State of Illinois
91st General Assembly
Legislation

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[ Engrossed ][ Enrolled ][ House Amendment 001 ]
[ Senate Amendment 001 ]

91_SB1508

 
                                               LRB9112739DJcd

 1        AN ACT to  amend  the  Mental  Health  and  Developmental
 2    Disabilities  Code  by  changing Sections 1-121, 2-107.1, and
 3    3-813.

 4        Be it enacted by the People of  the  State  of  Illinois,
 5    represented in the General Assembly:

 6        Section   5.   The   Mental   Health   and  Developmental
 7    Disabilities Code is  amended  by  changing  Sections  1-121,
 8    2-107.1, and 3-813 as follows:

 9        (405 ILCS 5/1-121) (from Ch. 91 1/2, par. 1-121)
10        Sec.  1-121.  "Psychiatrist" means a physician as defined
11    in the first sentence of Section 1-120 who  has  successfully
12    completed  a  residency  program  in psychiatry accredited by
13    either  the  Accreditation  Council  for   Graduate   Medical
14    Education  or the American Osteopathic Association at least 3
15    years  of  formal  training  or  primary  experience  in  the
16    diagnosis and treatment of mental illness.
17    (Source: P.A. 80-1414.)

18        (405 ILCS 5/2-107.1) (from Ch. 91 1/2, par. 2-107.1)
19        Sec. 2-107.1.  Administration of  authorized  involuntary
20    treatment upon application to a court.
21        (a)  Notwithstanding  the  provisions of Section 2-107 of
22    this  Code,   authorized   involuntary   treatment   may   be
23    administered  to  an  adult recipient of services without the
24    informed  consent  of  the  recipient  under  the   following
25    standards:
26             (1)  Any  person 18 years of age or older, including
27        any guardian, may petition the circuit court for an order
28        authorizing the administration of authorized  involuntary
29        treatment  to a recipient of services. The petition shall
30        state that the petitioner has made a good  faith  attempt
 
                            -2-                LRB9112739DJcd
 1        to  determine  whether the recipient has executed a power
 2        of attorney for health care under the Powers of  Attorney
 3        for  Health  Care  Law or a declaration for mental health
 4        treatment under the Mental  Health  Treatment  Preference
 5        Declaration Act and to obtain copies of these instruments
 6        if  they exist.  If either of the above-named instruments
 7        is available to the petitioner, the instrument  shall  be
 8        attached  to  the  petition as an exhibit. The petitioner
 9        shall deliver a copy of the petition, and notice  of  the
10        time  and place of the hearing, to the respondent, his or
11        her attorney, any known  agent  or  attorney-in-fact,  if
12        any,  and  the  guardian, if any, no later than 3 10 days
13        prior to the date  of  the  hearing.   The  petition  may
14        include  a  request that the court authorize such testing
15        and procedures as may  be  essential  for  the  safe  and
16        effective  administration  of  the authorized involuntary
17        treatment sought to be administered, but only  where  the
18        petition  sets  forth the specific testing and procedures
19        sought to be administered.
20             If a hearing is requested  to  be  held  immediately
21        following  the  hearing  on  a  petition  for involuntary
22        admission, then the notice requirement shall be the  same
23        as  that  for the hearing on the petition for involuntary
24        admission,  and  the  petition  filed  pursuant  to  this
25        Section shall be filed with the petition for  involuntary
26        admission.
27             (2)  The court shall hold a hearing within 7 14 days
28        of   the   filing   of  the  petition.  The  People,  the
29        petitioner, or the  recipient  shall  be  entitled  to  a
30        continuance  of  up to 7 days as of right.  An additional
31        continuance of Continuances totaling not more than  7  14
32        days  may be granted to the recipient upon a showing that
33        the continuance is continuances are needed  in  order  to
34        prepare  adequately  prepare  for  a  hearing  under this
 
                            -3-                LRB9112739DJcd
 1        Section.   The  court  may,  in  its  discretion,   grant
 2        additional continuances if agreed to by all parties.  The
 3        hearing shall be separate from a judicial proceeding held
 4        to  determine  whether a person is subject to involuntary
 5        admission,  but  the  hearing  may  be  held  immediately
 6        following that judicial proceeding and may  be  heard  by
 7        the same trier of fact as in that judicial proceeding.
 8             (3)  Unless    otherwise    provided   herein,   the
 9        procedures set forth in Article VIII of Chapter 3 of this
10        Act, including the provisions  regarding  appointment  of
11        counsel, shall govern hearings held under this subsection
12        (a).
13             (4)  Authorized  involuntary  treatment shall not be
14        administered  to  the  recipient  unless  it   has   been
15        determined  by  clear and convincing evidence that all of
16        the following factors are present:
17                  (A)  That the recipient has  a  serious  mental
18             illness or developmental disability.
19                  (B)  That  because  of  said  mental illness or
20             developmental disability, the recipient exhibits any
21             one of  the  following:  (i)  deterioration  of  his
22             ability   to   function,   (ii)   suffering,   (iii)
23             threatening behavior, or (iv) disruptive behavior.
24                  (C)  That the illness or disability has existed
25             for  a  period  marked by the continuing presence of
26             the  symptoms  set  forth  in  item  (B)   of   this
27             subdivision  (4) or the repeated episodic occurrence
28             of these symptoms.
29                  (D)  That  the  benefits   of   the   treatment
30             outweigh the harm.
31                  (E)  That  the  recipient lacks the capacity to
32             make a reasoned decision about the treatment.
33                  (F)  That other less restrictive services  have
34             been explored and found inappropriate.
 
                            -4-                LRB9112739DJcd
 1                  (G)  If  the  petition  seeks authorization for
 2             testing and other procedures, that such testing  and
 3             procedures  are essential for the safe and effective
 4             administration of the treatment.
 5             (5)  In no event shall an order  issued  under  this
 6        Section  be  effective  for  more  than 90 days. A second
 7        90-day period of involuntary treatment may be  authorized
 8        pursuant  to  a hearing that complies However, authorized
 9        involuntary treatment may be administered for  additional
10        90-day  periods  without  limitation  under hearings that
11        comply with the above standards and  procedures  of  this
12        subsection (a). Thereafter, additional 180-day periods of
13        involuntary  treatment  may be authorized pursuant to the
14        standards and procedures of this Section  without  limit.
15        If  a  new  petition  to  authorize the administration of
16        authorized involuntary treatment is  filed  at  least  15
17        days  prior  to the expiration of the prior order, and if
18        any continuance of  the  hearing  is  agreed  to  by  the
19        recipient,   the  administration  of  the  treatment  may
20        continue in accordance with the prior order  pending  the
21        completion of a hearing under this Section.
22             (6)  An order issued under this subsection (a) shall
23        designate   the  persons  authorized  to  administer  the
24        authorized involuntary treatment under the standards  and
25        procedures  of  this  subsection (a). Those persons shall
26        have complete discretion not to administer any  treatment
27        authorized  under  this  Section.  The  order  shall also
28        specify the medications  and  the  anticipated  range  of
29        dosages that have been authorized.
30        (b)  A  guardian  may  be  authorized  to  consent to the
31    administration of  authorized  involuntary  treatment  to  an
32    objecting  recipient  only under the standards and procedures
33    of subsection (a).
34        (c)  Notwithstanding any other provision of this Section,
 
                            -5-                LRB9112739DJcd
 1    a guardian may consent to the  administration  of  authorized
 2    involuntary  treatment  to  a  non-objecting  recipient under
 3    Article XIa of the Probate Act of 1975.
 4        (d)  Nothing  in   this   Section   shall   prevent   the
 5    administration   of   authorized   involuntary  treatment  to
 6    recipients in an emergency under Section 2-107 of this Act.
 7        (e)  Notwithstanding  any  of  the  provisions  of   this
 8    Section, authorized involuntary treatment may be administered
 9    pursuant  to  a  power  of attorney for health care under the
10    Powers of Attorney for Health Care Law or a  declaration  for
11    mental  health  treatment  under  the Mental Health Treatment
12    Preference Declaration Act.
13    (Source: P.A.  89-11,  eff.  3-31-95;  89-439,  eff.  6-1-96;
14    90-538, eff. 12-1-97.)

15        (405 ILCS 5/3-813) (from Ch. 91 1/2, par. 3-813)
16        Sec.  3-813.  (a)  An  initial  order for hospitalization
17    shall be for a period not to exceed 90 180 days. Prior to the
18    expiration of the initial  order  if  the  facility  director
19    believes  that  the  recipient  continues  to  be  subject to
20    involuntary admission, a new petition and 2 new  certificates
21    may  be  filed  with  the  court. If a petition is filed, the
22    facility  director  shall  file  with  the  court  a  current
23    treatment  plan  which  includes   an   evaluation   of   the
24    recipient's progress and the extent to which he is benefiting
25    from  treatment.  If  no  petition  is  filed  prior  to  the
26    expiration  of  the  initial  order,  the  recipient shall be
27    discharged. Following a hearing, the court may order a second
28    period of hospitalization not to exceed 90 180 days  only  if
29    it  finds  that  the  recipient  continues  to  be subject to
30    involuntary admission.
31        (b)  Additional 180  day  periods  of  treatment  may  be
32    sought pursuant to the procedures set out in this Section for
33    so   long  as  the  recipient  continues  to  be  subject  to
 
                            -6-                LRB9112739DJcd
 1    involuntary admission. The provisions of this  chapter  which
 2    apply  whenever  an  initial  order  is  sought  shall  apply
 3    whenever an additional period of treatment is sought.
 4    (Source: P.A. 88-380.)

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