SOP 508.26-att-7: Notification of Involuntary Medication Due Process Committee Decision

Division:
Mental Health Administration
Effective Date:
August 8, 2023
Reference Code:
VG66-0001
Topic Area:
508 Policy-MH Administration/Staff/Certification
PowerDMS:
View on PowerDMS
Length:
195 words

Summary

This is a notification form used to inform incarcerated individuals of the Mental Health Involuntary Medication Due Process Committee's decision regarding whether they meet criteria for involuntary medication administration. The form notifies the offender of the committee's findings, informs them of their rights to rehearing, and documents the decision in their mental health and medical records. It applies to all GDC facilities administering involuntary psychiatric medications.

Key Topics

  • involuntary medication
  • due process
  • medication administration
  • mental health committee
  • psychiatric medication
  • offender rights
  • medication decision
  • rehearing
  • mental health file
  • medical documentation

Full Text

SOP 508.26
Attachment 7

8/8/23

# Notification of Involuntary Medication Committee Decision

Date: _______________________

To: _________________________________________________ ________________________
Offender Name ID #

From: ______________________________________ ________________________
Mental Health Unit Manager Facility

RE: Decision of Mental Health Involuntary Medication Due Process

This is to advise you that the Mental Health Involuntary Due Process Committee met

on ___________________ at __________________ hours and made the following finding:
(date) (time)

[ ] You met criteria for involuntary medication administration. The medication will
continue to be administered involuntarily until your physician determines that it is no
longer necessary. This decision may be reviewed through a rehearing in six (6) months.

[ ] You did not meet criteria for involuntary medication administration. The involuntary
administration of the medication will be discontinued. Your physician may continue to
offer medication to you on a voluntary basis.

Cc: ____________________________________________
(Offender Advocate)

Form No. M66-01-07

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

Attachments (7)

  1. Involuntary Medication Order Check Sheet (415 words)
  2. Physician Opinion for Involuntary Medication (70 words)
  3. Notification of Involuntary Medication Due Process Committee Hearing (291 words)
  4. Involuntary Medication Rights of Offender (574 words)
  5. Mental Health Due Process Committee Involuntary Medication Review (432 words)
  6. Involuntary Medication Hearing Log (54 words)
  7. Notification of Involuntary Medication Due Process Committee Decision (195 words)
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