HB4009 S JUD AM #1
Graham 4841
The Committee on the Judiciary moved to amend the bill by striking out everything after the enacting clause and inserting in lieu thereof the following:
ARTICLE 1. WORDS AND PHRASES DEFINED.
§27-1-11. Addiction.
(a) As used in this chapter, "addiction" or substance use disorder means a maladaptive pattern of substance use leading to clinically significant impairment or distress as manifested by one or more of the following occurring within 30 days prior to the filing of the petition:
(1) Recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home, including, but not limited to, repeated absences or poor work performance related to substance use; substance-related absences, suspensions, or expulsions from school; or neglect of children or household;
(2) Recurrent use in situations in which it is physically hazardous, including, but not limited to, driving while intoxicated or operating a machine when impaired by substance use;
(3) Recurrent substance-related legal problems; or
(4) Continued use despite knowledge or having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the substance.
(b) As used in this section, "substance" shall mean
means alcohol, controlled substances as defined in sections §60A-2-204,
§60A-2-206, §60A-2-208, and §60A-2-210 of this code, or anything consumed for
its psychoactive effect whether or not designed for human consumption.
ARTICLE 5. INVOLUNTARY HOSITALIZATION.
§27-5-1. Appointment of mental hygiene commissioner; duties of mental hygiene commissioner; duties of prosecuting attorney; duties of sheriff; duties of Supreme Court of Appeals; use of certified municipal law-enforcement officers.
(a) Appointment of mental hygiene commissioners. — The
chief judge in each judicial circuit of this state shall appoint a competent
attorney and may, if necessary, appoint additional attorneys to serve as mental
hygiene commissioners to preside over involuntary hospitalization hearings.
Mental hygiene commissioners shall be persons of good moral character and of
standing in their profession and they shall, before assuming the duties of such
a commissioner, take the oath required of other special commissioners as
provided in §6-1-1 et seq. of
this code.
Prior to presiding over an involuntary hospitalization hearing,
each All
persons
newly appointed person to serve as a mental hygiene commissioners
and all magistrates shall attend and complete an orientation course that,
within one year of their appointment, consisting consists of
training provided annually by the Supreme Court of Appeals and complete an
orientation program to be developed by the Secretary of the Department of
Health and Human Resources. In addition, existing mental hygiene
commissioners and any all magistrates designated by the chief
judge of a judicial circuit trained to hold probable cause and
emergency detention hearings involving involuntary hospitalization shall attend
and complete a course provided by the Supreme Court of Appeals and complete
an orientation program to be developed by the Secretary of the Department of
Health and Human Resources. Persons attending such the courses
outside the county of their residence shall be reimbursed out of the budget of
the Supreme Court--General Judicial for reasonable expenses incurred. The
Supreme Court of Appeals shall establish curricula and rules for such the
courses, including rules providing for the reimbursement of reasonable expenses
as authorized herein in this section. The Secretary of the
Department of Health and Human Resources shall consult with the Supreme Court
of Appeals regarding the development of the orientation program.
(b) Duties of mental hygiene commissioners. —
(1) Mental hygiene commissioners may sign and issue summonses for
the attendance, at any hearing held pursuant to §27-5-4 of this code, of the
individual sought to be committed; may sign and issue subpoenas for witnesses,
including subpoenas duces tecum; may place any witness under oath; may elicit
testimony from applicants, respondents, and witnesses regarding factual issues
raised in the petition; and may make findings of fact on evidence and may make
conclusions of law, but such the findings and conclusions shall
not be are not binding on the circuit court. All mental hygiene
commissioners shall be reasonably compensated at a uniform rate determined by
the Supreme Court of Appeals. Mental hygiene commissioners shall submit all
requests for compensation to the administrative director of the courts for
payment. Mental hygiene commissioners shall discharge their duties and hold
their offices at the pleasure of the chief judge of the judicial circuit in
which he or she is appointed and may be removed at any time by such the
chief judge. It shall be the duty of a A mental hygiene
commissioner to shall conduct orderly inquiries into the mental
health of the individual sought to be committed concerning the advisability of
committing the individual to a mental health facility. The mental hygiene
commissioner shall safeguard, at all times, the rights and interests of the
individual as well as the interests of the state. The mental hygiene
commissioner shall make a written report of his or her findings to the circuit
court. In any proceedings before any court of record as set forth in this
article, the court of record shall appoint an interpreter for any individual
who is deaf or cannot speak, or who speaks a foreign language, and who may be
subject to involuntary commitment to a mental health facility.
(2) A mental hygiene commissioner appointed by the circuit court
of one county or multiple county circuits may serve in such that capacity
in a jurisdiction other than that of his or her original appointment if such
be it is agreed upon by the terms of a cooperative agreement between
the circuit courts and county commissions of two or more counties entered into
to provide prompt resolution of mental hygiene matters during noncourt
hours when the courthouse is closed or on nonjudicial days.
(c) Duties of prosecuting attorney. — It shall be the
duty of the The prosecuting attorney or one of his or her assistants
to shall represent the applicants in all final commitment
proceedings filed pursuant to the provisions of this article. The prosecuting
attorney may appear in any proceeding held pursuant to the provisions of this
article if he or she deems determines it to be in the public
interest.
(d) Duties of sheriff. — Upon written order of the circuit
court, mental hygiene commissioner, or magistrate in the county where the
individual formally accused of being mentally ill or addicted having
a substance use disorder is a resident or is found, the sheriff of that
county shall take said the individual into custody and transport
him or her to and from the place of hearing and the mental health facility. The
sheriff shall also maintain custody and control of the accused individual
during the period of time in which the individual is waiting for the
involuntary commitment hearing to be convened and while such the hearing
is being conducted: Provided, That an individual who is a resident of a
state other than West Virginia shall, upon a finding of probable cause, be
transferred to his or her state of residence for treatment pursuant to
§27-5-4(p) of this code: Provided, however, That where an individual is
a resident of West Virginia but not a resident of the county in which he or she
is found and there is a finding of probable cause, the county in which the
hearing is held may seek reimbursement from the county of residence for
reasonable costs incurred by the county attendant to the mental hygiene
proceeding. Notwithstanding any provision of this code to the contrary,
sheriffs may enter into cooperative agreements with sheriffs of one or more
other counties, with the concurrence of their respective circuit courts and
county commissions, whereby by which transportation and security
responsibilities for hearings held pursuant to the provisions of this article
during noncourt hours when the courthouse is closed or on
nonjudicial days may be shared in order to facilitate prompt hearings and to
effectuate transportation of persons found in need of treatment. In the event an individual requires transportation to a
state hospital as defined by §27-1-6 of this code, the sheriff shall contact the state hospital
in advance of the transportation to determine if the state hospital has
available suitable bed capacity to place the individual.
(e) Duty of sheriff upon presentment to mental health care facility. — When a person is brought to a mental health care facility for purposes of evaluation for commitment under this article, if he or she is violent or combative, the sheriff or his or her designee shall maintain custody of the person in the facility until the evaluation is completed, or the county commission shall reimburse the mental health care facility at a reasonable rate for security services provided by the mental health care facility for the period of time the person is at the hospital prior to the determination of mental competence or incompetence.
(f) Duties of Supreme Court of Appeals. — The Supreme Court of Appeals shall provide uniform petition, procedure, and order forms which shall be used in all involuntary hospitalization proceedings brought in this state.
(g) Duties of the Department of Health and Human Resources. — The secretary shall develop an orientation program as provided in subsection (a) of this section. The orientation program shall include, but not be limited to, instruction regarding the nature and treatment of mental illness and substance use disorder; the goal and purpose of commitment; community-based treatment options; and less restrictive alternatives to inpatient commitment.
§27-5-2. Institution of proceedings for involuntary custody for examination; custody; probable cause hearing; examination of individual.
(a) Any adult person may make an application for involuntary
hospitalization for examination of an individual when the person making the
application has reason to believe that the individual to be examined is addicted, has a substance use disorder as
defined in § 27-1-11 of this code, by the most recent edition of the
American Psychiatric Association in the Diagnostic and Statistical Manual of
Mental Disorders, inclusive of substance use withdrawal, or is mentally ill
and, because of his or her addiction substance use disorder or
mental illness, the individual is likely to cause serious harm to himself,
herself, or to others if allowed to remain at liberty while awaiting an
examination and certification by a physician, or psychologist,
licensed professional counselor, licensed independent social worker, an
advanced nurse practitioner, or physician assistant as provided in subsection
(e) of this section: Provided, That a diagnosis of dementia alone may not serve as a basis for
involuntary commitment.
Notwithstanding any language in this subsection to the contrary,
if the individual to be examined under the provisions of this section is
incarcerated in a jail, prison, or other correctional facility, then only the
chief administrative officer of the facility holding the individual may file
the application, and the application must include the additional statement that
the correctional facility itself cannot reasonably provide treatment and other
services for the individual’s mental illness or addiction substance
use disorder.
(b) The person making the application shall make the application under oath.
(c) Application for involuntary custody for examination may be
made to the circuit court, magistrate court, or a mental hygiene
commissioner of the county in which the individual resides or of the county in
which he or she may be found. When no circuit court judge or mental hygiene
commissioner is available for immediate presentation of the application, the
application may be made to a magistrate designated by the chief judge of the
judicial circuit to accept applications and hold probable cause hearings. A
designated magistrate before whom an application or matter is pending
may, upon the availability of a mental hygiene commissioner or circuit court
judge for immediate presentation of an application or pending matter, transfer
the pending matter or application to the mental hygiene commissioner or circuit
court judge for further proceedings unless otherwise ordered by the chief judge
of the judicial circuit.
(d) The person making the application shall give information and
state facts in the application as may be required by the form provided
for this purpose by the Supreme Court of Appeals.
(e) The circuit court, mental hygiene commissioner, or designated
magistrate may enter an order for the individual named in the application to be
detained and taken into custody for the purpose of holding a probable cause
hearing as provided in §27-5-2(g) of this code for the purpose of an
examination of the individual by a physician, psychologist, a licensed
professional counselor practicing in compliance with §30-31-1 et seq. of
this code, a licensed independent clinical social worker practicing in
compliance with §30-30-1 et seq. of this code, an advanced nurse
practitioner with psychiatric certification practicing in compliance with
§30-7-1 et seq. of this code, a physician’s
assistant practicing in compliance with §30-3-1 et seq. of this code, or
a physician’s assistant practicing in compliance with §30-3E-1 et seq.
of this code: Provided, That a licensed professional counselor, a
licensed independent clinical social worker, a physician’s assistant, or an
advanced nurse practitioner with psychiatric certification may only perform the
examination if he or she has previously been authorized by an order of the
circuit court to do so, the order having found that the licensed professional
counselor, the licensed independent clinical social worker, physician’s
assistant, or advanced nurse practitioner with psychiatric certification has
particularized expertise in the areas of mental health and mental hygiene or addiction
substance use disorder sufficient to make the determinations as are
required by the provisions of this section. The examination is to be provided
or arranged by a community mental health center designated by the Secretary of
the Department of Health and Human Resources to serve the county in which the
action takes place. The order is to specify that the
hearing be held forthwith immediately and is to provide for the
appointment of counsel for the individual: Provided, however,
That the order may allow the hearing to be held up to 24 hours after the person
to be examined is taken into custody rather than forthwith immediately
if the circuit court of the county in which the person is found has previously
entered a standing order which establishes within that jurisdiction a program
for placement of persons awaiting a hearing which assures the safety and humane
treatment of persons: Provided further, That the time
requirements set forth in this subsection only apply to persons who are not in
need of medical care for a physical condition or disease for which the need for
treatment precludes the ability to comply with the time requirements. During
periods of holding and detention authorized by this subsection, upon consent of
the individual or in the event of a medical or psychiatric emergency, the
individual may receive treatment. The medical provider shall exercise due
diligence in determining the individual’s existing medical needs and provide
treatment the individual requires, including previously prescribed medications.
As used in this section, “psychiatric emergency” means an incident during which
an individual loses control and behaves in a manner that poses substantial
likelihood of physical harm to himself, herself, or others. Where a physician,
psychologist, licensed professional counselor, licensed independent clinical social
worker, physician’s assistant, or advanced nurse practitioner with psychiatric
certification has, within the preceding 72 hours, performed the examination
required by the provisions of this subsection, the community mental health
center may waive the duty to perform or arrange another examination upon
approving the previously performed examination. Notwithstanding the provisions
of this subsection, §27-5-4(r) of this code applies regarding payment by the
county commission for examinations at hearings. If the examination reveals that
the individual is not mentally ill or addicted has no substance use disorder,
or is determined to be mentally ill or addicted has a substance use
disorder but not likely to cause harm to himself, herself, or others, the
individual shall be immediately released without the need for a probable cause
hearing and the examiner is not civilly liable for the rendering of the opinion
absent a finding of professional negligence. The examiner shall immediately
provide the mental hygiene commissioner, circuit court, or designated
magistrate before whom the matter is pending the results of the examination on
the form provided for this purpose by the Supreme Court of Appeals for entry of
an order reflecting the lack of probable cause.
(f) A probable cause hearing is to be held before a magistrate, designated
by the chief judge of the judicial circuit, the mental hygiene
commissioner, or circuit judge of the county of which the individual is a
resident or where he or she was found. If requested by the individual or his or
her counsel, the hearing may be postponed for a period not to exceed 48 hours.
The individual must be present at the hearing and has the right to
present evidence, confront all witnesses and other evidence against him or her,
and to examine testimony offered, including testimony by representatives
of the community mental health center serving the area. Expert testimony at the
hearing may be taken telephonically or via videoconferencing. The individual
has the right to remain silent and to be proceeded against in accordance with
the Rules of Evidence of the Supreme Court of Appeals, except as provided in
§27-1-12 of this code. At the conclusion of the hearing, the magistrate, mental
hygiene commissioner, or circuit court judge shall find and enter an order
stating whether or not there is probable cause to believe that the individual,
as a result of mental illness or addiction substance use disorder,
is likely to cause serious harm to himself or herself or to others.
(g) Probable cause hearings may occur in the county where a person
is hospitalized. The judicial hearing officer may: Use videoconferencing and
telephonic technology; permit persons hospitalized for addiction substance
use disorder to be involuntarily hospitalized only until detoxification is
accomplished; and specify other alternative or modified procedures that are
consistent with the purposes and provisions of this article. The alternative or
modified procedures shall fully and effectively guarantee to the person who is
the subject of the involuntary commitment proceeding and other interested
parties due process of the law and access to the least restrictive available
treatment needed to prevent serious harm to self or others.
(h) If the magistrate, mental hygiene commissioner, or circuit
court judge at a probable cause hearing or a mental hygiene commissioner or
circuit judge at a final commitment hearing held pursuant to the provisions
of §27-5-4 of this code finds that the individual, as a result of mental
illness or addiction substance use disorder, is likely to cause
serious harm to himself, herself, or others and because of mental illness or addiction
a substance use disorder requires treatment, the magistrate, mental
hygiene commissioner, or circuit court judge may consider evidence on the
question of whether the individual’s circumstances make him or her amenable to
outpatient treatment in a nonresidential or nonhospital setting pursuant to a
voluntary treatment agreement. The agreement is to be in writing and approved
by the individual, his or her counsel, and the magistrate, mental hygiene
commissioner, or circuit court judge. If the magistrate, mental hygiene
commissioner, or circuit court judge determines that appropriate outpatient
treatment is available in a nonresidential or nonhospital setting, the
individual may be released to outpatient treatment upon the terms and
conditions of the voluntary treatment agreement. The failure of an individual
released to outpatient treatment pursuant to a voluntary treatment agreement to
comply with the terms of the voluntary treatment agreement constitutes evidence
that outpatient treatment is insufficient and, after a hearing before a
magistrate, mental hygiene commissioner, or circuit judge on the issue of
whether or not the individual failed or refused to comply with the terms and
conditions of the voluntary treatment agreement and whether the individual as a
result of mental illness or addiction substance use disorder
remains likely to cause serious harm to himself, herself, or others, the entry
of an order requiring admission under involuntary hospitalization pursuant to
the provisions of §27-5-3 of this code may be entered. In the event a person
released pursuant to a voluntary treatment agreement is unable to pay for the
outpatient treatment and has no applicable insurance coverage, including, but
not limited to, private insurance or Medicaid, the Secretary of the Department
of Health and Human Resources may transfer funds for the purpose of reimbursing
community providers for services provided on an outpatient basis for
individuals for whom payment for treatment is the responsibility of the
department: Provided, That the department may not authorize payment of
outpatient services for an individual subject to a voluntary treatment
agreement in an amount in excess of the cost of involuntary hospitalization of
the individual. The secretary shall establish and maintain fee schedules for
outpatient treatment provided in lieu of involuntary hospitalization.
Nothing in the provisions of this article regarding release pursuant to a
voluntary treatment agreement or convalescent status may be construed as
creating a right to receive outpatient mental health services or treatment, or
as obligating any person or agency to provide outpatient services or treatment.
Time limitations set forth in this article relating to periods of involuntary commitment
to a mental health facility for hospitalization do not apply to release
pursuant to the terms of a voluntary treatment agreement: Provided, That
release pursuant to a voluntary treatment agreement may not be for a period of
more than six months if the individual has not been found to be involuntarily
committed during the previous two years and for a period of no more than two
years if the individual has been involuntarily committed during the preceding
two years. If in any proceeding held pursuant to this article the individual
objects to the issuance or conditions and terms of an order adopting a
voluntary treatment agreement, then the circuit judge, magistrate, or mental
hygiene commissioner may not enter an order directing treatment pursuant to a
voluntary treatment agreement. If involuntary commitment with release pursuant
to a voluntary treatment agreement is ordered, the individual subject to the
order may, upon request during the period the order is in effect, have a
hearing before a mental hygiene commissioner or circuit judge where the
individual may seek to have the order canceled or modified. Nothing in this
section affects the appellate and habeas corpus rights of any individual
subject to any commitment order.
Notwithstanding anything in this article to the contrary, the commitment of any individual as provided in this article shall be in the least restrictive setting and in an outpatient community-based treatment program to the extent resources and programs are available, unless the clear and convincing evidence of the certifying professional under subsection (e) of this section, who is acting in a manner consistent with the standard of care, establishes that the commitment or treatment of that individual requires an inpatient hospital placement.
(i) If the certifying physician or psychologist professional
determines that a person an individual requires involuntary
hospitalization for a an addiction to a substance substance use
disorder which, due to the degree of addiction the disorder,
creates a reasonable likelihood that withdrawal or detoxification from the
substance of addiction will cause significant medical complications, the person
certifying the individual shall recommend that the individual be closely
monitored for possible medical complications. If the magistrate, mental hygiene
commissioner, or circuit court judge presiding orders involuntary
hospitalization, he or she shall include a recommendation that the individual
be closely monitored in the order of commitment.
(j) The Supreme Court of Appeals and the Secretary of the Department of Health and Human Resources shall specifically develop and propose a statewide system for evaluation and adjudication of mental hygiene petitions which shall include payment schedules and recommendations regarding funding sources. Additionally, the Secretary of the Department of Health and Human Resources shall also immediately seek reciprocal agreements with officials in contiguous states to develop interstate/intergovernmental agreements to provide efficient and efficacious services to out-of-state residents found in West Virginia and who are in need of mental hygiene services.
§27-5-2a. Process for involuntary hospitalization.
(a) As used in this section:
(1) “Addiction” has the same meaning as the term is defined in §27-1-11 of this code.
(2) “Authorized staff physician” means a physician, authorized pursuant to the provisions of §30-3-1 et seq. or §30-14-1 et seq. of this code, who is a bona fide member of the hospital’s medical staff.
(3) “Hospital” means a facility licensed pursuant to the provisions of §16-5b-1 et seq. of this code, and any acute care facility operated by the state government that primarily provides inpatient diagnostic, treatment, or rehabilitative services to injured, disabled, or sick individuals under the supervision of physicians.
(4) “Psychiatric emergency” means an incident during which an individual loses control and behaves in a manner that poses substantial likelihood of physical harm to himself, herself, or others.
(b)(1) If a mental hygiene commissioner, magistrate, and circuit judge are unavailable or unable to be immediately contacted, an authorized staff physician may order the involuntary hospitalization of an individual who is present at, or presented at, a hospital emergency department in need of treatment, if the authorized staff physician believes, following an examination of the individual, that the individual is addicted or is mentally ill and, because of his or her addiction or mental illness, is likely to cause serious harm to himself, herself or to others if allowed to remain at liberty. The authorized staff physician shall sign a statement attesting to his or her decision that the patient presents a harm to himself, herself or others and needs to be held involuntarily for up to 72 hours. The West Virginia Supreme Court of Appeals is requested to generate a form for the statement to be signed by the authorized staff physician or other person authorized by the hospital and provided to the individual.
(2) Immediately upon admission, or as soon as practicable thereafter, but in no event later than 24 hours after an involuntary hospitalization pursuant to this section, the authorized staff physician or designated employee shall file a mental hygiene petition in which the authorized staff physician certifies that the individual for whom the involuntary hospitalization is sought is addicted or is mentally ill and, because of his or her addiction or mental illness, is likely to cause serious harm to himself, herself, or to other individuals if allowed to remain at liberty. The authorized staff physician shall also certify the same in the individual’s health records. Upon receipt of this filing, the mental hygiene commissioner, a magistrate, or circuit judge shall conduct a hearing pursuant to §27-5-2 of this code.
(3) An individual who is involuntarily hospitalized pursuant to this section shall be released from the hospital within 72 hours, unless further detained under the applicable provisions of this article.
(c) During a period of involuntary hospitalization authorized by this section, upon consent of the individual, or in the event of a medical or psychiatric emergency, the individual may receive treatment. The hospital or authorized staff physician shall exercise due diligence in determining the individual’s existing medical needs and provide treatment the individual requires, including previously prescribed medications.
(d) Each hospital or authorized staff physician which provides services under this section shall be paid for the services at the same rate the hospital or authorized staff physician negotiates with the patient’s insurer. If the patient is uninsured, the hospital or authorized staff physician may file a claim for payment with the West Virginia Legislative Claims Commission in accordance with §14-2-1 et seq. of this code.
(e) Authorized staff physicians and hospitals and their employees carrying out duties or rendering professional opinions as provided in this section shall be free from liability for their actions, if the actions are performed in good faith and within the scope of their professional duties and in a manner consistent with the standard of care.
(f) The West Virginia Supreme Court of Appeals is requested, by no later than July 1, 2020, to provide each hospital with a list of names and contact information of the mental hygiene commissioners, magistrates, and circuit judges to address mental hygiene petitions in the county where the hospital is located. The West Virginia Supreme Court of Appeals is requested to update this list regularly and the list shall reflect on-call information. If a mental hygiene commissioner, county magistrate, or circuit judge does not respond to the request within 24 hours, a report shall be filed to the West Virginia Supreme Court of Appeals.
(g) An action taken against an individual pursuant to this section may not be construed to be an adjudication of the individual, nor shall any action taken pursuant to this section be construed to satisfy the requirements of §61-7-7(a)(4) of this code.
§27-5-3. Admission under involuntary hospitalization for examination; hearing; release.
(a) Admission to a mental health facility for examination.
— Any individual may be admitted to a mental health facility for examination
and treatment upon entry of an order finding probable cause as provided in
§27-5-2 of this code and upon a finding by a licensed physician that
the individual is medically stable, and upon certification by a physician,
psychologist, licensed professional counselor, licensed independent clinical
social worker practicing in compliance with the provisions of §30-30-1 et
seq. of this code, or an advanced
nurse practitioner with psychiatric certification practicing in compliance with
§30-7-1 et seq. of this code, or a physician’s assistant practicing
in compliance with §30-3E-1 et seq. of this code with advanced duties in
psychiatric medicine that he or she has examined the individual and is
of the opinion that the individual is mentally ill or addicted has a
substance use disorder and, because of such the mental
illness or addiction substance use disorder, is likely to cause
serious harm to himself, herself, or to others if not immediately restrained: Provided,
That the opinions offered by an independent clinical social worker, or
an advanced nurse practitioner with psychiatric certification, or a physician’s
assistant with advanced duties in psychiatric medicine must be within their
his or her particular areas of expertise, as recognized by the order of
the authorizing court.
(b) Three-day time limitation on examination. — If the
examination does not take place within three days from the date the individual
is taken into custody, the individual shall be released. If the examination
reveals that the individual is not mentally ill or addicted has a
substance use disorder, the individual shall be released.
(c) Three-day time limitation on certification. — The
certification required in §27-5-3(a) of this code shall be is valid
for three days. Any individual with respect to whom the certification has been
issued may not be admitted on the basis of the certification at any time after
the expiration of three days from the date of the examination.
(d) Findings and conclusions required for certification. — A certification under this section must include findings and conclusions of the mental examination, the date, time, and place of the examination, and the facts upon which the conclusion that involuntary commitment is necessary is based.
(e) Notice requirements. — When an individual is admitted to a mental health facility or a state hospital pursuant to the provisions of this section, the chief medical officer of the facility shall immediately give notice of the individual’s admission to the individual’s spouse, if any, and one of the individual’s parents or guardians or if there is no spouse and are no parents or guardians, to one of the individual’s adult next of kin if the next of kin is not the applicant. Notice shall also be given to the community mental health facility, if any, having jurisdiction in the county of the individual’s residence. The notices other than to the community mental health facility shall be in writing and shall be transmitted to the person or persons at his, her, or their last known address by certified mail, return receipt requested.
(f) Five-day Three-day time limitation for examination
and certification at mental health facility or state hospital. —
After the individual’s admission to a mental health facility or state
hospital, he or she may not be detained more than five three
days, excluding Sundays and holidays, unless, within the period, the individual
is examined by a staff physician and the physician certifies that in his or her
opinion the patient is mentally ill or addicted has a substance use
disorder and is likely to injure himself, herself, or others if allowed to
be at liberty. In the event the staff physician determines that the
individual does not meet the criteria for continued commitment, that the
individual can be treated in an available outpatient
community-based treatment program and poses no present danger to himself, herself
or others, or that the individual has an underlying medical issue or issues
that resulted in a determination that the individual should not have been
committed, the staff physician shall release and discharge the individual as
appropriate as soon as practicable.
(g) Fifteen-day Ten-day time limitation for
institution of final commitment proceedings. — If, in the opinion of the
examining physician, the patient is mentally ill or addicted has a
substance use disorder and because of the mental illness or addiction
substance use disorder is likely to injure himself, herself, or others
if allowed to be at liberty, the chief medical officer shall, within 15 10
days from the date of admission, institute final commitment proceedings as
provided in §27-5-4 of this code. If the proceedings are not instituted within such
15-day the 10-day period, the patient individual shall
be immediately released. After the request for hearing is filed, the hearing
may not be canceled on the basis that the individual has become a voluntary
patient unless the mental hygiene commissioner concurs in the motion for
cancellation of the hearing.
(h) Thirty-day Twenty-day time limitation for
conclusion of all proceedings. — If all proceedings as provided in §27-3-1 et
seq. and §27-4-1 et seq. of this code are not completed within 30
20 days from the date of institution of the proceedings, the patient
individual shall be immediately released.
§27-5-4. Institution of final commitment proceedings; hearing requirements; release.
(a) Involuntary commitment. — Except as provided in §27-5-3 of this code, no individual may be involuntarily committed to a mental health facility or state hospital except by order entered of record at any time by the circuit court of the county in which the person resides or was found, or if the individual is hospitalized in a mental health facility or state hospital located in a county other than where he or she resides or was found, in the county of the mental health facility and then only after a full hearing on issues relating to the necessity of committing an individual to a mental health facility or state hospital. If the individual objects to the hearing being held in the county where the mental health facility is located, the hearing shall be conducted in the county of the individual’s residence.
(b) How final commitment proceedings are commenced. — Final commitment proceedings for an individual may be commenced by the filing of a written application under oath by an adult person having personal knowledge of the facts of the case. The certificate or affidavit is filed with the clerk of the circuit court or mental hygiene commissioner of the county where the individual is a resident or where he or she may be found, or the county of a mental health facility if he or she is hospitalized in a mental health facility or state hospital located in a county other than where he or she resides or may be found.
(c) Oath; contents of application; who may inspect application; when application cannot be filed. —
(1) The person making the application shall do so under oath.
(2) The application shall contain statements by the applicant that
the individual is likely to cause serious harm to self or others due to what
the applicant believes are symptoms of mental illness or addiction substance
use disorder. The applicant shall state in detail the recent overt acts
upon which the belief is based.
(3) The written application, certificate, affidavit, and any
warrants issued pursuant thereto, including any related documents, filed with a
circuit court, mental hygiene commissioner, or designated magistrate for
the involuntary hospitalization of an individual are not open to inspection by
any person other than the individual, unless authorized by the individual or
his or her legal representative or by order of the circuit court. The records
may not be published unless authorized by the individual or his or her legal
representative. Disclosure of these records may, however, be made by the clerk,
circuit court, mental hygiene commissioner, or designated magistrate to
provide notice to the Federal National Instant Criminal Background Check System
established pursuant to section 103(d) of the Brady Handgun Violence Prevention
Act, 18 U.S.C. § 922, and the central state mental health registry, in
accordance with §61-7A-1 et seq. of
this code. Disclosure may also be made to the prosecuting attorney and
reviewing court in an action brought by the individual pursuant to §61-7A-5 of this code to
regain firearm and ammunition rights.
(4) Applications may not be accepted for individuals who only have
epilepsy, a mental deficiency, senility dementia, or an
intellectual or developmental disability.
(d) Certificate filed with application; contents of certificate; affidavit by applicant in place of certificate. —
(1) The applicant shall file with his or her application the
certificate of a physician or a psychologist stating that in his or her opinion
the individual is mentally ill or addicted has a substance use
disorder and that because of the mental illness or addiction substance
use disorder, the individual is likely to cause serious harm to self or
others if allowed to remain at liberty and, therefore, should be hospitalized.
The certificate shall state in detail the recent overt acts on which the
conclusion is based.
(2) A certificate is not necessary when an affidavit is filed by the applicant showing facts and the individual has refused to submit to examination by a physician or a psychologist.
(e) Notice requirements; eight days’ notice required. —
Upon receipt of an application, the mental hygiene commissioner or circuit
court shall review the application, and if it is determined that the facts
alleged, if any, are sufficient to warrant involuntary hospitalization, forthwith
immediately fix a date for and have the clerk of the circuit court give
notice of the hearing:
(1) To the individual;
(2) To the applicant or applicants;
(3) To the individual’s spouse, one of the parents or guardians, or, if the individual does not have a spouse, parents or parent or guardian, to one of the individual’s adult next of kin if the next of kin is not the applicant;
(4) To the mental health authorities serving the area;
(5) To the circuit court in the county of the individual’s residence if the hearing is to be held in a county other than that of the individual’s residence; and
(6) To the prosecuting attorney of the county in which the hearing is to be held.
(f) The notice shall be served on the individual by personal service of process not less than eight days prior to the date of the hearing and shall specify:
(1) The nature of the charges against the individual;
(2) The facts underlying and supporting the application of involuntary commitment;
(3) The right to have counsel appointed;
(4) The right to consult with and be represented by counsel at every stage of the proceedings; and
(5) The time and place of the hearing.
The notice to the individual’s spouse, parents or parent or guardian, the individual’s adult next of kin or to the circuit court in the county of the individual’s residence may be by personal service of process or by certified or registered mail, return receipt requested, and shall state the time and place of the hearing.
(g) Examination of individual by court-appointed physician,
or psychologist, advanced nurse practitioner, or physician’s
assistant; custody for examination; dismissal of proceedings. —
(1) Except as provided in subdivision (3) of this subsection,
within a reasonable time after notice of the commencement of final commitment
proceedings is given, the circuit court or mental hygiene commissioner shall
appoint a physician, or psychologist, an advanced nurse
practitioner with psychiatric certification, or a physician’s assistant with
advanced duties in psychiatric medicine to examine the individual and
report to the circuit court or mental hygiene commissioner his or her findings
as to the mental condition or addiction substance use disorder of
the individual and the likelihood of causing serious harm to self or others.
(2) If the designated physician, or psychologist,
advanced nurse practitioner, or physician assistant reports to the circuit
court or mental hygiene commissioner that the individual has refused to submit
to an examination, the circuit court or mental hygiene commissioner shall order
him or her to submit to the examination. The circuit court or mental hygiene
commissioner may direct that the individual be detained or taken into custody
for the purpose of an immediate examination by the designated physician, or
psychologist, nurse practitioner, or physician’s assistant. All such
orders shall be directed to the sheriff of the county or other appropriate
law-enforcement officer. After the examination has been completed, the
individual shall be released from custody unless proceedings are instituted
pursuant to §27-5-3 of this code.
(3) If the reports of the appointed physician, or
psychologist, nurse practitioner, or physician’s assistant do not
confirm that the individual is mentally ill or addicted has a
substance use disorder and might be harmful to self or others, then the
proceedings for involuntary hospitalization shall be dismissed.
(h) Rights of the individual at the final commitment hearing; seven days’ notice to counsel required. —
(1) The individual shall be present at the final commitment hearing, and he or she, the applicant and all persons entitled to notice of the hearing shall be afforded an opportunity to testify and to present and cross-examine witnesses.
(2) In the event the individual has not retained counsel, the court or mental hygiene commissioner, at least six days prior to hearing, shall appoint a competent attorney and shall inform the individual of the name, address, and telephone number of his or her appointed counsel.
(3) The individual has the right to have an examination by an independent expert of his or her choice and to present testimony from the expert as a medical witness on his or her behalf. The cost of the independent expert is paid by the individual unless he or she is indigent.
(4) The individual may not be compelled to be a witness against himself or herself.
(i) Duties of counsel representing individual; payment of counsel representing indigent. —
(1) Counsel representing an individual shall conduct a timely interview, make investigation, and secure appropriate witnesses, be present at the hearing, and protect the interests of the individual.
(2) Counsel representing an individual is entitled to copies of all medical reports, psychiatric or otherwise.
(3) The circuit court, by order of record, may allow the attorney a reasonable fee not to exceed the amount allowed for attorneys in defense of needy persons as provided in §29-21-1 et seq. of this code.
(j) Conduct of hearing; receipt of evidence; no evidentiary privilege; record of hearing. —
(1) The circuit court or mental hygiene commissioner shall hear evidence from all interested parties in chamber, including testimony from representatives of the community mental health facility.
(2) The circuit court or mental hygiene commissioner shall receive all relevant and material evidence which may be offered.
(3) The circuit court or mental hygiene commissioner is bound by
the rules of evidence promulgated by the Supreme Court of Appeals except that
statements made to physicians or psychologists health care
professionals appointed under subsection (g) of this section by the
individual may be admitted into evidence by physician’s or psychologist’s
the health care professional’s testimony, notwithstanding failure to
inform the individual that this statement may be used against him or her. A psychologist
or physician health care professional testifying shall bring all
records pertaining to the individual to the hearing. The medical evidence
obtained pursuant to an examination under this section, or §27-5-2 or §27-5-3
of this code, is not privileged information for purposes of a hearing pursuant
to this section.
(4) All final commitment proceedings shall be reported or recorded, whether before the circuit court or mental hygiene commissioner, and a transcript made available to the individual, his or her counsel or the prosecuting attorney within 30 days if requested for the purpose of further proceedings. In any case where an indigent person intends to pursue further proceedings, the circuit court shall, by order entered of record, authorize and direct the court reporter to furnish a transcript of the hearings.
(k) Requisite findings by the court. —
(1) Upon completion of the final commitment hearing and the evidence presented in the hearing, the circuit court or mental hygiene commissioner shall make findings as to the following:
(A) Whether the individual is mentally ill or addicted has
a substance use disorder;
(B) Whether, because of illness or addiction substance
use disorder, the individual is likely to cause serious harm to self or others
if allowed to remain at liberty;
(C) Whether the individual is a resident of the county in which the hearing is held or currently is a patient at a mental health facility in the county; and
(D) Whether there is a less restrictive alternative than commitment appropriate for the individual. The burden of proof of the lack of a less restrictive alternative than commitment is on the person or persons seeking the commitment of the individual: Provided, That for any commitment to a state hospital as defined by §27-1-6 of this code, a specific finding shall be made that the commitment of, or treatment for, the individual requires inpatient hospital placement and that no suitable outpatient community-based treatment program exists in the individual’s area.
(2) The findings of fact shall be incorporated into the order entered by the circuit court and must be based upon clear, cogent, and convincing proof.
(l) Orders issued pursuant to final commitment hearing; entry of order; change in order of court; expiration of order. —
(1) Upon the requisite findings, the circuit court may order the
individual to a mental health facility or state hospital for an
indeterminate period or for a temporary observatory period not exceeding six
months. a period not to exceed 90 days except as otherwise provided in
this subdivision. During that period and solely for individuals who are
committed under §27-6A-1 et seq. of this code, the chief medical officer
of the mental health facility or state hospital shall conduct a clinical
assessment of the individual at least every 30 days to determine if the
individual requires continued placement at the mental health facility or state
hospital and whether the individual is suitable to receive any necessary
treatment at an outpatient community-based treatment program. If at any time
the chief medical officer, acting in good faith and in a manner consistent with
the standard of care, determines that: (i) The individual is suitable for
receiving outpatient community-based treatment; (ii) necessary outpatient
community-based treatment is available in the individual’s area; and (iii) the
individual’s clinical presentation no longer requires inpatient commitment, the chief medical officer shall provide written notice to
the court of record and prosecuting attorney as provided in subdivision (2) of
this section that the individual is suitable for discharge. The chief medical
officer may discharge the patient 30 days after the notice unless the court of
record stays the discharge of the individual. In the event the court stays the
discharge of the individual, the court shall conduct a hearing within 45 days
of the stay, and the individual shall be thereafter discharged unless the court
finds by clear and convincing evidence that the individual is a significant and
present danger to self or others, and that continued placement at the mental
health facility or state hospital is required.
If the chief medical officer determines that the individual requires commitment at the mental health facility or state hospital at any time for a period longer than 90 days, then the individual shall remain at the mental health facility or state hospital until the chief medical officer of the mental health facility or state hospital determines that the individual’s clinical presentation no longer requires further commitment. The chief medical officer shall provide notice to the court and the prosecuting attorney that the individual requires commitment for a period in excess of 90 days and, in the notice, the chief medical officer shall describe the reasons for ongoing commitment. In its discretion, the court or prosecuting attorney may request any information from the chief medical officer that the court or prosecuting attorney considers appropriate to justify the need for the individual’s ongoing commitment.
(2) Notice to the court of record and prosecuting attorney shall be provided by personal service or certified mail, return receipt requested. The chief medical officer shall make the following findings:
(A) Whether the individual has a mental illness or substance use disorder that does not require inpatient treatment, and the mental illness or serious emotional disturbance is in remission;
(B) Whether the individual’s condition resulting from mental illness or substance use disorder is likely to deteriorate to the point that the individual will pose a likelihood of serious harm to self or others unless treatment is continued;
(C) Whether the individual is likely to participate in outpatient treatment with a legal obligation to do so;
(D) Whether the individual is not likely to participate in outpatient treatment unless legally obligated to do so;
(E) Whether the individual is not a danger to self or others; and
(F) Whether mandatory outpatient treatment is a suitable, less restrictive alternative to ongoing commitment.
(2) (3) The individual may not be detained in a
mental health facility or state hospital for a period in excess of 10
days after a final commitment hearing pursuant to this section unless an order
has been entered and received by the facility.
(3) If the order pursuant to a final commitment hearing is for a
temporary observation period, the circuit court or mental hygiene commissioner
may, at any time prior to the expiration of such period on the basis of a
report by the chief medical officer of the mental health facility in which the
patient is confined, hold another hearing pursuant to the terms of this section
and in the same manner as the hearing was held as if it were an original
petition for involuntary hospitalization to determine whether the original
order for a temporary observation period should be modified or changed to an
order of indeterminate hospitalization of the patient. At the conclusion of the
hearing, the circuit court shall order indeterminate hospitalization of the
patient .or dismissal of the proceedings.
(4) An order for an indeterminate period expires of its own terms
at the expiration of two years from the date of the last order of commitment
unless prior to the expiration, the Department of Health and Human Resources,
upon findings based on an examination of the patient by a physician or a
psychologist, extends the order for indeterminate hospitalization. If the
patient or his or her counsel requests a hearing, a hearing shall be held by
the mental hygiene commissioner or by the circuit court of the county as
provided in subsection (a) of this section.
(4) An individual committed pursuant to §27-6A-3 of this code may be committed for the period he or she is determined by the court to remain an imminent danger to self or others.
(5) In the event the commitment of the individual as provided under subdivision (1) of this subsection exceeds two years, the individual or his or her counsel may request a hearing and a hearing shall be held by the mental hygiene commissioner or by the circuit court of the county as provided in subsection (a) of this section.
(m) Dismissal of proceedings. — In the event the individual
is discharged as provided in subsection (l) of this section, If the
circuit court or mental hygiene commissioner shall finds that the individual
is not mentally ill or addicted, the proceedings shall be dismissed. If the
circuit court or mental hygiene commissioner finds that the individual is
mentally ill or addicted but is not, because of the illness or addiction,
likely to cause serious harm to self or others if allowed to remain at liberty,
the proceedings shall be dismissed. dismiss the proceedings.
(n) Immediate notification of order of hospitalization. — The clerk of the circuit court in which an order directing hospitalization is entered, if not in the county of the individual’s residence, shall immediately upon entry of the order forward a certified copy of the order to the clerk of the circuit court of the county of which the individual is a resident.
(o) Consideration of transcript by circuit court of county of individual’s residence; order of hospitalization; execution of order. —
(1) If the circuit court or mental hygiene commissioner is
satisfied that hospitalization should be ordered but finds that the individual
is not a resident of the county in which the hearing is held and the individual
is not currently a resident of a mental health facility or state hospital,
a transcript of the evidence adduced at the final commitment hearing of the
individual, certified by the clerk of the circuit court, shall forthwith
immediately be forwarded to the clerk of the circuit court of the county
of which the individual is a resident. The clerk shall immediately present the
transcript to the circuit court or mental hygiene commissioner of the county.
(2) If the circuit court or mental hygiene commissioner of the
county of the residence of the individual is satisfied from the evidence
contained in the transcript that the individual should be hospitalized as
determined by the standard set forth above in subdivision one of this
subsection, the circuit court shall order the appropriate hospitalization
as though the individual had been brought before the circuit court or its
mental hygiene commissioner in the first instance.
(3) This order shall be transmitted forthwith immediately
to the clerk of the circuit court of the county in which the hearing was held
who shall execute the order promptly.
(p) Order of custody to responsible person. — In lieu of
ordering the patient individual to a mental health facility or
state hospital, the circuit court may order the individual delivered to some responsible
person who will agree to take care of the individual and the circuit court may
take from the responsible person a bond in an amount to be determined by the
circuit court with condition to restrain and take proper care of the individual
until further order of the court.
(q) Individual not a resident of this state. — If the
individual is found to be mentally ill or addicted to have a
substance use disorder by the circuit court or mental hygiene commissioner
is a resident of another state, this information shall be forthwith immediately
given to the Secretary of the Department of Health and Human Resources, or to
his or her designee, who shall make appropriate arrangements for transfer of
the individual to the state of his or her residence conditioned on the
agreement of the individual, except as qualified by the interstate compact on
mental health.
(r) Report to the Secretary of the Department of Health and Human Resources. —
(1) The chief medical officer of a mental health facility or
state hospital admitting a patient pursuant to proceedings under this
section shall forthwith immediately make a report of the
admission to the Secretary of the Department of Health and Human Resources or
to his or her designee.
(2) Whenever an individual is released from custody due to the
failure of an employee of a mental health facility or state hospital to
comply with the time requirements of this article, the chief medical officer of
the mental health or state hospital facility shall forthwith immediately,
after the release of the individual, make a report to the Secretary of the
Department of Health and Human Resources or to his or her designee of the
failure to comply.
(s) Payment of some expenses by the state; mental hygiene fund established; expenses paid by the county commission. —
(1) The state shall pay the commissioner’s fee and the court reporter fees that are not paid and reimbursed under §29-21-1 et seq. of this code out of a special fund to be established within the Supreme Court of Appeals to be known as the Mental Hygiene Fund.
(2) The county commission shall pay out of the county treasury all other expenses incurred in the hearings conducted under the provisions of this article whether or not hospitalization is ordered, including any fee allowed by the circuit court by order entered of record for any physician, psychologist, and witness called by the indigent individual. The copying and mailing costs associated with providing notice of the final commitment hearing and issuance of the final order shall be paid by the county where the involuntary commitment petition was initially filed.
§27-5-10. Transportation for
the mentally ill or substance abuser persons with substance use
disorder.
(a) Whenever transportation of an individual is required under the
provisions of §27-4-1 et seq. and §27-5-1 et seq. of this code, it shall be the duty of
the sheriff to shall provide immediate transportation to or from
the appropriate mental health facility or state hospital: Provided,
That, where hospitalization occurs pursuant to §27-4-1 et seq. of this code,
the sheriff may permit, upon the written request of a person having proper
interest in the individual’s hospitalization, for the interested person to
arrange for the individual’s transportation to the mental health facility or
state hospital if the sheriff determines that such those means
are suitable given the individual’s condition.
(b) Upon written agreement between the county commission on behalf of the sheriff and the directors of the local community mental health center and emergency medical services, an alternative transportation program may be arranged. The agreement shall clearly define the responsibilities of each of the parties, the requirements for program participation, and the persons bearing ultimate responsibility for the individual’s safety and well-being.
(c) Use of certified municipal law-enforcement officers. —
Sheriffs and municipal governments are hereby authorized to may enter
into written agreements whereby by which certified municipal
law-enforcement officers may perform the duties of the sheriff as described in
this article. The agreement shall determine jurisdiction, responsibility of
costs, and all other necessary requirements, including training related to the
performance of these duties, and shall be approved by the county commission and
circuit court of the county in which the agreement is made. For purposes of
this subsection, “certified municipal law-enforcement officer” means any duly
authorized member of a municipal law-enforcement agency who is empowered to
maintain public peace and order, make arrests, and enforce the laws of this
state or any political subdivision thereof, other than parking ordinances, and
who is currently certified as a law-enforcement officer pursuant to §30-29-1 et seq. of
this code.
(d) In the event an individual requires transportation to a state hospital as defined by §27-1-6 of this code, the sheriff or certified municipal law-enforcement officer shall contact the state hospital in advance of the transportation to determine if the state hospital has suitable bed capacity to place the individual.
(e) (d) Nothing in this section is intended to alter security
responsibilities for the patient by the sheriff unless mutually agreed upon as
provided in subsection (c) of this section.
article 6A. competency and criminal responsibility of persons charged or convicted of a crime.
§27-6A-12. Study of adult criminal competency and responsibility issues; requiring and requesting report and proposed legislation; submission to legislature.
(a) The Secretary of the Department of Health and Human Resources shall, in collaboration with designees of the Supreme Court of Appeals, the Prosecuting Attorney’s Institute, the Public Defender Services, Disability Rights of West Virginia, and designees of the Board of Medicine, Board of Osteopathy, and the Board Examiners of Psychologists with experience in issues of competence and criminal responsibility, undertake an evaluation of the provisions of this article in the context of current constitutional requirements related to competency and responsibility issues, best medical practices, and pharmacological developments and draft proposed legislation to update the provisions of this article.
(b) The legislation required by the provisions of subsection (a) of this section shall be submitted to the President of the Senate and the Speaker of the House of Delegates on or before July 31, 2020.
Adopted
Rejected