Presentation on theme: "Trumbull County Probate Court"— Presentation transcript:
1Trumbull County Probate Court Mental Illness Proceedings
2Legal Definition“Mental Illness” means a substantial disorder of thought, mood, perception, orientation, or memory that grossly impairs judgment, behavior, capacity to recognize reality, or ability to meet the ordinary demands of life.
3“Mentally ill person subject to hospitalization by court order” means a mentally ill person who, because of the person’s illness:Represents a substantial risk of physical harm to self as manifested by evidence of threats of, or attempts at, suicide or serious self- inflicted bodily harm;Represents a substantial risk of physical harm to others as manifested by evidence of recent homicidal or other violent behavior, evidence of recent threats that place another in reasonable fear of violent behavior and serious physical harm, or other evidence of present dangerousness;
4Represents a substantial and immediate risk of serious physical impairment or injury to self as manifested by evidence that the person is unable to provide for and is not providing for the person’s basic physical needs because of the person’s mental illness and that appropriate provision for those needs cannot be made immediately available in the community; orWould benefit from treatment in a hospital for the person’s mental illness and is in need of such treatment as manifested by evidence of behavior that creates a grave and imminent risk to substantial rights of others or the person.
5Mental Illness Proceedings Initiated by the filing of an Affidavit of Mental IllnessAlleging Individual is: Mentally ill, and A danger to self and/or others
6Prehearing Board or Agency designated by board Completes Report and refers matter to Probate Court
7If the court finds probable cause, the following are issued: Order to ConveyTemporary Order of DetentionORthe matter may be set for hearing
8Initial Hearing Held within 5 court days or 10 calendar days Clear and convincing evidenceCommitment can be ordered for up to 90 daysorder continues upon respondent’s discharge into the communityCourt must consider the following factors in making commitment:diagnosisprognosispreferences of respondentprojected treatment planleast restrictive alternative consistent with treatment goals
9In Re Burton (1984), 11 Ohio St. 3d 147. Totality of the circumstances is there a current risk of physical harm to self or others;testimony as to present mental and physical condition;whether individual has insight into mental illness and will continue treatment;grounds that are basis for commitment;past history that is relevant to establishing individuals conformity to laws, rules, regulations, and values of society; andif mental illness is in remission, the court shall consider the cause and degree of remission and probability that individual will continue treatment.
10Continued Commitmentat least 10 days prior to the end of 90 day period, an application for continued commitment shall be filedmandatory hearingcourt may issue an order of commitment for up to 2 years, and every 2 years thereafter
11Forced Medication Application for forced medication Steele v. Hamilton Community Mental Health Board (2000), 90 Ohio St. 3d 176Emergency medication is a medical decisionNonemergency medication is a judicial decisionApplication for forced medicationindividual does not pose an imminent riskindividual does not have the capacity to give or withhold informed consentit is the individual’s best interest: the benefits outweigh the risksno less intrusive treatment will be effective in treating mental illness