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Involuntary
Commitment of the Mentally Ill
WHAT IS AN INVOLUNTARY COMMITMENT?
An involuntary commitment is a procedure whereby a mentally
ill person is involuntarily placed in the custody of the Alabama Department of
Mental Health and Mental Retardation for treatment.
WHAT ELEMENTS MUST BE PRESENT IN ORDER TO COMMIT A
PERSON?
- The respondent is mentally ill; and
- Because of the mental illness the person poses a real
and present threat of substantial harm to himself or to others;
and
- Respondent will continue to experience mental distress
and deterioration of ability to function independently if not treated;
and
- Respondent is unable to make a rational decision
regarding treatment; and
- Evidence that a person has actually been dangerous in
the recent past and that such danger was manifested by an overt act, attempt or
threat to do substantial harm to himself or another; and
- Treatment is available for the person's mental illness
or confinement is necessary to prevent the person from causing substantial harm
to himself or to others; and
- Commitment is the least restrictive alternative
available.
WHO MAY FILE A PETITION TO INITIATE AN INVOLUNTARY
COMMITMENT PROCEEDING?
Any person may seek to have another person
committed by filing a petition with the Probate Court in accordance with
Alabama Code §22-52-1.2 (1975).
WHAT MUST THE PETITION
CONTAIN?
- Name and address of the petitioner; and
- Name and location of respondent's spouse, attorney or
next of kin; and
- That petitioner has reason to believe respondent is
mentally ill; and
- Petitioner's beliefs are based on specific behavior,
acts, attempts or threats which are described in detail; and
- Names and addresses of other people with knowledge of
the respondent's illness or who observed the person's overt acts and who may be
called as his witnesses.
WHERE IS THE PETITION FILED?
An involuntary
commitment petition is filed in the Probate Court of the county where the
respondent is located.
IS EXPERT TESTIMONY REQUIRED IN AN INVOLUNTARY
COMMITMENT HEARING?
Although not required, it is advisable to have expert
testimony to support a petition to commit since the petitioner must prove that
the person is mentally ill and other elements that would seem to call for an
opinion beyond that of a lay person.
A lay person may testify as to
their opinion on a person's sanity as long as they have had adequate
opportunity to observe that the respondent's conduct and have either normal or
abnormal behavior.
A licensed general practitioner of medicine is
considered an expert under Alabama law and may render expert testimony on a
person's sanity.
MUST A GUARDIAN AD LITEM BE APPOINTED TO AID THE PERSON
SOUGHT TO BE COMMITTED?
Yes, the Probate Court must appoint a guardian ad litem,
who is an attorney, to represent and protect the rights of the
respondent.
MUST THE COURT APPOINT ATTORNEYS TO REPRESENT THE
PARTIES INVOLVED IN AN INVOLUNTARY COMMITMENT PROCEEDING?
- For the respondent: yes, if such person lacks the mental
ability to secure the services of an attorney or if such person lacks the funds
to employ an attorney.
- For the petitioner: yes, the Probate Court must appoint
an attorney to advocate the petition to commit. The petitioner may employ an
attorney on their own to appear in lieu of the appointed attorney.
- If petition is denied, the petitioners may be required
to pay all costs of the proceedings.
TO WHOM MUST THE COURT SEND NOTICE OF THE COMMITMENT
PROCEEDING?
Notice of commencement of an involuntary commitment
proceeding must be served on the respondent and the Alabama Department of
Mental Health and Mental Retardation or other facility where the petition seeks
to have the person committed.
WHAT IS THE PROCEDURE TO BE FOLLOWED AT THE
HEARING?
- The respondent has the right to be present unless waived
(in writing) or presence would keep hearings from being conducted in an orderly
manner.
- A hearing is to be held by probate judge without a
jury.
- The hearings are to be open to the public unless
requested otherwise by the respondent.
- A full transcript of the hearing must be kept for three
years beyond period of commitment.
- The Alabama Rules of Evidence apply.
- The respondent has the right to offer evidence, and to
compel witnesses and the right to cross examine.
- Respondent may testify in his own behalf but cannot be
forced to testify against himself.
- Commitment is granted only if the elements required for
commitment are established by clear and convincing evidence.
WHAT ARE THE RESULTS OF THE HEARING?
If a commitment petition is granted, the order shall be
entered for outpatient treatment or inpatient treatment. The least restrictive
alternative necessary and available for the treatment of the respondent's
mental illness shall be ordered. Inpatient treatment may be ordered at a state
mental health facility or a designated mental health facility. Outpatient
treatment may be ordered at a designated mental health facility if said
facility consents to treat the respondent on an outpatient basis.
WHY MUST THE PRECEDING PROCEDURE BE RIGIDLY
FOLLOWED?
The preceding procedure sets out the minimum requirements
necessary for the commitment process to be constitutional under the procedural
and substantive due process clauses.
WHAT FOLLOWS AN INITIAL COMMITMENT?
- Initial commitment order valid for up to 150
days.
- State must file a petition for renewal within 30 days of
expiration of initial order, stating in detail reasons for
renewal.
- No renewal shall exceed one year.
- Respondent must be released if renewal petition is not
filed or is denied.
- The Alabama
Department of Mental Health and Mental Retardation has "an affirmative duty
to provide adequate transitional treatment and care for all patients released
after a period of involuntary confinement. Transitional care and treatment
possibilities include, but are not limited to, psychiatric day care, treatment
in the home by visiting therapist, nursing home or extended care, out-patient
treatment, and treatment in the psychiatric ward of a general
hospital."
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THIS INFORMATION PAGE, WHICH IS BASED ON ALABAMA LAW, IS TO
INFORM AND NOT TO ADVISE. NO PERSON SHOULD EVER APPLY OR INTERPRET ANY LAW
WITHOUT THE AID OF A LAWYER WHO ANALYZES THE FACTS, BECAUSE THE FACTS MAY
CHANGE THE APPLICATION OF THE LAW.
Additional Resources
Mobile Mental Health
Center, Inc. Mr. Tuerk Schlesinger, Executive Director 2400 Gordon
Smith Drive Mobile, AL 36617 Phone: 251-450-5907 FAX:
251-450-2213 Web Site: www.MobileMentalHealth.com
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Survivors of Mental
Illness Outreach, Inc. (SO-MI) Ms. Sandra Wimmer, Executive
Director 4351 Midmost Drive Mobile, AL 36609 Phone:
251-342-0261 FAX: 251-342-0490
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National Alliance for the
Mentally Ill (NAMI) 6900 6th Avenue South, Suite B Birmingham, AL
35212-1902 Phone (toll free): 800-626-4199
NAMI Mobile meets on the
3rd Monday of every month at 7:00 p.m. at the Springhill Baptist Church
Activities Building. For further information, call the toll free telephone
number listed above.
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