pjc-family-2024-lib

I NVOLUNTARY C OMMITMENT

PJC 245.2

PJC 245.2 Extended Inpatient Mental Health Services As used in Questions 1 through 6, “clear and convincing evidence” means that measure or degree of proof that produces a firm belief or conviction that the allegations sought to be established are true. To be clear and convincing, there must be evidence of a recent overt act or a continuing pattern of behavior that tends to confirm (1) the likelihood of serious harm to the proposed patient or others or (2) the proposed patient’s distress and the deterioration of the pro posed patient’s ability to function. QUESTION 1 Do you find by clear and convincing evidence that INITIALS OF PRO POSED PATIENT is a person with mental illness? “Mental illness” means an illness, disease, or condition, other than epilepsy, dementia, substance abuse, or intellectual disability, that substantially impairs a person’s thought, perception of reality, emotional process, or judgment or grossly impairs behavior as demonstrated by recent disturbed behavior. Answer “Yes” or “No.” Answer: _______________ If you answered “Yes” to Question 1, then answer Question 2. Otherwise, do not answer Question 2. QUESTION 2 Do you find by clear and convincing evidence that, as a result of that mental illness, INITIALS OF PROPOSED PATIENT is likely to cause serious harm to himself ? Answer “Yes” or “No.” Answer: _______________ If you answered “Yes” to Question 1, then answer Question 3. Otherwise, do not answer Question 3. QUESTION 3 Do you find by clear and convincing evidence that, as a result of that mental illness, INITIALS OF PROPOSED PATIENT is likely to cause serious harm to others?

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