CORRECTIVE REPRINT
                                 HOUSE AMENDED
        PRIOR PRINTER'S NOS. 1205, 1601, 1701,        PRINTER'S NO. 2097
        1885, 2075

THE GENERAL ASSEMBLY OF PENNSYLVANIA


SENATE BILL

No. 1025 Session of 1975


        INTRODUCED BY COPPERSMITH, DOUGHERTY, REIBMAN, HILL, FRAME AND
           FLEMING, SEPTEMBER 23, 1975

        AS AMENDED ON THIRD CONSIDERATION, HOUSE OF REPRESENTATIVES,
           JUNE 22, 1976

                                     AN ACT

     1  Relating to mental health procedures; providing for the
     2     treatment and rights of mentally disabled persons, for
     3     voluntary and involuntary examination and treatment and for
     4     determinations affecting those charged with crime or under
     5     sentence.
     6                         TABLE OF CONTENTS

     7  Article I.  General Provisions
     8     Section 101.  Short Title.
     9     Section 102.  Statement of Policy.
    10     Section 103.  Scope of Act.
    11     Section 104.  Provision for Treatment.
    12     Section 105.  Treatment Facilities.
    13     Section 106.  Persons Responsible for Formulation and
    14                   Review of Treatment Plan.
    15     Section 107.  Individualized Treatment Plan.
    16     Section 108.  Periodic Reexamination, Review and
    17                   Redisposition.
    18     Section 109.  Mental Health Review Officer.

     1     Section 110.  Written Applications, Petitions, Statements
     2                   and Certifications.
     3     Section 111.  Confidentiality of Records.
     4     Section 112.  Rules, Regulations and Forms.
     5     Section 113.  Rights and Remedies of Persons in Treatment.
     6     Section 114.  Immunity from Civil and Criminal Liability.
     7     Section 115.  Venue and Location of Legal Proceedings.
     8  Article II.  Voluntary Examination and Treatment
     9     Section 201.  Persons Who May Authorize Voluntary Treatment.
    10     Section 202.  To Whom Application May be Made.
    11     Section 203.  Explanation and Consent.
    12     Section 204.  Notice to Parents.
    13     Section 205.  Physical Examination and Formulation of
    14                   Individualized Treatment Plan.
    15     Section 206.  Withdrawal from Voluntary Inpatient Treatment.
    16     Section 207.  Transfer of Person in Voluntary Treatment.
    17  Article III.  Involuntary Examination and Treatment
    18     Section 301.  Persons Who May be Subject to Involuntary
    19                   Emergency Examination and Treatment.
    20     Section 302.  Involuntary Emergency Examination and Treatment
    21                   Authorized by a Physician - Not to Exceed
    22                   Seventy-two Hours.
    23     Section 303.  Extended Involuntary Emergency Treatment
    24                   Certified by a Judge or Mental Health Review
    25                   Officer - Not to Exceed Twenty Days.
    26     Section 304.  Court-ordered Involuntary Treatment Not to
    27                   Exceed Ninety Days.
    28     Section 305.  Additional Periods of Court-ordered Involuntary
    29                   Treatment.
    30     Section 306.  Transfer of Persons in Involuntary Treatment.
    19750S1025B2097                  - 2 -

     1  Article IV.  Determinations Affecting Those Charged with Crime,
     2               or Under Sentence
     3     Section 401.  Examination and Treatment of a Person Charged
     4                   with Crime or Serving Sentence.
     5     Section 402.  Incompetence to Proceed on Criminal Charges and
     6                   Lack of Criminal Responsibility as Defense.
     7     Section 403.  Hearing and Determination of Incompetency to
     8                   Proceed; Stay of Proceedings; Dismissal of
     9                   Charges.
    10     Section 404.  Hearing and Determination of Criminal
    11                   Responsibility; Bifurcated Trial.
    12     Section 405.  Examination of Person Charged with Crime as
    13                   Aid in Sentencing.
    14     Section 406.  Civil Procedure for Court-ordered Involuntary
    15                   Treatment Following a Determination of
    16                   Incompetency, or Acquittal by Reason of Lack of
    17                   Criminal Responsibility or in Conjunction with
    18                   Sentencing.
    19  Article V.  Effective Date and, Applicability,                    <--
    20              REPEALS AND SEVERABILITY.
    21     Section 501.  Effective Date and Applicability.

    22     The General Assembly of the Commonwealth of Pennsylvania
    23  hereby enacts as follows:
    24                             ARTICLE I
    25                         General Provisions
    26     Section 101.  Short Title.--This act shall be known and may
    27  be cited as the "Mental Health Procedures Act."
    28     Section 102.  Statement of Policy.--It is the policy of the
    29  Commonwealth of Pennsylvania to seek to assure the availability

    19750S1025B2097                  - 3 -

     1  of adequate treatment to persons who are mentally ill, and it is
     2  the purpose of this act to establish procedures whereby this
     3  policy can be effected. Treatment on a voluntary basis shall be
     4  preferred to involuntary treatment; and in every case, the least
     5  restrictions consistent with adequate treatment shall be
     6  employed. Persons who are mentally retarded, senile, alcoholic,
     7  or drug dependent shall receive mental health treatment only if
     8  they are also diagnosed as mentally ill, but these conditions of
     9  themselves shall not be deemed to constitute mental illness.
    10     Section 103.  Scope of Act.--This act establishes rights and
    11  procedures for all involuntary treatment of mentally ill
    12  persons, whether inpatient or outpatient, and for all voluntary
    13  inpatient treatment of mentally ill persons. "Inpatient
    14  treatment" shall include all treatment that requires full or
    15  part-time residence in a facility. For the purpose of this act,
    16  a "facility" means any mental health establishment, hospital,
    17  clinic, institution, center, day care center, base service unit,
    18  community mental health center, or part thereof, that provides
    19  for the diagnosis, treatment, care or rehabilitation of mentally
    20  ill persons, whether as outpatients or inpatients.
    21     Section 104.  Provision for Treatment.--Adequate treatment
    22  means a course of treatment designed and administered to
    23  alleviate a person's pain and distress and to maximize the
    24  probability of his recovery from mental illness. It shall be
    25  provided to all persons in treatment who are subject to this
    26  act. It may include inpatient treatment, partial
    27  hospitalization, or outpatient treatment. Adequate inpatient
    28  treatment shall include such accommodations, diet, heat, light,
    29  sanitary facilities, clothing, recreation, education and medical
    30  care as are necessary to maintain decent, safe and healthful
    19750S1025B2097                  - 4 -

     1  living conditions.
     2     Treatment shall include diagnosis, evaluation, therapy, or
     3  rehabilitation needed to alleviate pain and distress and to
     4  facilitate the recovery of a person from mental illness and
     5  shall also include care and other services that supplement
     6  treatment and aid or promote such recovery.
     7     Section 105.  Treatment Facilities.--Involuntary treatment
     8  and voluntary treatment funded in whole or in part by public
     9  moneys shall be available at a facility approved for such
    10  purposes by the county administrator (who shall be the County
    11  Mental Health and Mental Retardation Administrator of a county
    12  or counties, or his duly authorized delegate), or by the
    13  Department of Public Welfare, hereinafter cited as the
    14  "department." Approval of facilities shall be made by the
    15  appropriate authority which can be the department pursuant to
    16  regulations adopted by the department. Use of any facility not    <--
    17  approved by the Joint Commission for Accreditation of Hospitals
    18  shall be prohibited, if the facility is of a type to which
    19  standards established by the Joint Commission are intended to
    20  apply. TREATMENT MAY BE ORDERED AT THE VETERANS ADMINISTRATION    <--
    21  OR OTHER AGENCY OF THE UNITED STATES UPON RECEIPT OF A
    22  CERTIFICATE THAT THE PERSON IS ELIGIBLE FOR SUCH HOSPITALIZATION
    23  OR TREATMENT AND THAT THERE IS AVAILABLE SPACE FOR HIS CARE.
    24  MENTAL HEALTH FACILITIES OPERATED UNDER THE DIRECT CONTROL OF
    25  THE VETERANS ADMINISTRATION OR OTHER FEDERAL AGENCY ARE EXEMPT
    26  FROM OBTAINING STATE APPROVAL. THE DEPARTMENT'S STANDARDS FOR     <--
    27  APPROVAL SHALL BE AT LEAST AS STRINGENT AS THOSE OF THE JOINT
    28  COMMISSION FOR ACCREDITATION OF HOSPITALS AND THOSE OF THE
    29  FEDERAL GOVERNMENT PURSUANT TO TITLES 18 AND 19 OF THE FEDERAL
    30  SOCIAL SECURITY ACT TO THE EXTENT THAT THE TYPE OF FACILITY IS
    19750S1025B2097                  - 5 -

     1  ONE IN WHICH THOSE STANDARDS ARE INTENDED TO APPLY. An exemption
     2  FROM THE STANDARDS may be granted by the department for a period  <--
     3  not in excess of one year and may be renewed. in compelling       <--
     4  circumstances. Notice of each exemption and the rationale for
     5  allowing the exemption must be published pursuant to the act of
     6  July 31, 1968 (P.L.769, No.240), known as the "Commonwealth
     7  Documents Law," and shall be prominently posted at the entrance
     8  to the main office and in the reception areas of the facility.
     9     Section 106.  Persons Responsible for Formulation and Review
    10  of Treatment Plan.--(A) Pursuant to sections 107 and 108 of this  <--
    11  act, a physician or a treatment team under the supervision of a   <--
    12  physician shall formulate and review an individualized treatment
    13  plan for every person who is in treatment under this act.
    14     (B)  A TREATMENT TEAM MUST BE UNDER THE DIRECTION OF EITHER A  <--
    15  PHYSICIAN OR A LICENSED CLINICAL PSYCHOLOGIST AND MAY INCLUDE
    16  OTHER MENTAL HEALTH PROFESSIONALS.
    17     (C)  A TREATMENT TEAM MUST BE UNDER THE DIRECTION OF A
    18  PHYSICIAN WHEN:
    19         (1) FAILURE TO DO SO WOULD JEOPARDIZE FEDERAL PAYMENTS
    20     MADE ON BEHALF OF A PATIENT; OR
    21         (2)  THE DIRECTOR OF A FACILITY REQUIRES THE TREATMENT TO
    22     BE UNDER THE DIRECTION OF A PHYSICIAN.
    23     (D)  ALL TREATMENT TEAMS MUST INCLUDE A PHYSICIAN AND THE
    24  ADMINISTRATION OF ALL DRUGS SHALL BE CONTROLLED BY THE ACT OF
    25  APRIL 14, 1972 (P.L.233, NO.64), KNOWN AS "THE CONTROLLED
    26  SUBSTANCE, DRUG, DEVICE AND COSMETIC ACT."
    27     Section 107.  Individualized Treatment Plan.--Individualized
    28  treatment plan means a plan of treatment formulated for a
    29  particular person in a program appropriate to his specific
    30  needs. To the extent possible, the plan shall be made with the
    19750S1025B2097                  - 6 -

     1  cooperation, understanding and consent of the person in
     2  treatment, and shall impose the least restrictive alternative
     3  consistent with affording the person adequate treatment for his
     4  condition.
     5     Section 108.  Periodic Reexamination, Review and
     6  Redisposition.--(a) Reexamination and Review. Every person who
     7  is in treatment under this act shall be examined by a physician   <--
     8  or a treatment team under the supervision of a physician and his  <--
     9  treatment plan reviewed not less than once in every 30 days.
    10     (b)  Redisposition. On the basis of reexamination and review,
    11  the examining physician or a treatment team under the             <--
    12  supervision of a physician may either authorize continuation of
    13  the existing treatment plan if appropriate, formulate a new
    14  individualized treatment plan, or recommend to the director the
    15  discharge of the person. A person shall not remain in treatment
    16  or under any particular mode of treatment for longer than such
    17  treatment is necessary and appropriate to his needs.
    18     (c)  Record of Reexamination and Review. The physician or      <--
    19  clinical psychologist TREATMENT TEAM UNDER THE SUPERVISION OF A   <--
    20  PHYSICIAN responsible for the treatment plan shall maintain a
    21  record of each reexamination and review under this section for
    22  each person in treatment to include:  (1) a report of the
    23  reexamination, including a diagnosis and prognosis; (2) a brief
    24  description of the treatment provided to the person during the
    25  period preceding the reexamination and the results of that
    26  treatment; (3) a statement of the reason for discharge or for
    27  continued treatment; (4) an individualized treatment plan for
    28  the next period, if any; (5) a statement of the reasons that
    29  such treatment plan imposes the least restrictive alternative
    30  consistent with adequate treatment of his condition; and (6) a
    19750S1025B2097                  - 7 -

     1  certification that the adequate treatment recommended is
     2  available and will be afforded in the treatment program.
     3     Section 109.  Mental Health Review Officer.--Legal
     4  proceedings concerning extended involuntary emergency treatment
     5  under section 303(c), or court-ordered involuntary treatment
     6  under section 304, may be conducted by a judge of the court of
     7  common pleas or by a mental health review officer authorized by
     8  the court to conduct the proceedings. Mental health review
     9  officers shall be members of the bar of the Supreme Court of
    10  Pennsylvania, without restriction as to the county of their
    11  residence and where possible should be familiar with the field
    12  of mental health. They shall be appointed by the respective
    13  courts of common pleas for terms not to exceed one year, and may
    14  be reappointed to successive terms.
    15     Section 110.  Written Applications, Petitions, Statements and
    16  Certifications.--(a) All written statements pursuant to section
    17  302(a)(3)(2), and all applications, petitions, and                <--
    18  certifications required under the provisions of this act shall
    19  be made subject to the penalties provided under 18 Pa.C.S.§ 4904
    20  (relating to unsworn falsification to authorities) and shall
    21  contain a notice to that effect.
    22     (b)  All such applications, petitions, statements and
    23  certifications shall be filed with the county administrator in
    24  the county where the person was made subject to examination and
    25  treatment and such other county in the Commonwealth, if any, in
    26  which the person usually resides.
    27     Section 111.  Confidentiality of Records.--All documents
    28  concerning persons in treatment shall be kept confidential and,
    29  without the person's written consent, may not be released or
    30  their contents disclosed to anyone except:  (1) those engaged in
    19750S1025B2097                  - 8 -

     1  providing treatment for the person; (2) the county
     2  administrator, pursuant to section 110; and (3) a court in the    <--
     3  course of legal proceedings authorized by this act; AND (4)       <--
     4  PURSUANT TO FEDERAL RULES, STATUTES AND REGULATIONS GOVERNING
     5  DISCLOSURE OF PATIENT INFORMATION WHERE TREATMENT IS UNDERTAKEN
     6  IN A FEDERAL AGENCY. In no event, however, shall privileged
     7  communications, whether written or oral, be disclosed to anyone
     8  without such written consent. This shall not restrict the
     9  collection and analysis of clinical or statistical data by the
    10  department, the county administrator or the facility so long as
    11  the use and dissemination of such data does not identify
    12  individual patients. Nothing herein shall be construed to
    13  conflict with section 8 of the act of April 14, 1972 (P.L.221,
    14  No.63), known as the "Pennsylvania Drug and Alcohol Abuse
    15  Control Act."
    16     Section 112.  Rules, Regulations and Forms.--The department
    17  shall adopt such rules, regulations and forms as may be required
    18  to effectuate the provisions of this act. Rules and regulations
    19  adopted under the provisions of this act shall be adopted
    20  according to provisions of section 201 of the act of October 20,
    21  1966 (3rd Sp.Sess., P.L.96, No.6), known as the "Mental Health
    22  and Mental Retardation Act of 1966," and the act of July 31,
    23  1968 (P.L.769, No.240), known as the "Commonwealth Documents
    24  Law."
    25     Section 113.  Rights and Remedies of Persons in Treatment.--
    26  Every person who is in treatment shall be entitled to all other
    27  rights now or hereafter provided under the laws of this
    28  Commonwealth, in addition to any rights provided for in this
    29  act. Actions requesting damages, declaratory judgment,
    30  injunction, mandamus, writs of prohibition, habeas corpus,
    19750S1025B2097                  - 9 -

     1  including challenges to the legality of detention or degree of
     2  restraint, and any other remedies or relief granted by law may
     3  be maintained in order to protect and effectuate the rights
     4  granted under this act.
     5     Section 114.  Immunity from Civil and Criminal Liability.--
     6  (a) In the absence of willful misconduct or gross negligence, a
     7  county administrator, a director of a facility, a physician or
     8  any other authorized person who participates in a decision that
     9  a person be examined or treated under this act, or that a person
    10  be discharged, or placed under partial hospitalization,
    11  outpatient care or leave of absence, or that the restraint upon
    12  such person be otherwise reduced, or a county administrator or
    13  other authorized person who denies an application for
    14  involuntary emergency examination and treatment, shall not be
    15  civilly or criminally liable for such decision or for any of its
    16  consequences.
    17     (b)  A judge or a mental health review officer shall not be
    18  civilly or criminally liable for any actions taken or decisions
    19  made by him pursuant to the authority conferred by this act.
    20     Section 115.  Venue and Location of Legal Proceedings.--(a)
    21  The jurisdiction of the courts of common pleas and juvenile
    22  courts conferred by Articles II and III shall be exercised
    23  initially by the court for the county in which the subject of
    24  the proceedings is or resides. Whenever involuntary treatment is
    25  ordered, jurisdiction over any subsequent proceeding shall be
    26  retained by the court in which the initial proceedings took
    27  place, but may be transferred to the county of the person's
    28  usual residence. In all cases, a judge of the court of common
    29  pleas or a mental health review officer of the county of venue
    30  may conduct legal proceedings at a facility where the person is
    19750S1025B2097                 - 10 -

     1  in treatment whether or not its location is within the county.
     2     (b)  Venue for actions instituted to effectuate rights under
     3  this act shall be as now or hereafter provided by law.
     4                             ARTICLE II
     5                Voluntary Examination and Treatment
     6     Section 201.  Persons Who May Authorize Voluntary
     7  Treatment.--Any person 14 years of age or over who believes that
     8  he is in need of treatment and substantially understands the
     9  nature of voluntary commitment may submit himself to examination
    10  and treatment under this act, provided that the decision to do
    11  so is made voluntarily. A parent, guardian, or person standing
    12  in loco parentis to a child less than 14 years of age may
    13  subject such child to examination and treatment under this act,
    14  and in so doing shall be deemed to be acting for the child.
    15  Except as otherwise authorized in this act, all of the
    16  provisions of this act governing examination and treatment shall
    17  apply.
    18     Section 202.  To Whom Application May be Made.--Application
    19  for voluntary examination and treatment shall be made to an
    20  approved facility or to the county administrator, VETERANS        <--
    21  ADMINISTRATION OR OTHER AGENCY OF THE UNITED STATES OPERATING A
    22  FACILITY FOR THE CARE AND TREATMENT OF MENTAL ILLNESS. When
    23  application is made to the county administrator, he shall
    24  designate the approved facility for examination and for such
    25  treatment as may be appropriate.
    26     Section 203.  Explanation and Consent.--Before a person is
    27  accepted for voluntary inpatient treatment, an explanation shall
    28  be made to him of such treatment, including the types of
    29  treatment in which he may be involved, and any restraints or
    30  restrictions to which he may be subject, together with a
    19750S1025B2097                 - 11 -

     1  statement of his rights under this act. Consent shall be given
     2  in writing upon a form adopted by the department. The consent
     3  shall include the following representations:  That the person
     4  understands his treatment will involve inpatient status; that he
     5  is willing to be admitted to a designated facility for the
     6  purpose of such examination and treatment; and that he consents
     7  to such admission voluntarily, without coercion or duress; and,
     8  if applicable, that he has voluntarily agreed to remain in
     9  treatment for a specified period of no longer than 72 hours
    10  after having given written notice of his intent to withdraw from
    11  treatment. The consent shall be part of the person's record.
    12     Section 204.  Notice to Parents.--Upon the acceptance of an
    13  application for examination and treatment by a minor 14 years or
    14  over but less than 18 years of age, the director of the facility
    15  shall promptly notify the minor's parents, guardian, or person
    16  standing in loco parentis, and shall inform them of the right to
    17  be heard upon the filing of an objection. Whenever such
    18  objection is filed, a hearing shall be held within 72 hours by a
    19  judge or mental health review officer, who shall determine
    20  whether or not the voluntary treatment is in the best interest
    21  of the minor.
    22     Section 205.  Physical Examination and Formulation of
    23  Individualized Treatment Plan.--Upon acceptance of a person for
    24  voluntary examination and treatment he shall be given a physical
    25  examination. Within 72 hours after acceptance of a person an
    26  individualized treatment plan shall be formulated by a physician  <--
    27  or a treatment team. under the supervision of a physician. The    <--
    28  person shall be advised of the treatment plan, which shall
    29  become a part of his record. The treatment plan shall state
    30  whether inpatient treatment is considered necessary, and what
    19750S1025B2097                 - 12 -

     1  restraints or restrictions, if any, will be administered, and
     2  shall set forth the bases for such conclusions.
     3     Section 206.  Withdrawal from Voluntary Inpatient
     4  Treatment.--(a) A person in voluntary inpatient treatment may
     5  withdraw at any time by giving written notice unless, as stated
     6  in section 203, he has agreed in writing at the time of his
     7  admission that his release can be delayed following such notice
     8  for a period to be specified in the agreement, provided that
     9  such period shall not exceed 72 hours.
    10     (b)  If the person is under the age of 14, his parent, legal
    11  guardian, or person standing in loco parentis may effect his
    12  release. If any responsible party believes that it would be in
    13  the best interest of a person under 14 years of age in voluntary
    14  treatment to be withdrawn therefrom or afforded treatment
    15  constituting a less restrictive alternative, such party may file
    16  a petition in the Juvenile Division of the court of common pleas
    17  for the county in which the person under 14 years of age
    18  resides, requesting a withdrawal from or modification of
    19  treatment. The court shall promptly appoint an attorney for such
    20  minor person and schedule a hearing to determine what inpatient
    21  treatment, if any, is in the minor's best interest. The hearing
    22  shall be held within ten days of receipt of the petition, unless
    23  continued upon the request of the attorney for such minor. The
    24  hearing shall be conducted in accordance with the rules
    25  governing other Juvenile Court proceedings.
    26     (c)  Nothing in this act shall be construed to require a
    27  facility to continue inpatient treatment where the director of
    28  the facility determines such treatment is not medically
    29  indicated. Any dispute between a facility and a county
    30  administrator as to the medical necessity for voluntary
    19750S1025B2097                 - 13 -

     1  impatient treatment of a person shall be decided by the
     2  Commissioner of Mental Health or his designate.
     3     Section 207.  Transfer of Person in Voluntary Treatment.--A
     4  person who is in voluntary treatment may not be transferred from
     5  one facility to another without his written consent.
     6                            ARTICLE III
     7               Involuntary Examination and Treatment
     8     Section 301.  Persons Who May be Subject to Involuntary
     9  Emergency Examination and Treatment.--(a) Persons Subject.
    10  Whenever a person is severely mentally disabled and in need of
    11  immediate treatment, he may be made subject to involuntary
    12  emergency examination and treatment. A person is severely
    13  mentally disabled when, as a result of mental illness, his
    14  capacity to exercise self-control, judgment and discretion in
    15  the conduct of his affairs and social relations or to care for
    16  his own personal needs is so lessened that he poses a clear and
    17  present danger of harm to others or to himself.
    18     (b)  Determination of Clear and Present Danger. (1)  Clear
    19  and present danger to others shall be shown by establishing that
    20  within the past 30 days the person has inflicted or attempted to
    21  inflict serious bodily harm on another and that there is a
    22  reasonable probability that such conduct will be repeated. If,
    23  however, the person has been found incompetent to be tried or
    24  has been acquitted by reason of lack of criminal responsibility
    25  on charges arising from conduct involving infliction of or
    26  attempt to inflict substantial bodily harm on another, such 30-
    27  day limitation shall not apply so long as an application for
    28  examination and treatment is filed within 30 days after the date
    29  of such determination or verdict. In such case, a clear and
    30  present danger to others may be shown by establishing that the
    19750S1025B2097                 - 14 -

     1  conduct charged in the criminal proceeding did occur, and that
     2  there is a reasonable probability that such conduct will be
     3  repeated.
     4     (2)  Clear and present danger to himself shall be shown by
     5  establishing that within the past 30 days:
     6             (i) the person has acted in such manner as to
     7     evidence that he would be unable, without care, supervision
     8     and the continued assistance of others, to satisfy his need
     9     for nourishment, personal or medical care, shelter, or self-
    10     protection and safety, and that there is a reasonable
    11     probability that death, serious bodily injury or serious
    12     physical debilitation would ensue within 30 days unless
    13     adequate treatment were afforded under this act; or
    14             (ii)  the person has attempted suicide and that there
    15     is the reasonable probability of suicide unless adequate
    16     treatment is afforded under this act; or
    17             (iii)  the person has severely mutilated himself or
    18     attempted to mutilate himself severely and that there is the
    19     reasonable probability of mutilation unless adequate
    20     treatment is afforded under this act.
    21     Section 302.  Involuntary Emergency Examination and Treatment
    22  Authorized by a Physician - Not to Exceed Seventy-two Hours.--
    23  (a)  Application for Examination. Emergency examination may be
    24  undertaken at a treatment facility upon the certification of a
    25  physician stating the need for such examination; or upon a
    26  warrant issued by the county administrator authorizing such
    27  examination; or without a warrant upon application by a
    28  physician or other authorized person who has personally observed
    29  conduct showing the need for such examination.
    30     (1)  Warrant for Emergency Examination. Upon written
    19750S1025B2097                 - 15 -

     1  application by a physician or other responsible party setting
     2  forth facts constituting reasonable grounds to believe a person
     3  is severely mentally disabled and in need of immediate
     4  treatment, the county administrator may issue a warrant
     5  requiring a person authorized by him, or any peace officer, to
     6  take such person to the facility specified in the warrant.
     7     (2)  Emergency Examination Without a Warrant. Upon personal
     8  observation of the conduct of a person constituting reasonable
     9  grounds to believe that he is severely mentally disabled and in
    10  need of immediate treatment, any physician or peace officer, or
    11  anyone authorized by the county administrator may take such
    12  person to an approved facility for an emergency examination.
    13  Upon arrival, he shall make a written statement setting forth
    14  the grounds for believing the person to be in need of such
    15  examination.
    16     (b)  Examination and Determination of Need for Emergency
    17  Treatment. A person taken to a facility shall be examined by a
    18  physician within two hours of arrival in order to determine if
    19  the person is severely mentally disabled within the meaning of
    20  section 301 and in need of immediate treatment. If it is
    21  determined that the person is severely mentally disabled and in
    22  need of emergency treatment, treatment shall be begun
    23  immediately. If the physician does not so find, or if at any
    24  time it appears there is no longer a need for immediate
    25  treatment, the person shall be discharged and returned to such
    26  place as he may reasonably direct. The physician shall make a
    27  record of the examination and his findings. In no event shall a
    28  person be accepted for involuntary emergency treatment if a
    29  previous application was granted for such treatment and the new
    30  application is not based on behavior occurring after the earlier
    19750S1025B2097                 - 16 -

     1  application.
     2     (c)  Notification of Rights at Emergency Examination. Upon
     3  arrival at the facility, the person shall be informed of the
     4  reasons for emergency examination and of his right to
     5  communicate immediately with others. He shall be given
     6  reasonable use of the telephone. He shall be requested to
     7  furnish the names of parties whom he may want notified of his
     8  custody and kept informed of his status. The county
     9  administrator or the director of the facility shall:
    10     (1)  give notice to such parties of the whereabouts and
    11  status of the person, how and when he may be contacted and
    12  visited, and how they may obtain information concerning him
    13  while he is in inpatient treatment; and
    14     (2)  take reasonable steps to assure that precautions while    <--
    15  the person is detained, the health and safety needs of any of
    16  his dependents are met, and that his personal property and the
    17  premises he occupies are secure.
    18     (d)  Duration of Emergency Examination and Treatment. A
    19  person who is in treatment pursuant to this section shall be
    20  discharged whenever it is determined that he no longer is in
    21  need of treatment and in any event within 72 hours, unless
    22  within such period:
    23     (1)  he is admitted to voluntary treatment pursuant to
    24  section 202 of this act; or
    25     (2)  a certification for extended involuntary emergency
    26  treatment is filed pursuant to section 303 of this act.
    27     Section 303.  Extended Involuntary Emergency Treatment
    28  Certified by a Judge or Mental Health Review Officer - Not to
    29  Exceed Twenty Days.--(a) Persons Subject to Extended Involuntary
    30  Emergency Treatment. Application for extended involuntary
    19750S1025B2097                 - 17 -

     1  emergency treatment may be made for any person who is being
     2  treated pursuant to section 302 whenever the facility determines
     3  that the need for emergency treatment is likely to extend beyond
     4  72 hours. The application shall be filed forthwith in the court
     5  of common pleas, and shall state the grounds on which extended
     6  emergency treatment is believed to be necessary. THE APPLICATION  <--
     7  SHALL STATE THE NAME OF ANY EXAMINING PHYSICIAN AND THE
     8  SUBSTANCE OF HIS OPINION REGARDING THE MENTAL CONDITION OF THE
     9  PERSON.
    10     (b)  Appointment of Counsel and Scheduling of Informal
    11  Hearing. Upon receiving such application, the court of common
    12  pleas shall appoint an attorney who shall represent the person
    13  unless it shall appear that the person can afford, and desires
    14  to have, private representation. Within 24 hours after the
    15  application is filed, an informal hearing shall be conducted by
    16  a judge or by a mental health review officer and, if
    17  practicable, shall be held at the facility.
    18     (c)  Informal Hearing on Extended Emergency Treatment
    19  Application. (1)  At the commencement of the informal hearing,
    20  the judge or the mental health review officer shall inform the
    21  person of the nature of the proceedings. Information relevant to
    22  whether the person is severely mentally disabled and in need of
    23  treatment shall be reviewed, including the reasons that
    24  continued involuntary treatment is considered necessary. Such
    25  explanation shall be made by a physician who examined the person
    26  and shall be in terms understandable to a layman. The person or
    27  his representative shall have the right to ask questions of the
    28  physician and of any other witnesses and to present any relevant
    29  information. At the conclusion of the review, if the judge or
    30  the review officer finds that the person is severely mentally
    19750S1025B2097                 - 18 -

     1  disabled and in need of continued involuntary treatment, he
     2  shall so certify. Otherwise, he shall direct that the facility
     3  director or his designee discharge the person.
     4     (2)  A stenographic or other sufficient record of the
     5  proceedings shall be made. Such record shall be kept by the
     6  court or mental health review officer for at least one year.
     7     (d)  Contents of Certification. A certification for extended
     8  involuntary treatment shall be made in writing upon a form
     9  adopted by the department and shall include:
    10     (1)  findings by the judge or mental health review officer as
    11  to the reasons that extended involuntary emergency treatment is
    12  necessary;
    13     (2)  a description of the treatment to be provided together
    14  with an explanation of the adequacy and appropriateness of such
    15  treatment, based upon the information received at the hearing;
    16     (3)  any documents required by the provisions of section 302;
    17     (4)  the application as filed pursuant to section 303(a);
    18     (5)  a statement that the person is represented by counsel;
    19  and
    20     (6)  an explanation of the effect of the certification, the
    21  person's right to petition the court for release under
    22  subsection (g), and the continuing right to be represented by
    23  counsel.
    24     (e)  Filing and Service. The certification shall be filed
    25  with the director of the facility and a copy served on the
    26  person, such other parties as the person requested to be
    27  notified pursuant to section 302(c), and on counsel.
    28     (f)  Effect of Certification. Upon the filing and service of
    29  a certification for extended involuntary emergency treatment,
    30  the person may be given treatment in an approved facility for a
    19750S1025B2097                 - 19 -

     1  period not to exceed 20 days.
     2     (g)  Petition to Common Pleas Court. In all cases in which
     3  the hearing was conducted by a mental health review officer, a
     4  person made subject to treatment pursuant to this section shall
     5  have the right to petition the court of common pleas for review
     6  of the certification. A hearing shall be held within 72 hours
     7  after the petition is filed unless a continuance is requested by
     8  the person's counsel. The hearing shall include a review of the
     9  certification and such evidence as the court may receive or
    10  require. If the court determines that further involuntary
    11  treatment is necessary and that the procedures prescribed by
    12  this act have been followed, it shall deny the petition.
    13  Otherwise, the person shall be discharged.
    14     (h)  Duration of Extended Involuntary Emergency Treatment.
    15  Whenever a person is no longer severely mentally disabled or in
    16  need of immediate treatment and, in any event, within 20 days
    17  after the filing of the certification, he shall be discharged,
    18  unless within such period:
    19     (1)  he is admitted to voluntary treatment pursuant to
    20  section 202; or
    21     (2)  the court orders involuntary treatment pursuant to
    22  section 304.
    23     Section 304.  Court-ordered Involuntary Treatment Not to
    24  Exceed Ninety Days.--(a) Persons for Whom Application May be
    25  Made. (1)  A person who is severely mentally disabled and in
    26  need of treatment, as defined in section 301(a), may be made
    27  subject to court-ordered involuntary treatment upon a
    28  determination of clear and present danger under section
    29  301(b)(1) (serious bodily harm to others), or section 302         <--
    30  301(b)(2)(i) (inability to care for himself, creating a danger
    19750S1025B2097                 - 20 -

     1  of death or serious harm to himself), or 301(b)(2)(ii)
     2  (attempted suicide), or 301(b)(2)(iii) (self-mutilation).
     3     (2)  Where a petition is filed for a person already subject
     4  to involuntary treatment, it shall be sufficient to represent,
     5  and upon hearing to reestablish, that the conduct originally
     6  required by section 301 in fact occurred, and that his condition
     7  continues to evidence a clear and present danger to himself or
     8  others. In such event, it shall not be necessary to show the
     9  reoccurrence of dangerous conduct, either harmful or
    10  debilitating, within the past 30 days.
    11     (b)  Procedures for Initiating Court-ordered Involuntary
    12  Treatment for Persons Already Subject to Involuntary Treatment.
    13     (1)  Petition for court-ordered involuntary treatment for
    14  persons already subject to treatment under sections 303 and 305
    15  may be made by the county administrator to the court of common
    16  pleas.
    17     (2)  The petition shall be in writing upon a form adopted by
    18  the department and shall include a statement of the facts
    19  constituting reasonable grounds to believe that the person is
    20  severely mentally disabled and in need of treatment. THE          <--
    21  PETITION SHALL STATE THE NAME OF ANY EXAMINING PHYSICIAN AND THE
    22  SUBSTANCE OF HIS OPINION REGARDING THE MENTAL CONDITION OF THE
    23  PERSON. It shall also state that the person has been given the
    24  information required by subsection (b)(3) and shall include
    25  copies of all documents relating to examination and treatment of
    26  the person which are required under this act.
    27     (3)  Upon the filing of the petition the county administrator
    28  shall serve a copy on the person, his attorney, and those
    29  designated to be kept informed, as provided in section 302(c),
    30  including an explanation of the nature of the proceedings, the
    19750S1025B2097                 - 21 -

     1  person's right to an attorney and the services of an expert in
     2  the field of mental health, as provided by subsection (d).
     3     (4)  A hearing on the petition shall be held in all cases,
     4  not more than five days after the filing of the petition.
     5     (5)  Treatment shall be permitted to be maintained pending
     6  the determination of the petition.
     7     (c)  Procedures for Initiating Court-ordered Involuntary
     8  Treatment for Persons not in Involuntary Treatment. (1)  Any
     9  responsible party may file a petition in the court of common
    10  pleas requesting court-ordered involuntary treatment for any
    11  person not already in involuntary treatment for whom application
    12  could be made under subsection (a).
    13     (2)  The petition shall be in writing upon a form adopted by
    14  the department and shall set forth facts constituting reasonable
    15  grounds to believe that the person is within the criteria for
    16  court-ordered treatment set forth in subsection (a). THE          <--
    17  PETITION SHALL STATE THE NAME OF ANY EXAMINING PHYSICIAN AND THE
    18  SUBSTANCE OF HIS OPINION REGARDING THE MENTAL CONDITION OF THE
    19  PERSON.
    20     (3)  Upon a determination that the petition sets forth such
    21  reasonable cause, the court shall appoint an attorney to
    22  represent the person and set a date for the hearing as soon as
    23  practicable. The attorney shall represent the person unless it
    24  shall appear that he can afford, and desires to have, private
    25  representation.
    26     (4)  The court, by summons, shall direct the person to appear
    27  for a hearing. The court may issue a warrant directing a person
    28  authorized by the county administrator or a peace officer to
    29  bring such person before the court at the time of the hearing if
    30  there are reasonable grounds to believe that the person will not
    19750S1025B2097                 - 22 -

     1  appear voluntarily. A copy of the petition shall be served on
     2  such person at least three days before the hearing together with
     3  a notice advising him that an attorney has been appointed who
     4  shall represent him unless he obtains an attorney himself, that
     5  he has a right to be assisted in the proceedings by an expert in
     6  the field of mental health, and that he may request or be made
     7  subject to psychiatric examination under subsection (c)(5).
     8     (5)  Upon motion of either the petitioner or the person, or
     9  upon its own motion, the court may order the person to be
    10  examined by a psychiatrist appointed by the court. Such
    11  examination shall be conducted on an outpatient basis, and the
    12  person shall have the right to have counsel present. A report of
    13  the examination shall be given to the court and counsel at least
    14  48 hours prior to the hearing.
    15     (6)  Involuntary treatment shall not be authorized during the
    16  pendency of a petition except in accordance with section 302 or
    17  section 303.
    18     (d)  Professional Assistance. A person with respect to whom a
    19  hearing has been ordered under this section shall have and be
    20  informed of a right to employ a physician, clinical psychologist
    21  or other expert in mental health of his choice to assist him in
    22  connection with the hearing and to testify on his behalf. If the
    23  person cannot afford to engage such a professional, the court
    24  shall, on application, allow a reasonable fee for such purpose.
    25  The fee shall be a charge against the mental health and mental
    26  retardation program of the locality.
    27     (e)  Hearings on Petition for Court-ordered Involuntary
    28  Treatment. A hearing on a petition for court-ordered involuntary
    29  treatment shall be conducted according to the following:
    30     (1) The person shall have the right to counsel and to the
    19750S1025B2097                 - 23 -

     1  assistance of an expert in mental health.
     2     (2)  The person shall not be called as a witness without his
     3  consent.
     4     (3)  The person shall have the right to confront and cross-
     5  examine all witnesses and to present evidence in his own behalf.
     6     (4)  The hearing shall be public unless it is requested to be
     7  private by the person or his counsel.
     8     (5)  A stenographic or other sufficient record shall be made,
     9  which shall be impounded by the court and may be obtained or
    10  examined only upon the request of the person or his counsel or
    11  by order of the court on good cause shown.
    12     (6)  The hearing shall be conducted by a judge or by a mental
    13  health review officer and may be held at a location other than a
    14  courthouse when doing so appears to be in the best interest of
    15  the person.
    16     (7)  A decision shall be rendered within 48 hours after the
    17  close of evidence.
    18     (f)  Determination and Order. Upon a finding by clear and
    19  convincing evidence that the person is severely mentally
    20  disabled and in need of treatment and subject to section 304      <--
    21  SUBSECTION (a), an order shall be entered directing treatment of  <--
    22  the person in an approved facility as an inpatient or an
    23  outpatient. Inpatient treatment shall be deemed appropriate only
    24  after full consideration has been given to less restrictive
    25  alternatives. Investigation of treatment alternatives shall
    26  include consideration of the person's relationship to his
    27  community and family, his employment possibilities, all
    28  available community resources, and guardianship services. An
    29  order for inpatient treatment shall include findings on this
    30  issue.
    19750S1025B2097                 - 24 -

     1     (g)  Duration of Court-ordered Involuntary Treatment. (1)  A
     2  person may be made subject to court-ordered involuntary
     3  treatment under this section for a period not to exceed 90 days,
     4  excepting only that:
     5     Persons may be made subject to court-ordered involuntary
     6  treatment under this section for a period not to exceed one year
     7  if:
     8             (i)  severe mental disability is based on acts giving
     9     rise to the following charges under the Pennsylvania Crimes
    10     Code: murder (§ 2502); voluntary manslaughter (§ 2503);
    11     aggravated assault (§ 2702); kidnapping (§ 2901); rape (§
    12     3121(1) and (2)); involuntary deviate sexual intercourse (§
    13     3123(1) and (2)); and
    14             (ii)  a finding of incompetency to be tried or a
    15     verdict of acquittal because of lack of criminal
    16     responsibility has been entered.
    17     (2)  If at any time the director of a facility concludes that
    18  the person is not severely mentally disabled or in need of
    19  treatment pursuant to subsection (a), he shall discharge the
    20  person.
    21     Section 305.  Additional Periods of Court-ordered Involuntary
    22  Treatment.--At the expiration of a period of court-ordered
    23  involuntary treatment under section 304(g), the court may order
    24  treatment for an additional period upon the application of the
    25  county administrator or the director of the facility in which
    26  the person is receiving treatment. Such order shall be entered
    27  upon hearing on findings as required by sections 304(a) and (b),
    28  and the further finding of a need for continuing involuntary
    29  treatment as shown by conduct during the person's most recent
    30  period of court-ordered treatment. A person found dangerous to
    19750S1025B2097                 - 25 -

     1  himself under section 301(b)(2)(i),(ii) or (iii) shall be
     2  subject to an additional period of involuntary full-time
     3  inpatient treatment only if he has first been released to a less
     4  restrictive alternative. This limitation shall not apply where,
     5  upon application made by the county administrator or facility
     6  director, it is determined by a judge or mental health review
     7  officer that such release would not be in the person's best
     8  interest.
     9     Section 306.  Transfer of Persons in Involuntary Treatment.--
    10  Person in involuntary treatment pursuant to this act may be
    11  transferred to any approved facility. Whenever such transfer
    12  will constitute a greater restraint, it shall not take place
    13  unless, upon hearing, a judge or mental health review officer
    14  finds it to be necessary and appropriate.
    15                             ARTICLE IV
    16         Determinations Affecting Those Charged With Crime,
    17                         or Under Sentence
    18     Section 401.  Examination and Treatment of a Person Charged
    19  with Crime or Serving Sentence.--(a) Examination and treatment
    20  to be pursuant to civil provisions. Whenever a person who is
    21  charged with crime, or who is undergoing sentence, is or becomes
    22  severely mentally disabled, proceedings may be instituted for
    23  examination and treatment under the civil provisions of this act
    24  in the same manner as if he were not so charged or sentenced.
    25  PROCEEDINGS UNDER THIS SECTION SHALL NOT BE INITIATED FOR         <--
    26  EXAMINATION AND TREATMENT AT VETERANS ADMINISTRATION FACILITIES
    27  IF SUCH EXAMINATION AND TREATMENT REQUIRES THE PREPARATION OF
    28  COMPETENCY REPORTS AND/OR THE FACILITY IS REQUIRED TO MAINTAIN
    29  CUSTODY AND CONTROL OVER THE PERSON. Such proceedings, however,
    30  shall not affect the conditions of security required by his
    19750S1025B2097                 - 26 -

     1  criminal detention or incarceration.
     2     (b)  Status in Involuntary Treatment. Whenever a person who
     3  is detained on criminal charges or is incarcerated is made
     4  subject to inpatient examination or treatment, he shall be
     5  transferred, for this purpose, to a mental health facility.
     6  TRANSFER MAY BE MADE TO A VETERANS ADMINISTRATION FACILITY        <--
     7  PROVIDED THAT NEITHER CUSTODY NOR CONTROL ARE REQUIRED IN
     8  ADDITION TO EXAMINATION AND TREATMENT. SUCH INDIVIDUALS
     9  TRANSFERRED TO THE VETERANS ADMINISTRATION ARE NOT SUBJECT TO
    10  RETURN BY THE FEDERAL AGENCY TO THE AUTHORITY ENTITLED TO HAVE
    11  THEM IN CUSTODY. During such period, provisions for his security
    12  shall continue to be enforced, unless in the interim a pretrial
    13  release is effected, or the term of imprisonment expires or is
    14  terminated, or it is otherwise ordered by the court having
    15  jurisdiction over his criminal status. Upon discharge from
    16  treatment, a person who is or remains subject to a detainer or
    17  sentence shall be returned to the authority entitled to have him
    18  in custody. The period of involuntary treatment shall be
    19  credited as time served on account of any sentence to be imposed
    20  on pending charges or any unexpired term of imprisonment.
    21     (c)  Persons Subject to the Juvenile Act. As to any person
    22  who is subject to a petition or who has been committed under the
    23  Juvenile Act, the civil provisions of this act applicable to
    24  children of his age shall apply to all proceedings for his
    25  examination and treatment. If such a person is in detention or
    26  is committed, the court having jurisdiction under the Juvenile
    27  Act shall determine whether such security conditions shall
    28  continue to be enforced during any period of involuntary
    29  treatment and to whom the person should be released thereafter.
    30     Section 402.  Incompetence to Proceed on Criminal Charges and
    19750S1025B2097                 - 27 -

     1  Lack of Criminal Responsibility as Defense.--(a) Definition of
     2  Incompetency. Whenever a person who has been charged with a
     3  crime is found to be substantially unable to understand the
     4  nature or object of the proceedings against him or to
     5  participate and assist in his defense, he shall be deemed
     6  incompetent to be tried, convicted or sentenced so long as such
     7  incapacity continues.
     8     (B)  INVOLUNTARY TREATMENT OF PERSONS FOUND INCOMPETENT TO     <--
     9  STAND TRIAL WHO ARE NOT MENTALLY DISABLED. NOTWITHSTANDING THE
    10  PROVISIONS OF ARTICLE III OF THIS ACT, A COURT MAY ORDER
    11  INVOLUNTARY TREATMENT OF A PERSON FOUND INCOMPETENT TO STAND
    12  TRIAL BUT WHO IS NOT SEVERELY MENTALLY DISABLED, SUCH
    13  INVOLUNTARY TREATMENT NOT TO EXCEED A SPECIFIC PERIOD OF 30
    14  DAYS. INVOLUNTARY TREATMENT PURSUANT TO THIS SUBSECTION MAY BE
    15  ORDERED ONLY IF THE COURT IS REASONABLY CERTAIN THAT THE
    16  INVOLUNTARY TREATMENT WILL PROVIDE THE DEFENDANT WITH THE
    17  CAPACITY TO STAND TRIAL. THE COURT MAY ORDER OUTPATIENT
    18  TREATMENT, PARTIAL HOSPITALIZATION OR INPATIENT TREATMENT.
    19     (b) (C)  Application for Incompetency Examination.             <--
    20  Application to the court for an order directing an incompetency
    21  examination may be presented by an attorney for the
    22  Commonwealth, a person charged with a crime, his counsel, or the
    23  warden or other official in charge of the institution or place
    24  in which he is detained. A person charged with crime shall be
    25  represented either by counsel of his selection or by court-
    26  appointed counsel.
    27     (c) (D)  Hearing; When Required. The court, either on          <--
    28  application or on its own motion, may order an incompetency
    29  examination at any stage in the proceedings and may do so
    30  without a hearing unless the examination is objected to by the
    19750S1025B2097                 - 28 -

     1  person charged with a crime or by his counsel. In such event, an
     2  examination shall be ordered only after determination upon a
     3  hearing that there is a prima facie question of incompetency.
     4     (d) (E)  Conduct of Examination; Report. When ordered by the   <--
     5  court, an incompetency examination shall take place under the
     6  following conditions:
     7     (1)  It shall be conducted as an outpatient examination
     8  unless an inpatient examination is, or has been, authorized
     9  under another provision of this act.
    10     (2)  It shall be conducted by at least one psychiatrist and
    11  shall MAY relate both to competency to proceed and to criminal    <--
    12  responsibility for the crime charged.
    13     (3)  The person shall be entitled to have counsel present
    14  with him and shall not be required to answer any questions or to
    15  perform tests unless he has moved for or agreed to the
    16  examination. Nothing said or done by such person during the
    17  examination may be used as evidence against him in any criminal
    18  proceedings on any issue other than that of his mental
    19  condition.
    20     (4)  A report shall be submitted to the court and to counsel
    21  and shall contain a description of the examination, which shall
    22  include:
    23             (i)  diagnosis of the person's mental condition;
    24             (ii)  an opinion as to his capacity to understand the
    25         nature and object of the criminal proceedings against him
    26         and to assist in his defense;
    27             (iii)  WHEN SO REQUESTED, an opinion as to his mental  <--
    28         condition in relation to the standards for criminal
    29         responsibility as then provided by law if it appears that
    30         the facts concerning his mental condition may also be
    19750S1025B2097                 - 29 -

     1         relevant to the question of legal responsibility; and
     2             (iv)  when so requested, an opinion as to whether he
     3         had the capacity to have a particular state of mind,
     4         where such state of mind is a required element of the
     5         criminal charge.
     6     (e) (F)  Defendant's Expert EXPERTS. The court may allow a     <--
     7  psychiatrist retained by the defendant OR THE PROSECUTION to      <--
     8  witness and participate in the examination. Whenever a defendant
     9  who is financially unable to retain such expert has a
    10  substantial objection to the conclusions reached by the court-
    11  appointed psychiatrist, the court shall allow reasonable
    12  compensation for the employment of a psychiatrist of his
    13  selection, which amount shall be chargeable against the mental
    14  health and mental retardation program of the locality.
    15     (f) (G)  Time Limit on Determination. The determination of     <--
    16  the competency of a person who is detained under a criminal
    17  charge shall be rendered by the court within 20 days after the
    18  receipt of the report of examination unless the hearing was
    19  continued at the person's request.
    20     Section 403.  Hearing and Determination of Incompetency to
    21  Proceed; Stay of Proceedings; Dismissal of Charges.--(a)
    22  Competency Determination and Burden of Proof. The moving party
    23  shall have the burden of establishing incompetency to proceed by
    24  clear and convincing evidence. The determination shall be made
    25  by the court.
    26     (b)  Effect as Stay - Exception. A determination of
    27  incompetency to proceed shall effect a stay of the prosecution
    28  for so long as such incapacity persists, excepting that any
    29  legal objections suitable for determination prior to trial and
    30  without the personal participation of the person charged may be
    19750S1025B2097                 - 30 -

     1  raised and decided in the interim.
     2     (c)  Defendant's Right to Counsel; Reexamination. A person
     3  who is determined to be incompetent to proceed shall have a
     4  continuing right to counsel so long as the criminal charges are
     5  pending. Following such determination, the person charged shall
     6  be reexamined not less than every 60 days by a psychiatrist
     7  appointed by the court and a report of reexamination shall be
     8  submitted to the court and to counsel.
     9     (d)  Effect on Criminal Detention. Whenever a person who has
    10  been charged with a crime has been determined to be incompetent
    11  to proceed, he shall not for that reason alone be denied
    12  pretrial release. Nor shall he in any event be detained on the
    13  criminal charge longer than the reasonable period of time
    14  necessary to determine whether there is a substantial
    15  probability that he will attain that capacity in the foreseeable
    16  future. If the court determines there is no such probability, it
    17  shall discharge the person. Otherwise, he may continue to be
    18  criminally detained so long as such probability exists but in no
    19  event longer than the period of time specified in subsection
    20  403(f).                                                           <--
    21     (e)  Resumption of Proceedings or Dismissal. When the court,
    22  on its own motion or upon the application of the attorney for
    23  the Commonwealth or counsel for the defendant, determines that
    24  such person has regained his competence to proceed, the
    25  proceedings shall be resumed. If the court is of the opinion
    26  that by reason of the passage of time and its effect upon the
    27  criminal proceedings it would be unjust to resume the
    28  prosecution, the court may dismiss the charge and order the
    29  person discharged.
    30     (f)  Stay of Proceedings. In no instance shall the
    19750S1025B2097                 - 31 -

     1  proceedings be stayed for a period in excess of the maximum
     2  sentence that may be imposed for the crime or crimes charged, or
     3  five years, whichever is less.
     4     Section 404.  Hearing and Determination of Criminal
     5  Responsibility; Bifurcated Trial.--(a)  Criminal Responsibility
     6  Determination by Court. At a hearing under section 403 of this
     7  act the court may, in its discretion, also hear evidence on
     8  whether the person was criminally responsible for the commission
     9  of the crime charged. It shall do so in accordance with the
    10  rules governing the consideration and determination of the same
    11  issue at criminal trial. If the person is found to have lacked
    12  criminal responsibility, an acquittal shall be entered. If the
    13  person is not so acquitted, he may raise the defense at such
    14  time as he may be tried.
    15     (b)  Opinion Evidence on Mental Condition. At a hearing under
    16  section 403 or upon trial, a psychiatrist appointed  by the
    17  court may be called as a witness by the attorney for the
    18  Commonwealth or by the defendant and each party may also summon
    19  any other psychiatrist or other expert to testify.
    20     (c)  Bifurcation of Issues or Trial. Upon trial, the court,
    21  in the interest of justice, may direct that the issue of
    22  criminal responsibility be heard and determined separately from
    23  the other issues in the case and, in a trial by jury, that the
    24  issue of criminal responsibility be submitted to a separate
    25  jury. Upon a request for bifurcation, the court shall consider
    26  the substantiality of the defense of lack of responsibility and
    27  its effect upon other defenses, and the probability of a fair
    28  trial.
    29     Section 405.  Examination of Person Charged with Crime as Aid
    30  in Sentencing.--Examination Before Imposition of Sentence.
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     1  Whenever a person who has been criminally charged is to be
     2  sentenced, the court may defer sentence and order him to be
     3  examined for mental illness to aid it in the determination of
     4  disposition. This action may be taken on the court's initiative
     5  or on the application of the attorney for the Commonwealth, the
     6  person charged, his counsel, or any other person acting in his
     7  interest. If at the time of sentencing the person is not in
     8  detention, examination shall be on an outpatient basis unless
     9  inpatient examination for this purpose is ordered pursuant to
    10  the civil commitment provisions of Article III.
    11     Section 406.  Civil Procedure for Court-ordered Involuntary
    12  Treatment Following a Determination of Incompetency, or
    13  Acquittal by Reason of Lack of Criminal Responsibility or in
    14  Conjunction with Sentencing.--Upon a finding of incompetency to
    15  stand trial under section 403, after an acquittal by reason of
    16  lack of responsibility under section 404, or following an
    17  examination in aid of sentencing under section 405, the attorney
    18  for the Commonwealth, on his own or acting at the direction of
    19  the court, the defendant, his counsel, the county administrator,
    20  or any other interested party may petition the same court for an
    21  order directing involuntary treatment under section 304.
    22                             ARTICLE V
    23                   Effective Date, Applicability,
    24                      Repeals and Severability
    25     Section 501.  Effective Date and Applicability.--This act
    26  shall take effect 60 days after its enactment and shall
    27  thereupon apply immediately to all persons receiving voluntary
    28  treatment. As to all persons who were made subject to
    29  involuntary treatment prior to the effective date, it shall
    30  become applicable 180 days thereafter.
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     1     Section 502.  Repeals.--(a) The definition of "mental
     2  disability" in section 102, and sections 401, 402, 403, 404,
     3  405, 406, 407, 408, 409, 410, 411, 412, 413, 416, 418, 419, 420
     4  and 426, act of October 20, 1966 (3rd Sp.Sess., P.L.96, No.6),
     5  known as the "Mental Health and Mental Retardation Act of 1966,"
     6  are hereby repealed, except in so far as they relate to mental
     7  retardation or to persons who are mentally retarded.
     8     SECTION 29 OF THE ACT OF DECEMBER 6, 1972 (P.L.1464, NO.333),  <--
     9  KNOWN AS THE "JUVENILE ACT," EXCEPT SO FAR AS IT RELATES TO
    10  MENTAL RETARDATION OR TO PERSONS WHO ARE MENTALLY RETARDED, IS
    11  HEREBY REPEALED.
    12     (b)  All acts and parts of acts are repealed in so far as
    13  they are inconsistent herewith.
    14     Section 503.  Severability.--If any provision of this act
    15  including, but not limited to, any provision relating to
    16  children or the application thereof including but not limited to
    17  an application thereof to a child is held invalid, such
    18  invalidity shall not affect other provisions or applications of
    19  the act which can be given effect without the invalid provisions
    20  or application and to this end the provisions of this act are
    21  declared severable.






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