PRINTER'S NO. 1122

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1020 Session of 1987


        INTRODUCED BY CALTAGIRONE, DALEY, TIGUE, STEWART, REBER, NOYE,
           J. L. WRIGHT, DeWEESE, HALUSKA, WAMBACH, PRESSMANN, LaGROTTA,
           MORRIS, TRELLO, CLYMER, KENNEY, TELEK, SAURMAN, FOX, COHEN,
           STABACK, BELARDI, McHALE, J. TAYLOR, E. Z. TAYLOR, MAIALE,
           HOWLETT AND VEON, APRIL 7, 1987

        REFERRED TO COMMITTEE ON HEALTH AND WELFARE, APRIL 7, 1987

                                     AN ACT

     1  Amending the act of July 9, 1976 (P.L.817, No.143), entitled "An
     2     act relating to mental health procedures; providing for the
     3     treatment and rights of mentally disabled persons, for
     4     voluntary and involuntary examination and treatment and for
     5     determinations affecting those charged with crime or under
     6     sentence," providing for the commitment of obviously mentally
     7     ill persons.

     8     The General Assembly of the Commonwealth of Pennsylvania
     9  hereby enacts as follows:
    10     Section 1.  Section 301 of the act of July 9, 1976 (P.L.817,
    11  No.143), known as the Mental Health Procedures Act, amended
    12  November 26, 1978 (P.L.1362, No.324), is amended to read:
    13     Section 301.  Persons Who May be Subject to Involuntary
    14  Emergency Examination and Treatment.--(a)  Persons Subject.--
    15  Whenever a person is severely mentally disabled or obviously
    16  mentally ill and in need of immediate treatment, he may be made
    17  subject to involuntary emergency examination and treatment. A
    18  person is severely mentally disabled when, as a result of mental
    19  illness, his capacity to exercise self-control, judgment and

     1  discretion in the conduct of his affairs and social relations or
     2  to care for his own personal needs is so lessened that he poses
     3  a clear and present danger of harm to others or to himself.
     4     (b)  Determination of Clear and Present Danger.--(1)  Clear
     5  and present danger to others shall be shown by establishing that
     6  within the past 30 days the person has inflicted or attempted to
     7  inflict serious bodily harm on another and that there is a
     8  reasonable probability that such conduct will be repeated. If,
     9  however, the person has been found incompetent to be tried or
    10  has been acquitted by reason of lack of criminal responsibility
    11  on charges arising from conduct involving infliction of or
    12  attempt to inflict substantial bodily harm on another, such 30-
    13  day limitation shall not apply so long as an application for
    14  examination and treatment is filed within 30 days after the date
    15  of such determination or verdict. In such case, a clear and
    16  present danger to others may be shown by establishing that the
    17  conduct charged in the criminal proceeding did occur, and that
    18  there is a reasonable probability that such conduct will be
    19  repeated. For the purpose of this section, a clear and present
    20  danger of harm to others may be demonstrated by proof that the
    21  person has made threats of harm and has committed acts in
    22  furtherance of the threat to commit harm.
    23     (2)  Clear and present danger to himself shall be shown by
    24  establishing that within the past 30 days:
    25     (i)  the person has acted in such manner as to evidence that
    26  he would be unable, without care, supervision and the continued
    27  assistance of others, to satisfy his need for nourishment,
    28  personal or medical care, shelter, or self-protection and
    29  safety, and that there is a reasonable probability that death,
    30  serious bodily injury or serious physical debilitation would
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     1  ensue within 30 days unless adequate treatment were afforded
     2  under this act; or
     3     (ii)  the person has attempted suicide and that there is the
     4  reasonable probability of suicide unless adequate treatment is
     5  afforded under this act. For the purposes of this subsection, a
     6  clear and present danger may be demonstrated by the proof that
     7  the person has made threats to commit suicide and has committed
     8  acts which are in furtherance of the threat to commit suicide;
     9  or
    10     (iii)  the person has substantially mutilated himself or
    11  attempted to mutilate himself substantially and that there is
    12  the reasonable probability of mutilation unless adequate
    13  treatment is afforded under this act. For the purposes of this
    14  subsection, a clear and present danger shall be established by
    15  proof that the person has made threats to commit mutilation and
    16  has committed acts which are in furtherance of the threat to
    17  commit mutilation.
    18     (c)  Obviously Ill.--A person is obviously ill if the
    19  person's current behavior and previous history of mental
    20  illness, if known, indicate a serious mental or emotional
    21  illness and if the person is incapable of understanding the
    22  risks to health and safety involved in refusing treatment, the
    23  advantages of accepting treatment, and the alternatives to the
    24  particular treatment offered, after the advantages, risks and
    25  alternatives have been explained to the person.
    26     Section 2.  This act shall take effect in 60 days.



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