MHA Forms

Form 1

admission certificate - authorizes someone to be taken to a facility within 72 hours

when does the second form 1 have to be filled

within 24 hours of the first form 1 being filled

form 2

renewal certificate - renwal of form 1, needs to be filled out by two health providers

who must be one of the health professionals to fill out a form 2

One MUST be a psychiatrist

how long is the first renwal valid for

1 month

how long is the second renewal valid for

1 month

how long are the third and subsequent renewals valid for

6 months

Form 3

for AWOL certified patients - fill this form so police can look for them and bring them back

form 7

information form - allows anyones to present info on a person they beeive meets the criteria for becoming a formal patient

form 8

warrant - allows for peace officers to take the person stated in the warrent to the hosptial for examination

Form 10

apprehension - peace oficers fill these out when they think a person they found in the community needs to be assessed and meets form 1 criteria

Form 11

certificate of incompetence - patient is not well enough to make decisions for themselves so a sub deicision maker is decided

Form 12

request for review panel hearing - patient fills out to appeal the form 11

who can request a form 12

anyone

when must a form 12 have to be filled

its automatic at 6 months

Form 15

decision of review panel regarding tretment - if a patient refuses treatment the review board my order a specific treatment that MUST be taken if the physican asks for it

Form 19

Community Treatment Order (CTO) - for people that have serve mental disorder that need to go back back into the community - being forced to have community tx, if they don’t they can be apprehended and taken to the hosptial for assessment

if there is risk of harm to the patient or others is permission needed for treatment

no, because it is treatment for the purpose of maintaing control

Note: psychosurgery is not part of this

3 aspects of the treatment plan

1. Anticipated treatment

2. Criteria for release

3. Criteria for privlages

4 Formal Criteria

1. Must have a mental disorder

2. has potential to benefit from treatment

3. Within reasonable time will cause harm to themselves or others due to the mental disorder

4. Cannot be admitted in any other way than as a formal patient