Treatment FAQ

how to force an adult into mental health treatment

by Mr. Ubaldo Sipes III Published 3 years ago Updated 2 years ago
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Usually, you can't force someone to go to therapy or get psychiatric treatment. However, if you believe that your loved one may be a danger to himself or to others because of a mental condition, in California, for example, you may want to consider a 5150 hold. A 5150 hold refers to Section 5150 of the California Welfare Institutions Code.

How to Initiate the Process of Committing Someone
  1. Your family doctor or a psychiatrist.
  2. Your local hospital.
  3. A lawyer specializing in mental health law.
  4. Your local police department.
  5. Your state protection and advocacy association.
Aug 8, 2020

Full Answer

Can you force a mentally ill person into treatment?

You care for the person and can see that he or she needs help, but feel powerless and unable to just stand by. You cannot force anyone over the age of 18 into treatment, unless they pose a danger to themselves or others or show signs of psychoticthinking (which is not very common).

What to do if your loved one refuses mental health treatment?

If your loved one refuses to move forward, it’s useful to try to understand what is behind his reasons for refusing treatment and then address those issues. A person may refuse to accept mental health treatment for many reasons, including: He may believe it indicates he is a failure. It may make him feel more vulnerable.

What should I do if I have a mental illness?

The definition of mental illness also varies from state to state. If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 1-800-273-8255 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911. For more mental health resources, see our National Helpline Database.

Can you be committed to a mental hospital against your will?

The short answer is that you can be committed to a mental hospital against your will if you meet the criteria set forth by the state in which you live. The exact criteria vary, but often include the requirement that you must present a danger, either to yourself or others, before you can be committed.

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What do you do if someone refuses mental health treatment?

Here are a few things to consider when working with your loved one who doesn't want help:Listen and validate. If your relationship is iffy, it doesn't hurt to just listen. ... Ask questions. ... Resist the urge to fix or give advice. ... Explore options together. ... Take care of yourself and find your own support.

How do you force a mentally ill person to get treated?

Usually, you can't force someone to go to therapy or get psychiatric treatment. However, if you believe that your loved one may be a danger to himself or to others because of a mental condition, in California, for example, you may want to consider a 5150 hold.

How do you force someone to get a mental evaluation?

While you cannot force someone to get evaluated or receive treatment, you can encourage them to get help or raise your concerns with their primary physician. The person suffering from mental illness may resist treatment for several reasons.

Can mental health treatment be forced?

Mentally competent patients have a general right to refuse medical treatment. All states in the U.S. allow for some form of involuntary treatment for mental illness or erratic behavior for short periods of time under emergency conditions, although criteria vary.

How do you deal with a mentally unstable family member?

Try to show patience and caring and try not to be judgmental of their thoughts and actions. Listen; don't disregard or challenge the person's feelings. Encourage them to talk with a mental health care provider or with their primary care provider if that would be more comfortable for them.

Can you be forced to go to a mental hospital?

You cannot legally be treated without your consent as a voluntary patient – you have the right to refuse treatment. This includes refusing medication that might be prescribed to you. (An exception to this is if you lack capacity to consent to treatment.)

How do I force someone to go to the hospital?

A person can be involuntarily committed to a hospital if they are a danger to themselves, a danger to others, or gravely disabled. They are considered a danger to themselves if they have stated that they are planning to harm themselves.

What are the 5 signs of mental illness?

Here are five warning signs of mental illness to watch for, especially when you have two or more of these symptoms.Long-lasting sadness or irritability.Extremely high and low moods.Excessive fear, worry, or anxiety.Social withdrawal.Dramatic changes in eating or sleeping habits.

How do you convince someone to go to therapy?

Approach the conversation with care and concern, not judgment. When you broach the topic of therapy, begin by expressing that you want to help because you care about the other person. Ask questions and listen to the person's answers carefully and patiently. Listen for ways that therapy could address specific concerns.

How do you commit someone 5150?

Ask the police officer or ambulance driver where your friend or relative is being taken. If the police believe that the person meets criteria (see below), they will be placed on a 5150 and transported (typically by ambulance) to a designated facility for psychiatric evaluation and treatment.

How do I get someone sectioned?

Someone can only be sectioned if they meet certain criteria, these are:Their mental health problem is so severe that they need urgent assessment and treatment.They are a danger to themselves or others due to their mental health.

What is the criteria for a 5150?

5150 is the number of the section of the Welfare and Institutions Code, which allows an adult who is experiencing a mental health crisis to be involuntarily detained for a 72- hour psychiatric hospitalization when evaluated to be a danger to others, or to himself or herself, or gravely disabled.

How to prepare for a mental health intervention?

Develop a plan of action. Prior to the intervention, develop at least one treatment plan to offer to the person. Make arrangements ahead of time if the person is going to be escorted to the mental health facility directly from the intervention.

What should I do if I'm worried about someone?

If you’re worried that someone is a danger to themselves or others, you should call 911 right away for help. If the person you’re trying to help isn’t a danger to themselves or others, try staging an intervention to help them.

What is intervention in psychology?

An intervention occurs when friends and family who are concerned about someone join together (sometimes with a doctor, counselor, or intervention specialist) to try to help the person understand the consequences of addiction or behavior.

What to do if you feel you are in danger?

If there is not an immediate resolution, and you feel you are in potential danger, seek a restraining order against the person to restrict her contact.

How to describe an emergency situation?

Emergencies are not a time to feel embarrassed or coy when the situation involves a person with a mental illness. It may be a matter of life or death. Describe the situation in a calm and detailed manner. Be very clear about the situation, and do not increase the likelihood any potential threat.

What is an involuntary commitment?

Clarify the law. Involuntary commitment implies you are taking a person’s freedom away. This serious procedure varies from state to state, but in general, involuntary commitments are either judicial or emergency and require input from a doctor, therapist, and/or the court. Often, after a suicide attempt, temporary commitment is mandatory.

Can you ride in an emergency vehicle to the hospital?

If it is appropriate to ride in the emergency vehicle with the person to the hospital, then do so. Drive or get a ride to the hospital where they are taking the person for evaluation. You will need to be present to provide essential health related information they will need to perform a psychiatric evaluation.

Can You Force Someone Into Rehab?

Many states allow parents to force their minor children—under the age of 18—to attend drug and alcohol rehab even without the child’s consent. 3 However, things change for those 18 and older. Therefore, a number of states enacted involuntary commitment laws (applicable to those over the age of 18).

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What Is the Process for Involuntary Commitment?

To place a loved one in involuntary rehab, there is a step-by-step process—that varies from state to state—to follow. While specifics differ, most statutes require similar criteria to be met, which may include: 6

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Take our free, 5-minute substance abuse self-assessment below if you think you or someone you love might be struggling with substance abuse. The evaluation consists of 11 yes or no questions that are intended to be used as an informational tool to assess the severity and probability of a substance use disorder.

What States Have Involuntary Commitment Laws for Substance Use?

States that allow you to force someone into rehab through involuntary commitment laws for SUD include: 7

What Laws Address Involuntary Rehab?

State laws tackle involuntary treatment in different ways. Here are just a few examples.

What is the Typical Length of Rehab in These Cases?

The length of time a person may be involuntarily committed to treatment also varies based on the jurisdiction and may range from three days to a year. 6 In Florida, for instance, the court can order treatment for up to 60 days. In Connecticut, the length of time ranges from 30 to 180 days.

How to know if someone needs help?

In You Need Help! Komrad lists the specific signs — along with real-life examples — that signal an individual needs help. These are some of the signs: 1 Behavior that scares you, such as a significant temper. 2 Problems taking care of themselves or regulating their behavior, such as ignoring basic hygiene, engaging in reckless acts or drinking and acting aggressively. 3 Problems with thinking, such as becoming disoriented, seeing or hearing things that no one else does or forgetting important facts. 4 Intense feelings, such as profound anxiety about leaving the house. 5 Problems interacting with others, such as withdrawing from the people they love. 6 Inability to work, such as not holding down a job or diminishing grades or effort in school. 7 Experiencing trauma, such as abuse or the death of a child.

What to do when you feel unsafe?

If you’re feeling unsafe for any reason, articulate that to the authorities. If you’re uneasy about bringing your loved one home, communicate that as well. As Komrad said, you don’t want to give the system an easy way out. You want to make sure they grasp the gravity.

How much more disabled is someone with depression than someone with angina?

A Step-by-Step Plan to Convince a Loved One to Get Counseling. “On average, a person with depression is at least 50 percent more disabled than someone with angina, arthritis, asthma or diabetes,” according to this report by The Centre for Economic Performance’s Mental Health Policy Group. The good news is that treatments for mental illness are ...

What are the problems with thinking?

Problems with thinking, such as becoming disoriented, seeing or hearing things that no one else does or forgetting important facts. Intense feelings, such as profound anxiety about leaving the house. Problems interacting with others, such as withdrawing from the people they love.

Is mental health treatment effective?

The good news is that treatments for mental illness are highly effective . The bad news is that only one out of three people might actually seek help. And some research suggests that the people who need help the most are typically the least likely to get it.

Do people with mental illness need counseling?

Many people with mental illness simply don’t think they’re sick. That’s why it’s critical for families and friends to step in and help their loved one realize they need to seek counseling. Don’t worry about “meddling” in their lives, Komrad said. Rather, you have the opportunity and power to improve – and in some cases, save — their lives.

What happens when someone you love refuses to get treatment?

When someone you love refuses to get professional treatment for their mental health disorder—such as depression, bipolar disorder, or substance abuse —this can put you, as a family member, in a very uncomfortable and difficult position. You care for the person and can see that he or she needs help, but feel powerless and unable to just stand by.

How old do you have to be to get a psychotic treatment?

You care for the person and can see that he or she needs help, but feel powerless and unable to just stand by. You cannot force anyone over the age of 18 into treatment, unless they pose a danger to themselves or others or show signs of psychotic thinking (which is not very common).

What does it mean to distancing yourself from a sick family member?

That, a lot of times, means distancing yourself from the sick family member who refused treatment. Everyone has limits, and when said mentally sick family member has a long history of repeated abusive behavior I say family members have a right to protect themselves from harm.

What are the areas of concern?

Common areas of concern are: alterations in overall appearance. decreased level of energy. fatigue. lack of interest in previously enjoyed people or activities. changes in sleep, appetite, or weight.

Why does my loved one refuse to move forward?

If your loved one refuses to move forward, it’s useful to try to understand what is behind his reasons for refusing treatment and then address those issues. A person may refuse to accept mental health treatment for many reasons, including: He may believe it indicates he is a failure.

Is it hard to keep up with meds?

It's really hard to keep up your motivation and keep on trying when so many things don' t go your way, when meds don't work or you have side effects to them. I know, I've been there too. It feels like you have nothing left to do, but actually there's always something else to try. This I know for sure.

Can elderly people not participate in treatment?

Other's won't participate, and, if they aren' t a danger to themselves or others, have a right to not participate in treatment. The author mentioned elderly people. Elderly people (probably over the age of 75 or so) didn't grow up with treatment options, and thus, many won' t participate in them.

What to do if you think someone needs to be involuntarily committed to a hospital?

If you think someone needs to be involuntarily committed to a hospital, one option is to call the Office of Mental Health and explain to them what is going on. If you can't find the number for your local crisis center or Office of Mental Health, another option is to call the police or bring them to the nearest emergency room.

What is commitment in psychiatry?

Commitment is a complicated and sensitive issue in which most relatives feel confused as to whether it is the right thing to do.

Why do people have involuntary commitments?

The truth is, many times in schizophrenia and bipolar disorder, an involuntary commitment is the first step towards a person getting healthy. Family members may be worried about starting an involuntary commitment for fears of being blamed, feeling guilty, or not being trusted by their family member in the future.

What is considered imminent danger?

As with every aspect of this issue, what is considered by law to be an imminent danger to others varies state to state. Usually, if a person has done some sort of bodily harm to themselves or others because of their mental illness they are considered to be in clear or present danger. The bottom line is that most states allow you to force someone ...

What is the phone number to call for mental health?

If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 1-800-273-8255 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.

Who can request short term detention?

A short-term emergency detention, such as detention immediately following a suicide attempt, can generally be requested by anyone who has witnessed the situation that you are in, including friends, family, or the police.

How long can you be in jail for emergency detention?

The allowed duration of emergency detentions vary from state to state but are most often limited to 24–48 hours before a civil commitment proceeding must be initiated. 2 . Some states have longer detention periods that can range from four to 10 days. 2 .

What does commitment mean in prison?

When talking about "commitment," it might sound like a prison sentence, but in actuality, when commitment is considered, the goal is to help a person, not to punish or restrict their rights as a human being. Talk of commitment usually demonstrates compassion and consideration of the safety and well-being of the person in need of help. Certainly, this is not always the case, and this is where the involvement of a medical professional or judicial approval is important. 1 

Can commitments be extended?

Commitments for longer periods of time generally have more stringent requirements than emergency detention, but again are for limited periods of time and cannot be extended without the proper procedures being followed.

Can you be forced to undergo mental health treatment?

Even if a person has been committed through emergency detention, they will not be forced to undergo treatment for their mental illness. The exception is treatments that are required on an emergency basis and are designed to calm a person or stabilize a medical condition.

Can you be committed to a mental hospital?

The short answer is that you can be committed to a mental hospital against your will if you meet the criteria set forth by the state in which you live. 1 . The exact criteria vary, but often include the requirement that you must present a danger, either to yourself or others, before you can be committed. 1 .

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