SB-0685, As Passed Senate, December 9, 2004                                 

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                           HOUSE SUBSTITUTE FOR                                 

                                                                                

                           SENATE BILL NO. 685                                  

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1974 PA 258, entitled                                             

                                                                                

    "Mental health code,"                                                       

                                                                                

    by amending sections 472a, 473, and 475 (MCL 330.1472a, 330.1473,           

                                                                                

    and 330.1475), sections 472a and 475 as added and section 473 as            

                                                                                

    amended by 1996 PA 588.                                                     

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 472a.  (1) Upon the receipt of an application under                    

                                                                                

2   section 423 or a petition under section 434 and a finding that an           

                                                                                

3   individual is a person requiring treatment, the court shall issue           

                                                                                

4   an initial order of involuntary mental health treatment  , which            

                                                                                

5   that shall be limited in duration as follows:                               

                                                                                

6       (a) An initial order of hospitalization shall not exceed 60                 

                                                                                

7   days.                                                                       

                                                                                

8       (b)  An  Except as provided in subdivision (d), an initial                  

                                                                                

9   order of alternative treatment shall not exceed 90 days.                    

                                                                                


                                                                                

1       (c)  An  Except as provided in subdivision (e), an initial                  

                                                                                

2   order of combined hospitalization and alternative treatment shall           

                                                                                

3   not exceed 90 days.  The hospitalization portion of the initial             

                                                                                

4   order shall not exceed 60 days.                                             

                                                                                

5       (d) An initial order of assisted outpatient treatment shall                 

                                                                                

6   not exceed 180 days.                                                        

                                                                                

7       (e) An initial order of combined hospitalization and assisted               

                                                                                

8   outpatient treatment shall not exceed 180 days.  The                        

                                                                                

9   hospitalization portion of the initial order shall not exceed 60            

                                                                                

10  days.                                                                       

                                                                                

11      (2) Upon the receipt of a petition under section 473 before                 

                                                                                

12  the expiration of an initial order under subsection (1) and a               

                                                                                

13  finding that the individual continues to be a person requiring              

                                                                                

14  treatment, the court shall issue a second order for involuntary             

                                                                                

15  mental health treatment  , which  that shall be limited in                  

                                                                                

16  duration as follows:                                                        

                                                                                

17      (a) A second order of hospitalization shall not exceed 90                   

                                                                                

18  days.                                                                       

                                                                                

19      (b) A second order of alternative treatment or assisted                     

                                                                                

20  outpatient treatment shall not exceed 1 year.                               

                                                                                

21      (c) A second order of combined hospitalization and                          

                                                                                

22  alternative treatment or assisted outpatient treatment shall not            

                                                                                

23  exceed 1 year.  The hospitalization portion of the second order             

                                                                                

24  shall not exceed 90 days.                                                   

                                                                                

25      (3) Upon the receipt of a petition under section 473 before                 

                                                                                

26  the expiration of a second order under subsection (2) and a                 

                                                                                

27  finding that the individual continues to be a person requiring              


                                                                                

1   treatment, the court shall issue a continuing order for                     

                                                                                

2   involuntary mental health treatment  , which  that shall be                 

                                                                                

3   limited in duration as follows:                                             

                                                                                

4       (a) A continuing order of hospitalization shall not exceed 1                

                                                                                

5   year.                                                                       

                                                                                

6       (b) A continuing order of alternative treatment or assisted                 

                                                                                

7   outpatient treatment shall not exceed 1 year.                               

                                                                                

8       (c) A continuing order of combined hospitalization and                      

                                                                                

9   alternative treatment or assisted outpatient treatment shall not            

                                                                                

10  exceed 1 year.  The hospitalization portion of a continuing order           

                                                                                

11  for combined hospitalization and alternative treatment or                   

                                                                                

12  assisted outpatient treatment shall not exceed 90 days.                     

                                                                                

13      (4) Upon the receipt of a petition under section 473 before                 

                                                                                

14  the expiration of a continuing order of involuntary mental health           

                                                                                

15  treatment, including a continuing order issued under section 485a           

                                                                                

16  or a 1-year order of hospitalization issued under former                    

                                                                                

17  section 472, and a finding that the individual continues to be a            

                                                                                

18  person requiring treatment, the court shall issue another                   

                                                                                

19  continuing order for involuntary mental health treatment as                 

                                                                                

20  provided in subsection (3) for a period not to exceed 1 year.               

                                                                                

21  The court shall continue to issue consecutive 1-year continuing             

                                                                                

22  orders for involuntary mental health treatment under this section           

                                                                                

23  until a continuing order expires without a petition having been             

                                                                                

24  filed under section 473 or the court finds that the individual is           

                                                                                

25  not a person requiring treatment.                                           

                                                                                

26      (5) If a petition for an order of involuntary mental health                 

                                                                                

27  treatment is not brought under section 473 at least 14 days                 


                                                                                

1   before the expiration of an order of involuntary mental health              

                                                                                

2   treatment as described in subsections (2) to (4), a person who              

                                                                                

3   believes that an individual continues to be a person requiring              

                                                                                

4   treatment may file a petition under section 434 for an initial              

                                                                                

5   order of involuntary mental health treatment as described in                

                                                                                

6   subsection (1).                                                             

                                                                                

7       (6) An individual who on March 28, 1996 was subject to an                   

                                                                                

8   order of continuing hospitalization for an indefinite period of             

                                                                                

9   time shall be brought for hearing no later than 15 days after the           

                                                                                

10  date of the second 6-month review that occurs after March 28,               

                                                                                

11  1996.  If the court finds at the hearing that the individual                

                                                                                

12  continues to be a person requiring treatment, the court shall               

                                                                                

13  enter a continuing order of involuntary mental health treatment             

                                                                                

14  as described in subsection (3).                                             

                                                                                

15      Sec. 473.  Not less than 14 days before the expiration of an                

                                                                                

16  initial, second, or continuing order of involuntary mental health           

                                                                                

17  treatment issued under section 472a or section 485a, a hospital             

                                                                                

18  director or an agency or mental health professional supervising             

                                                                                

19  an individual's alternative treatment or assisted outpatient                

                                                                                

20  treatment shall file a petition for a second or continuing order            

                                                                                

21  of involuntary mental health treatment if the hospital director             

                                                                                

22  or supervisor believes the individual continues to be a person              

                                                                                

23  requiring treatment and that the individual is likely to refuse             

                                                                                

24  treatment on a voluntary basis when the order expires.  The                 

                                                                                

25  petition shall contain a statement setting forth the reasons for            

                                                                                

26  the hospital director's or supervisor's or their joint                      

                                                                                

27  determination that the individual continues to be a person                  


                                                                                

1   requiring treatment, a statement describing the treatment program           

                                                                                

2   provided to the individual, the results of that course of                   

                                                                                

3   treatment, and a clinical estimate as to the time further                   

                                                                                

4   treatment will be required.  The petition shall be accompanied by           

                                                                                

5   a clinical certificate executed by a psychiatrist.                          

                                                                                

6       Sec. 475.  (1) During the period of an order for alternative                

                                                                                

7   treatment or combined hospitalization and alternative treatment,            

                                                                                

8   if the agency or mental health professional who is supervising an           

                                                                                

9   individual's alternative treatment program determines that the              

                                                                                

10  individual is not complying with the court order or that the                

                                                                                

11  alternative treatment has not been or will not be sufficient to             

                                                                                

12  prevent harm that the individual may inflict on himself or                  

                                                                                

13  herself or upon others, then the supervising agency or mental               

                                                                                

14  health professional shall notify the court immediately.  If the             

                                                                                

15  individual believes that the alternative treatment program is not           

                                                                                

16  appropriate, the individual may notify the court of that fact.              

                                                                                

17      (2) If it comes to the attention of the court that an                       

                                                                                

18  individual subject to an order of alternative treatment or                  

                                                                                

19  combined hospitalization and alternative treatment is not                   

                                                                                

20  complying with the order, that the alternative treatment has not            

                                                                                

21  been or will not be sufficient to prevent harm to the individual            

                                                                                

22  or to others, or that the individual believes that the                      

                                                                                

23  alternative treatment program is not appropriate, the court may             

                                                                                

24  do either of the following without a hearing and based upon the             

                                                                                

25  record and other available information:                                     

                                                                                

26      (a) Consider other alternatives to hospitalization and modify               

                                                                                

27  the order to direct the individual to undergo another program of            


     Senate Bill No. 685 (H-1) as amended December 9, 2004    (1 of 2)

   

1   alternative treatment for the duration of the order.                        

                                                                                

2       (b) Modify the order to direct the individual to undergo                    

                                                                                

3   hospitalization or combined hospitalization and alternative                 

                                                                                

4   treatment.  The duration of the hospitalization, including the              

                                                                                

5   number of days the individual has already been hospitalized if              

                                                                                

6   the order being modified is a combined order, shall not exceed 60           

                                                                                

7   days for an initial order or 90 days for a second or continuing             

                                                                                

8   order.  The modified order may provide that if the individual               

                                                                                

9   refuses to comply with the psychiatrist's order to return to the            

                                                                                

10  hospital, a peace officer shall take the individual into                    

                                                                                

11  protective custody and transport the individual to the hospital             

                                                                                

12  selected.                                                                   

                                                                                

13      (3) During the period of an order for assisted outpatient                   

                                                                                

14  treatment, if the agency or mental health professional who is               

                                                                                

15  supervising an individual's assisted outpatient treatment                   

                                                                                

16  determines that the individual is not complying with the court              

                                                                                

17  order, the supervising agency or mental health professional shall           

                                                                                

18  notify the court immediately.                                               

                                                                                

19      (4) If it comes to the attention of the court that an                       

                                                                                

20  individual subject to an order of assisted outpatient treatment             

                                                                                

21  is not complying with the order, the court may require [1 or more of the    

                                                                                

22  following, without a hearing:                                               

                                                                                

23      (a) That the individual be taken to the preadmission screening unit         

                                                                                

24  established by the community mental health services program serving the     

                                                                                

25  community in which the individual resides.                                  

                                                                                

26      (b) That the individual be hospitalized for a period of not more than 10 days.

  (c) Upon recommendation by the community mental health services program serving the community in which the individual resides, that the individual be hospitalized for a period of more than 10 days, but not longer than the duration of the order for assisted outpatient treatment or not longer than 90 days, whichever is less.

    (5) The court may direct peace officers to transport the individual to a designated facility or a preadmission screening unit, as applicable, and the court may specify conditions under which the individual may return to assisted outpatient treatment before the order expires.                                             

                                                                                

27      (6)] An individual hospitalized without a hearing as provided               


                                                                                

1   in subsection (4) may object to the hospitalization according to            

                                                                                

2   the provisions of section 475a.                                             

                                                                                

3       Enacting section 1.  This amendatory act does not take                      

                                                                                

4   effect unless all of the following bills of the 92nd Legislature            

                                                                                

5   are enacted into law:                                                       

                                                                                

6       (a) Senate Bill No. 683.                                                    

                                                                                

7       (b) Senate Bill No. 684.                                                    

                                                                                

8       (c) Senate Bill No. 686.                                                    

                                                                                

9       (d) Senate Bill No. 1464.