By Carona                                              S.B. No. 432
         77R5078 SMJ-D                           
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to the detention and transportation of a person admitted
 1-3     to a county mental health facility for mental health services.
 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-5           SECTION 1.  Subchapter C, Chapter 573, Health and Safety
 1-6     Code, is amended by adding Section 573.0215 to read as follows:
 1-7           Sec. 573.0215.  DETENTION AT COUNTY MENTAL HEALTH FACILITY.
 1-8     (a)  A person admitted to a county mental health facility for
 1-9     mental health services may be detained in custody if:
1-10                 (1)  a physician conducts a preliminary examination of
1-11     the person;
1-12                 (2)  after the examination, the physician makes a
1-13     written statement that:
1-14                       (A)  states that it is the physician's opinion
1-15     that:
1-16                             (i)  the person is mentally ill;
1-17                             (ii)  the person evidences a substantial
1-18     risk of serious harm to the person or to others;
1-19                             (iii)  the described risk of harm is
1-20     imminent unless the person is immediately restrained; and
1-21                             (iv)  detention is the least restrictive
1-22     means by which the necessary restraint may be accomplished; and
1-23                       (B)  includes:
1-24                             (i)  a description of the nature of the
 2-1     person's mental illness;
 2-2                             (ii)  a specific description of the risk of
 2-3     harm the person evidences that may be demonstrated either by the
 2-4     person's behavior or by evidence of severe emotional distress and
 2-5     deterioration in the person's mental condition to the extent that
 2-6     the person cannot remain at liberty; and
 2-7                             (iii)  the specific detailed information
 2-8     from which the physician formed the opinion under Paragraph (A);
 2-9     and
2-10                 (3)  an application for emergency detention or for
2-11     court-ordered mental health services for the person is filed.
2-12           (b)  A person may be detained in custody under this section
2-13     for not longer than 24 hours after the time the person enters a
2-14     county mental health facility unless a written order for further
2-15     detention is obtained.  If the 24-hour period ends on a Saturday,
2-16     Sunday, or legal holiday or before 4 p.m. on the first succeeding
2-17     business day, the person may be detained until 4 p.m. on the first
2-18     succeeding business day.  If extremely hazardous weather conditions
2-19     exist or a disaster occurs, the presiding judge or magistrate may,
2-20     by written order made each day, extend by an additional 24 hours
2-21     the period during which the person may be detained.  The written
2-22     order must declare that an emergency exists because of the weather
2-23     or the occurrence of a disaster.
2-24           (c)  A county mental health facility may transport a person
2-25     who is detained under this section to:
2-26                 (1)  a facility of the single portal authority for the
2-27     service area;
 3-1                 (2)  an appropriate inpatient mental health facility,
 3-2     if no single portal authority serves the area; or
 3-3                 (3)  a facility considered suitable by the county's
 3-4     mental health authority, if no single portal authority serves the
 3-5     area and an appropriate inpatient mental health facility is not
 3-6     available.
 3-7           (d)  The time limits described by Subsection (b) are not
 3-8     affected by transporting the person under Subsection (c).
 3-9           SECTION 2.  Section 573.022, Health and Safety Code, is
3-10     amended to read as follows:
3-11           Sec. 573.022.  EMERGENCY ADMISSION AND DETENTION.  [(a)]  A
3-12     person may be admitted to a facility for emergency detention only
3-13     if the physician who conducted the preliminary examination of the
3-14     person makes a written statement that:
3-15                 (1)  is acceptable to the facility;
3-16                 (2)  states that after a preliminary examination it is
3-17     the physician's opinion that:
3-18                       (A)  the person is mentally ill;
3-19                       (B)  the person evidences a substantial risk of
3-20     serious harm to himself or others;
3-21                       (C)  the described risk of harm is imminent
3-22     unless the person is immediately restrained; and
3-23                       (D)  emergency detention is the least restrictive
3-24     means by which the necessary restraint may be accomplished; and
3-25                 (3)  includes:
3-26                       (A)  a description of the nature of the person's
3-27     mental illness;
 4-1                       (B)  a specific description of the risk of harm
 4-2     the person evidences that may be demonstrated either by the
 4-3     person's behavior or by evidence of severe emotional distress and
 4-4     deterioration in the person's mental condition to the extent that
 4-5     the person cannot remain at liberty; and
 4-6                       (C)  the specific detailed information from which
 4-7     the physician formed the opinion in Subdivision (2).
 4-8           [(b)  A county mental health facility that has admitted a
 4-9     person for emergency detention under this section may transport the
4-10     person to:]
4-11                 [(1)  a facility of the single portal authority for the
4-12     area;]
4-13                 [(2)  an appropriate inpatient mental health facility,
4-14     if no single portal authority serves the area; or]
4-15                 [(3)  a facility deemed suitable by the county's mental
4-16     health authority, if no single portal authority serves the area and
4-17     an appropriate inpatient mental health facility is not available.]
4-18           SECTION 3.  Section 573.025(a), Health and Safety Code, is
4-19     amended to read as follows:
4-20           (a)  A person apprehended or detained under this chapter has
4-21     the right:
4-22                 (1)  to be advised of the location of detention, the
4-23     reasons for the detention, and the fact that the detention could
4-24     result in a longer period of involuntary commitment;
4-25                 (2)  to a reasonable opportunity to communicate with
4-26     and retain an attorney;
4-27                 (3)  to be transported to a location as provided by
 5-1     Section 573.024 if the person is not admitted for emergency
 5-2     detention, unless the person is arrested or objects;
 5-3                 (4)  to be released from a facility as provided by
 5-4     Section 573.023;
 5-5                 (5)  to be advised that communications with a mental
 5-6     health professional may be used in proceedings for further
 5-7     detention; and
 5-8                 (6)  to be transported in accordance with Section
 5-9     [Sections] 573.026 or [and] 574.045, if the person is detained
5-10     under Section 573.0215 or 573.022 or is transported under an order
5-11     of protective custody under Section 574.023.
5-12           SECTION 4.  This Act takes effect immediately if it receives
5-13     a vote of two-thirds of all the members elected to each house, as
5-14     provided by Section 39, Article III, Texas Constitution.  If this
5-15     Act does not receive the vote necessary for immediate effect, this
5-16     Act takes effect September 1, 2001.