specially qualified, by training and experience, in |
---|
| 1813 | + | 891 |
---|
| 1814 | + | the treatment of an intellectual disability. |
---|
| 1815 | + | 892 |
---|
| 1816 | + | (5) "Deteriorating disease" includes: |
---|
| 1817 | + | 893 |
---|
| 1818 | + | (a) multiple sclerosis; |
---|
| 1819 | + | 894 |
---|
| 1820 | + | (b) muscular dystrophy; |
---|
| 1821 | + | 895 |
---|
| 1822 | + | (c) Huntington's chorea; |
---|
| 1823 | + | 896 |
---|
| 1824 | + | (d) Alzheimer's disease; |
---|
| 1825 | + | 897 |
---|
| 1826 | + | (e) ataxia; or |
---|
| 1827 | + | 898 |
---|
| 1828 | + | (f) cancer. |
---|
| 1829 | + | 899 |
---|
| 1830 | + | (6) "Developmental center" means the Utah State Developmental Center, established in |
---|
| 1831 | + | 900 |
---|
| 1832 | + | accordance with Part 5, Utah State Developmental Center. |
---|
| 1833 | + | 901 |
---|
| 1834 | + | (7) "Director" means the director of the Division of Services for People with Disabilities. |
---|
| 1835 | + | 902 |
---|
| 1836 | + | (8) "Direct service worker" means a person who provides services to a person with a |
---|
| 1837 | + | 903 |
---|
| 1838 | + | disability: |
---|
| 1839 | + | 904 |
---|
| 1840 | + | (a) when the services are rendered in: |
---|
| 1841 | + | 905 |
---|
| 1842 | + | (i) the physical presence of the person with a disability; or |
---|
| 1843 | + | 906 |
---|
| 1844 | + | (ii) a location where the person rendering the services has access to the physical |
---|
| 1845 | + | 907 |
---|
| 1846 | + | presence of the person with a disability; and |
---|
| 1847 | + | 908 |
---|
| 1848 | + | (b)(i) under a contract with the division; |
---|
| 1849 | + | 909 |
---|
| 1850 | + | (ii) under a grant agreement with the division; or |
---|
| 1851 | + | 910 |
---|
| 1852 | + | (iii) as an employee of the division. |
---|
| 1853 | + | 911 |
---|
| 1854 | + | (9)(a) "Disability" means a severe, chronic disability that: |
---|
| 1855 | + | 912 |
---|
| 1856 | + | (i) is attributable to: |
---|
| 1857 | + | - 27 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 1858 | + | 913 |
---|
| 1859 | + | (A) an intellectual disability; |
---|
| 1860 | + | 914 |
---|
| 1861 | + | (B) a condition that qualifies a person as a person with a related condition, as |
---|
| 1862 | + | 915 |
---|
| 1863 | + | defined in 42 C.F.R. Sec. 435.1010; |
---|
| 1864 | + | 916 |
---|
| 1865 | + | (C) a physical disability; or |
---|
| 1866 | + | 917 |
---|
| 1867 | + | (D) a brain injury; |
---|
| 1868 | + | 918 |
---|
| 1869 | + | (ii) is likely to continue indefinitely; |
---|
| 1870 | + | 919 |
---|
| 1871 | + | (iii)(A) for a condition described in Subsection (9)(a)(i)(A), (B), or (C), results in |
---|
| 1872 | + | 920 |
---|
| 1873 | + | a substantial functional limitation in three or more of the following areas of |
---|
| 1874 | + | 921 |
---|
| 1875 | + | major life activity: |
---|
| 1876 | + | 922 |
---|
| 1877 | + | (I) self-care; |
---|
| 1878 | + | 923 |
---|
| 1879 | + | (II) receptive and expressive language; |
---|
| 1880 | + | 924 |
---|
| 1881 | + | (III) learning; |
---|
| 1882 | + | 925 |
---|
| 1883 | + | (IV) mobility; |
---|
| 1884 | + | 926 |
---|
| 1885 | + | (V) self-direction; |
---|
| 1886 | + | 927 |
---|
| 1887 | + | (VI) capacity for independent living; or |
---|
| 1888 | + | 928 |
---|
| 1889 | + | (VII) economic self-sufficiency; or |
---|
| 1890 | + | 929 |
---|
| 1891 | + | (B) for a condition described in Subsection (9)(a)(i)(D), results in a substantial |
---|
| 1892 | + | 930 |
---|
| 1893 | + | limitation in three or more of the following areas: |
---|
| 1894 | + | 931 |
---|
| 1895 | + | (I) memory or cognition; |
---|
| 1896 | + | 932 |
---|
| 1897 | + | (II) activities of daily life; |
---|
| 1898 | + | 933 |
---|
| 1899 | + | (III) judgment and self-protection; |
---|
| 1900 | + | 934 |
---|
| 1901 | + | (IV) control of emotions; |
---|
| 1902 | + | 935 |
---|
| 1903 | + | (V) communication; |
---|
| 1904 | + | 936 |
---|
| 1905 | + | (VI) physical health; or |
---|
| 1906 | + | 937 |
---|
| 1907 | + | (VII) employment; and |
---|
| 1908 | + | 938 |
---|
| 1909 | + | (iv) requires a combination or sequence of special interdisciplinary or generic care, |
---|
| 1910 | + | 939 |
---|
| 1911 | + | treatment, or other services that: |
---|
| 1912 | + | 940 |
---|
| 1913 | + | (A) may continue throughout life; and |
---|
| 1914 | + | 941 |
---|
| 1915 | + | (B) must be individually planned and coordinated. |
---|
| 1916 | + | 942 |
---|
| 1917 | + | (b) "Disability" does not include a condition due solely to: |
---|
| 1918 | + | 943 |
---|
| 1919 | + | (i) mental illness; |
---|
| 1920 | + | 944 |
---|
| 1921 | + | (ii) personality disorder; |
---|
| 1922 | + | 945 |
---|
| 1923 | + | (iii) deafness or being hard of hearing; |
---|
| 1924 | + | 946 |
---|
| 1925 | + | (iv) visual impairment; |
---|
| 1926 | + | - 28 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 1927 | + | 947 |
---|
| 1928 | + | (v) learning disability; |
---|
| 1929 | + | 948 |
---|
| 1930 | + | (vi) behavior disorder; |
---|
| 1931 | + | 949 |
---|
| 1932 | + | (vii) substance abuse; or |
---|
| 1933 | + | 950 |
---|
| 1934 | + | (viii) the aging process. |
---|
| 1935 | + | 951 |
---|
| 1936 | + | (10) "Division" means the Division of Services for People with Disabilities. |
---|
| 1937 | + | 952 |
---|
| 1938 | + | (11) "Eligible to receive division services" or "eligibility" means qualification, based on |
---|
| 1939 | + | 953 |
---|
| 1940 | + | criteria established by the division, to receive services that are administered by the |
---|
| 1941 | + | 954 |
---|
| 1942 | + | division. |
---|
| 1943 | + | 955 |
---|
| 1944 | + | (12) "Endorsed program" means a facility or program that: |
---|
| 1945 | + | 956 |
---|
| 1946 | + | (a) is operated: |
---|
| 1947 | + | 957 |
---|
| 1948 | + | (i) by the division; or |
---|
| 1949 | + | 958 |
---|
| 1950 | + | (ii) under contract with the division; or |
---|
| 1951 | + | 959 |
---|
| 1952 | + | (b) provides services to a person committed to the division under Part 6, Admission to |
---|
| 1953 | + | 960 |
---|
| 1954 | + | an Intermediate Care Facility for People with an Intellectual Disability. |
---|
| 1955 | + | 961 |
---|
| 1956 | + | (13) "Licensed physician" means: |
---|
| 1957 | + | 962 |
---|
| 1958 | + | (a) an individual licensed to practice medicine under: |
---|
| 1959 | + | 963 |
---|
| 1960 | + | (i) Title 58, Chapter 67, Utah Medical Practice Act; or |
---|
| 1961 | + | 964 |
---|
| 1962 | + | (ii) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; or |
---|
| 1963 | + | 965 |
---|
| 1964 | + | (b) a medical officer of the United States Government while in this state in the |
---|
| 1965 | + | 966 |
---|
| 1966 | + | performance of official duties. |
---|
| 1967 | + | 967 |
---|
| 1968 | + | (14) "Limited support services" means services that are administered by the division to |
---|
| 1969 | + | 968 |
---|
| 1970 | + | individuals with a disability: |
---|
| 1971 | + | 969 |
---|
| 1972 | + | (a) under a waiver authorized under 42 U.S.C. Sec. 1396n(c) by the Centers for |
---|
| 1973 | + | 970 |
---|
| 1974 | + | Medicare and Medicaid Services that permits the division to limit services to an |
---|
| 1975 | + | 971 |
---|
| 1976 | + | individual who is eligible to receive division services; and |
---|
| 1977 | + | 972 |
---|
| 1978 | + | (b) through a program that: |
---|
| 1979 | + | 973 |
---|
| 1980 | + | (i) was not operated by the division on or before January 1, 2020; and |
---|
| 1981 | + | 974 |
---|
| 1982 | + | (ii)(A) limits the kinds of services that an individual may receive; or |
---|
| 1983 | + | 975 |
---|
| 1984 | + | (B) sets a maximum total dollar amount for program services provided to each |
---|
| 1985 | + | 976 |
---|
| 1986 | + | individual. |
---|
| 1987 | + | 977 |
---|
| 1988 | + | (15) "Physical disability" means a medically determinable physical impairment that has |
---|
| 1989 | + | 978 |
---|
| 1990 | + | resulted in the functional loss of two or more of a person's limbs. |
---|
| 1991 | + | 979 |
---|
| 1992 | + | (16) "Public funds" means state or federal funds that are disbursed by the division. |
---|
| 1993 | + | 980 |
---|
| 1994 | + | (17)(a) "Related condition" means a severe, chronic condition that: |
---|
| 1995 | + | - 29 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 1996 | + | 981 |
---|
| 1997 | + | (i) manifests before the day on which an individual turns 22 years old; |
---|
| 1998 | + | 982 |
---|
| 1999 | + | (ii) is likely to continue indefinitely; |
---|
| 2000 | + | 983 |
---|
| 2001 | + | (iii) results in substantial functional limitations; |
---|
| 2002 | + | 984 |
---|
| 2003 | + | (iv) is closely related to an intellectual disability because the condition results in the |
---|
| 2004 | + | 985 |
---|
| 2005 | + | impairment of: |
---|
| 2006 | + | 986 |
---|
| 2007 | + | (A) general intellectual functioning, similar to that of an individual with an |
---|
| 2008 | + | 987 |
---|
| 2009 | + | intellectual disability; or |
---|
| 2010 | + | 988 |
---|
| 2011 | + | (B) adaptive behavior, similar to that of an individual with an intellectual |
---|
| 2012 | + | 989 |
---|
| 2013 | + | disability; and |
---|
| 2014 | + | 990 |
---|
| 2015 | + | (v) requires treatment or services similar to the treatment or services required for an |
---|
| 2016 | + | 991 |
---|
| 2017 | + | individual with an intellectual disability. |
---|
| 2018 | + | 992 |
---|
| 2019 | + | (b) "Related condition" does not include mental illness, as that term is defined in Section |
---|
| 2020 | + | 993 |
---|
| 2021 | + | 26B-5-301. |
---|
| 2022 | + | 994 |
---|
| 2023 | + | [(17)] (18) "Resident" means an individual under observation, care, or treatment in an |
---|
| 2024 | + | 995 |
---|
| 2025 | + | intermediate care facility for people with an intellectual disability. |
---|
| 2026 | + | 996 |
---|
| 2027 | + | (19) "Substantial danger" means that because of an intellectual disability or related |
---|
| 2028 | + | 997 |
---|
| 2029 | + | condition, an individual is at risk of: |
---|
| 2030 | + | 998 |
---|
| 2031 | + | (a) suicide; |
---|
| 2032 | + | 999 |
---|
| 2033 | + | (b) serious bodily self-injury; |
---|
| 2034 | + | 1000 |
---|
| 2035 | + | (c) serious bodily injury because the individual lacks capacity to provide the basic |
---|
| 2036 | + | 1001 |
---|
| 2037 | + | necessities of life, such as food, clothing, or shelter; |
---|
| 2038 | + | 1002 |
---|
| 2039 | + | (d) causing or attempting to cause serious bodily injury or serious emotional harm to |
---|
| 2040 | + | 1003 |
---|
| 2041 | + | another individual; |
---|
| 2042 | + | 1004 |
---|
| 2043 | + | (e) engaging in harmful sexual conduct, as that term is defined in Section 26B-5-301; or |
---|
| 2044 | + | 1005 |
---|
| 2045 | + | (f) suffering serious physical harm or serious emotional harm as a result of being |
---|
| 2046 | + | 1006 |
---|
| 2047 | + | exploited, abused, or neglected. |
---|
| 2048 | + | 1007 |
---|
| 2049 | + | [(18)] (20) "Sustainability fund" means the Utah State Developmental Center Long-Term |
---|
| 2050 | + | 1008 |
---|
| 2051 | + | Sustainability Fund created in Section 26B-1-331. |
---|
| 2052 | + | 1009 |
---|
| 2053 | + | Section 11. Section 26B-6-606 is amended to read: |
---|
| 2054 | + | 1010 |
---|
| 2055 | + | 26B-6-606 . Involuntary commitment. |
---|
| 2056 | + | 1011 |
---|
| 2057 | + | An individual with an intellectual disability or related condition may not be involuntarily |
---|
| 2058 | + | 1012 |
---|
| 2059 | + | committed to [an intermediate care facility for people with an intellectual disability] the division |
---|
| 2060 | + | 1013 |
---|
| 2061 | + | except in accordance with Sections 26B-6-607 and 26B-6-608. |
---|
| 2062 | + | 1014 |
---|
| 2063 | + | Section 12. Section 26B-6-607 is amended to read: |
---|
| 2064 | + | - 30 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 2065 | + | 1015 |
---|
| 2066 | + | 26B-6-607 . Temporary emergency commitment -- Observation and evaluation. |
---|
| 2067 | + | 1016 |
---|
| 2068 | + | (1) [The director of the division or his designee may temporarily commit an individual to |
---|
| 2069 | + | 1017 |
---|
| 2070 | + | the division and therefore, as a matter of course, to an intermediate care facility for |
---|
| 2071 | + | 1018 |
---|
| 2072 | + | people with an intellectual disability for observation and evaluation] An individual with |
---|
| 2073 | + | 1019 |
---|
| 2074 | + | an intellectual disability or related condition may be committed to the division on an |
---|
| 2075 | + | 1020 |
---|
| 2076 | + | emergency basis upon[:] |
---|
| 2077 | + | 1021 |
---|
| 2078 | + | [(a) written application by a responsible person who has reason to know that the |
---|
| 2079 | + | 1022 |
---|
| 2080 | + | individual is in need of commitment, stating:] |
---|
| 2081 | + | 1023 |
---|
| 2082 | + | [(i) a belief that the individual has an intellectual disability and is likely to cause |
---|
| 2083 | + | 1024 |
---|
| 2084 | + | serious injury to self or others if not immediately committed;] |
---|
| 2085 | + | 1025 |
---|
| 2086 | + | [(ii) personal knowledge of the individual's condition; and] |
---|
| 2087 | + | 1026 |
---|
| 2088 | + | [(iii) the circumstances supporting that belief; or] |
---|
| 2089 | + | 1027 |
---|
| 2090 | + | [(b)] certification by a [licensed physician or ]designated intellectual disability |
---|
| 2091 | + | 1028 |
---|
| 2092 | + | professional stating that the [physician or ]designated intellectual disability |
---|
| 2093 | + | 1029 |
---|
| 2094 | + | professional: |
---|
| 2095 | + | 1030 |
---|
| 2096 | + | [(i)] (a) has examined the individual within a three-day period, excluding Saturdays, |
---|
| 2097 | + | 1031 |
---|
| 2098 | + | Sundays, and state holidays, immediately preceding the certification; and |
---|
| 2099 | + | 1032 |
---|
| 2100 | + | [(ii)] (b) is of the opinion that the individual has an intellectual disability or related |
---|
| 2101 | + | 1033 |
---|
| 2102 | + | condition, and that because of the individual's intellectual disability [is likely to injure] |
---|
| 2103 | + | 1034 |
---|
| 2104 | + | or related condition is a substantial danger to self or others[ if not immediately |
---|
| 2105 | + | 1035 |
---|
| 2106 | + | committed]. |
---|
| 2107 | + | 1036 |
---|
| 2108 | + | (2) If the individual in need of commitment is not placed in the custody of the director or |
---|
| 2109 | + | 1037 |
---|
| 2110 | + | the director's designee by the person submitting the [application, the director's] |
---|
| 2111 | + | 1038 |
---|
| 2112 | + | certification, the director or the director's designee may certify, either in writing or orally |
---|
| 2113 | + | 1039 |
---|
| 2114 | + | that the individual is in need of immediate commitment to prevent [injury] posing |
---|
| 2115 | + | 1040 |
---|
| 2116 | + | substantial danger to self or others. |
---|
| 2117 | + | 1041 |
---|
| 2118 | + | (3) Upon receipt of the [application] certification required by Subsection [(1)(a) and the |
---|
| 2119 | + | 1042 |
---|
| 2120 | + | certifications required by Subsections (1)(b) and (2)] (2), a peace officer [may take the |
---|
| 2121 | + | 1043 |
---|
| 2122 | + | individual named in the application and certificates into custody, and ]may transport the |
---|
| 2123 | + | 1044 |
---|
| 2124 | + | individual to a [designated intermediate care facility for people with an intellectual |
---|
| 2125 | + | 1045 |
---|
| 2126 | + | disability] placement designated by the division. |
---|
| 2127 | + | 1046 |
---|
| 2128 | + | (4)(a) An individual committed under this section may be held for a maximum of [72 |
---|
| 2129 | + | 1047 |
---|
| 2130 | + | hours, excluding Saturdays, Sundays, and legal holidays. At the expiration of that |
---|
| 2131 | + | 1048 |
---|
| 2132 | + | time,] 10 days, after which the individual shall be released unless proceedings for |
---|
| 2133 | + | - 31 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 2134 | + | 1049 |
---|
| 2135 | + | involuntary commitment have been commenced under Section 26B-6-608. |
---|
| 2136 | + | 1050 |
---|
| 2137 | + | (b) [After] If proceedings for involuntary commitment have been commenced[ the |
---|
| 2138 | + | 1051 |
---|
| 2139 | + | individual shall be released unless an order of detention is issued in accordance with |
---|
| 2140 | + | 1052 |
---|
| 2141 | + | Section 26B-6-608] , an emergency order under this section remains in effect until: |
---|
| 2142 | + | 1053 |
---|
| 2143 | + | (i) the division determines that the conditions justifying commitment no longer exist; |
---|
| 2144 | + | 1054 |
---|
| 2145 | + | or |
---|
| 2146 | + | 1055 |
---|
| 2147 | + | (ii) a court order is issued pursuant to Section 26B-6-608. |
---|
| 2148 | + | 1056 |
---|
| 2149 | + | (5)(a) If an individual is committed to the division under this section[ on the application |
---|
| 2150 | + | 1057 |
---|
| 2151 | + | of any person other than the individual's legal guardian, spouse, parent, or next of kin], |
---|
| 2152 | + | 1058 |
---|
| 2153 | + | the director or [his] the director's designee shall immediately give notice of the |
---|
| 2154 | + | 1059 |
---|
| 2155 | + | commitment to the individual's legal guardian[, spouse, parent, or next of kin], if |
---|
| 2156 | + | 1060 |
---|
| 2157 | + | known. |
---|
| 2158 | + | 1061 |
---|
| 2159 | + | (b)(i) Immediately after an individual is committed to the division under this section, |
---|
| 2160 | + | 1062 |
---|
| 2161 | + | the division shall inform the individual, orally and in writing, of the individual's |
---|
| 2162 | + | 1063 |
---|
| 2163 | + | right to communicate with an attorney. |
---|
| 2164 | + | 1064 |
---|
| 2165 | + | (ii) If the individual desires to communicate with an attorney, the division shall take |
---|
| 2166 | + | 1065 |
---|
| 2167 | + | immediate steps to assist the individual in contacting and communicating with an |
---|
| 2168 | + | 1066 |
---|
| 2169 | + | attorney. |
---|
| 2170 | + | 1067 |
---|
| 2171 | + | (6)(a) The division [or an intermediate care facility ]shall provide discharge instructions |
---|
| 2172 | + | 1068 |
---|
| 2173 | + | to each individual committed under this section at or before the time the individual is |
---|
| 2174 | + | 1069 |
---|
| 2175 | + | discharged from the custody of the division[ or intermediate care facility], |
---|
| 2176 | + | 1070 |
---|
| 2177 | + | regardless of whether the individual is discharged by being released or under other |
---|
| 2178 | + | 1071 |
---|
| 2179 | + | circumstances. |
---|
| 2180 | + | 1072 |
---|
| 2181 | + | (b) Discharge instructions provided under Subsection (6)(a) shall include: |
---|
| 2182 | + | 1073 |
---|
| 2183 | + | (i) a summary of why the individual was committed; |
---|
| 2184 | + | 1074 |
---|
| 2185 | + | (ii) detailed information about why the individual is being discharged; |
---|
| 2186 | + | 1075 |
---|
| 2187 | + | (iii) a safety plan for the individual based on the individual's intellectual disability |
---|
| 2188 | + | 1076 |
---|
| 2189 | + | and condition; |
---|
| 2190 | + | 1077 |
---|
| 2191 | + | (iv) notification to the individual's primary care provider, if applicable; |
---|
| 2192 | + | 1078 |
---|
| 2193 | + | (v) if the individual is discharged without food, housing, or economic security, a |
---|
| 2194 | + | 1079 |
---|
| 2195 | + | referral to appropriate services, if such services exist in the individual's |
---|
| 2196 | + | 1080 |
---|
| 2197 | + | community; |
---|
| 2198 | + | 1081 |
---|
| 2199 | + | (vi) the phone number to call or text for a crisis services hotline, and information |
---|
| 2200 | + | 1082 |
---|
| 2201 | + | about the availability of peer support services; |
---|
| 2202 | + | - 32 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 2203 | + | 1083 |
---|
| 2204 | + | (vii) a copy of any advance directive presented to the local mental health authority, if |
---|
| 2205 | + | 1084 |
---|
| 2206 | + | applicable; |
---|
| 2207 | + | 1085 |
---|
| 2208 | + | (viii) information about how to establish an advance directive if one was not |
---|
| 2209 | + | 1086 |
---|
| 2210 | + | presented to the division[ or intermediate care facility]; |
---|
| 2211 | + | 1087 |
---|
| 2212 | + | (ix) as applicable, information about medications that were changed or discontinued |
---|
| 2213 | + | 1088 |
---|
| 2214 | + | during the commitment; |
---|
| 2215 | + | 1089 |
---|
| 2216 | + | (x) a list of any screening or diagnostic tests conducted during the commitment; |
---|
| 2217 | + | 1090 |
---|
| 2218 | + | (xi) a summary of therapeutic treatments provided during the commitment; |
---|
| 2219 | + | 1091 |
---|
| 2220 | + | (xii) any laboratory work, including blood samples or imaging, that was completed or |
---|
| 2221 | + | 1092 |
---|
| 2222 | + | attempted during the commitment; and |
---|
| 2223 | + | 1093 |
---|
| 2224 | + | (xiii) information about how to contact the division[ or intermediate care facility] if |
---|
| 2225 | + | 1094 |
---|
| 2226 | + | needed. |
---|
| 2227 | + | 1095 |
---|
| 2228 | + | (c) If an individual's medications were changed, or if an individual was prescribed new |
---|
| 2229 | + | 1096 |
---|
| 2230 | + | medications while committed under this section, discharge instructions provided |
---|
| 2231 | + | 1097 |
---|
| 2232 | + | under Subsection (6)(a) shall include a clinically appropriate supply of medications, |
---|
| 2233 | + | 1098 |
---|
| 2234 | + | as determined by a licensed health care provider, to allow the individual time to |
---|
| 2235 | + | 1099 |
---|
| 2236 | + | access another health care provider or follow-up appointment. |
---|
| 2237 | + | 1100 |
---|
| 2238 | + | (d) If an individual refuses to accept discharge instructions, the division[ or intermediate |
---|
| 2239 | + | 1101 |
---|
| 2240 | + | care facility] shall document the refusal in the individual's medical record. |
---|
| 2241 | + | 1102 |
---|
| 2242 | + | (e) If an individual's discharge instructions include referrals to services under Subsection |
---|
| 2243 | + | 1103 |
---|
| 2244 | + | (6)(b)(v), the division[ or intermediate care facility] shall document those referrals |
---|
| 2245 | + | 1104 |
---|
| 2246 | + | in the individual's medical record. |
---|
| 2247 | + | 1105 |
---|
| 2248 | + | (f) The division shall attempt to follow up with a discharged individual at least 48 hours |
---|
| 2249 | + | 1106 |
---|
| 2250 | + | after discharge, and may use peer support professionals when performing follow-up |
---|
| 2251 | + | 1107 |
---|
| 2252 | + | care or developing a continuing care plan. |
---|
| 2253 | + | 1108 |
---|
| 2254 | + | Section 13. Section 26B-6-608 is amended to read: |
---|
| 2255 | + | 1109 |
---|
| 2256 | + | 26B-6-608 . Involuntary commitment -- Procedures -- Necessary findings -- |
---|
| 2257 | + | 1110 |
---|
| 2258 | + | Periodic review. |
---|
| 2259 | + | 1111 |
---|
| 2260 | + | [(1) Any responsible person who has reason to know that an individual is in need of |
---|
| 2261 | + | 1112 |
---|
| 2262 | + | commitment, who has a belief that the individual has an intellectual disability, and who |
---|
| 2263 | + | 1113 |
---|
| 2264 | + | has personal knowledge of the conditions and circumstances supporting that belief, may |
---|
| 2265 | + | 1114 |
---|
| 2266 | + | commence proceedings for involuntary commitment by filing a written petition with the |
---|
| 2267 | + | 1115 |
---|
| 2268 | + | district court, or if the subject of the petition is less than 18 years old with the juvenile |
---|
| 2269 | + | 1116 |
---|
| 2270 | + | court, of the county in which the individual to be committed is physically located at the |
---|
| 2271 | + | - 33 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 2272 | + | 1117 |
---|
| 2273 | + | time the petition is filed. The application shall be accompanied by:] |
---|
| 2274 | + | 1118 |
---|
| 2275 | + | [(a) a certificate of a licensed physician or a designated intellectual disability |
---|
| 2276 | + | 1119 |
---|
| 2277 | + | professional, stating that within a seven-day period immediately preceding the |
---|
| 2278 | + | 1120 |
---|
| 2279 | + | certification, the physician or designated intellectual disability professional examined |
---|
| 2280 | + | 1121 |
---|
| 2281 | + | the individual and believes that the individual has an intellectual disability and is in |
---|
| 2282 | + | 1122 |
---|
| 2283 | + | need of involuntary commitment; or] |
---|
| 2284 | + | 1123 |
---|
| 2285 | + | [(b) a written statement by the petitioner that:] |
---|
| 2286 | + | 1124 |
---|
| 2287 | + | [(i) states that the individual was requested to, but refused to, submit to an |
---|
| 2288 | + | 1125 |
---|
| 2289 | + | examination for an intellectual disability by a licensed physician or designated |
---|
| 2290 | + | 1126 |
---|
| 2291 | + | intellectual disability professional, and that the individual refuses to voluntarily go |
---|
| 2292 | + | 1127 |
---|
| 2293 | + | to the division or an intermediate care facility for people with an intellectual |
---|
| 2294 | + | 1128 |
---|
| 2295 | + | disability recommended by the division for treatment;] |
---|
| 2296 | + | 1129 |
---|
| 2297 | + | [(ii) is under oath; and] |
---|
| 2298 | + | 1130 |
---|
| 2299 | + | [(iii) sets forth the facts on which the statement is based.] |
---|
| 2300 | + | 1131 |
---|
| 2301 | + | [(2) Before issuing a detention order, the court may require the petitioner to consult with |
---|
| 2302 | + | 1132 |
---|
| 2303 | + | personnel at the division or at an intermediate care facility for people with an intellectual |
---|
| 2304 | + | 1133 |
---|
| 2305 | + | disability and may direct a designated intellectual disability professional to interview the |
---|
| 2306 | + | 1134 |
---|
| 2307 | + | petitioner and the individual to be committed, to determine the existing facts, and to |
---|
| 2308 | + | 1135 |
---|
| 2309 | + | report them to the court.] |
---|
| 2310 | + | 1136 |
---|
| 2311 | + | [(3) The court may issue a detention order and may direct a peace officer to immediately |
---|
| 2312 | + | 1137 |
---|
| 2313 | + | take the individual to an intermediate care facility for people with an intellectual |
---|
| 2314 | + | 1138 |
---|
| 2315 | + | disability to be detained for purposes of an examination if the court finds from the |
---|
| 2316 | + | 1139 |
---|
| 2317 | + | petition, from other statements under oath, or from reports of physicians or designated |
---|
| 2318 | + | 1140 |
---|
| 2319 | + | intellectual disability professionals that there is a reasonable basis to believe that the |
---|
| 2320 | + | 1141 |
---|
| 2321 | + | individual to be committed:] |
---|
| 2322 | + | 1142 |
---|
| 2323 | + | [(a) poses an immediate danger of physical injury to self or others;] |
---|
| 2324 | + | 1143 |
---|
| 2325 | + | [(b) requires involuntary commitment pending examination and hearing;] |
---|
| 2326 | + | 1144 |
---|
| 2327 | + | [(c) the individual was requested but refused to submit to an examination by a licensed |
---|
| 2328 | + | 1145 |
---|
| 2329 | + | physician or designated intellectual disability professional; or] |
---|
| 2330 | + | 1146 |
---|
| 2331 | + | [(d) the individual refused to voluntarily go to the division or to an intermediate care |
---|
| 2332 | + | 1147 |
---|
| 2333 | + | facility for people with an intellectual disability recommended by the division.] |
---|
| 2334 | + | 1148 |
---|
| 2335 | + | [(4)(a) If the court issues a detention order based on an application that did not include |
---|
| 2336 | + | 1149 |
---|
| 2337 | + | a certification by a designated intellectual disability professional or physician in |
---|
| 2338 | + | 1150 |
---|
| 2339 | + | accordance with Subsection (1)(a), the director or his designee shall within 24 hours |
---|
| 2340 | + | - 34 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 2341 | + | 1151 |
---|
| 2342 | + | after issuance of the detention order, excluding Saturdays, Sundays, and legal |
---|
| 2343 | + | 1152 |
---|
| 2344 | + | holidays, examine the individual, report the results of the examination to the court |
---|
| 2345 | + | 1153 |
---|
| 2346 | + | and inform the court:] |
---|
| 2347 | + | 1154 |
---|
| 2348 | + | [(i) whether the director or his designee believes that the individual has an intellectual |
---|
| 2349 | + | 1155 |
---|
| 2350 | + | disability; and] |
---|
| 2351 | + | 1156 |
---|
| 2352 | + | [(ii) whether appropriate treatment programs are available and will be used by the |
---|
| 2353 | + | 1157 |
---|
| 2354 | + | individual without court proceedings.] |
---|
| 2355 | + | 1158 |
---|
| 2356 | + | [(b) If the report of the director or his designee is based on an oral report of the |
---|
| 2357 | + | 1159 |
---|
| 2358 | + | examiner, the examiner shall immediately send the results of the examination in |
---|
| 2359 | + | 1160 |
---|
| 2360 | + | writing to the clerk of the court.] |
---|
| 2361 | + | 1161 |
---|
| 2362 | + | [(5) Immediately after an individual is involuntarily committed under a detention order or |
---|
| 2363 | + | 1162 |
---|
| 2364 | + | under Section 26B-6-607, the director or his designee shall inform the individual, orally |
---|
| 2365 | + | 1163 |
---|
| 2366 | + | and in writing, of his right to communicate with an attorney. If an individual desires to |
---|
| 2367 | + | 1164 |
---|
| 2368 | + | communicate with an attorney, the director or his designee shall take immediate steps to |
---|
| 2369 | + | 1165 |
---|
| 2370 | + | assist the individual in contacting and communicating with an attorney.] |
---|
| 2371 | + | 1166 |
---|
| 2372 | + | (1)(a) Any responsible person who has reason to know that an individual is in need of |
---|
| 2373 | + | 1167 |
---|
| 2374 | + | commitment, who has a belief that the individual has an intellectual disability or |
---|
| 2375 | + | 1168 |
---|
| 2376 | + | related condition, and who has personal knowledge of the conditions and |
---|
| 2377 | + | 1169 |
---|
| 2378 | + | circumstances supporting that belief, may make a referral to the division to conduct |
---|
| 2379 | + | 1170 |
---|
| 2380 | + | an assessment to determine if the individual meets the criteria for involuntary |
---|
| 2381 | + | 1171 |
---|
| 2382 | + | commitment under this section. |
---|
| 2383 | + | 1172 |
---|
| 2384 | + | (b)(i) To conduct an assessment of an individual who may be in need of commitment |
---|
| 2385 | + | 1173 |
---|
| 2386 | + | under this section, the division shall have two designated intellectual disability |
---|
| 2387 | + | 1174 |
---|
| 2388 | + | professionals examine the individual. |
---|
| 2389 | + | 1175 |
---|
| 2390 | + | (ii) The examinations described in Subsection (1)(b)(i) shall be conducted separately |
---|
| 2391 | + | 1176 |
---|
| 2392 | + | and at a suitable location not likely to have a harmful effect on the individual |
---|
| 2393 | + | 1177 |
---|
| 2394 | + | being examined. |
---|
| 2395 | + | 1178 |
---|
| 2396 | + | (c) If the designated intellectual disability professionals who conduct the examinations |
---|
| 2397 | + | 1179 |
---|
| 2398 | + | described in Subsection (1)(b)(i) both believe the examined individual meets the |
---|
| 2399 | + | 1180 |
---|
| 2400 | + | criteria for involuntary commitment under this section, the division may file a written |
---|
| 2401 | + | 1181 |
---|
| 2402 | + | petition to commence involuntary commitment proceedings with the district court, or |
---|
| 2403 | + | 1182 |
---|
| 2404 | + | with the juvenile court if the subject of the petition is less than 18 years old, of the |
---|
| 2405 | + | 1183 |
---|
| 2406 | + | county in which the subject of the petition is physically located at the time the |
---|
| 2407 | + | 1184 |
---|
| 2408 | + | petition is filed. |
---|
| 2409 | + | - 35 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 2410 | + | 1185 |
---|
| 2411 | + | (d)(i) The division shall include with a petition described in Subsection (1)(c) a |
---|
| 2412 | + | 1186 |
---|
| 2413 | + | certification from each of the designated intellectual disability professionals who |
---|
| 2414 | + | 1187 |
---|
| 2415 | + | examined the subject of the petition. |
---|
| 2416 | + | 1188 |
---|
| 2417 | + | (ii) A designated intellectual disability professional's certification shall state that: |
---|
| 2418 | + | 1189 |
---|
| 2419 | + | (A) within a seven-day period immediately preceding the filing of the petition, the |
---|
| 2420 | + | 1190 |
---|
| 2421 | + | designated intellectual disability professional examined the subject of the |
---|
| 2422 | + | 1191 |
---|
| 2423 | + | petition separate from the other designated intellectual disability professional; |
---|
| 2424 | + | 1192 |
---|
| 2425 | + | and |
---|
| 2426 | + | 1193 |
---|
| 2427 | + | (B) it is the designated intellectual disability professional's belief that the subject |
---|
| 2428 | + | 1194 |
---|
| 2429 | + | of the petition has an intellectual disability or related condition and meets the |
---|
| 2430 | + | 1195 |
---|
| 2431 | + | criteria for involuntary commitment under this section. |
---|
| 2432 | + | 1196 |
---|
| 2433 | + | (2)(a) If, pursuant to Title 77, Chapter 15, Defendant's Competency to Proceed, or Title |
---|
| 2434 | + | 1197 |
---|
| 2435 | + | 80, Chapter 6, Part 4, Competency, a prosecutor informs a court that commitment |
---|
| 2436 | + | 1198 |
---|
| 2437 | + | proceedings will be initiated, the prosecutor shall make a referral to the division |
---|
| 2438 | + | 1199 |
---|
| 2439 | + | pursuant to Subsection (1). |
---|
| 2440 | + | 1200 |
---|
| 2441 | + | (b) If a prosecutor makes a referral to the division pursuant to Subsection (1), the |
---|
| 2442 | + | 1201 |
---|
| 2443 | + | division shall complete an assessment as described in Subsection (1)(b) within seven |
---|
| 2444 | + | 1202 |
---|
| 2445 | + | days after the day on which the prosecutor makes the referral unless the court |
---|
| 2446 | + | 1203 |
---|
| 2447 | + | enlarges the time for good cause shown. |
---|
| 2448 | + | 1204 |
---|
| 2449 | + | (c) Upon completion of the assessment described in Subsection (2)(b), if the designated |
---|
| 2450 | + | 1205 |
---|
| 2451 | + | intellectual disability professionals who examine the individual who is the subject of |
---|
| 2452 | + | 1206 |
---|
| 2453 | + | the referral both certify that they believe the individual meets the criteria for |
---|
| 2454 | + | 1207 |
---|
| 2455 | + | involuntary commitment under this section, the division may file a petition to |
---|
| 2456 | + | 1208 |
---|
| 2457 | + | commence involuntary commitment proceedings in accordance with Subsections |
---|
| 2458 | + | 1209 |
---|
| 2459 | + | (1)(c) and (d). |
---|
| 2460 | + | 1210 |
---|
| 2461 | + | [(6)] (3)(a) Immediately after [commencement of proceedings] the division files a petition |
---|
| 2462 | + | 1211 |
---|
| 2463 | + | for involuntary commitment under this section, the court shall: |
---|
| 2464 | + | 1212 |
---|
| 2465 | + | (i) schedule a hearing on the petition for no later than 10 days after the day on which |
---|
| 2466 | + | 1213 |
---|
| 2467 | + | the division filed the petition; and |
---|
| 2468 | + | 1214 |
---|
| 2469 | + | (ii) give notice of commencement of the proceedings to: |
---|
| 2470 | + | 1215 |
---|
| 2471 | + | [(i)] (A) the individual to be committed; |
---|
| 2472 | + | 1216 |
---|
| 2473 | + | [(ii)] (B) the [applicant] referent under Subsection (1)(a) or (2)(a), if applicable; |
---|
| 2474 | + | 1217 |
---|
| 2475 | + | [(iii)] (C) any legal guardian of the individual; |
---|
| 2476 | + | 1218 |
---|
| 2477 | + | [(iv)] (D) adult members of the individual's immediate family; |
---|
| 2478 | + | - 36 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 2479 | + | 1219 |
---|
| 2480 | + | [(v)] (E) legal counsel of the individual to be committed, if any; |
---|
| 2481 | + | 1220 |
---|
| 2482 | + | [(vi)] (F) the division; and |
---|
| 2483 | + | 1221 |
---|
| 2484 | + | [(vii)] (G) any other person to whom the individual requests, or the court |
---|
| 2485 | + | 1222 |
---|
| 2486 | + | designates, notice to be given. |
---|
| 2487 | + | 1223 |
---|
| 2488 | + | (b) If an individual cannot or refuses to disclose the identity of persons to be notified, |
---|
| 2489 | + | 1224 |
---|
| 2490 | + | the extent of notice shall be determined by the court. |
---|
| 2491 | + | 1225 |
---|
| 2492 | + | [(7)] (4) [That notice] The notice described in Subsection (3) shall: |
---|
| 2493 | + | 1226 |
---|
| 2494 | + | (a) set forth the allegations of the petition and all supporting facts; |
---|
| 2495 | + | 1227 |
---|
| 2496 | + | (b) be accompanied by a copy of [any detention] an emergency order issued under [ |
---|
| 2497 | + | 1228 |
---|
| 2498 | + | Subsection (3)] Section 26B-6-607, if applicable; and |
---|
| 2499 | + | 1229 |
---|
| 2500 | + | (c) state that a hearing will be held within the time provided by law, and give the time |
---|
| 2501 | + | 1230 |
---|
| 2502 | + | and place for that hearing. |
---|
| 2503 | + | 1231 |
---|
| 2504 | + | [(8)] (5) The court may transfer the case and the custody of the individual to be committed |
---|
| 2505 | + | 1232 |
---|
| 2506 | + | to any other district court within the state[, if:] if the individual resides in another |
---|
| 2507 | + | 1233 |
---|
| 2508 | + | jurisdiction within the state. |
---|
| 2509 | + | 1234 |
---|
| 2510 | + | [(a) there are no appropriate facilities for persons with an intellectual disability within |
---|
| 2511 | + | 1235 |
---|
| 2512 | + | the judicial district; and] |
---|
| 2513 | + | 1236 |
---|
| 2514 | + | [(b) the transfer will not be adverse to the interests of the individual.] |
---|
| 2515 | + | 1237 |
---|
| 2516 | + | [(9)(a) Within 24 hours, excluding Saturdays, Sundays, and legal holidays, after any |
---|
| 2517 | + | 1238 |
---|
| 2518 | + | order or commitment under a detention order, the court shall appoint two designated |
---|
| 2519 | + | 1239 |
---|
| 2520 | + | intellectual disability professionals to examine the individual. If requested by the |
---|
| 2521 | + | 1240 |
---|
| 2522 | + | individual's counsel, the court shall appoint a reasonably available, qualified person |
---|
| 2523 | + | 1241 |
---|
| 2524 | + | designated by counsel to be one of the examining designated intellectual disability |
---|
| 2525 | + | 1242 |
---|
| 2526 | + | professionals. The examinations shall be conducted:] |
---|
| 2527 | + | 1243 |
---|
| 2528 | + | [(i) separately;] |
---|
| 2529 | + | 1244 |
---|
| 2530 | + | [(ii) at the home of the individual to be committed, a hospital, an intermediate care |
---|
| 2531 | + | 1245 |
---|
| 2532 | + | facility for people with an intellectual disability, or any other suitable place not |
---|
| 2533 | + | 1246 |
---|
| 2534 | + | likely to have a harmful effect on the individual; and] |
---|
| 2535 | + | 1247 |
---|
| 2536 | + | [(iii) within a reasonable period of time after appointment of the examiners by the |
---|
| 2537 | + | 1248 |
---|
| 2538 | + | court.] |
---|
| 2539 | + | 1249 |
---|
| 2540 | + | [(b) The court shall set a time for a hearing to be held within 10 court days of the |
---|
| 2541 | + | 1250 |
---|
| 2542 | + | appointment of the examiners. However, the court may immediately terminate the |
---|
| 2543 | + | 1251 |
---|
| 2544 | + | proceedings and dismiss the application if, prior to the hearing date, the examiners, |
---|
| 2545 | + | 1252 |
---|
| 2546 | + | the director, or his designee informs the court that:] |
---|
| 2547 | + | - 37 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 2548 | + | 1253 |
---|
| 2549 | + | [(i) the individual does not have an intellectual disability; or] |
---|
| 2550 | + | 1254 |
---|
| 2551 | + | [(ii) treatment programs are available and will be used by the individual without court |
---|
| 2552 | + | 1255 |
---|
| 2553 | + | proceedings.] |
---|
| 2554 | + | 1256 |
---|
| 2555 | + | [(10)] (6)(a)(i) Each individual has the right to be represented by counsel at the |
---|
| 2556 | + | 1257 |
---|
| 2557 | + | commitment hearing and in all preliminary proceedings. |
---|
| 2558 | + | 1258 |
---|
| 2559 | + | (ii) If neither the individual nor others provide counsel, [ ]the court shall appoint |
---|
| 2560 | + | 1259 |
---|
| 2561 | + | counsel and allow sufficient time for counsel to consult with the individual prior |
---|
| 2562 | + | 1260 |
---|
| 2563 | + | to any hearing. |
---|
| 2564 | + | 1261 |
---|
| 2565 | + | (b) If the individual is indigent, the county in which the individual was physically |
---|
| 2566 | + | 1262 |
---|
| 2567 | + | located when taken into custody shall pay reasonable attorney fees as determined by |
---|
| 2568 | + | 1263 |
---|
| 2569 | + | the court. |
---|
| 2570 | + | 1264 |
---|
| 2571 | + | [(11)] (7) [The division or a designated intellectual disability professional in charge of the |
---|
| 2572 | + | 1265 |
---|
| 2573 | + | individual's care] Upon order of the court, the division or the division's designee shall |
---|
| 2574 | + | 1266 |
---|
| 2575 | + | provide all [documented information on] relevant documentation on the individual to be |
---|
| 2576 | + | 1267 |
---|
| 2577 | + | committed [and ]to the court [at the time of the hearing. The] and the individual's |
---|
| 2578 | + | 1268 |
---|
| 2579 | + | attorney[ shall have access to all documented information on the individual at the time |
---|
| 2580 | + | 1269 |
---|
| 2581 | + | of and prior to the hearing]. |
---|
| 2582 | + | 1270 |
---|
| 2583 | + | [(12)] (8)(a) The court shall provide an opportunity to the individual, the petitioner, and |
---|
| 2584 | + | 1271 |
---|
| 2585 | + | all other persons to whom notice is required to be given to appear at the hearing, to |
---|
| 2586 | + | 1272 |
---|
| 2587 | + | testify, and to present and cross-examine witnesses. |
---|
| 2588 | + | 1273 |
---|
| 2589 | + | (b) The court may, in its discretion: |
---|
| 2590 | + | 1274 |
---|
| 2591 | + | (i) receive the testimony of any other person; |
---|
| 2592 | + | 1275 |
---|
| 2593 | + | (ii) allow a waiver of the right to appear only for good cause shown; |
---|
| 2594 | + | 1276 |
---|
| 2595 | + | (iii) exclude from the hearing all persons not necessary to conduct the proceedings; |
---|
| 2596 | + | 1277 |
---|
| 2597 | + | and |
---|
| 2598 | + | 1278 |
---|
| 2599 | + | (iv) upon motion of counsel, require the testimony of each examiner to be given out |
---|
| 2600 | + | 1279 |
---|
| 2601 | + | of the presence of any other examiner. |
---|
| 2602 | + | 1280 |
---|
| 2603 | + | (c)(i) The hearing shall be conducted in as informal a manner as may be consistent |
---|
| 2604 | + | 1281 |
---|
| 2605 | + | with orderly procedure, and in a physical setting that is not likely to have a |
---|
| 2606 | + | 1282 |
---|
| 2607 | + | harmful effect on the individual. |
---|
| 2608 | + | 1283 |
---|
| 2609 | + | (ii) The Utah Rules of Evidence apply, and the hearing shall be a matter of court |
---|
| 2610 | + | 1284 |
---|
| 2611 | + | record. |
---|
| 2612 | + | 1285 |
---|
| 2613 | + | (iii) A verbatim record of the proceedings shall be maintained. |
---|
| 2614 | + | 1286 |
---|
| 2615 | + | [(13)] (9) The court may order commitment if, upon completion of the hearing and |
---|
| 2616 | + | - 38 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 2617 | + | 1287 |
---|
| 2618 | + | consideration of the record, [it] the court finds by clear and convincing evidence that all |
---|
| 2619 | + | 1288 |
---|
| 2620 | + | of the following conditions are met: |
---|
| 2621 | + | 1289 |
---|
| 2622 | + | (a) the individual to be committed has an intellectual disability or a related condition; |
---|
| 2623 | + | 1290 |
---|
| 2624 | + | (b) because of the individual's intellectual disability or related condition, one or more of |
---|
| 2625 | + | 1291 |
---|
| 2626 | + | the following conditions exist: |
---|
| 2627 | + | 1292 |
---|
| 2628 | + | (i) the individual poses [an immediate danger of physical injury] substantial danger to |
---|
| 2629 | + | 1293 |
---|
| 2630 | + | self or others; |
---|
| 2631 | + | 1294 |
---|
| 2632 | + | (ii) the individual lacks the capacity to provide the basic necessities of life, such as |
---|
| 2633 | + | 1295 |
---|
| 2634 | + | food, clothing, or shelter;[ or] |
---|
| 2635 | + | 1296 |
---|
| 2636 | + | (iii) the individual is in immediate need of habilitation, rehabilitation, care, or |
---|
| 2637 | + | 1297 |
---|
| 2638 | + | treatment to minimize the effects of the condition which poses a [threat of serious |
---|
| 2639 | + | 1298 |
---|
| 2640 | + | physical or psychological injury to the individual, and] risk of substantial danger to |
---|
| 2641 | + | 1299 |
---|
| 2642 | + | self or others; or |
---|
| 2643 | + | 1300 |
---|
| 2644 | + | (iv) the individual lacks the capacity to engage in a rational decision-making process |
---|
| 2645 | + | 1301 |
---|
| 2646 | + | concerning the need for habilitation, rehabilitation, care, or treatment, as |
---|
| 2647 | + | 1302 |
---|
| 2648 | + | evidenced by an inability to weigh the possible costs and benefits of the care or |
---|
| 2649 | + | 1303 |
---|
| 2650 | + | treatment and the alternatives to it; |
---|
| 2651 | + | 1304 |
---|
| 2652 | + | (c) there is no appropriate, less restrictive alternative reasonably available; and |
---|
| 2653 | + | 1305 |
---|
| 2654 | + | (d) the division [or the intermediate care facility for people with an intellectual disability |
---|
| 2655 | + | 1306 |
---|
| 2656 | + | recommended by the division in which the individual is to be committed ]can provide |
---|
| 2657 | + | 1307 |
---|
| 2658 | + | the individual with treatment, care, habilitation, or rehabilitation that is adequate and |
---|
| 2659 | + | 1308 |
---|
| 2660 | + | appropriate to the individual's condition and needs. |
---|
| 2661 | + | 1309 |
---|
| 2662 | + | [(14)] (10) In the absence of any of the required findings by the court, described in |
---|
| 2663 | + | 1310 |
---|
| 2664 | + | Subsection [(13)] (9), the court shall dismiss the proceedings. |
---|
| 2665 | + | 1311 |
---|
| 2666 | + | [(15)] (11)(a) The order of commitment shall designate the period for which the |
---|
| 2667 | + | 1312 |
---|
| 2668 | + | individual will be committed. |
---|
| 2669 | + | 1313 |
---|
| 2670 | + | (b) An initial commitment may not exceed six months.[ Before the end of the initial |
---|
| 2671 | + | 1314 |
---|
| 2672 | + | commitment period, the administrator of the intermediate care facility for people with |
---|
| 2673 | + | 1315 |
---|
| 2674 | + | an intellectual disability shall commence a review hearing on behalf of the individual.] |
---|
| 2675 | + | 1316 |
---|
| 2676 | + | [(b) At the conclusion of the review hearing, the court may issue an order of |
---|
| 2677 | + | 1317 |
---|
| 2678 | + | commitment for up to a one-year period.] |
---|
| 2679 | + | 1318 |
---|
| 2680 | + | [(16)] (12)(a) An individual committed under this part has the right to a rehearing[, upon |
---|
| 2681 | + | 1319 |
---|
| 2682 | + | filing a petition with the court within 30 days after entry of the court's order. If the |
---|
| 2683 | + | 1320 |
---|
| 2684 | + | petition for rehearing alleges error or mistake in the court's findings, the] if, within 15 |
---|
| 2685 | + | - 39 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 2686 | + | 1321 |
---|
| 2687 | + | days after the court enters the order of commitment, the individual files a petition |
---|
| 2688 | + | 1322 |
---|
| 2689 | + | with the court alleging error or mistake in the court's findings. |
---|
| 2690 | + | 1323 |
---|
| 2691 | + | (b) Upon a request for rehearing filed in accordance with Subsection (12)(a), the court |
---|
| 2692 | + | 1324 |
---|
| 2693 | + | shall: |
---|
| 2694 | + | 1325 |
---|
| 2695 | + | (i) appoint[ one impartial licensed physician and] two impartial designated |
---|
| 2696 | + | 1326 |
---|
| 2697 | + | intellectual disability professionals who have not previously been involved in the |
---|
| 2698 | + | 1327 |
---|
| 2699 | + | case to examine the individual[. ] ; and |
---|
| 2700 | + | 1328 |
---|
| 2701 | + | (ii) schedule a rehearing to be held within 30 days after the court entered the order of |
---|
| 2702 | + | 1329 |
---|
| 2703 | + | commitment. |
---|
| 2704 | + | 1330 |
---|
| 2705 | + | (c) [The] In all other respects, the rehearing shall[, in all other respects,] be conducted in |
---|
| 2706 | + | 1331 |
---|
| 2707 | + | accordance with this part. |
---|
| 2708 | + | 1332 |
---|
| 2709 | + | [(17)] (13)(a)(i) The court shall maintain a current list of all individuals under its |
---|
| 2710 | + | 1333 |
---|
| 2711 | + | orders of commitment. |
---|
| 2712 | + | 1334 |
---|
| 2713 | + | (ii) [That list shall be reviewed in order] The court shall review the list described in |
---|
| 2714 | + | 1335 |
---|
| 2715 | + | Subsection (13)(a)(i) to determine those patients who have been under an order of |
---|
| 2716 | + | 1336 |
---|
| 2717 | + | commitment for the designated period. |
---|
| 2718 | + | 1337 |
---|
| 2719 | + | (b) At least two weeks prior to the expiration of the designated period of any |
---|
| 2720 | + | 1338 |
---|
| 2721 | + | commitment order still in effect, the court that entered the original order shall [inform |
---|
| 2722 | + | 1339 |
---|
| 2723 | + | the director of the division of the impending expiration of the designated |
---|
| 2724 | + | 1340 |
---|
| 2725 | + | commitment period] commence and send notice to all parties of a review hearing for |
---|
| 2726 | + | 1341 |
---|
| 2727 | + | the committed individual. |
---|
| 2728 | + | 1342 |
---|
| 2729 | + | (c) Prior to the review hearing, a division-designated intellectual disability professional |
---|
| 2730 | + | 1343 |
---|
| 2731 | + | shall reexamine the basis for the order of commitment and provide a report of that |
---|
| 2732 | + | 1344 |
---|
| 2733 | + | reexamination to the court. |
---|
| 2734 | + | 1345 |
---|
| 2735 | + | (d) At the conclusion of a review hearing, the court may: |
---|
| 2736 | + | 1346 |
---|
| 2737 | + | (i) issue an order of commitment for up to a one-year period; or |
---|
| 2738 | + | 1347 |
---|
| 2739 | + | (ii) discharge the individual from involuntary commitment if the conditions justifying |
---|
| 2740 | + | 1348 |
---|
| 2741 | + | commitment no longer exist. |
---|
| 2742 | + | 1349 |
---|
| 2743 | + | [(c) The staff of the division shall immediately:] |
---|
| 2744 | + | 1350 |
---|
| 2745 | + | [(i) reexamine the reasons upon which the order of commitment was based and report |
---|
| 2746 | + | 1351 |
---|
| 2747 | + | the results of the examination to the court;] |
---|
| 2748 | + | 1352 |
---|
| 2749 | + | [(ii) discharge the resident from involuntary commitment if the conditions justifying |
---|
| 2750 | + | 1353 |
---|
| 2751 | + | commitment no longer exist; and] |
---|
| 2752 | + | 1354 |
---|
| 2753 | + | [(iii) immediately inform the court of any discharge.] |
---|
| 2754 | + | - 40 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 2755 | + | 1355 |
---|
| 2756 | + | [(d)] (e) [If the director of the division reports to the court that the conditions justifying |
---|
| 2757 | + | 1356 |
---|
| 2758 | + | commitment no longer exist, and the administrator of the intermediate care facility |
---|
| 2759 | + | 1357 |
---|
| 2760 | + | for people with an intellectual disability does not discharge the individual at the end |
---|
| 2761 | + | 1358 |
---|
| 2762 | + | of the designated period, the court shall order the immediate discharge of the |
---|
| 2763 | + | 1359 |
---|
| 2764 | + | individual, unless involuntary commitment proceedings are again commenced in |
---|
| 2765 | + | 1360 |
---|
| 2766 | + | accordance with this section] If at any time during the commitment period the director |
---|
| 2767 | + | 1361 |
---|
| 2768 | + | or the director's designee determines that the conditions justifying commitment no |
---|
| 2769 | + | 1362 |
---|
| 2770 | + | longer exist, the division shall immediately discharge the individual from the |
---|
| 2771 | + | 1363 |
---|
| 2772 | + | commitment and notify the court. |
---|
| 2773 | + | 1364 |
---|
| 2774 | + | (f) If the division does not discharge an individual at the end of the designated period of |
---|
| 2775 | + | 1365 |
---|
| 2776 | + | a commitment order, the court shall order the immediate discharge of the individual |
---|
| 2777 | + | 1366 |
---|
| 2778 | + | unless involuntary commitment proceedings are commenced again in accordance |
---|
| 2779 | + | 1367 |
---|
| 2780 | + | with this section. |
---|
| 2781 | + | 1368 |
---|
| 2782 | + | [(e) If the director of the division, or the director's designee reports to the court that the |
---|
| 2783 | + | 1369 |
---|
| 2784 | + | conditions designated in Subsection (13) still exist, the court may extend the |
---|
| 2785 | + | 1370 |
---|
| 2786 | + | commitment order for up to one year. At the end of any extension, the individual |
---|
| 2787 | + | 1371 |
---|
| 2788 | + | must be reexamined in accordance with this section, or discharged.] |
---|
| 2789 | + | 1372 |
---|
| 2790 | + | [(18)] (14) When a resident is discharged under this [subsection] section, the division shall [ |
---|
| 2791 | + | 1373 |
---|
| 2792 | + | provide any further support services available and] continue to provide division services |
---|
| 2793 | + | 1374 |
---|
| 2794 | + | for which the individual is eligible and as required to meet the resident's needs. |
---|
| 2795 | + | 1375 |
---|
| 2796 | + | [(19)] (15)(a) The division[ or an intermediate care facility] shall provide discharge |
---|
| 2797 | + | 1376 |
---|
| 2798 | + | instructions to each individual committed under this section at or before the time the |
---|
| 2799 | + | 1377 |
---|
| 2800 | + | individual is discharged from the custody of the division[ or intermediate care facility], |
---|
| 2801 | + | 1378 |
---|
| 2802 | + | regardless of whether the individual is discharged by being released or under other |
---|
| 2803 | + | 1379 |
---|
| 2804 | + | circumstances. |
---|
| 2805 | + | 1380 |
---|
| 2806 | + | (b) Discharge instructions provided under Subsection [(19)(a)] (15)(a) shall include: |
---|
| 2807 | + | 1381 |
---|
| 2808 | + | (i) a summary of why the individual was committed; |
---|
| 2809 | + | 1382 |
---|
| 2810 | + | (ii) detailed information about why the individual is being discharged; |
---|
| 2811 | + | 1383 |
---|
| 2812 | + | (iii) a safety plan for the individual based on the individual's intellectual disability |
---|
| 2813 | + | 1384 |
---|
| 2814 | + | and condition; |
---|
| 2815 | + | 1385 |
---|
| 2816 | + | (iv) notification to the individual's primary care provider, if applicable; |
---|
| 2817 | + | 1386 |
---|
| 2818 | + | (v) if the individual is discharged without food, housing, or economic security, a |
---|
| 2819 | + | 1387 |
---|
| 2820 | + | referral to appropriate services, if such services exist in the individual's |
---|
| 2821 | + | 1388 |
---|
| 2822 | + | community; |
---|
| 2823 | + | - 41 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 2824 | + | 1389 |
---|
| 2825 | + | (vi) the phone number to call or text for a crisis services hotline, and information |
---|
| 2826 | + | 1390 |
---|
| 2827 | + | about the availability of peer support services; |
---|
| 2828 | + | 1391 |
---|
| 2829 | + | (vii) a copy of any advance directive presented to the local mental health authority, if |
---|
| 2830 | + | 1392 |
---|
| 2831 | + | applicable; |
---|
| 2832 | + | 1393 |
---|
| 2833 | + | (viii) information about how to establish an advance directive if one was not |
---|
| 2834 | + | 1394 |
---|
| 2835 | + | presented to the division[ or intermediate care facility]; |
---|
| 2836 | + | 1395 |
---|
| 2837 | + | (ix) as applicable, information about medications that were changed or discontinued |
---|
| 2838 | + | 1396 |
---|
| 2839 | + | during the commitment; |
---|
| 2840 | + | 1397 |
---|
| 2841 | + | (x) a list of any screening or diagnostic tests conducted during the commitment; |
---|
| 2842 | + | 1398 |
---|
| 2843 | + | (xi) a summary of therapeutic treatments provided during the commitment; |
---|
| 2844 | + | 1399 |
---|
| 2845 | + | (xii) any laboratory work, including blood samples or imaging, that was completed or |
---|
| 2846 | + | 1400 |
---|
| 2847 | + | attempted during the commitment; and |
---|
| 2848 | + | 1401 |
---|
| 2849 | + | (xiii) information about how to contact the division[ or intermediate care facility] if |
---|
| 2850 | + | 1402 |
---|
| 2851 | + | needed. |
---|
| 2852 | + | 1403 |
---|
| 2853 | + | (c) If an individual's medications were changed, or if an individual was prescribed new |
---|
| 2854 | + | 1404 |
---|
| 2855 | + | medications while committed under this section, discharge instructions provided |
---|
| 2856 | + | 1405 |
---|
| 2857 | + | under Subsection [(19)(a)] (15)(a) shall include a clinically appropriate supply of |
---|
| 2858 | + | 1406 |
---|
| 2859 | + | medications, as determined by a licensed health care provider, to allow the individual |
---|
| 2860 | + | 1407 |
---|
| 2861 | + | time to access another health care provider or follow-up appointment. |
---|
| 2862 | + | 1408 |
---|
| 2863 | + | (d) If an individual refuses to accept discharge instructions, the division[ or intermediate |
---|
| 2864 | + | 1409 |
---|
| 2865 | + | care facility] shall document the refusal in the individual's medical record. |
---|
| 2866 | + | 1410 |
---|
| 2867 | + | (e) If an individual's discharge instructions include referrals to services under Subsection [ |
---|
| 2868 | + | 1411 |
---|
| 2869 | + | (19)(b)(v)] (15)(b)(v), the division[ or intermediate care facility] shall document those |
---|
| 2870 | + | 1412 |
---|
| 2871 | + | referrals in the individual's medical record. |
---|
| 2872 | + | 1413 |
---|
| 2873 | + | (f) The division shall attempt to follow up with a discharged individual at least 48 hours |
---|
| 2874 | + | 1414 |
---|
| 2875 | + | after discharge, and may use peer support professionals when performing follow-up |
---|
| 2876 | + | 1415 |
---|
| 2877 | + | care or developing a continuing care plan. |
---|
| 2878 | + | 1416 |
---|
| 2879 | + | Section 14. Section 26B-6-613 is amended to read: |
---|
| 2880 | + | 1417 |
---|
| 2881 | + | 26B-6-613 . Involuntary treatment with medication -- Committee -- Findings. |
---|
| 2882 | + | 1418 |
---|
| 2883 | + | (1) If, after commitment, a resident elects to refuse treatment with medication, the director, |
---|
| 2884 | + | 1419 |
---|
| 2885 | + | the administrator of the intermediate care facility for people with an intellectual |
---|
| 2886 | + | 1420 |
---|
| 2887 | + | disability, or a designee, shall submit documentation regarding the resident's proposed |
---|
| 2888 | + | 1421 |
---|
| 2889 | + | treatment to a committee composed of: |
---|
| 2890 | + | 1422 |
---|
| 2891 | + | (a) a licensed physician experienced in treating persons with an intellectual disability, |
---|
| 2892 | + | - 42 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 2893 | + | 1423 |
---|
| 2894 | + | who is not directly involved in the resident's treatment or diagnosis, and who is not |
---|
| 2895 | + | 1424 |
---|
| 2896 | + | biased toward any one facility; |
---|
| 2897 | + | 1425 |
---|
| 2898 | + | (b) a psychologist who is a designated intellectual disability professional who is not |
---|
| 2899 | + | 1426 |
---|
| 2900 | + | directly involved in the resident's treatment or diagnosis; and |
---|
| 2901 | + | 1427 |
---|
| 2902 | + | (c) another designated intellectual disability professional of the facility for persons with |
---|
| 2903 | + | 1428 |
---|
| 2904 | + | an intellectual disability, or a designee. |
---|
| 2905 | + | 1429 |
---|
| 2906 | + | (2) Based upon the court's finding, under Subsection [26B-6-608(13)] 26B-6-608(9), that |
---|
| 2907 | + | 1430 |
---|
| 2908 | + | the resident lacks the ability to engage in a rational decision-making process regarding |
---|
| 2909 | + | 1431 |
---|
| 2910 | + | the need for habilitation, rehabilitation, care, or treatment, as demonstrated by evidence |
---|
| 2911 | + | 1432 |
---|
| 2912 | + | of inability to weigh the possible costs and benefits of treatment, the committee may |
---|
| 2913 | + | 1433 |
---|
| 2914 | + | authorize involuntary treatment with medication if it determines that: |
---|
| 2915 | + | 1434 |
---|
| 2916 | + | (a) the proposed treatment is in the medical best interest of the resident, taking into |
---|
| 2917 | + | 1435 |
---|
| 2918 | + | account the possible side effects as well as the potential benefits of the medication; |
---|
| 2919 | + | 1436 |
---|
| 2920 | + | and |
---|
| 2921 | + | 1437 |
---|
| 2922 | + | (b) the proposed treatment is in accordance with prevailing standards of accepted |
---|
| 2923 | + | 1438 |
---|
| 2924 | + | medical practice. |
---|
| 2925 | + | 1439 |
---|
| 2926 | + | (3) In making the determination described in Subsection (2), the committee shall consider |
---|
| 2927 | + | 1440 |
---|
| 2928 | + | the resident's general history and present condition, the specific need for medication and |
---|
| 2929 | + | 1441 |
---|
| 2930 | + | its possible side effects, and any previous reaction to the same or comparable medication. |
---|
| 2931 | + | 1442 |
---|
| 2932 | + | (4) Any authorization of involuntary treatment under this section shall be periodically |
---|
| 2933 | + | 1443 |
---|
| 2934 | + | reviewed in accordance with rules promulgated by the division. |
---|
| 2935 | + | 1444 |
---|
| 2936 | + | Section 15. Section 63I-2-275 is amended to read: |
---|
| 2937 | + | 1445 |
---|
2137 | | - | 1051 |
---|
2138 | | - | Section 17. Effective date. |
---|
2139 | | - | 1052 |
---|
| 5181 | + | 2550 |
---|
| 5182 | + | Section 31. Section 77-15-2 is amended to read: |
---|
| 5183 | + | 2551 |
---|
| 5184 | + | 77-15-2 . Definitions. |
---|
| 5185 | + | 2552 |
---|
| 5186 | + | As used in this chapter: |
---|
| 5187 | + | 2553 |
---|
| 5188 | + | (1) "Competency evaluation" means an evaluation conducted by a forensic evaluator to |
---|
| 5189 | + | 2554 |
---|
| 5190 | + | determine if an individual is competent to stand trial. |
---|
| 5191 | + | 2555 |
---|
| 5192 | + | (2) "Competent to stand trial" means that a defendant has: |
---|
| 5193 | + | 2556 |
---|
| 5194 | + | (a) a rational and factual understanding of the criminal proceedings against the |
---|
| 5195 | + | 2557 |
---|
| 5196 | + | defendant and of the punishment specified for the offense charged; and |
---|
| 5197 | + | 2558 |
---|
| 5198 | + | (b) the ability to consult with the defendant's legal counsel with a reasonable degree of |
---|
| 5199 | + | 2559 |
---|
| 5200 | + | rational understanding in order to assist in the defense. |
---|
| 5201 | + | 2560 |
---|
| 5202 | + | (3) "Department" means the Department of Health and Human Services. |
---|
| 5203 | + | 2561 |
---|
| 5204 | + | (4) "Forensic evaluator" means a licensed mental health professional who: |
---|
| 5205 | + | 2562 |
---|
| 5206 | + | (a) is not involved in the defendant's treatment; |
---|
| 5207 | + | 2563 |
---|
| 5208 | + | (b) is trained and qualified by the department to conduct a competency evaluation, a |
---|
| 5209 | + | 2564 |
---|
| 5210 | + | restoration screening, and a progress toward competency evaluation, based on |
---|
| 5211 | + | 2565 |
---|
| 5212 | + | knowledge, experience, or education relating to: |
---|
| 5213 | + | 2566 |
---|
| 5214 | + | (i) intellectual functioning or psychopathology; and |
---|
| 5215 | + | 2567 |
---|
| 5216 | + | (ii) the legal system and the rights of a defendant in a criminal trial; and |
---|
| 5217 | + | 2568 |
---|
| 5218 | + | (c) if under contract with the department, demonstrates ongoing education and training |
---|
| 5219 | + | 2569 |
---|
| 5220 | + | relating to forensic mental health in accordance with rules established by the |
---|
| 5221 | + | 2570 |
---|
| 5222 | + | department in accordance with Title 63G, Chapter 3, Utah Administrative |
---|
| 5223 | + | 2571 |
---|
| 5224 | + | Rulemaking Act. |
---|
| 5225 | + | 2572 |
---|
| 5226 | + | (5) "Incompetent to proceed" means that a defendant is not competent to stand trial as a |
---|
| 5227 | + | 2573 |
---|
| 5228 | + | result of: |
---|
| 5229 | + | 2574 |
---|
| 5230 | + | (a) mental illness; or |
---|
| 5231 | + | 2575 |
---|
| 5232 | + | (b) intellectual disability. |
---|
| 5233 | + | 2576 |
---|
| 5234 | + | [(6) "Intellectual disability" means an intellectual disability as defined in the current edition |
---|
| 5235 | + | 2577 |
---|
| 5236 | + | of the Diagnostic and Statistical Manual of Mental Disorders published by the American |
---|
| 5237 | + | 2578 |
---|
| 5238 | + | Psychiatric Association.] |
---|
| 5239 | + | - 76 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 5240 | + | 2579 |
---|
| 5241 | + | [(7)] (6) "Mental illness" means the same as that term is defined in Section 26B-5-301. |
---|
| 5242 | + | 2580 |
---|
| 5243 | + | [(8)] (7) "Petition" means a petition to request a court to determine whether a defendant is |
---|
| 5244 | + | 2581 |
---|
| 5245 | + | competent to stand trial. |
---|
| 5246 | + | 2582 |
---|
| 5247 | + | [(9)] (8) "Progress toward competency evaluation" means an evaluation to determine |
---|
| 5248 | + | 2583 |
---|
| 5249 | + | whether an individual who is receiving restoration treatment is: |
---|
| 5250 | + | 2584 |
---|
| 5251 | + | (a) competent to stand trial; |
---|
| 5252 | + | 2585 |
---|
| 5253 | + | (b) incompetent to proceed but has a substantial probability of becoming competent to |
---|
| 5254 | + | 2586 |
---|
| 5255 | + | stand trial in the foreseeable future; or |
---|
| 5256 | + | 2587 |
---|
| 5257 | + | (c) incompetent to proceed and does not have a substantial probability of becoming |
---|
| 5258 | + | 2588 |
---|
| 5259 | + | competent to stand trial in the foreseeable future. |
---|
| 5260 | + | 2589 |
---|
| 5261 | + | [(10)] (9) "Restoration treatment" means training and treatment that is: |
---|
| 5262 | + | 2590 |
---|
| 5263 | + | (a) provided to an individual who is incompetent to proceed; |
---|
| 5264 | + | 2591 |
---|
| 5265 | + | (b) tailored to the individual's particular impairment to competency; and |
---|
| 5266 | + | 2592 |
---|
| 5267 | + | (c) limited to the purpose of restoring the individual to competency. |
---|
| 5268 | + | 2593 |
---|
| 5269 | + | Section 32. Section 77-15-5 is amended to read: |
---|
| 5270 | + | 2594 |
---|
| 5271 | + | |
---|
| 5272 | + | CHAPTER 15. DEFENDANT'S COMPETENCY TO PROCEED |
---|
| 5273 | + | 2595 |
---|
| 5274 | + | 77-15-5 . Order for hearing -- Stay of other proceedings -- Examinations of |
---|
| 5275 | + | 2596 |
---|
| 5276 | + | defendant -- Scope of examination and report. |
---|
| 5277 | + | 2597 |
---|
| 5278 | + | (1) A court in which criminal proceedings are pending shall stay all criminal proceedings, if: |
---|
| 5279 | + | 2598 |
---|
| 5280 | + | (a) a petition is filed under Section 77-15-3 or 77-15-3.5; or |
---|
| 5281 | + | 2599 |
---|
| 5282 | + | (b) the court raises the issue of the defendant's competency under Section 77-15-4. |
---|
| 5283 | + | 2600 |
---|
| 5284 | + | (2) The court in which the petition described in Subsection (1)(a) is filed: |
---|
| 5285 | + | 2601 |
---|
| 5286 | + | (a) shall inform the court in which criminal proceedings are pending of the petition, if |
---|
| 5287 | + | 2602 |
---|
| 5288 | + | the petition is not filed in the court in which criminal proceedings are pending; |
---|
| 5289 | + | 2603 |
---|
| 5290 | + | (b) shall review the allegations of incompetency; |
---|
| 5291 | + | 2604 |
---|
| 5292 | + | (c) may hold a limited hearing solely for the purpose of determining the sufficiency of |
---|
| 5293 | + | 2605 |
---|
| 5294 | + | the petition, if the court finds the petition is not clearly sufficient on its face; |
---|
| 5295 | + | 2606 |
---|
| 5296 | + | (d) shall hold a hearing, if the petition is opposed by either party; and |
---|
| 5297 | + | 2607 |
---|
| 5298 | + | (e) may not order an examination of the defendant or order a hearing on the mental |
---|
| 5299 | + | 2608 |
---|
| 5300 | + | condition of the defendant unless the court finds that the allegations in the petition |
---|
| 5301 | + | 2609 |
---|
| 5302 | + | raise a bona fide doubt as to the defendant's competency to stand trial. |
---|
| 5303 | + | 2610 |
---|
| 5304 | + | (3)(a) If the court finds that there is a bona fide doubt as to the defendant's competency |
---|
| 5305 | + | 2611 |
---|
| 5306 | + | to stand trial, the court shall order the department to have one or two forensic |
---|
| 5307 | + | 2612 |
---|
| 5308 | + | evaluators complete a competency evaluation for the defendant in accordance with |
---|
| 5309 | + | - 77 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 5310 | + | 2613 |
---|
| 5311 | + | Subsection (3)(b) and provide a report to the court regarding the competency of the |
---|
| 5312 | + | 2614 |
---|
| 5313 | + | defendant to stand trial. |
---|
| 5314 | + | 2615 |
---|
| 5315 | + | (b) The court shall order the department to have the defendant evaluated by one forensic |
---|
| 5316 | + | 2616 |
---|
| 5317 | + | evaluator unless: |
---|
| 5318 | + | 2617 |
---|
| 5319 | + | (i) the defendant is charged with a capital felony; or |
---|
| 5320 | + | 2618 |
---|
| 5321 | + | (ii) the defendant is charged with a felony that is not a capital felony, and the court |
---|
| 5322 | + | 2619 |
---|
| 5323 | + | determines, based on the allegations in the petition, that good cause exists to order |
---|
| 5324 | + | 2620 |
---|
| 5325 | + | two competency evaluations. |
---|
| 5326 | + | 2621 |
---|
| 5327 | + | (c)(i) This section does not prohibit a party from seeking an additional forensic |
---|
| 5328 | + | 2622 |
---|
| 5329 | + | evaluator to conduct a competency evaluation of the defendant. |
---|
| 5330 | + | 2623 |
---|
| 5331 | + | (ii) If a party seeks an additional competency evaluation under this Subsection (3)(c), |
---|
| 5332 | + | 2624 |
---|
| 5333 | + | the party shall: |
---|
| 5334 | + | 2625 |
---|
| 5335 | + | (A) select the additional forensic evaluator; and |
---|
| 5336 | + | 2626 |
---|
| 5337 | + | (B) pay the costs of the additional forensic evaluator. |
---|
| 5338 | + | 2627 |
---|
| 5339 | + | (d) The stipulation by parties to a bona fide doubt as to the defendant's competency to |
---|
| 5340 | + | 2628 |
---|
| 5341 | + | stand trial alone may not take the place of a competency evaluation ordered under |
---|
| 5342 | + | 2629 |
---|
| 5343 | + | this Subsection (3). |
---|
| 5344 | + | 2630 |
---|
| 5345 | + | (e) In accordance with state licensing laws, the court may only order the department to |
---|
| 5346 | + | 2631 |
---|
| 5347 | + | provide an initial evaluation and progress toward competency evaluation for a |
---|
| 5348 | + | 2632 |
---|
| 5349 | + | defendant who is located within the state. |
---|
| 5350 | + | 2633 |
---|
| 5351 | + | (4)(a) If the petition or other information sufficiently raises concerns that the defendant |
---|
| 5352 | + | 2634 |
---|
| 5353 | + | may have an intellectual disability, at least one forensic evaluator who is experienced |
---|
| 5354 | + | 2635 |
---|
| 5355 | + | in assessments of intellectual disabilities shall conduct a competency evaluation. |
---|
| 5356 | + | 2636 |
---|
| 5357 | + | (b) The petitioner or other party, as directed by the court or requested by the department, |
---|
| 5358 | + | 2637 |
---|
| 5359 | + | shall provide to the forensic evaluator nonmedical information and materials relevant |
---|
| 5360 | + | 2638 |
---|
| 5361 | + | to a determination of the defendant's competency, including the charging document, |
---|
| 5362 | + | 2639 |
---|
| 5363 | + | arrest or incident reports pertaining to the charged offense, known criminal history |
---|
| 5364 | + | 2640 |
---|
| 5365 | + | information, and known prior mental health evaluations and treatments. |
---|
| 5366 | + | 2641 |
---|
| 5367 | + | (c) For purposes of a competency evaluation, a custodian of mental health records |
---|
| 5368 | + | 2642 |
---|
| 5369 | + | pertaining to the defendant, including the defendant's prior mental health evaluations |
---|
| 5370 | + | 2643 |
---|
| 5371 | + | or records relating to the defendant's substance use disorder, may provide the records |
---|
| 5372 | + | 2644 |
---|
| 5373 | + | to: |
---|
| 5374 | + | 2645 |
---|
| 5375 | + | (i) with the defendant's consent, a forensic evaluator or the department on the |
---|
| 5376 | + | 2646 |
---|
| 5377 | + | department's request; or |
---|
| 5378 | + | - 78 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 5379 | + | 2647 |
---|
| 5380 | + | (ii) a forensic evaluator by court order. |
---|
| 5381 | + | 2648 |
---|
| 5382 | + | (d) A court order under Subsection (4)(c) shall include a protective order that expires |
---|
| 5383 | + | 2649 |
---|
| 5384 | + | 180 days after the day on which: |
---|
| 5385 | + | 2650 |
---|
| 5386 | + | (i) the defendant is found guilty; |
---|
| 5387 | + | 2651 |
---|
| 5388 | + | (ii) the defendant enters a guilty plea; |
---|
| 5389 | + | 2652 |
---|
| 5390 | + | (iii) the court sentences the defendant; or |
---|
| 5391 | + | 2653 |
---|
| 5392 | + | (iv) if the case is appealed, the day on which the final appeal is resolved. |
---|
| 5393 | + | 2654 |
---|
| 5394 | + | (e)(i) Except as otherwise provided by law and in Subsections (4)(e)(ii) and (4)(f), |
---|
| 5395 | + | 2655 |
---|
| 5396 | + | the court shall order the forensic evaluator to destroy all records subject to the |
---|
| 5397 | + | 2656 |
---|
| 5398 | + | protective order within the 180 day period described in Subsection (4)(d). |
---|
| 5399 | + | 2657 |
---|
| 5400 | + | (ii) A forensic evaluator is not required to destroy the records subject to the |
---|
| 5401 | + | 2658 |
---|
| 5402 | + | protective order if destroying the records is a violation of ethical standards to |
---|
| 5403 | + | 2659 |
---|
| 5404 | + | which the forensic evaluator is subject for occupational licensing. |
---|
| 5405 | + | 2660 |
---|
| 5406 | + | (f) The court may extend the protective order described in Subsection (4)(d) if: |
---|
| 5407 | + | 2661 |
---|
| 5408 | + | (i) the court finds the defendant incompetent to proceed without a substantial |
---|
| 5409 | + | 2662 |
---|
| 5410 | + | probability that the defendant will become competent in the foreseeable future; |
---|
| 5411 | + | 2663 |
---|
| 5412 | + | (ii) the prosecutor or another individual indicates to the court that the prosecutor or |
---|
| 5413 | + | 2664 |
---|
| 5414 | + | other individual will seek civil commitment of the defendant under Section |
---|
| 5415 | + | 2665 |
---|
| 5416 | + | 77-15-6; and |
---|
| 5417 | + | 2666 |
---|
| 5418 | + | (iii) the court orders the records be maintained and used only for the purposes of |
---|
| 5419 | + | 2667 |
---|
| 5420 | + | examining the defendant in connection with the petition for civil commitment. |
---|
| 5421 | + | 2668 |
---|
| 5422 | + | (g) An order for a competency evaluation may not contain an order for any other inquiry |
---|
| 5423 | + | 2669 |
---|
| 5424 | + | into the mental state of the defendant that is not described in this Subsection (4). |
---|
| 5425 | + | 2670 |
---|
| 5426 | + | (5) Pending a competency evaluation, unless the court or the department directs otherwise, |
---|
| 5427 | + | 2671 |
---|
| 5428 | + | the defendant shall be retained in the same custody or status that the defendant was in at |
---|
| 5429 | + | 2672 |
---|
| 5430 | + | the time the examination was ordered. |
---|
| 5431 | + | 2673 |
---|
| 5432 | + | (6) In the conduct of a competency evaluation and in a report to the court, a forensic |
---|
| 5433 | + | 2674 |
---|
| 5434 | + | evaluator shall consider and address, in addition to any other factors determined to be |
---|
| 5435 | + | 2675 |
---|
| 5436 | + | relevant by the forensic evaluator: |
---|
| 5437 | + | 2676 |
---|
| 5438 | + | (a)[(i)] the impact of the defendant's mental illness or intellectual disability on the |
---|
| 5439 | + | 2677 |
---|
| 5440 | + | defendant's present ability to: |
---|
| 5441 | + | 2678 |
---|
| 5442 | + | [(A)] (i) rationally and factually understand the criminal proceedings against the |
---|
| 5443 | + | 2679 |
---|
| 5444 | + | defendant; and |
---|
| 5445 | + | 2680 |
---|
| 5446 | + | [(B)] (ii) consult with the defendant's legal counsel with a reasonable degree of |
---|
| 5447 | + | - 79 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 5448 | + | 2681 |
---|
| 5449 | + | rational understanding in order to assist in the defense; |
---|
| 5450 | + | 2682 |
---|
| 5451 | + | (b) in making the determinations described in Subsection (6)(a), the forensic evaluator |
---|
| 5452 | + | 2683 |
---|
| 5453 | + | shall consider, as applicable[:] |
---|
| 5454 | + | 2684 |
---|
| 5455 | + | [(i)] the defendant's present ability to: |
---|
| 5456 | + | 2685 |
---|
| 5457 | + | [(A)] (i) understand the charges or allegations against the defendant; |
---|
| 5458 | + | 2686 |
---|
| 5459 | + | [(B)] (ii) communicate facts, events, and states of mind; |
---|
| 5460 | + | 2687 |
---|
| 5461 | + | [(C)] (iii) understand the range of possible penalties associated with the charges or |
---|
| 5462 | + | 2688 |
---|
| 5463 | + | allegations against the defendant; |
---|
| 5464 | + | 2689 |
---|
| 5465 | + | [(D)] (iv) engage in reasoned choice of legal strategies and options; |
---|
| 5466 | + | 2690 |
---|
| 5467 | + | [(E)] (v) understand the adversarial nature of the proceedings against the defendant; |
---|
| 5468 | + | 2691 |
---|
| 5469 | + | [(F)] (vi) manifest behavior sufficient to allow the court to proceed; and |
---|
| 5470 | + | 2692 |
---|
| 5471 | + | [(G)] (vii) testify relevantly, if applicable; and |
---|
| 5472 | + | 2693 |
---|
| 5473 | + | (c) whether the defendant is exhibiting false or exaggerated physical or psychological |
---|
| 5474 | + | 2694 |
---|
| 5475 | + | symptoms relevant to the defendant's capacity to stand trial. |
---|
| 5476 | + | 2695 |
---|
| 5477 | + | (7) Upon a determination that the defendant is incompetent to proceed, the forensic |
---|
| 5478 | + | 2696 |
---|
| 5479 | + | evaluator shall indicate in the report to the court: |
---|
| 5480 | + | 2697 |
---|
| 5481 | + | (a) the factors that contribute to the defendant's incompetency, including the nature of |
---|
| 5482 | + | 2698 |
---|
| 5483 | + | the defendant's mental illness or intellectual disability, if any, and its relationship to |
---|
| 5484 | + | 2699 |
---|
| 5485 | + | the factors contributing to the defendant's incompetency; |
---|
| 5486 | + | 2700 |
---|
| 5487 | + | (b) whether there is a substantial probability that: |
---|
| 5488 | + | 2701 |
---|
| 5489 | + | (i) restoration treatment may bring the defendant to competency to stand trial in the |
---|
| 5490 | + | 2702 |
---|
| 5491 | + | foreseeable future; or |
---|
| 5492 | + | 2703 |
---|
| 5493 | + | (ii) the defendant cannot become competent to stand trial in the foreseeable future; |
---|
| 5494 | + | 2704 |
---|
| 5495 | + | (c) whether the defendant would benefit from restoration treatment; and |
---|
| 5496 | + | 2705 |
---|
| 5497 | + | (d) if the forensic evaluator makes the determination under Subsection (7)(b)(i) or (7)(c), |
---|
| 5498 | + | 2706 |
---|
| 5499 | + | an explanation of the reason for the determination and a summary of the treatment |
---|
| 5500 | + | 2707 |
---|
| 5501 | + | provided to the defendant in the past. |
---|
| 5502 | + | 2708 |
---|
| 5503 | + | (8)(a) A forensic evaluator shall provide an initial report to the court and the prosecuting |
---|
| 5504 | + | 2709 |
---|
| 5505 | + | and defense attorneys within 30 days of the receipt of the court's order. The report |
---|
| 5506 | + | 2710 |
---|
| 5507 | + | shall inform the court of the examiner's opinion concerning the competency of the |
---|
| 5508 | + | 2711 |
---|
| 5509 | + | defendant to stand trial. |
---|
| 5510 | + | 2712 |
---|
| 5511 | + | (b)(i) If the forensic evaluator is unable to complete the report in the time specified in |
---|
| 5512 | + | 2713 |
---|
| 5513 | + | Subsection (8)(a), the forensic evaluator shall give written notice to the court. |
---|
| 5514 | + | 2714 |
---|
| 5515 | + | (ii) A forensic evaluator who provides the notice described in Subsection (8)(b)(i) |
---|
| 5516 | + | - 80 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 5517 | + | 2715 |
---|
| 5518 | + | shall receive a 15-day extension, giving the forensic evaluator a total of 45 days |
---|
| 5519 | + | 2716 |
---|
| 5520 | + | after the day on which the forensic evaluator received the court's order to conduct |
---|
| 5521 | + | 2717 |
---|
| 5522 | + | a competency evaluation and file a report. |
---|
| 5523 | + | 2718 |
---|
| 5524 | + | (iii) The court may further extend the deadline for completion of the evaluation and |
---|
| 5525 | + | 2719 |
---|
| 5526 | + | report if the court determines that there is good cause for the extension. |
---|
| 5527 | + | 2720 |
---|
| 5528 | + | (iv) Upon receipt of an extension described in Subsection (8)(b)(iii), the forensic |
---|
| 5529 | + | 2721 |
---|
| 5530 | + | evaluator shall file the report as soon as reasonably possible. |
---|
| 5531 | + | 2722 |
---|
| 5532 | + | (9) Any written report submitted by a forensic evaluator shall: |
---|
| 5533 | + | 2723 |
---|
| 5534 | + | (a) identify the case ordered for evaluation by the case number; |
---|
| 5535 | + | 2724 |
---|
| 5536 | + | (b) describe the procedures, techniques, and tests used in the examination and the |
---|
| 5537 | + | 2725 |
---|
| 5538 | + | purpose or purposes for each, the time spent by the forensic evaluator with the |
---|
| 5539 | + | 2726 |
---|
| 5540 | + | defendant for purposes of the examination, and the compensation to be paid to the |
---|
| 5541 | + | 2727 |
---|
| 5542 | + | evaluator for the report; |
---|
| 5543 | + | 2728 |
---|
| 5544 | + | (c) state the forensic evaluator's clinical observations, findings, and opinions on each |
---|
| 5545 | + | 2729 |
---|
| 5546 | + | factor described in Subsection (6); and |
---|
| 5547 | + | 2730 |
---|
| 5548 | + | (d) identify the sources of information used by the forensic evaluator and present the |
---|
| 5549 | + | 2731 |
---|
| 5550 | + | basis for the forensic evaluator's clinical findings and opinions. |
---|
| 5551 | + | 2732 |
---|
| 5552 | + | (10)(a) Any statement made by the defendant in the course of any competency |
---|
| 5553 | + | 2733 |
---|
| 5554 | + | examination, whether the examination is with or without the consent of the |
---|
| 5555 | + | 2734 |
---|
| 5556 | + | defendant, any testimony by a forensic evaluator based upon the statement, and any |
---|
| 5557 | + | 2735 |
---|
| 5558 | + | other fruits of the statement may not be admitted in evidence against the defendant in |
---|
| 5559 | + | 2736 |
---|
| 5560 | + | any criminal proceeding except on an issue respecting mental condition on which the |
---|
| 5561 | + | 2737 |
---|
| 5562 | + | defendant has introduced evidence, unless the evidence is relevant to a determination |
---|
| 5563 | + | 2738 |
---|
| 5564 | + | of the defendant's competency. |
---|
| 5565 | + | 2739 |
---|
| 5566 | + | (b) Before examining the defendant, the forensic evaluator shall specifically advise the |
---|
| 5567 | + | 2740 |
---|
| 5568 | + | defendant of the limits of confidentiality as provided under Subsection (10)(a). |
---|
| 5569 | + | 2741 |
---|
| 5570 | + | (11)(a) Upon receipt of the forensic evaluators' reports, the court shall set a date for a |
---|
| 5571 | + | 2742 |
---|
| 5572 | + | competency hearing. The hearing shall be held not less than five and not more than |
---|
| 5573 | + | 2743 |
---|
| 5574 | + | 15 days after the day on which the court received the forensic evaluators' reports, |
---|
| 5575 | + | 2744 |
---|
| 5576 | + | unless for good cause the court sets a later date. |
---|
| 5577 | + | 2745 |
---|
| 5578 | + | (b) Any person directed by the department to conduct the competency evaluation may be |
---|
| 5579 | + | 2746 |
---|
| 5580 | + | subpoenaed to testify at the hearing. |
---|
| 5581 | + | 2747 |
---|
| 5582 | + | (c) The court may call any forensic evaluator to testify at the hearing who is not called |
---|
| 5583 | + | 2748 |
---|
| 5584 | + | by the parties. [ ]If the court calls a forensic evaluator, counsel for the parties may |
---|
| 5585 | + | - 81 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 5586 | + | 2749 |
---|
| 5587 | + | cross-examine the forensic evaluator. |
---|
| 5588 | + | 2750 |
---|
| 5589 | + | (d)(i) If the forensic evaluators are in conflict as to the competency of the defendant, |
---|
| 5590 | + | 2751 |
---|
| 5591 | + | all forensic evaluators should be called to testify at the hearing if reasonably |
---|
| 5592 | + | 2752 |
---|
| 5593 | + | available. |
---|
| 5594 | + | 2753 |
---|
| 5595 | + | (ii) A conflict in the opinions of the forensic evaluators does not require the |
---|
| 5596 | + | 2754 |
---|
| 5597 | + | appointment of an additional forensic evaluator unless the court finds good cause |
---|
| 5598 | + | 2755 |
---|
| 5599 | + | for the appointment. |
---|
| 5600 | + | 2756 |
---|
| 5601 | + | (iii) If a party seeks an additional competency evaluation under this Subsection (11), |
---|
| 5602 | + | 2757 |
---|
| 5603 | + | that party shall: |
---|
| 5604 | + | 2758 |
---|
| 5605 | + | (A) select the additional forensic evaluator; and |
---|
| 5606 | + | 2759 |
---|
| 5607 | + | (B) pay the costs of the additional forensic evaluator. |
---|
| 5608 | + | 2760 |
---|
| 5609 | + | (12)(a)(i) A defendant shall be presumed competent to stand trial unless the court, by |
---|
| 5610 | + | 2761 |
---|
| 5611 | + | a preponderance of the evidence, finds the defendant incompetent to proceed. |
---|
| 5612 | + | 2762 |
---|
| 5613 | + | (ii) The burden of proof is upon the proponent of incompetency at the hearing. |
---|
| 5614 | + | 2763 |
---|
| 5615 | + | (b) An adjudication of incompetent to proceed does not operate as an adjudication of |
---|
| 5616 | + | 2764 |
---|
| 5617 | + | incompetency to give informed consent for medical treatment or for any other |
---|
| 5618 | + | 2765 |
---|
| 5619 | + | purpose, unless specifically set forth in the court order. |
---|
| 5620 | + | 2766 |
---|
| 5621 | + | (13) In determining the defendant's competency to stand trial, the court shall consider the |
---|
| 5622 | + | 2767 |
---|
| 5623 | + | totality of the circumstances, including: |
---|
| 5624 | + | 2768 |
---|
| 5625 | + | (a) the petition; |
---|
| 5626 | + | 2769 |
---|
| 5627 | + | (b) the defendant's criminal and arrest history; |
---|
| 5628 | + | 2770 |
---|
| 5629 | + | (c) prior mental health evaluations and treatments provided to the court by the defendant; |
---|
| 5630 | + | 2771 |
---|
| 5631 | + | (d) subject to Subsection (15), whether the defendant was found incompetent to proceed |
---|
| 5632 | + | 2772 |
---|
| 5633 | + | in a criminal action unrelated to the charged offense for which the petition is filed; |
---|
| 5634 | + | 2773 |
---|
| 5635 | + | (e) the testimony of lay witnesses, if any; |
---|
| 5636 | + | 2774 |
---|
| 5637 | + | (f) the forensic evaluator's testimony and report; |
---|
| 5638 | + | 2775 |
---|
| 5639 | + | (g) the materials on which the forensic evaluator's report is based; and |
---|
| 5640 | + | 2776 |
---|
| 5641 | + | (h) any other relevant evidence or consideration bearing on the competency of the |
---|
| 5642 | + | 2777 |
---|
| 5643 | + | defendant. |
---|
| 5644 | + | 2778 |
---|
| 5645 | + | (14) If the court finds the defendant incompetent to proceed: |
---|
| 5646 | + | 2779 |
---|
| 5647 | + | (a) the court shall issue the order described in Subsection 77-15-6(1), which shall: |
---|
| 5648 | + | 2780 |
---|
| 5649 | + | (i) include findings addressing each of the factors in Subsection (6)(a); |
---|
| 5650 | + | 2781 |
---|
| 5651 | + | (ii) include a transportation order, if necessary; |
---|
| 5652 | + | 2782 |
---|
| 5653 | + | (iii) be accompanied by the forensic evaluators' reports, any psychiatric, |
---|
| 5654 | + | - 82 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 5655 | + | 2783 |
---|
| 5656 | + | psychological, or social work reports submitted to the court relative to the mental |
---|
| 5657 | + | 2784 |
---|
| 5658 | + | condition of the defendant, and any other documents made available to the court |
---|
| 5659 | + | 2785 |
---|
| 5660 | + | by either the defense or the prosecution, pertaining to the defendant's current or |
---|
| 5661 | + | 2786 |
---|
| 5662 | + | past mental condition; and |
---|
| 5663 | + | 2787 |
---|
| 5664 | + | (iv) be sent by the court to the department; and |
---|
| 5665 | + | 2788 |
---|
| 5666 | + | (b) the prosecuting attorney shall provide to the department: |
---|
| 5667 | + | 2789 |
---|
| 5668 | + | (i) the charging document and probable cause statement, if any; |
---|
| 5669 | + | 2790 |
---|
| 5670 | + | (ii) arrest or incident reports prepared by law enforcement and pertaining to the |
---|
| 5671 | + | 2791 |
---|
| 5672 | + | charged offense; and |
---|
| 5673 | + | 2792 |
---|
| 5674 | + | (iii) additional supporting documents. |
---|
| 5675 | + | 2793 |
---|
| 5676 | + | (15) The court may not find the defendant incompetent to proceed based solely on a court |
---|
| 5677 | + | 2794 |
---|
| 5678 | + | having ordered the release of the defendant under Section 77-15-3.5 or Section 77-15-6 |
---|
| 5679 | + | 2795 |
---|
| 5680 | + | in an unrelated criminal action if the court in the unrelated criminal action ordered the |
---|
| 5681 | + | 2796 |
---|
| 5682 | + | release more than one year before the day on which the petition described in Subsection |
---|
| 5683 | + | 2797 |
---|
| 5684 | + | (13)(a) is filed. |
---|
| 5685 | + | 2798 |
---|
| 5686 | + | (16) The court may make any reasonable order to ensure compliance with this section. |
---|
| 5687 | + | 2799 |
---|
| 5688 | + | (17) Failure to comply with this section does not result in the dismissal of criminal charges. |
---|
| 5689 | + | 2800 |
---|
| 5690 | + | Section 33. Section 77-15-6 is amended to read: |
---|
| 5691 | + | 2801 |
---|
| 5692 | + | 77-15-6 . Commitment on finding of incompetency to stand trial -- Subsequent |
---|
| 5693 | + | 2802 |
---|
| 5694 | + | hearings -- Notice to prosecuting attorneys. |
---|
| 5695 | + | 2803 |
---|
| 5696 | + | (1)(a) Except as provided in Subsection (5), if after a hearing a court finds a defendant to |
---|
| 5697 | + | 2804 |
---|
| 5698 | + | be incompetent to proceed, the court shall order the defendant committed to the |
---|
| 5699 | + | 2805 |
---|
| 5700 | + | department for restoration treatment. |
---|
| 5701 | + | 2806 |
---|
| 5702 | + | (b)(i) Except as provided in Subsection (1)(b)(ii), the court may recommend but may |
---|
| 5703 | + | 2807 |
---|
| 5704 | + | not order placement of a defendant who is found incompetent to proceed. |
---|
| 5705 | + | 2808 |
---|
| 5706 | + | (ii) The court may order that the defendant be placed in a secure setting rather than a |
---|
| 5707 | + | 2809 |
---|
| 5708 | + | nonsecure setting. |
---|
| 5709 | + | 2810 |
---|
| 5710 | + | (c) Following restoration screening, the department's designee shall designate and |
---|
| 5711 | + | 2811 |
---|
| 5712 | + | inform the court of the specific placement and restoration treatment program for the |
---|
| 5713 | + | 2812 |
---|
| 5714 | + | defendant. |
---|
| 5715 | + | 2813 |
---|
| 5716 | + | (d) Restoration treatment shall be of sufficient scope and duration to: |
---|
| 5717 | + | 2814 |
---|
| 5718 | + | (i) restore the defendant to competency; or |
---|
| 5719 | + | 2815 |
---|
| 5720 | + | (ii) determine whether the defendant can be restored to competency in the foreseeable |
---|
| 5721 | + | 2816 |
---|
| 5722 | + | future. |
---|
| 5723 | + | - 83 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 5724 | + | 2817 |
---|
| 5725 | + | (e) A defendant who a court determines is incompetent to proceed may not be held for |
---|
| 5726 | + | 2818 |
---|
| 5727 | + | restoration treatment longer than: |
---|
| 5728 | + | 2819 |
---|
| 5729 | + | (i) the time reasonably necessary to determine that the defendant cannot become |
---|
| 5730 | + | 2820 |
---|
| 5731 | + | competent to stand trial in the foreseeable future; and |
---|
| 5732 | + | 2821 |
---|
| 5733 | + | (ii) the maximum period of incarceration that the defendant could receive if the |
---|
| 5734 | + | 2822 |
---|
| 5735 | + | defendant were convicted of the most severe offense of the offenses charged. |
---|
| 5736 | + | 2823 |
---|
| 5737 | + | (2)(a) A defendant who is receiving restoration treatment shall receive a progress toward |
---|
| 5738 | + | 2824 |
---|
| 5739 | + | competency evaluation, by: |
---|
| 5740 | + | 2825 |
---|
| 5741 | + | (i) a forensic evaluator, designated by the department; and |
---|
| 5742 | + | 2826 |
---|
| 5743 | + | (ii) an additional forensic evaluator, if requested by a party and paid for by the |
---|
| 5744 | + | 2827 |
---|
| 5745 | + | requesting party. |
---|
| 5746 | + | 2828 |
---|
| 5747 | + | (b) A forensic evaluator shall complete a progress toward competency evaluation and |
---|
| 5748 | + | 2829 |
---|
| 5749 | + | submit a report within 90 days after the day on which the forensic evaluator receives |
---|
| 5750 | + | 2830 |
---|
| 5751 | + | the commitment order from the department. |
---|
| 5752 | + | 2831 |
---|
| 5753 | + | (c) The report shall: |
---|
| 5754 | + | 2832 |
---|
| 5755 | + | (i) assess whether the defendant is exhibiting false or exaggerated physical or |
---|
| 5756 | + | 2833 |
---|
| 5757 | + | psychological symptoms; |
---|
| 5758 | + | 2834 |
---|
| 5759 | + | (ii) describe any diagnostic instruments, methods, and observations used by the |
---|
| 5760 | + | 2835 |
---|
| 5761 | + | evaluator to make the determination; |
---|
| 5762 | + | 2836 |
---|
| 5763 | + | (iii) describe the defendant's current mental illness or intellectual disability, if any; |
---|
| 5764 | + | 2837 |
---|
| 5765 | + | (iv) state the forensic evaluator's opinion as to the effect of any false or exaggerated |
---|
| 5766 | + | 2838 |
---|
| 5767 | + | symptoms on the defendant's competency to stand trial; |
---|
| 5768 | + | 2839 |
---|
| 5769 | + | (v) assess the facility's or program's capacity to provide appropriate restoration |
---|
| 5770 | + | 2840 |
---|
| 5771 | + | treatment for the defendant; |
---|
| 5772 | + | 2841 |
---|
| 5773 | + | (vi) assess the nature of restoration treatment provided to the defendant; |
---|
| 5774 | + | 2842 |
---|
| 5775 | + | (vii) assess what progress the defendant has made toward competency restoration, |
---|
| 5776 | + | 2843 |
---|
| 5777 | + | with respect to the factors identified by the court in its initial order; |
---|
| 5778 | + | 2844 |
---|
| 5779 | + | (viii) assess whether the defendant can reasonably be restored to competency in the |
---|
| 5780 | + | 2845 |
---|
| 5781 | + | foreseeable future given the restoration treatment currently being provided and the |
---|
| 5782 | + | 2846 |
---|
| 5783 | + | facility's or program's capacity to provide appropriate restoration treatment for the |
---|
| 5784 | + | 2847 |
---|
| 5785 | + | defendant; |
---|
| 5786 | + | 2848 |
---|
| 5787 | + | (ix) assess the likelihood of restoration to competency, the amount of time estimated |
---|
| 5788 | + | 2849 |
---|
| 5789 | + | to achieve competency, or the amount of time estimated to determine whether |
---|
| 5790 | + | 2850 |
---|
| 5791 | + | restoration to competency may be achieved; and |
---|
| 5792 | + | - 84 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 5793 | + | 2851 |
---|
| 5794 | + | (x) include a statement by the facility's treating physician regarding: |
---|
| 5795 | + | 2852 |
---|
| 5796 | + | (A) whether the defendant is taking any antipsychotic medication as prescribed; |
---|
| 5797 | + | 2853 |
---|
| 5798 | + | (B) whether ongoing administration of antipsychotic medication is necessary to |
---|
| 5799 | + | 2854 |
---|
| 5800 | + | maintain the defendant's competency to stand trial; |
---|
| 5801 | + | 2855 |
---|
| 5802 | + | (C) whether antipsychotic medication is substantially likely to maintain the |
---|
| 5803 | + | 2856 |
---|
| 5804 | + | defendant's competency to stand trial; |
---|
| 5805 | + | 2857 |
---|
| 5806 | + | (D) whether antipsychotic medication is substantially unlikely to produce side |
---|
| 5807 | + | 2858 |
---|
| 5808 | + | effects which would significantly interfere with the defendant's ability to assist |
---|
| 5809 | + | 2859 |
---|
| 5810 | + | in the defendant's defense; |
---|
| 5811 | + | 2860 |
---|
| 5812 | + | (E) that no less intrusive means are available, and whether any of those means |
---|
| 5813 | + | 2861 |
---|
| 5814 | + | have been attempted to render the defendant competent; and |
---|
| 5815 | + | 2862 |
---|
| 5816 | + | (F) whether antipsychotic medication is medically appropriate and in the |
---|
| 5817 | + | 2863 |
---|
| 5818 | + | defendant's best medical interest in light of the defendant's medical condition. |
---|
| 5819 | + | 2864 |
---|
| 5820 | + | (3)(a) The court on its own motion or upon motion by either party or the department |
---|
| 5821 | + | 2865 |
---|
| 5822 | + | may appoint an additional forensic evaluator to conduct a progress toward |
---|
| 5823 | + | 2866 |
---|
| 5824 | + | competency evaluation. |
---|
| 5825 | + | 2867 |
---|
| 5826 | + | (b) If the court appoints an additional forensic evaluator upon motion of a party, that |
---|
| 5827 | + | 2868 |
---|
| 5828 | + | party shall pay the costs of the additional forensic evaluator. |
---|
| 5829 | + | 2869 |
---|
| 5830 | + | (4)(a) Within 15 days after the day on which the court receives the forensic evaluator's |
---|
| 5831 | + | 2870 |
---|
| 5832 | + | report of the progress toward competency evaluation, the court shall hold a hearing to |
---|
| 5833 | + | 2871 |
---|
| 5834 | + | review the defendant's competency. |
---|
| 5835 | + | 2872 |
---|
| 5836 | + | (b) At the hearing, the burden of proving that the defendant is competent to stand trial is |
---|
| 5837 | + | 2873 |
---|
| 5838 | + | on the proponent of competency. |
---|
| 5839 | + | 2874 |
---|
| 5840 | + | (c) Following the hearing, the court shall determine by a preponderance of evidence |
---|
| 5841 | + | 2875 |
---|
| 5842 | + | whether the defendant: |
---|
| 5843 | + | 2876 |
---|
| 5844 | + | (i) is competent to stand trial; |
---|
| 5845 | + | 2877 |
---|
| 5846 | + | (ii) is competent, but requires the ongoing administration of antipsychotic medication |
---|
| 5847 | + | 2878 |
---|
| 5848 | + | in order to maintain the defendant's competency to stand trial; |
---|
| 5849 | + | 2879 |
---|
| 5850 | + | (iii) is incompetent to proceed, with a substantial probability that the defendant may |
---|
| 5851 | + | 2880 |
---|
| 5852 | + | become competent in the foreseeable future; or |
---|
| 5853 | + | 2881 |
---|
| 5854 | + | (iv) is incompetent to proceed, without a substantial probability that the defendant |
---|
| 5855 | + | 2882 |
---|
| 5856 | + | may become competent in the foreseeable future. |
---|
| 5857 | + | 2883 |
---|
| 5858 | + | (5)(a) If at any time the court determines that the defendant is competent to stand trial, |
---|
| 5859 | + | 2884 |
---|
| 5860 | + | the court shall: |
---|
| 5861 | + | - 85 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 5862 | + | 2885 |
---|
| 5863 | + | (i) proceed with the trial or other procedures as may be necessary to adjudicate the |
---|
| 5864 | + | 2886 |
---|
| 5865 | + | charges; |
---|
| 5866 | + | 2887 |
---|
| 5867 | + | (ii) order that the defendant be returned to the placement and status that the defendant |
---|
| 5868 | + | 2888 |
---|
| 5869 | + | was in at the time when the petition for the adjudication of competency was filed |
---|
| 5870 | + | 2889 |
---|
| 5871 | + | or raised by the court, unless the court determines that placement of the defendant |
---|
| 5872 | + | 2890 |
---|
| 5873 | + | in a less restrictive environment is more appropriate; |
---|
| 5874 | + | 2891 |
---|
| 5875 | + | (iii) order the ongoing administration of antipsychotic medication to the defendant for |
---|
| 5876 | + | 2892 |
---|
| 5877 | + | the purpose of maintaining the defendant's competency to stand trial, if the court |
---|
| 5878 | + | 2893 |
---|
| 5879 | + | finds that the administration of antipsychotic medication is necessary to maintain |
---|
| 5880 | + | 2894 |
---|
| 5881 | + | the defendant's competency to stand trial under Subsection (4)(c)(ii); and |
---|
| 5882 | + | 2895 |
---|
| 5883 | + | (iv) require the agency, jail, or prison with custody over the defendant to report to the |
---|
| 5884 | + | 2896 |
---|
| 5885 | + | court any noncompliance with the court's orders under this Subsection (5) within |
---|
| 5886 | + | 2897 |
---|
| 5887 | + | 48 hours of the noncompliance. |
---|
| 5888 | + | 2898 |
---|
| 5889 | + | (b) If the court determines that the defendant is incompetent to proceed with a |
---|
| 5890 | + | 2899 |
---|
| 5891 | + | substantial probability that the defendant may become competent in the foreseeable |
---|
| 5892 | + | 2900 |
---|
| 5893 | + | future, the court may order that the defendant remain committed to the department or |
---|
| 5894 | + | 2901 |
---|
| 5895 | + | the department's designee for the purpose of restoration treatment. |
---|
| 5896 | + | 2902 |
---|
| 5897 | + | (c)(i) If the court determines that the defendant is incompetent to proceed without a |
---|
| 5898 | + | 2903 |
---|
| 5899 | + | substantial probability that the defendant may become competent in the |
---|
| 5900 | + | 2904 |
---|
| 5901 | + | foreseeable future, the court shall order the defendant released from commitment |
---|
| 5902 | + | 2905 |
---|
| 5903 | + | to the department, unless the prosecutor or another individual informs the court |
---|
| 5904 | + | 2906 |
---|
| 5905 | + | that civil commitment proceedings pursuant to Title 26B, Chapter 5, Health Care - |
---|
| 5906 | + | 2907 |
---|
| 5907 | + | Substance Use and Mental Health, or Title 26B, Chapter 6, Part 4, Division of |
---|
| 5908 | + | 2908 |
---|
| 5909 | + | Services for People with Disabilities, will be initiated. |
---|
| 5910 | + | 2909 |
---|
| 5911 | + | (ii) The commitment proceedings must be initiated by a petition filed within seven |
---|
| 5912 | + | 2910 |
---|
| 5913 | + | days after the day on which the court makes the determination described in |
---|
| 5914 | + | 2911 |
---|
| 5915 | + | Subsection (4)(c)(iv), unless the court finds that there is good cause to delay the |
---|
| 5916 | + | 2912 |
---|
| 5917 | + | initiation of the civil commitment proceedings. |
---|
| 5918 | + | 2913 |
---|
| 5919 | + | (iii) The court may order the defendant to remain committed to the department until |
---|
| 5920 | + | 2914 |
---|
| 5921 | + | the civil commitment proceedings conclude. |
---|
| 5922 | + | 2915 |
---|
| 5923 | + | (iv) If the defendant is civilly committed and admitted to a secure setting, the |
---|
| 5924 | + | 2916 |
---|
| 5925 | + | department shall provide notice to the court that adjudicated the defendant |
---|
| 5926 | + | 2917 |
---|
| 5927 | + | incompetent to proceed and to the prosecution agency that prosecuted the case at |
---|
| 5928 | + | 2918 |
---|
| 5929 | + | least [60] 15 days before any proposed release of the committed individual from |
---|
| 5930 | + | - 86 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 5931 | + | 2919 |
---|
| 5932 | + | the secure setting. |
---|
| 5933 | + | 2920 |
---|
| 5934 | + | (v) If the prosecution agency that prosecuted the case intends to refile charges against |
---|
| 5935 | + | 2921 |
---|
| 5936 | + | the committed individual: |
---|
| 5937 | + | 2922 |
---|
| 5938 | + | (A) the prosecution agency shall provide written notice of that intent to the |
---|
| 5939 | + | 2923 |
---|
| 5940 | + | department within 15 days after the department provides the notice described |
---|
| 5941 | + | 2924 |
---|
| 5942 | + | in Subsection (5)(c)(iv); and |
---|
| 5943 | + | 2925 |
---|
| 5944 | + | (B) the department shall postpone release of the committed individual for at least |
---|
| 5945 | + | 2926 |
---|
| 5946 | + | 30 days after the day on which the department receives the written notice of |
---|
| 5947 | + | 2927 |
---|
| 5948 | + | intent from the prosecution agency. |
---|
| 5949 | + | 2928 |
---|
| 5950 | + | (vi) If the prosecution agency that prosecuted the case refiles charges against the |
---|
| 5951 | + | 2929 |
---|
| 5952 | + | committed individual and the individual's competency is raised, the department |
---|
| 5953 | + | 2930 |
---|
| 5954 | + | shall postpone release of the individual until the competency proceedings |
---|
| 5955 | + | 2931 |
---|
| 5956 | + | conclude. |
---|
| 5957 | + | 2932 |
---|
| 5958 | + | (6)(a) At any time following the court's order under Subsection (5)(a)(iii), the defendant, |
---|
| 5959 | + | 2933 |
---|
| 5960 | + | the prosecuting attorney, the department, the treating physician, or the agency, jail, or |
---|
| 5961 | + | 2934 |
---|
| 5962 | + | prison with custody over the defendant, may notify the court of the need to review |
---|
| 5963 | + | 2935 |
---|
| 5964 | + | the medication order under Subsection (5)(a)(iii) for continued appropriateness and |
---|
| 5965 | + | 2936 |
---|
| 5966 | + | feasibility. |
---|
| 5967 | + | 2937 |
---|
| 5968 | + | (b) The court shall set the matter for a hearing if the notification under Subsection (6)(a) |
---|
| 5969 | + | 2938 |
---|
| 5970 | + | establishes good cause to review the matter. |
---|
| 5971 | + | 2939 |
---|
| 5972 | + | (7) If a court, under Subsection (5)(b), extends a defendant's commitment, the court shall |
---|
| 5973 | + | 2940 |
---|
| 5974 | + | schedule a competency review hearing for the earlier of: |
---|
| 5975 | + | 2941 |
---|
| 5976 | + | (a) the department's best estimate of when the defendant may be restored to competency; |
---|
| 5977 | + | 2942 |
---|
| 5978 | + | or |
---|
| 5979 | + | 2943 |
---|
| 5980 | + | (b) three months after the day on which the court determined under Subsection (5)(b) to |
---|
| 5981 | + | 2944 |
---|
| 5982 | + | extend the defendant's commitment. |
---|
| 5983 | + | 2945 |
---|
| 5984 | + | (8) Unless the defendant is charged with a crime listed in Subsection (9), if a defendant is |
---|
| 5985 | + | 2946 |
---|
| 5986 | + | incompetent to proceed by the day of the competency review hearing that follows the |
---|
| 5987 | + | 2947 |
---|
| 5988 | + | extension of a defendant's commitment, the court shall: |
---|
| 5989 | + | 2948 |
---|
| 5990 | + | (a) order the defendant be: |
---|
| 5991 | + | 2949 |
---|
| 5992 | + | (i) released or temporarily detained pending civil commitment proceedings as |
---|
| 5993 | + | 2950 |
---|
| 5994 | + | described in Subsection (5)(c); and |
---|
| 5995 | + | 2951 |
---|
| 5996 | + | (ii) terminate the defendant's commitment to the department for restoration treatment; |
---|
| 5997 | + | 2952 |
---|
| 5998 | + | or |
---|
| 5999 | + | - 87 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 6000 | + | 2953 |
---|
| 6001 | + | (b) if the forensic evaluator reports to the court that there is a substantial probability that |
---|
| 6002 | + | 2954 |
---|
| 6003 | + | restoration treatment will bring the defendant to competency to stand trial in the |
---|
| 6004 | + | 2955 |
---|
| 6005 | + | foreseeable future, extend the defendant's commitment for restoration treatment up to |
---|
| 6006 | + | 2956 |
---|
| 6007 | + | 45 additional days. |
---|
| 6008 | + | 2957 |
---|
| 6009 | + | (9) If the defendant is charged with aggravated murder, murder, attempted murder, |
---|
| 6010 | + | 2958 |
---|
| 6011 | + | manslaughter, or a first degree felony and the court determines that the defendant is |
---|
| 6012 | + | 2959 |
---|
| 6013 | + | making reasonable progress towards restoration of competency at the time of the hearing |
---|
| 6014 | + | 2960 |
---|
| 6015 | + | held pursuant to Subsection (7), the court may extend the commitment for a period not |
---|
| 6016 | + | 2961 |
---|
| 6017 | + | to exceed nine months for the purpose of restoration treatment, with a mandatory review |
---|
| 6018 | + | 2962 |
---|
| 6019 | + | hearing at the end of the nine-month period. |
---|
| 6020 | + | 2963 |
---|
| 6021 | + | (10) Unless the defendant is charged with aggravated murder or murder, if, at the |
---|
| 6022 | + | 2964 |
---|
| 6023 | + | nine-month review hearing described in Subsection (9), the court determines that the |
---|
| 6024 | + | 2965 |
---|
| 6025 | + | defendant is incompetent to proceed, the court shall: |
---|
| 6026 | + | 2966 |
---|
| 6027 | + | (a)(i) order the defendant be released or temporarily detained pending civil |
---|
| 6028 | + | 2967 |
---|
| 6029 | + | commitment proceedings as provided in Subsection (5)(c); and |
---|
| 6030 | + | 2968 |
---|
| 6031 | + | (ii) terminate the defendant's commitment to the department for restoration treatment; |
---|
| 6032 | + | 2969 |
---|
| 6033 | + | or |
---|
| 6034 | + | 2970 |
---|
| 6035 | + | (b) if the forensic evaluator reports to the court that there is a substantial probability that |
---|
| 6036 | + | 2971 |
---|
| 6037 | + | restoration treatment will bring the defendant to competency to stand trial in the |
---|
| 6038 | + | 2972 |
---|
| 6039 | + | foreseeable future, extend the defendant's commitment for restoration treatment for |
---|
| 6040 | + | 2973 |
---|
| 6041 | + | up to 135 additional days. |
---|
| 6042 | + | 2974 |
---|
| 6043 | + | (11) If the defendant is charged with aggravated murder or murder and the court determines |
---|
| 6044 | + | 2975 |
---|
| 6045 | + | that the defendant is making reasonable progress towards restoration of competency at |
---|
| 6046 | + | 2976 |
---|
| 6047 | + | the time of the nine-month review hearing described in Subsection (9), the court may |
---|
| 6048 | + | 2977 |
---|
| 6049 | + | extend the commitment for a period not to exceed 24 months for the purpose of |
---|
| 6050 | + | 2978 |
---|
| 6051 | + | restoration treatment. |
---|
| 6052 | + | 2979 |
---|
| 6053 | + | (12) If the court extends the defendant's commitment term under Subsection (11), the court |
---|
| 6054 | + | 2980 |
---|
| 6055 | + | shall hold a hearing no less frequently than at 12-month intervals following the |
---|
| 6056 | + | 2981 |
---|
| 6057 | + | extension for the purpose of determining the defendant's competency status. |
---|
| 6058 | + | 2982 |
---|
| 6059 | + | (13) If, at the end of the 24-month commitment period described in Subsection (11), the |
---|
| 6060 | + | 2983 |
---|
| 6061 | + | court determines that the defendant is incompetent to proceed, the court shall: |
---|
| 6062 | + | 2984 |
---|
| 6063 | + | (a)(i) order the defendant be released or temporarily detained pending civil |
---|
| 6064 | + | 2985 |
---|
| 6065 | + | commitment proceedings as provided in Subsection (5)(c); and |
---|
| 6066 | + | 2986 |
---|
| 6067 | + | (ii) terminate the defendant's commitment to the department for restoration treatment; |
---|
| 6068 | + | - 88 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 6069 | + | 2987 |
---|
| 6070 | + | or |
---|
| 6071 | + | 2988 |
---|
| 6072 | + | (b) if the forensic evaluator reports to the court that there is a substantial probability that |
---|
| 6073 | + | 2989 |
---|
| 6074 | + | restoration treatment will bring the defendant to competency to stand trial in the |
---|
| 6075 | + | 2990 |
---|
| 6076 | + | foreseeable future, extend the defendant's commitment for restoration treatment for |
---|
| 6077 | + | 2991 |
---|
| 6078 | + | up to 12 additional months. |
---|
| 6079 | + | 2992 |
---|
| 6080 | + | (14)(a) Neither release from a pretrial incompetency commitment under the provisions |
---|
| 6081 | + | 2993 |
---|
| 6082 | + | of this section nor civil commitment requires dismissal of criminal charges. |
---|
| 6083 | + | 2994 |
---|
| 6084 | + | (b) The court may retain jurisdiction over the criminal case and may order periodic |
---|
| 6085 | + | 2995 |
---|
| 6086 | + | reviews. |
---|
| 6087 | + | 2996 |
---|
| 6088 | + | (15) A defendant who is civilly committed pursuant to Title 26B, Chapter 5, Health Care - |
---|
| 6089 | + | 2997 |
---|
| 6090 | + | Substance Use and Mental Health, or Title 26B, Chapter 6, Part 4, Division of Services |
---|
| 6091 | + | 2998 |
---|
| 6092 | + | for People with Disabilities, may still be adjudicated competent to stand trial under this |
---|
| 6093 | + | 2999 |
---|
| 6094 | + | chapter. |
---|
| 6095 | + | 3000 |
---|
| 6096 | + | (16)(a) The remedy for a violation of the time periods specified in this section, other |
---|
| 6097 | + | 3001 |
---|
| 6098 | + | than those specified in Subsection (5)(c), (8), (10), or (13), shall be a motion to |
---|
| 6099 | + | 3002 |
---|
| 6100 | + | compel the hearing, or mandamus, but not release from detention or dismissal of the |
---|
| 6101 | + | 3003 |
---|
| 6102 | + | criminal charges. |
---|
| 6103 | + | 3004 |
---|
| 6104 | + | (b) The remedy for a violation of the time periods specified in Subsection (5)(c), (8), (9), |
---|
| 6105 | + | 3005 |
---|
| 6106 | + | or (13), or is not dismissal of the criminal charges. |
---|
| 6107 | + | 3006 |
---|
| 6108 | + | (17) In cases in which the treatment of the defendant is precluded by court order for a |
---|
| 6109 | + | 3007 |
---|
| 6110 | + | period of time, that time period may not be considered in computing time limitations |
---|
| 6111 | + | 3008 |
---|
| 6112 | + | under this section. |
---|
| 6113 | + | 3009 |
---|
| 6114 | + | (18)(a) If, at any time, the defendant becomes competent to stand trial while the |
---|
| 6115 | + | 3010 |
---|
| 6116 | + | defendant is committed to the department, the clinical director of the Utah State |
---|
| 6117 | + | 3011 |
---|
| 6118 | + | Hospital, the department, or the department's designee shall certify that fact to the |
---|
| 6119 | + | 3012 |
---|
| 6120 | + | court. |
---|
| 6121 | + | 3013 |
---|
| 6122 | + | (b) The court shall conduct a competency review hearing: |
---|
| 6123 | + | 3014 |
---|
| 6124 | + | (i) within 15 working days after the day on which the court receives the certification |
---|
| 6125 | + | 3015 |
---|
| 6126 | + | described in Subsection (18)(a); or |
---|
| 6127 | + | 3016 |
---|
| 6128 | + | (ii) within 30 working days after the day on which the court receives the certification |
---|
| 6129 | + | 3017 |
---|
| 6130 | + | described in Subsection (18)(a), if the court determines that more than 15 working |
---|
| 6131 | + | 3018 |
---|
| 6132 | + | days are necessary for good cause related to the defendant's competency. |
---|
| 6133 | + | 3019 |
---|
| 6134 | + | (19) The court may order a hearing at any time on the court's own motion or upon |
---|
| 6135 | + | 3020 |
---|
| 6136 | + | recommendations of the clinical director of the Utah State Hospital or other facility or |
---|
| 6137 | + | - 89 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 6138 | + | 3021 |
---|
| 6139 | + | the department. |
---|
| 6140 | + | 3022 |
---|
| 6141 | + | (20) Notice of a hearing on competency to stand trial shall be given to the prosecuting |
---|
| 6142 | + | 3023 |
---|
| 6143 | + | attorney and all counsel of record. |
---|
| 6144 | + | 3024 |
---|
| 6145 | + | Section 34. Section 77-19-203 is amended to read: |
---|
| 6146 | + | 3025 |
---|
| 6147 | + | 77-19-203 . Petition for inquiry as to competency to be executed -- Filing -- |
---|
| 6148 | + | 3026 |
---|
| 6149 | + | Contents -- Successive petitions. |
---|
| 6150 | + | 3027 |
---|
| 6151 | + | (1) If an inmate who has been sentenced to death is or becomes incompetent to be executed, |
---|
| 6152 | + | 3028 |
---|
| 6153 | + | a petition under Subsection (2) may be filed in the district court of the county where the |
---|
| 6154 | + | 3029 |
---|
| 6155 | + | inmate is confined. |
---|
| 6156 | + | 3030 |
---|
| 6157 | + | (2) The petition shall: |
---|
| 6158 | + | 3031 |
---|
| 6159 | + | (a) contain a certificate stating that it is filed in good faith and on reasonable grounds to |
---|
| 6160 | + | 3032 |
---|
| 6161 | + | believe the inmate is incompetent to be executed; and |
---|
| 6162 | + | 3033 |
---|
| 6163 | + | (b) contain a specific recital of the facts, observations, and conversations with the inmate |
---|
| 6164 | + | 3034 |
---|
| 6165 | + | that form the basis for the petition. |
---|
| 6166 | + | 3035 |
---|
| 6167 | + | (3) The petition may be based upon knowledge or information and belief and may be filed |
---|
| 6168 | + | 3036 |
---|
| 6169 | + | by the inmate alleged to be incompetent, legal counsel for the inmate, or by an attorney |
---|
| 6170 | + | 3037 |
---|
| 6171 | + | representing the state. |
---|
| 6172 | + | 3038 |
---|
| 6173 | + | (4) Before ruling on a petition filed by an inmate or his counsel alleging that the inmate is |
---|
| 6174 | + | 3039 |
---|
| 6175 | + | incompetent to be executed, the court shall give the state and the Department of |
---|
| 6176 | + | 3040 |
---|
| 6177 | + | Corrections an opportunity to respond to the allegations of incompetency. |
---|
| 6178 | + | 3041 |
---|
| 6179 | + | (5) If a petition is filed after an inmate has previously been found competent under either |
---|
| 6180 | + | 3042 |
---|
| 6181 | + | this chapter or under [Title 77, Chapter 15, Inquiry into Sanity of Defendant] Chapter 15, |
---|
| 6182 | + | 3043 |
---|
| 6183 | + | Defendant's Competency to Proceed, no further hearing on competency may be granted |
---|
| 6184 | + | 3044 |
---|
| 6185 | + | unless the successive petition: |
---|
| 6186 | + | 3045 |
---|
| 6187 | + | (a) alleges with specificity a substantial change of circumstances subsequent to the |
---|
| 6188 | + | 3046 |
---|
| 6189 | + | previous determination of competency; and |
---|
| 6190 | + | 3047 |
---|
| 6191 | + | (b) is sufficient to raise a significant question about the inmate's competency to be |
---|
| 6192 | + | 3048 |
---|
| 6193 | + | executed. |
---|
| 6194 | + | 3049 |
---|
| 6195 | + | Section 35. Section 77-29-3 is amended to read: |
---|
| 6196 | + | 3050 |
---|
| 6197 | + | 77-29-3 . Chapter inapplicable to incompetent persons. |
---|
| 6198 | + | 3051 |
---|
| 6199 | + | The provisions of this chapter shall not apply to any person while adjudged to be |
---|
| 6200 | + | 3052 |
---|
| 6201 | + | incompetent to proceed under [Chapter 15, Inquiry into Sanity of Defendant] Chapter 15, |
---|
| 6202 | + | 3053 |
---|
| 6203 | + | Defendant's Competency to Proceed. |
---|
| 6204 | + | 3054 |
---|
| 6205 | + | Section 36. Section 80-6-402 is amended to read: |
---|
| 6206 | + | - 90 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 6207 | + | 3055 |
---|
| 6208 | + | 80-6-402 . Procedure -- Standard. |
---|
| 6209 | + | 3056 |
---|
| 6210 | + | (1) When a written motion is filed in accordance with Section 80-6-401 [ ]raising the issue |
---|
| 6211 | + | 3057 |
---|
| 6212 | + | of a minor's competency to proceed, or when the juvenile [ ]court raises the issue of a |
---|
| 6213 | + | 3058 |
---|
| 6214 | + | minor's competency to proceed, the juvenile court shall stay all proceedings under this |
---|
| 6215 | + | 3059 |
---|
| 6216 | + | chapter . |
---|
| 6217 | + | 3060 |
---|
| 6218 | + | (2)(a) If a motion for inquiry is opposed by either party, the juvenile [ ]court shall, |
---|
| 6219 | + | 3061 |
---|
| 6220 | + | before granting or denying the motion, hold a limited hearing solely for the purpose |
---|
| 6221 | + | 3062 |
---|
| 6222 | + | of determining the sufficiency of the motion. |
---|
| 6223 | + | 3063 |
---|
| 6224 | + | (b) If the juvenile [ ]court finds that the allegations of incompetency raise a bona fide |
---|
| 6225 | + | 3064 |
---|
| 6226 | + | doubt as to the minor's competency to proceed, the juvenile court shall: |
---|
| 6227 | + | 3065 |
---|
| 6228 | + | (i) enter an order for an evaluation of the minor's competency to proceed; and |
---|
| 6229 | + | 3066 |
---|
| 6230 | + | (ii) set a date for a hearing on the issue of the minor's competency. |
---|
| 6231 | + | 3067 |
---|
| 6232 | + | (3)(a) After the granting of a motion, and before a full competency hearing, the juvenile [ ] |
---|
| 6233 | + | 3068 |
---|
| 6234 | + | court may order the department to evaluate the minor and to report to the juvenile [ ] |
---|
| 6235 | + | 3069 |
---|
| 6236 | + | court concerning the minor's mental condition. |
---|
| 6237 | + | 3070 |
---|
| 6238 | + | (b) In accordance with state licensing laws, the court may only order the department to |
---|
| 6239 | + | 3071 |
---|
| 6240 | + | provide an initial evaluation and progress toward competency evaluation for a minor |
---|
| 6241 | + | 3072 |
---|
| 6242 | + | who is located within the state. |
---|
| 6243 | + | 3073 |
---|
| 6244 | + | (4) The minor shall be evaluated by a forensic evaluator who: |
---|
| 6245 | + | 3074 |
---|
| 6246 | + | (a) has experience in juvenile forensic evaluations and juvenile brain development; |
---|
| 6247 | + | 3075 |
---|
| 6248 | + | (b) if it becomes apparent that the minor is not competent due to an intellectual disability |
---|
| 6249 | + | 3076 |
---|
| 6250 | + | or related condition, has experience in intellectual disability or related conditions; and |
---|
| 6251 | + | 3077 |
---|
| 6252 | + | (c) is not involved in the current treatment of the minor. |
---|
| 6253 | + | 3078 |
---|
| 6254 | + | (5) The petitioner or other party, as directed by the juvenile court, shall provide all |
---|
| 6255 | + | 3079 |
---|
| 6256 | + | information and materials relevant to a determination of the minor's competency to the |
---|
| 6257 | + | 3080 |
---|
| 6258 | + | department within seven days of the juvenile court's order, including: |
---|
| 6259 | + | 3081 |
---|
| 6260 | + | (a) the motion; |
---|
| 6261 | + | 3082 |
---|
| 6262 | + | (b) the arrest or incident reports pertaining to the charged offense; |
---|
| 6263 | + | 3083 |
---|
| 6264 | + | (c) the minor's known delinquency history information; |
---|
| 6265 | + | 3084 |
---|
| 6266 | + | (d) the minor's probation record relevant to competency; |
---|
| 6267 | + | 3085 |
---|
| 6268 | + | (e) known prior mental health evaluations and treatments; and |
---|
| 6269 | + | 3086 |
---|
| 6270 | + | (f) consistent with 20 U.S.C. Sec. 1232g (b)(1)(E)(ii)(I), records pertaining to the |
---|
| 6271 | + | 3087 |
---|
| 6272 | + | minor's education. |
---|
| 6273 | + | 3088 |
---|
| 6274 | + | (6)(a) The minor's parent or guardian, the prosecuting attorney, the defense attorney, and |
---|
| 6275 | + | - 91 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 6276 | + | 3089 |
---|
| 6277 | + | the attorney guardian ad litem, shall cooperate, by executing releases of information |
---|
| 6278 | + | 3090 |
---|
| 6279 | + | when necessary, in providing the relevant information and materials to the forensic |
---|
| 6280 | + | 3091 |
---|
| 6281 | + | evaluator, including: |
---|
| 6282 | + | 3092 |
---|
| 6283 | + | (i) medical records; |
---|
| 6284 | + | 3093 |
---|
| 6285 | + | (ii) prior mental evaluations; or |
---|
| 6286 | + | 3094 |
---|
| 6287 | + | (iii) records of diagnosis or treatment of substance abuse disorders. |
---|
| 6288 | + | 3095 |
---|
| 6289 | + | (b) The minor shall cooperate, by executing a release of information when necessary, in |
---|
| 6290 | + | 3096 |
---|
| 6291 | + | providing the relevant information and materials to the forensic evaluator regarding |
---|
| 6292 | + | 3097 |
---|
| 6293 | + | records of diagnosis or treatment of a substance abuse disorder. |
---|
| 6294 | + | 3098 |
---|
| 6295 | + | (7)(a) In conducting the evaluation and in the report determining if a minor is competent |
---|
| 6296 | + | 3099 |
---|
| 6297 | + | to proceed, the forensic evaluator shall inform the juvenile court of the forensic |
---|
| 6298 | + | 3100 |
---|
| 6299 | + | evaluator's opinion whether: |
---|
| 6300 | + | 3101 |
---|
| 6301 | + | (i) the minor has a present ability to consult with counsel with a reasonable degree of |
---|
| 6302 | + | 3102 |
---|
| 6303 | + | rational understanding; and |
---|
| 6304 | + | 3103 |
---|
| 6305 | + | (ii) the minor has a rational as well as factual understanding of the proceedings. |
---|
| 6306 | + | 3104 |
---|
| 6307 | + | (b) In evaluating the minor, the forensic evaluator shall consider the minor's present |
---|
| 6308 | + | 3105 |
---|
| 6309 | + | ability to: |
---|
| 6310 | + | 3106 |
---|
| 6311 | + | (i) understand the charges or allegations against the minor; |
---|
| 6312 | + | 3107 |
---|
| 6313 | + | (ii) communicate facts, events, and states of mind; |
---|
| 6314 | + | 3108 |
---|
| 6315 | + | (iii) understand the range of possible penalties associated with the allegations against |
---|
| 6316 | + | 3109 |
---|
| 6317 | + | the minor; |
---|
| 6318 | + | 3110 |
---|
| 6319 | + | (iv) engage in reasoned choice of legal strategies and options; |
---|
| 6320 | + | 3111 |
---|
| 6321 | + | (v) understand the adversarial nature of the proceedings against the minor; |
---|
| 6322 | + | 3112 |
---|
| 6323 | + | (vi) manifest behavior sufficient to allow the juvenile court to proceed; |
---|
| 6324 | + | 3113 |
---|
| 6325 | + | (vii) testify relevantly; and |
---|
| 6326 | + | 3114 |
---|
| 6327 | + | (viii) any other factor determined to be relevant to the forensic evaluator. |
---|
| 6328 | + | 3115 |
---|
| 6329 | + | (8)(a) The forensic evaluator shall provide an initial report to the juvenile court, the |
---|
| 6330 | + | 3116 |
---|
| 6331 | + | prosecuting and defense attorneys, and the attorney guardian ad litem, if applicable, |
---|
| 6332 | + | 3117 |
---|
| 6333 | + | within 30 days of the receipt of the juvenile court's order. |
---|
| 6334 | + | 3118 |
---|
| 6335 | + | (b) If the forensic evaluator informs the juvenile court that additional time is needed, the |
---|
| 6336 | + | 3119 |
---|
| 6337 | + | juvenile court may grant, taking into consideration the custody status of the minor, up |
---|
| 6338 | + | 3120 |
---|
| 6339 | + | to an additional 15 days to provide the report to the juvenile court and counsel. |
---|
| 6340 | + | 3121 |
---|
| 6341 | + | (c) The forensic evaluator must provide the report within 45 days from the receipt of the |
---|
| 6342 | + | 3122 |
---|
| 6343 | + | juvenile court's order unless, for good cause shown, the juvenile court authorizes an |
---|
| 6344 | + | - 92 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 6345 | + | 3123 |
---|
| 6346 | + | additional period of time to complete the evaluation and provide the report. |
---|
| 6347 | + | 3124 |
---|
| 6348 | + | (d) The report shall inform the juvenile court of the forensic evaluator's opinion |
---|
| 6349 | + | 3125 |
---|
| 6350 | + | concerning the minor's competency. |
---|
| 6351 | + | 3126 |
---|
| 6352 | + | (9) If the forensic evaluator's opinion is that the minor is not competent to proceed, the |
---|
| 6353 | + | 3127 |
---|
| 6354 | + | report shall indicate: |
---|
| 6355 | + | 3128 |
---|
| 6356 | + | (a) the nature of the minor's: |
---|
| 6357 | + | 3129 |
---|
| 6358 | + | (i) mental illness; |
---|
| 6359 | + | 3130 |
---|
| 6360 | + | (ii) intellectual disability or related condition; or |
---|
| 6361 | + | 3131 |
---|
| 6362 | + | (iii) developmental immaturity; |
---|
| 6363 | + | 3132 |
---|
| 6364 | + | (b) the relationship of the minor's mental illness, intellectual disability, related condition, |
---|
| 6365 | + | 3133 |
---|
| 6366 | + | or developmental immaturity to the minor's incompetence; |
---|
| 6367 | + | 3134 |
---|
| 6368 | + | (c) whether there is a substantial likelihood that the minor may attain competency in the |
---|
| 6369 | + | 3135 |
---|
| 6370 | + | foreseeable future; |
---|
| 6371 | + | 3136 |
---|
| 6372 | + | (d) the amount of time estimated for the minor to achieve competency if the minor |
---|
| 6373 | + | 3137 |
---|
| 6374 | + | undergoes competency attainment treatment, including medication; |
---|
| 6375 | + | 3138 |
---|
| 6376 | + | (e) the sources of information used by the forensic evaluator; and |
---|
| 6377 | + | 3139 |
---|
| 6378 | + | (f) the basis for clinical findings and opinions. |
---|
| 6379 | + | 3140 |
---|
| 6380 | + | (10) Regardless of whether a minor consents to a competency evaluation, any statement |
---|
| 6381 | + | 3141 |
---|
| 6382 | + | made by the minor in the course of the competency evaluation, any testimony by the |
---|
| 6383 | + | 3142 |
---|
| 6384 | + | forensic evaluator based upon any statement made by the minor in the competency |
---|
| 6385 | + | 3143 |
---|
| 6386 | + | evaluation, and any other fruits of the statement made by the minor in the competency |
---|
| 6387 | + | 3144 |
---|
| 6388 | + | evaluation: |
---|
| 6389 | + | 3145 |
---|
| 6390 | + | (a) may not be admitted in evidence against the minor in a proceeding under this |
---|
| 6391 | + | 3146 |
---|
| 6392 | + | chapter, except the statement may be admitted on an issue respecting the mental |
---|
| 6393 | + | 3147 |
---|
| 6394 | + | condition on which the minor has introduced evidence; and |
---|
| 6395 | + | 3148 |
---|
| 6396 | + | (b) may be admitted where relevant to a determination of the minor's competency. |
---|
| 6397 | + | 3149 |
---|
| 6398 | + | (11) Before evaluating the minor for a competency evaluation, a forensic evaluator shall |
---|
| 6399 | + | 3150 |
---|
| 6400 | + | specifically advise the minor, and the minor's parent or guardian if reasonably available, |
---|
| 6401 | + | 3151 |
---|
| 6402 | + | of the limits of confidentiality as provided under Subsection (10). |
---|
| 6403 | + | 3152 |
---|
| 6404 | + | (12) When the report is received, the juvenile court shall set a date for a competency |
---|
| 6405 | + | 3153 |
---|
| 6406 | + | hearing that shall be held in not less than five and not more than 15 days, unless the |
---|
| 6407 | + | 3154 |
---|
| 6408 | + | juvenile court enlarges the time for good cause. |
---|
| 6409 | + | 3155 |
---|
| 6410 | + | (13)(a) A minor shall be presumed competent unless the juvenile court, by a |
---|
| 6411 | + | 3156 |
---|
| 6412 | + | preponderance of the evidence, finds the minor not competent to proceed. |
---|
| 6413 | + | - 93 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 6414 | + | 3157 |
---|
| 6415 | + | (b) The burden of proof is upon the proponent of incompetency to proceed. |
---|
| 6416 | + | 3158 |
---|
| 6417 | + | (14)(a) Following the hearing, the juvenile court shall determine by a preponderance of |
---|
| 6418 | + | 3159 |
---|
| 6419 | + | evidence whether the minor is: |
---|
| 6420 | + | 3160 |
---|
| 6421 | + | (i) competent to proceed; |
---|
| 6422 | + | 3161 |
---|
| 6423 | + | (ii) not competent to proceed with a substantial probability that the minor may attain |
---|
| 6424 | + | 3162 |
---|
| 6425 | + | competency in the foreseeable future; or |
---|
| 6426 | + | 3163 |
---|
| 6427 | + | (iii) not competent to proceed without a substantial probability that the minor may |
---|
| 6428 | + | 3164 |
---|
| 6429 | + | attain competency in the foreseeable future. |
---|
| 6430 | + | 3165 |
---|
| 6431 | + | (b) If the juvenile court enters a finding described in Subsection (14)(a)(i), the juvenile |
---|
| 6432 | + | 3166 |
---|
| 6433 | + | court shall proceed with the proceedings in the minor's case. |
---|
| 6434 | + | 3167 |
---|
| 6435 | + | (c) If the juvenile court enters a finding described in Subsection (14)(a)(ii), the juvenile |
---|
| 6436 | + | 3168 |
---|
| 6437 | + | court shall proceed in accordance with Section 80-6-403. |
---|
| 6438 | + | 3169 |
---|
| 6439 | + | (d)(i) If the juvenile court enters a finding described in Subsection (14)(a)(iii), the |
---|
| 6440 | + | 3170 |
---|
| 6441 | + | juvenile court shall terminate the competency proceeding, dismiss the charges |
---|
| 6442 | + | 3171 |
---|
| 6443 | + | against the minor without prejudice, and release the minor from any custody order |
---|
| 6444 | + | 3172 |
---|
| 6445 | + | related to the pending proceeding, unless the prosecutor informs the court that |
---|
| 6446 | + | 3173 |
---|
| 6447 | + | commitment proceedings will be initiated in accordance with: |
---|
| 6448 | + | 3174 |
---|
| 6449 | + | (A) Title 26B, Chapter 6, Part 6, Admission to an Intermediate Care Facility for |
---|
| 6450 | + | 3175 |
---|
| 6451 | + | People with an Intellectual Disability; |
---|
| 6452 | + | 3176 |
---|
| 6453 | + | (B) if the minor is 18 years old or older, Title 26B, Chapter 5, Part 3, Utah State |
---|
| 6454 | + | 3177 |
---|
| 6455 | + | Hospital and Other Mental Health Facilities; or |
---|
| 6456 | + | 3178 |
---|
| 6457 | + | (C) if the minor is a child, Title 26B, Chapter 5, Part 4, Commitment of Persons |
---|
| 6458 | + | 3179 |
---|
| 6459 | + | Under Age 18. |
---|
| 6460 | + | 3180 |
---|
| 6461 | + | (ii) The commitment proceedings described in Subsection (14)(d)(i) shall be initiated |
---|
| 6462 | + | 3181 |
---|
| 6463 | + | within seven days after the day on which the juvenile court enters the order under |
---|
| 6464 | + | 3182 |
---|
| 6465 | + | Subsection (14)(a), unless the court enlarges the time for good cause shown. |
---|
| 6466 | + | 3183 |
---|
| 6467 | + | (iii) The juvenile court may order the minor to remain in custody until the |
---|
| 6468 | + | 3184 |
---|
| 6469 | + | commitment proceedings have been concluded. |
---|
| 6470 | + | 3185 |
---|
| 6471 | + | (15) If the juvenile court finds the minor not competent to proceed, the juvenile court's |
---|
| 6472 | + | 3186 |
---|
| 6473 | + | order shall contain findings addressing each of the factors in Subsection (7)(b). |
---|
| 6474 | + | 3187 |
---|
| 6475 | + | Section 37. Section 80-6-403 is amended to read: |
---|
| 6476 | + | 3188 |
---|
| 6477 | + | 80-6-403 . Disposition on finding of not competent to proceed -- Subsequent |
---|
| 6478 | + | 3189 |
---|
| 6479 | + | hearings -- Notice to prosecuting attorneys. |
---|
| 6480 | + | 3190 |
---|
| 6481 | + | (1) If the juvenile court determines that the minor is not competent to proceed, and there is |
---|
| 6482 | + | - 94 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 6483 | + | 3191 |
---|
| 6484 | + | a substantial likelihood that the minor may attain competency in the foreseeable future, |
---|
| 6485 | + | 3192 |
---|
| 6486 | + | the juvenile court shall notify the department of the finding and allow the department 30 |
---|
| 6487 | + | 3193 |
---|
| 6488 | + | days to develop an attainment plan for the minor. |
---|
| 6489 | + | 3194 |
---|
| 6490 | + | (2) The attainment plan shall include: |
---|
| 6491 | + | 3195 |
---|
| 6492 | + | (a) any services or treatment the minor has been or is currently receiving that are |
---|
| 6493 | + | 3196 |
---|
| 6494 | + | necessary to attain competency; |
---|
| 6495 | + | 3197 |
---|
| 6496 | + | (b) any additional services or treatment the minor may require to attain competency; |
---|
| 6497 | + | 3198 |
---|
| 6498 | + | (c) an assessment of the parent, custodian, or guardian's ability to access or provide any |
---|
| 6499 | + | 3199 |
---|
| 6500 | + | recommended treatment or services; |
---|
| 6501 | + | 3200 |
---|
| 6502 | + | (d) any special conditions or supervision that may be necessary for the safety of the |
---|
| 6503 | + | 3201 |
---|
| 6504 | + | minor or others during the attainment period; and |
---|
| 6505 | + | 3202 |
---|
| 6506 | + | (e) the likelihood that the minor will attain competency and the amount of time likely |
---|
| 6507 | + | 3203 |
---|
| 6508 | + | required for the minor to attain competency. |
---|
| 6509 | + | 3204 |
---|
| 6510 | + | (3) The department shall provide the attainment plan to the juvenile court, the prosecuting |
---|
| 6511 | + | 3205 |
---|
| 6512 | + | attorney, the defense attorney, and the attorney guardian ad litem at least three days |
---|
| 6513 | + | 3206 |
---|
| 6514 | + | before the competency disposition hearing. |
---|
| 6515 | + | 3207 |
---|
| 6516 | + | (4)(a) During the attainment period, the minor shall remain in the least restrictive |
---|
| 6517 | + | 3208 |
---|
| 6518 | + | appropriate setting. |
---|
| 6519 | + | 3209 |
---|
| 6520 | + | (b) A finding of not competent to proceed does not grant authority for a juvenile court to |
---|
| 6521 | + | 3210 |
---|
| 6522 | + | place a minor in the custody of a division of the department, or create eligibility for |
---|
| 6523 | + | 3211 |
---|
| 6524 | + | services from the Division of Services for People With Disabilities. |
---|
| 6525 | + | 3212 |
---|
| 6526 | + | (c) If the juvenile court orders the minor to be held in detention during the attainment |
---|
| 6527 | + | 3213 |
---|
| 6528 | + | period, the juvenile court shall make the following findings on the record: |
---|
| 6529 | + | 3214 |
---|
| 6530 | + | (i) the placement is the least restrictive appropriate setting; |
---|
| 6531 | + | 3215 |
---|
| 6532 | + | (ii) the placement is in the best interest of the minor; |
---|
| 6533 | + | 3216 |
---|
| 6534 | + | (iii) the minor will have access to the services and treatment required by the |
---|
| 6535 | + | 3217 |
---|
| 6536 | + | attainment plan in the placement; and |
---|
| 6537 | + | 3218 |
---|
| 6538 | + | (iv) the placement is necessary for the safety of the minor or others. |
---|
| 6539 | + | 3219 |
---|
| 6540 | + | (d) A juvenile court shall terminate an order of detention related to the pending |
---|
| 6541 | + | 3220 |
---|
| 6542 | + | proceeding for a minor who is not competent to proceed in that matter if: |
---|
| 6543 | + | 3221 |
---|
| 6544 | + | (i) the most severe allegation against the minor if committed by an adult is a class B |
---|
| 6545 | + | 3222 |
---|
| 6546 | + | misdemeanor; |
---|
| 6547 | + | 3223 |
---|
| 6548 | + | (ii) more than 60 days have passed after the day on which the juvenile court |
---|
| 6549 | + | 3224 |
---|
| 6550 | + | adjudicated the minor not competent to proceed; and |
---|
| 6551 | + | - 95 - 1st Sub. (Buff) H.B. 334 03-07 11:11 |
---|
| 6552 | + | 3225 |
---|
| 6553 | + | (iii) the minor has not attained competency. |
---|
| 6554 | + | 3226 |
---|
| 6555 | + | (5)(a) At any time that the minor becomes competent to proceed during the attainment |
---|
| 6556 | + | 3227 |
---|
| 6557 | + | period, the department shall notify the juvenile court, the prosecuting attorney, the |
---|
| 6558 | + | 3228 |
---|
| 6559 | + | defense attorney, and the attorney guardian ad litem. |
---|
| 6560 | + | 3229 |
---|
| 6561 | + | (b) The juvenile court shall hold a hearing with 15 business days of notice from the |
---|
| 6562 | + | 3230 |
---|
| 6563 | + | department described in Subsection (5)(a). |
---|
| 6564 | + | 3231 |
---|
| 6565 | + | (6)(a) If at any time during the attainment period the juvenile court finds that there is not |
---|
| 6566 | + | 3232 |
---|
| 6567 | + | a substantial probability that the minor will attain competency in the foreseeable |
---|
| 6568 | + | 3233 |
---|
| 6569 | + | future, the juvenile court shall terminate the competency proceeding, dismiss the |
---|
| 6570 | + | 3234 |
---|
| 6571 | + | petition or information without prejudice, and release the minor from any custody |
---|
| 6572 | + | 3235 |
---|
| 6573 | + | order related to the pending proceeding, unless the prosecuting attorney or any other |
---|
| 6574 | + | 3236 |
---|
| 6575 | + | individual informs the juvenile court that commitment proceedings will be initiated in |
---|
| 6576 | + | 3237 |
---|
| 6577 | + | accordance with: |
---|
| 6578 | + | 3238 |
---|
| 6579 | + | (i) Title 26B, Chapter 6, Part 6, Admission to an Intermediate Care Facility for |
---|
| 6580 | + | 3239 |
---|
| 6581 | + | People with an Intellectual Disability; |
---|
| 6582 | + | 3240 |
---|
| 6583 | + | (ii) if the minor is 18 years old or older, Title 26B, Chapter 5, Part 3, Utah State |
---|
| 6584 | + | 3241 |
---|
| 6585 | + | Hospital and Other Mental Health Facilities; or |
---|
| 6586 | + | 3242 |
---|
| 6587 | + | (iii) if the minor is a child, Title 26B, Chapter 5, Part 4, Commitment of Persons |
---|
| 6588 | + | 3243 |
---|
| 6589 | + | Under Age 18. |
---|
| 6590 | + | 3244 |
---|
| 6591 | + | (b) The prosecuting attorney shall initiate the proceedings described in Subsection (6)(a) |
---|
| 6592 | + | 3245 |
---|
| 6593 | + | within seven days after the juvenile court's order, unless the juvenile court enlarges |
---|
| 6594 | + | 3246 |
---|
| 6595 | + | the time for good cause shown. |
---|
| 6596 | + | 3247 |
---|
| 6597 | + | (7) During the attainment period, the juvenile court may order a hearing or rehearing at |
---|
| 6598 | + | 3248 |
---|
| 6599 | + | anytime on the juvenile court's own motion or upon recommendation of any interested |
---|
| 6600 | + | 3249 |
---|
| 6601 | + | party or the department. |
---|
| 6602 | + | 3250 |
---|
| 6603 | + | (8)(a) Within three months of the juvenile court's approval of the attainment plan, the |
---|
| 6604 | + | 3251 |
---|
| 6605 | + | department shall provide a report on the minor's progress towards competence. |
---|
| 6606 | + | 3252 |
---|
| 6607 | + | (b) The report described in Subsection (8)(a) shall address the minor's: |
---|
| 6608 | + | 3253 |
---|
| 6609 | + | (i) compliance with the attainment plan; |
---|
| 6610 | + | 3254 |
---|
| 6611 | + | (ii) progress towards competency based on the issues identified in the original |
---|
| 6612 | + | 3255 |
---|
| 6613 | + | competency evaluation; and |
---|
| 6614 | + | 3256 |
---|
| 6615 | + | (iii) current mental illness, intellectual disability or related condition, or |
---|
| 6616 | + | 3257 |
---|
| 6617 | + | developmental immaturity, and need for treatment, if any, and whether there is |
---|
| 6618 | + | 3258 |
---|
| 6619 | + | substantial likelihood of the minor attaining competency within six months. |
---|
| 6620 | + | - 96 - 03-07 11:11 1st Sub. (Buff) H.B. 334 |
---|
| 6621 | + | 3259 |
---|
| 6622 | + | (9)(a) Within 30 days of receipt of the report, the juvenile court shall hold a hearing to |
---|
| 6623 | + | 3260 |
---|
| 6624 | + | determine the minor's current status. |
---|
| 6625 | + | 3261 |
---|
| 6626 | + | (b) At the hearing, the burden of proving the minor is competent is on the proponent of |
---|
| 6627 | + | 3262 |
---|
| 6628 | + | competency. |
---|
| 6629 | + | 3263 |
---|
| 6630 | + | (c) The juvenile court shall determine by a preponderance of the evidence whether the |
---|
| 6631 | + | 3264 |
---|
| 6632 | + | minor is competent to proceed. |
---|
| 6633 | + | 3265 |
---|
| 6634 | + | (10) If the minor has not attained competency after the initial three month attainment period |
---|
| 6635 | + | 3266 |
---|
| 6636 | + | but is showing reasonable progress towards attainment of competency, the juvenile court |
---|
| 6637 | + | 3267 |
---|
| 6638 | + | may extend the attainment period up to an additional three months. |
---|
| 6639 | + | 3268 |
---|
| 6640 | + | (11) The department shall provide an updated juvenile competency evaluation at the |
---|
| 6641 | + | 3269 |
---|
| 6642 | + | conclusion of the [six month] extended attainment period under Subsection (10) to advise |
---|
| 6643 | + | 3270 |
---|
| 6644 | + | the juvenile court on the minor's current competency status. |
---|
| 6645 | + | 3271 |
---|
| 6646 | + | (12) If the minor does not attain competency within six months after the juvenile court |
---|
| 6647 | + | 3272 |
---|
| 6648 | + | initially finds the minor not competent to proceed, the court shall terminate the |
---|
| 6649 | + | 3273 |
---|
| 6650 | + | competency proceedings and dismiss the petition or information filed without prejudice, |
---|
| 6651 | + | 3274 |
---|
| 6652 | + | unless good cause is shown that there is a substantial likelihood the minor will attain |
---|
| 6653 | + | 3275 |
---|
| 6654 | + | competency within one year from the initial finding of not competent to proceed. |
---|
| 6655 | + | 3276 |
---|
| 6656 | + | (13) In the event a minor has an unauthorized leave lasting more than 24 hours, the |
---|
| 6657 | + | 3277 |
---|
| 6658 | + | attainment period shall toll until the minor returns. |
---|
| 6659 | + | 3278 |
---|
| 6660 | + | (14)(a) Regardless of whether a minor consents to attainment, any statement made by |
---|
| 6661 | + | 3279 |
---|
| 6662 | + | the minor in the course of attainment, any testimony by the forensic evaluator based |
---|
| 6663 | + | 3280 |
---|
| 6664 | + | upon any statement made by the minor in the course of attainment, and any other |
---|
| 6665 | + | 3281 |
---|
| 6666 | + | fruits of a statement made by the minor in the course of attainment: |
---|
| 6667 | + | 3282 |
---|
| 6668 | + | (i) may not be admitted in evidence against the minor in a proceeding under this |
---|
| 6669 | + | 3283 |
---|
| 6670 | + | chapter, except the statement may be admitted on an issue respecting the mental |
---|
| 6671 | + | 3284 |
---|
| 6672 | + | condition on which the minor has introduced evidence; and |
---|
| 6673 | + | 3285 |
---|
| 6674 | + | (ii) may be admitted where relevant to a determination of the minor's competency. |
---|
| 6675 | + | 3286 |
---|
| 6676 | + | (b) Before evaluating the minor during the attainment period, a forensic evaluator shall |
---|
| 6677 | + | 3287 |
---|
| 6678 | + | specifically advise the minor, and the minor's parent or guardian if reasonably |
---|
| 6679 | + | 3288 |
---|
| 6680 | + | available, of the limits of confidentiality provided in Subsection (14)(a). |
---|
| 6681 | + | 3289 |
---|
| 6682 | + | Section 38. Effective Date. |
---|
| 6683 | + | 3290 |
---|