PRINTER'S NO. 205
No. 213 Session of 2005
INTRODUCED BY GREENLEAF, ORIE, ERICKSON, COSTA, KITCHEN, TOMLINSON, WOZNIAK, THOMPSON, O'PAKE AND BOSCOLA, FEBRUARY 8, 2005
REFERRED TO PUBLIC HEALTH AND WELFARE, FEBRUARY 8, 2005
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," adding provisions relating to assisted outpatient 7 treatment programs. 8 The General Assembly of the Commonwealth of Pennsylvania 9 hereby enacts as follows: 10 Section 1. The act of July 9, 1976 (P.L.817, No.143), known 11 as the Mental Health Procedures Act, is amended by adding an 12 article to read: 13 ARTICLE III-A 14 Assisted Outpatient Treatment 15 Section 301-A. Definitions. 16 The following words and phrases when used in this article 17 shall have the meanings given to them in this section unless the 18 context clearly indicates otherwise: 19 "Assisted outpatient" or "patient." A person under a court 20 order to receive assisted outpatient treatment.
1 "Assisted outpatient treatment." Any of the following 2 categories of outpatient services which have been ordered by the 3 court pursuant to section 305-A (relating to assisted outpatient 4 treatment program): 5 (1) Case management services or assertive community 6 treatment team services to provide care coordination. 7 (2) Medication. 8 (3) Periodic blood tests or urinalysis to determine 9 compliance with prescribed medications. 10 (4) Individual or group therapy. 11 (5) Day or partial programming activities. 12 (6) Educational and vocational training or activities. 13 (7) Alcohol or substance abuse treatment and counseling 14 and periodic tests for the presence of alcohol or illegal 15 drugs for persons with a history of alcohol or substance 16 abuse. 17 (8) Supervision of living arrangements. 18 (9) Any other services within an individualized 19 treatment plan developed pursuant to Article I (relating to 20 general provisions) prescribed to treat the person's mental 21 illness and to assist the person in living and functioning in 22 the community, or to attempt to prevent a relapse or 23 deterioration that may reasonably be predicted to result in 24 suicide or the need for hospitalization. 25 "Assisted outpatient treatment program" or "program." A 26 system to arrange for and coordinate the provision of assisted 27 outpatient treatment, to monitor treatment compliance by 28 assisted outpatients, to evaluate the condition or needs of 29 assisted outpatients, to take appropriate steps to address the 30 needs of assisted outpatients and to ensure compliance with 20050S0213B0205 - 2 -
1 court orders. 2 "Director." The director of a hospital licensed or operated 3 by the Department of Public Welfare which operates, directs and 4 supervises an assisted outpatient treatment program, or the 5 county administrator which operates, directs and supervises an 6 assisted outpatient treatment program. 7 "Program coordinator." An individual appointed under section 8 302-A(a) (relating to program coordinators to be appointed) who 9 is responsible for the oversight and monitoring of assisted 10 outpatient treatment programs. 11 "Subject of the petition" or "subject." A person who is 12 alleged in a petition, filed pursuant to the provisions of 13 section 305-A (relating to assisted outpatient treatment 14 program), to meet the criteria for assisted outpatient 15 treatment. 16 Section 302-A. Program coordinators to be appointed. 17 (a) Duty of secretary.--The Secretary of Public Welfare 18 shall appoint program coordinators of assisted outpatient 19 treatment, who shall be responsible for the oversight and 20 monitoring of assisted outpatient treatment programs established 21 pursuant to section 305-A (relating to assisted outpatient 22 treatment program). County administrators shall work in 23 conjunction with the program coordinators to coordinate the 24 implementation of assisted outpatient treatment programs. 25 (b) Oversight and monitoring duties.--The oversight and 26 monitoring role of the program coordinator of the assisted 27 outpatient treatment program shall include each of the 28 following: 29 (1) That each assisted outpatient receives the treatment 30 provided for in the court order issued pursuant to section 20050S0213B0205 - 3 -
1 305-A. 2 (2) That existing services located in the assisted 3 outpatient's community are utilized whenever practicable. 4 (3) That a case manager or assertive community treatment 5 team is designated for each assisted outpatient. 6 (4) That a mechanism exists for a case manager, or 7 assertive community treatment team, to regularly report the 8 assisted outpatient's compliance, or lack of compliance, with 9 treatment to the director of the assisted outpatient 10 treatment program. 11 (5) That assisted outpatient treatment services are 12 delivered in a timely manner. 13 (c) Standards to be developed.--The Secretary of Public 14 Welfare shall develop standards designed to ensure that case 15 managers or assertive community treatment teams have appropriate 16 training and have clinically manageable caseloads designed to 17 provide effective case management or other care coordination 18 services for persons subject to a court order under section 305- 19 A. 20 (d) Corrective action to be taken.--Upon review or receiving 21 notice that services are not being delivered in a timely manner, 22 the program coordinator shall require the director of the 23 assisted outpatient treatment program to immediately commence 24 corrective action and inform the program coordinator of the 25 corrective action taken. Failure of a director to take 26 corrective action shall be reported by the program coordinator 27 to the Secretary of Public Welfare as well as to the court which 28 ordered the assisted outpatient treatment. 29 Section 303-A. Duties of county administrators. 30 Each county administrator shall be responsible for the filing 20050S0213B0205 - 4 -
1 of petitions for assisted outpatient treatment pursuant to 2 section 305-A (relating to assisted outpatient treatment 3 program), for the receipt and investigation of reports of 4 persons who are alleged to be in need of that treatment and for 5 coordinating the delivery of court-ordered services with program 6 coordinators, appointed by the Secretary of Public Welfare 7 pursuant to section 302-A(a) (relating to program coordinators 8 to be appointed). In discharge of the duties imposed by section 9 305-A, directors of community services may provide services 10 directly, or may coordinate services with the offices of the 11 Secretary of Public Welfare or may contract with any public or 12 private provider to provide services for assisted outpatient 13 treatment programs as may be necessary to carry out the duties 14 imposed pursuant to this article. 15 Section 304-A. Directors of assisted outpatient treatment 16 programs. 17 (a) General duties.-- 18 (1) Directors of assisted outpatient treatment programs 19 established pursuant to section 305-A (relating to assisted 20 outpatient treatment program) shall provide a written report 21 to the program coordinators, appointed by the Secretary of 22 Public Welfare pursuant to section 302-A(a) (relating to 23 program coordinators to be appointed), within three days of 24 the issuance of a court order. The report shall demonstrate 25 that mechanisms are in place to ensure the delivery of 26 services and medications as required by the court order and 27 shall include, but not be limited to, the following: 28 (i) A copy of the court order. 29 (ii) A copy of the written treatment plan. 30 (iii) The identity of the case manager or assertive 20050S0213B0205 - 5 -
1 community treatment team, including the name and contact 2 data of the organization which the case manager or 3 assertive community treatment team member represents. 4 (iv) The identity of providers of services. 5 (v) The date on which services have commenced or 6 will commence. 7 (2) The directors of assisted outpatient treatment 8 programs shall ensure the timely delivery of services 9 described in section 305-A pursuant to any court order issued 10 thereunder. Directors of assisted outpatient treatment 11 programs shall immediately commence corrective action upon 12 receiving notice from program coordinators that services are 13 not being provided in a timely manner, and the directors 14 shall inform the program coordinator of the corrective action 15 taken. 16 (b) Quarterly reports to program coordinators.--Directors of 17 assisted outpatient treatment programs shall submit quarterly 18 reports to the program coordinators regarding the assisted 19 outpatient treatment program operated or administered by them. 20 The report shall include the following information: 21 (1) The names of individuals served by the program. 22 (2) The percentage of petitions for assisted outpatient 23 treatment that are granted by the court. 24 (3) Any change in status of assisted outpatients, 25 including, but not limited to, the number of individuals who 26 have failed to comply with court-ordered assisted outpatient 27 treatment. 28 (4) A description of material changes in written 29 treatment plans of assisted outpatients. 30 (5) Any change in case managers. 20050S0213B0205 - 6 -
1 (6) A description of the categories of services which 2 have been ordered by the court. 3 (7) Living arrangements of individuals served by the 4 program including the number, if any, who are homeless. 5 (8) Any other information as required by the Secretary 6 of Public Welfare. 7 (9) Any recommendations to improve the program Statewide 8 or locally. 9 Section 305-A. Assisted outpatient treatment program. 10 (a) Director to obtain approval from secretary.--A director 11 may operate, direct and supervise an assisted outpatient 12 treatment program as provided in this section, upon approval by 13 the Secretary of Public Welfare. The county administrator shall 14 operate, direct and supervise an assisted outpatient treatment 15 program as provided in this section, upon approval by the 16 Secretary of Public Welfare. County administrators shall be 17 permitted to satisfy the provisions of this article through the 18 operation of joint assisted outpatient treatment programs. 19 Nothing in this article shall be construed to preclude the 20 combination or coordination of efforts between and among 21 counties and hospitals in providing and coordinating assisted 22 outpatient treatment. 23 (b) Criteria for assisted outpatient treatment.--A patient 24 may be ordered to obtain assisted outpatient treatment if the 25 court finds the following: 26 (1) The patient is 18 years of age or older. 27 (2) The patient is suffering from a mental illness. 28 (3) The patient is unlikely to survive safely in the 29 community without supervision, based on a clinical 30 determination. 20050S0213B0205 - 7 -
1 (4) The patient has a history of lack of compliance with 2 treatment for mental illness that has: 3 (i) at least twice within the preceding 36 months 4 been a significant factor in necessitating 5 hospitalization, or receipt of services in a forensic or 6 other mental health unit of a correctional facility, not 7 including any period during which the person was 8 hospitalized or imprisoned immediately preceding the 9 filing of the petition; or 10 (ii) resulted in one or more acts of serious violent 11 behavior toward self or others or threats of, or attempts 12 at, serious physical harm to self or others within the 13 preceding 48 months, not including any period in which 14 the person was hospitalized or imprisoned immediately 15 preceding the filing of the petition. 16 (5) The patient is, as a result of the patient's mental 17 illness, unlikely to voluntarily participate in the 18 recommended treatment pursuant to the treatment plan. 19 (6) In view of the patient's treatment history and 20 current behavior, the patient is in need of assisted 21 outpatient treatment in order to prevent a relapse or 22 deterioration which would be likely to pose a clear and 23 present danger of harm to others or to himself as determined 24 under section 301 (relating to persons who may be subject to 25 involuntary emergency examination and treatment). 26 (7) It is likely that the patient will benefit from 27 assisted outpatient treatment. 28 (c) Petition to the court.-- 29 (1) A petition for an order authorizing assisted 30 outpatient treatment may be filed in the court of common 20050S0213B0205 - 8 -
1 pleas of the county in which the subject of the petition is 2 present or reasonably believed to be present. A petition to 3 obtain an order authorizing assisted outpatient treatment may 4 be initiated only by the following persons: 5 (i) a person 18 years of age or older with whom the 6 subject of the petition resides; 7 (ii) the parent, spouse, sibling 18 years of age or 8 older, or child 18 years of age or older of the subject 9 of the petition; 10 (iii) the director of the facility in which the 11 subject of the petition is hospitalized; 12 (iv) the director of any public or charitable 13 organization, agency or home providing mental health 14 services to the subject of the petition in whose 15 institution the subject of the petition resides; 16 (v) a qualified psychiatrist who is either 17 supervising the treatment of or treating the subject of 18 the petition for a mental illness; 19 (vi) the county administrator, or his designee; or 20 (vii) a parole officer or probation officer assigned 21 to supervise the subject of the petition. 22 (2) The petition shall state: 23 (i) Each of the criteria for assisted outpatient 24 treatment as set forth in subsection (b). 25 (ii) The facts which support the petitioner's belief 26 that the person who is the subject of the petition meets 27 each criterion, provided that the hearing on the petition 28 need not be limited to the stated facts. 29 (iii) That the subject of the petition is present, 30 or is reasonably believed to be present, within the 20050S0213B0205 - 9 -
1 county where the petition is filed. 2 (3) The petition shall be accompanied by an affirmation 3 or affidavit of a physician, who shall not be the petitioner, 4 and shall state either that: 5 (i) The physician has personally examined the person 6 who is the subject of the petition not more than ten days 7 prior to the submission of the petition, recommends 8 assisted outpatient treatment for the subject of the 9 petition and is willing and able to testify at the 10 hearing on the petition. 11 (ii) Not more than ten days prior to the filing of 12 the petition, the physician or his designee has made 13 appropriate attempts to elicit the cooperation of the 14 subject of the petition but has not been successful in 15 persuading the subject to submit to an examination, that 16 the physician has reason to suspect that the subject of 17 the petition meets the criteria for assisted outpatient 18 treatment, and that the physician is willing and able to 19 examine the subject of the petition and testify at the 20 hearing on the petition. 21 (d) Right to counsel.--The subject of the petition shall 22 have the right to be represented by counsel at the expense of 23 the subject of the petition at all stages of a proceeding 24 commenced under this section. 25 (e) Hearing.-- 26 (1) Upon receipt by the court of the petition submitted 27 pursuant to subsection (c), the court shall fix the date for 28 a hearing at a time not later than three days from the date 29 the petition is received by the court, excluding Saturdays, 30 Sundays and holidays. Adjournments shall be permitted only 20050S0213B0205 - 10 -
1 for good cause shown. In granting adjournments, the court 2 shall consider the need for further examination by a 3 physician or the potential need to provide assisted 4 outpatient treatment expeditiously. 5 (2) The court shall cause the subject of the petition, 6 the petitioner, the physician whose affirmation or affidavit 7 accompanied the petition, the appropriate director, and such 8 other persons as the court may determine to be advised of the 9 date for the hearing. 10 (3) Upon the date for the hearing, or upon such other 11 date to which the proceeding may be adjourned, the court 12 shall hear testimony and, if it be deemed advisable and the 13 subject of the petition is available, examine the subject 14 alleged to be in need of assisted outpatient treatment in or 15 out of court. 16 (4) If the subject of the petition does not appear at 17 the hearing, and appropriate attempts to elicit the 18 attendance of the subject have failed, the court may conduct 19 the hearing in the subject's absence. If the hearing is 20 conducted without the subject of the petition present, the 21 court shall set forth the factual basis for conducting the 22 hearing without the presence of the subject of the petition. 23 (5) The court may not order assisted outpatient 24 treatment unless an examining physician, who has personally 25 examined the subject of the petition within the time period 26 commencing ten days before the filing of the petition, 27 testifies in person at the hearing. 28 (6) If the subject of the petition has refused to be 29 examined by a physician, the court may request the subject to 30 consent to an examination by a physician appointed by the 20050S0213B0205 - 11 -
1 court. If the subject of the petition does not consent and 2 the court finds reasonable cause to believe that the 3 allegations in the petition are true, the court may order law 4 enforcement officers or of a sheriff's department to take the 5 subject of the petition into custody and transport him to a 6 hospital for examination by a physician. Retention of the 7 subject of the petition under the order shall not exceed 24 8 hours. 9 (7) The examination of the subject of the petition may 10 be performed by the physician whose affirmation or affidavit 11 accompanied the petition, if the physician is privileged by 12 the hospital or otherwise authorized by the hospital to do 13 so. If the examination is performed by another physician of 14 the hospital, the examining physician shall be authorized to 15 consult with the physician whose affirmation or affidavit 16 accompanied the petition regarding the issues of whether the 17 allegations in the petition are true and whether the subject 18 meets the criteria for assisted outpatient treatment. 19 (8) A physician who testifies pursuant to paragraph (5) 20 shall state the facts which support the allegation that the 21 subject meets each of the criteria for assisted outpatient 22 treatment, and the treatment is the least restrictive 23 alternative, the recommended assisted outpatient treatment, 24 and the rationale for the recommended assisted outpatient 25 treatment. If the recommended assisted outpatient treatment 26 includes medication, the physician's testimony shall describe 27 the types or classes of medication which should be 28 authorized, shall describe the beneficial and detrimental 29 physical and mental effects of the medication, and shall 30 recommend whether the medication should be self-administered 20050S0213B0205 - 12 -
1 or administered by authorized personnel. 2 (9) The subject of the petition shall be afforded an 3 opportunity to present evidence, to call witnesses on behalf 4 of the subject, and to cross-examine adverse witnesses. 5 (f) Written individualized treatment plan.-- 6 (1) (i) The court may not order assisted outpatient 7 treatment unless an examining physician appointed by the 8 appropriate director develops and provides to the court a 9 proposed written individualized treatment plan. The 10 written individualized treatment plan shall include case 11 management services or assertive community treatment 12 teams to provide care coordination, and all categories of 13 services which the physician recommends that the subject 14 of the petition should receive. 15 (ii) If the written individualized treatment plan 16 includes medication, it shall state whether the 17 medication should be self-administered or administered by 18 authorized personnel, and shall specify type and dosage 19 range of medication most likely to provide maximum 20 benefit for the subject. 21 (iii) If the written individualized treatment plan 22 includes alcohol or substance abuse counseling and 23 treatment, the plan may include a provision requiring 24 relevant testing for either alcohol or illegal substances 25 provided the physician's clinical basis for recommending 26 the plan provides sufficient facts for the court to find: 27 (A) That the person has a history of alcohol or 28 substance abuse that is clinically related to the 29 mental illness. 30 (B) That the testing is necessary to prevent a 20050S0213B0205 - 13 -
1 relapse or deterioration which would be likely to 2 result in serious harm to the person or others. 3 (iv) In developing the plan, the physician shall 4 provide the following persons with an opportunity to 5 actively participate in the development of the plan: the 6 subject of the petition; the treating physician; and upon 7 the request of the patient, an individual significant to 8 the patient including any relative, close friend or 9 individual otherwise concerned with the welfare of the 10 patient. If the petitioner is a director, the plan shall 11 be provided to the court no later than the date of the 12 hearing on the petition. 13 (2) The court shall not order assisted outpatient 14 treatment unless a physician testifies to explain the written 15 proposed treatment plan. The testimony shall state: 16 (i) The categories of assisted outpatient treatment 17 recommended. 18 (ii) The rationale for each category. 19 (iii) Facts which establish that the treatment is 20 the least restrictive alternative. 21 (iv) If the recommended assisted outpatient 22 treatment includes medication, the types or classes of 23 medication recommended, the beneficial and detrimental 24 physical and mental effects of the medication, and 25 whether the medication should be self-administered or 26 administered by an authorized professional. 27 If the petitioner is a director the testimony shall be given at 28 the hearing on the petition. 29 (g) Disposition.-- 30 (1) If after hearing all relevant evidence, the court 20050S0213B0205 - 14 -
1 finds that the subject of the petition does not meet the 2 criteria for assisted outpatient treatment, the court shall 3 dismiss the petition. 4 (2) If after hearing all relevant evidence, the court 5 finds by clear and convincing evidence that the subject of 6 the petition meets the criteria for assisted outpatient 7 treatment and there is no appropriate and feasible less 8 restrictive alternative, the court shall be authorized to 9 order the subject to receive assisted outpatient treatment 10 for an initial period not to exceed six months. In fashioning 11 the order, the court shall specifically make findings by 12 clear and convincing evidence that the proposed treatment is 13 the least restrictive treatment appropriate and feasible for 14 the subject. The order shall state the categories of assisted 15 outpatient treatment which the subject is to receive. The 16 court may not order treatment that has not been recommended 17 by the examining physician and included in the written 18 treatment plan for assisted outpatient treatment as required 19 by subsection (f). 20 (3) If after hearing all relevant evidence the court 21 finds by clear and convincing evidence that the subject of 22 the petition meets the criteria for assisted outpatient 23 treatment, and the court has yet to be provided with a 24 written individualized treatment plan and testimony pursuant 25 to subsection (f), the court shall order the county 26 administrator to provide the court with the plan and 27 testimony no later than the third day, excluding Saturdays, 28 Sundays and holidays, immediately following the date of the 29 order. Upon receiving the plan and testimony, the court may 30 order assisted outpatient treatment as provided in paragraph 20050S0213B0205 - 15 -
1 (2). 2 (4) A court may order the patient to self-administer 3 psychotropic drugs or accept the administration of the drugs 4 by authorized personnel as part of an assisted outpatient 5 treatment program. The order may specify the type and dosage 6 range of psychotropic drugs and the order shall be effective 7 for the duration of the assisted outpatient treatment. 8 (5) If the petitioner is the director of a hospital that 9 operates an assisted outpatient treatment program, the court 10 order shall direct the hospital director to provide or 11 arrange for all categories of assisted outpatient treatment 12 for the assisted outpatient throughout the period of the 13 order. For all other persons, the order shall require the 14 director of community services of the appropriate local 15 governmental unit to provide or arrange for all categories of 16 assisted outpatient treatment for the assisted outpatient 17 throughout the period of the order. 18 (6) The director or his designee shall apply to the 19 court for approval before instituting a proposed material 20 change in the assisted outpatient treatment order unless the 21 change is contemplated in the order. Nonmaterial changes may 22 be instituted by the assisted outpatient treatment program 23 without court approval. For the purposes of this paragraph, a 24 material change shall mean an addition or deletion of a 25 category of assisted outpatient treatment from the order of 26 the court, or any deviation without the patient's consent 27 from the terms of an existing order relating to the 28 administration of psychotropic drugs. 29 (h) Applications for additional periods of treatment.--If 30 the director determines that the condition of the patient 20050S0213B0205 - 16 -
1 requires further assisted outpatient treatment, the director 2 shall apply prior to the expiration of the period of assisted 3 outpatient treatment ordered by the court for a second or 4 subsequent order authorizing continued assisted outpatient 5 treatment for a period not to exceed one year from the date of 6 the order. The procedures for obtaining any order pursuant to 7 this subsection shall be in accordance with this section, 8 provided that the time period included in subsection (b)(4)(i) 9 and (ii) shall not be applicable in determining the 10 appropriateness of additional periods of assisted outpatient 11 treatment. Any court order requiring periodic blood tests or 12 urinalysis for the presence of alcohol or illegal drugs shall be 13 subject to review after six months by the physician who 14 developed the written individualized treatment plan or another 15 physician designated by the director, and the physician shall be 16 authorized to terminate the blood tests or urinalysis without 17 further action by the court. 18 (i) Application for order to stay, vacate or modify.--In 19 addition to any other right or remedy available by law with 20 respect to the order for assisted outpatient treatment, the 21 patient, the patient's counsel, or anyone acting on the 22 patient's behalf may apply on notice to the appropriate director 23 and the original petitioner to the court to stay, vacate or 24 modify the order. 25 (j) Appeals.--Review of an order issued pursuant to this 26 section shall be had in like manner as specified in section 303 27 (relating to extended involuntary emergency treatment certified 28 by a judge or mental health review officer - not to exceed 29 twenty days). 30 (k) Failure to comply with assisted outpatient treatment.-- 20050S0213B0205 - 17 -
1 (1) Where, in the clinical judgment of a physician, the 2 patient has failed or has refused to comply with the 3 treatment ordered by the court, and in the physician's 4 clinical judgment efforts were made to solicit compliance, 5 and, in the clinical judgment of the physician the patient 6 may be in need of treatment under section 302 (relating to 7 involuntary emergency examination and treatment authorized by 8 a physician - not to exceed one hundred twenty hours) or 303, 9 the physician may request the director or the director's 10 designee to direct the removal of the patient to an 11 appropriate hospital for an examination to determine if the 12 patient has a mental illness for which hospitalization is 13 necessary. 14 (2) If the patient refuses to take medications as 15 required by the court order, or he refuses to take, or fails 16 a blood test, urinalysis or alcohol or drug test as required 17 by the court order, the physician may consider that refusal 18 or failure when determining whether the assisted outpatient 19 is in need of an examination to determine whether he has a 20 mental illness for which hospitalization is necessary. 21 (3) Upon the request of the physician, the director or 22 the director's designee may direct law enforcement officers 23 or the sheriff's department to take into custody and 24 transport the patient to the hospital operating the assisted 25 outpatient treatment program or to any hospital authorized by 26 the director of community services to receive such patients. 27 The law enforcement officials shall carry out the directive. 28 (4) Upon the request of the physician, the director or 29 the director's designee, the court may authorize the patient 30 to be taken into custody and transported to the hospital 20050S0213B0205 - 18 -
1 operating the assisted outpatient treatment program, or to 2 any other hospital authorized by the county administrator to 3 receive such patients in accordance with section 306 4 (relating to transfer of persons in involuntary treatment). 5 The patient may be retained for observation, care and 6 treatment and further examination in the hospital for up to 7 72 hours to permit a physician to determine whether the 8 patient has a mental illness and is in need of involuntary 9 care and treatment in a hospital pursuant to this act. Any 10 continued involuntary retention in the hospital beyond the 11 initial 72-hour period shall be in accordance with this act 12 relating to the involuntary admission and retention of a 13 person. If at any time during the 72-hour period the person 14 is determined not to meet the involuntary admission and 15 retention provisions of this act, and does not agree to stay 16 in the hospital as a voluntary or informal patient, he shall 17 be released. Failure to comply with an order of assisted 18 outpatient treatment shall not be grounds for involuntary 19 civil commitment or a finding of contempt of court. 20 (l) False petition.--A person making a false statement or 21 providing false information or false testimony in a petition or 22 hearing under this section is subject to criminal prosecution 23 pursuant to 18 Pa.C.S. § 4903 (relating to false swearing). 24 (m) Construction.--Nothing in this section shall be 25 construed to affect the ability of the director of a hospital to 26 receive, admit or retain patients who otherwise meet the 27 provisions of this act regarding receipt, retention or 28 admission. 29 (n) Educational materials.--The Department of Public 30 Welfare, in consultation with the county administrator, shall 20050S0213B0205 - 19 -
1 prepare educational and training materials on the use of this 2 section, which shall be made available to county providers of 3 services, judges, court personnel, law enforcement officials and 4 the general public. 5 Section 2. This act shall take effect in 60 days. L28L50DMS/20050S0213B0205 - 20 -