SOP_NUMBER: 508.26-att-7
TITLE: Notification of Involuntary Medication Due Process Committee Decision
REFERENCE_CODE: VG66-0001
DIVISION: Mental Health Administration
TOPIC_AREA: 508 Policy-MH Administration/Staff/Certification
EFFECTIVE_DATE: 2023-08-08
WORD_COUNT: 195
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/290549
URL: https://gps.press/sop-data/508.26-att-7/

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

ATTACHMENTS:
  1. Involuntary Medication Order Check Sheet
     URL: https://gps.press/sop-data/508.26-att-1/
  2. Physician Opinion for Involuntary Medication
     URL: https://gps.press/sop-data/508.26-att-2/
  3. Notification of Involuntary Medication Due Process Committee Hearing
     URL: https://gps.press/sop-data/508.26-att-3/
  4. Involuntary Medication Rights of Offender
     URL: https://gps.press/sop-data/508.26-att-4/
  5. Mental Health Due Process Committee Involuntary Medication Review
     URL: https://gps.press/sop-data/508.26-att-5/
  6. Involuntary Medication Hearing Log
     URL: https://gps.press/sop-data/508.26-att-6/
  7. Notification of Involuntary Medication Due Process Committee Decision
     URL: https://gps.press/sop-data/508.26-att-7/

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FULL TEXT:
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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.