SOP_NUMBER: 508.25-att-4
TITLE: Notification of Involuntary Hospitalization Due Process Committee Hearing
DIVISION: Office of Health Services
TOPIC_AREA: 508 Policy-MH Evaluations/Screenings/Treatment
EFFECTIVE_DATE: 2022-08-02
WORD_COUNT: 181
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/290541
URL: https://gps.press/sop-data/508.25-att-4/

SUMMARY:
This form notifies an incarcerated person that a due process committee will hold a hearing to determine whether they meet criteria for involuntary psychiatric hospitalization. The offender is informed of the hearing date, time, and location, and is advised that a GDC Mental Health Staff member has been appointed as their advocate to help them express their reasons for refusing hospitalization. The form is placed in the offender's mental health and medical files and retained for 10 years.

KEY_TOPICS: involuntary hospitalization, due process hearing, mental health committee, psychiatric hospitalization, mental health advocacy, offender advocate, due process rights, hospitalization criteria, mental health services, hospitalization notification

ATTACHMENTS:
  1. Certificate of Referral for Emergency Admission (Form M65-01-01)
     URL: https://gps.press/sop-data/508.25-att-1/
  2. Certificate of Mental Condition (Form M65-01-02)
     URL: https://gps.press/sop-data/508.25-att-2/
  3. Emergency Admission Rights of Offenders (Form M65-01-03)
     URL: https://gps.press/sop-data/508.25-att-3/
  4. Notification of Involuntary Hospitalization Due Process Committee Hearing
     URL: https://gps.press/sop-data/508.25-att-4/
  5. Involuntary Psychiatric Hospital Admission Review (Form M65-01-05)
     URL: https://gps.press/sop-data/508.25-att-5/

========================================================================
FULL TEXT:
========================================================================

SOP 508.25
Attachment 4

8/2/22

# **Notification of Involuntary Hospitalization Due Process Committee Hearing**


Date: ___________________

To: ID # _______________________________
Offender Name

From: ______________________________ ______________________________
Mental Health Unit Manager Facility

RE: Mental Health Involuntary Psychiatric Hospitalization Due Process Committee Hearing

This is to advise you that a due process committee will meet on at hours in
the following location: ________________________________. The purpose of the meeting is to
determine whether you meet the criteria for involuntary psychiatric hospitalization.

A representative from the GDC Mental Health Staff, _________________________________,
has been appointed to assist you as your advocate. The assistance of this staff member will be
limited to helping you to verbalize your reasons for refusal of the hospitalization.


Form no. M65-01-04 Page  1 of 1

Retention Schedule: Completed forms will be given to the offender, a copy will be given to the Psychiatric Hospital,
and a copy will be placed in the offender’s mental health file (section 5) and medical file (section 5). At the end of the
offender’s need for mental health services and/or sentence, the mental health file will be placed within the offender’s
health record and retained for 10 years.