229.14 CHIEF MEDICAL OFFICER'S REPORT.
1. The chief medical officer's report to the court on the
psychiatric evaluation of the respondent shall be made not later than
the expiration of the time specified in section 229.13. At least two
copies of the report shall be filed with the clerk, who shall dispose
of them in the manner prescribed by section 229.10, subsection 2.
The report shall state one of the four following alternative
findings:
a. That the respondent does not, as of the date of the
report, require further treatment for serious mental impairment. If
the report so states, the court shall order the respondent's
immediate release from involuntary hospitalization and terminate the
proceedings.
b. That the respondent is seriously mentally impaired and in
need of full-time custody, care and inpatient treatment in a
hospital, and is considered likely to benefit from treatment. The
report shall include the chief medical officer's recommendation for
further treatment.
c. That the respondent is seriously mentally impaired and in
need of treatment, but does not require full-time hospitalization.
If the report so states, it shall include the chief medical officer's
recommendation for treatment of the respondent on an outpatient or
other appropriate basis.
d. The respondent is seriously mentally impaired and in need
of full-time custody and care, but is unlikely to benefit from
further inpatient treatment in a hospital. The report shall include
the chief medical officer's recommendation for an appropriate
alternative placement for the respondent.
2. Following receipt of the chief medical officer's report under
subsection 1, paragraph "b", "c", or "d", the court shall
issue an order for appropriate treatment as follows:
a. For a respondent whose expenses are payable in whole or in
part by a county, placement as designated through the central point
of coordination process in the care of an appropriate hospital or
facility on an inpatient or outpatient basis, or other appropriate
treatment, or in an appropriate alternative placement.
b. For any other respondent, placement in the care of an
appropriate hospital or facility on an inpatient or outpatient basis,
or other appropriate treatment, or an appropriate alternative
placement.
c. For a respondent who is an inmate in the custody of the
department of corrections, the court may order the respondent to
receive mental health services in a correctional program.
d. If the court orders treatment of the respondent on an
outpatient or other appropriate basis as described in the chief
medical officer's report pursuant to subsection 1, paragraph "c",
the order shall provide that, should the respondent fail or refuse to
submit to treatment in accordance with the court's order, the court
may order that the respondent be taken into immediate custody as
provided by section 229.11 and, following notice and hearing held in
accordance with the procedures of section 229.12, may order the
respondent treated on an inpatient basis requiring full-time custody,
care, and treatment in a hospital until such time as the chief
medical officer reports that the respondent does not require further
treatment for serious mental impairment or has indicated the
respondent is willing to submit to treatment on another basis as
ordered by the court. If a patient is transferred for treatment to
another provider under this paragraph, the treatment provider who
will be providing the outpatient or other appropriate treatment shall
be provided with copies of relevant court orders by the former
treatment provider.
229.14 CHIEF MEDICAL OFFICER'S REPORT.
1. The chief medical officer's report to the court on the
psychiatric evaluation of the respondent shall be made not later than
the expiration of the time specified in section 229.13. At least two
copies of the report shall be filed with the clerk, who shall dispose
of them in the manner prescribed by section 229.10, subsection 2.
The report shall state one of the four following alternative
findings:
a. That the respondent does not, as of the date of the
report, require further treatment for serious mental impairment. If
the report so states, the court shall order the respondent's
immediate release from involuntary hospitalization and terminate the
proceedings.
b. That the respondent is seriously mentally impaired and in
need of full-time custody, care and inpatient treatment in a
hospital, and is considered likely to benefit from treatment. The
report shall include the chief medical officer's recommendation for
further treatment.
c. That the respondent is seriously mentally impaired and in
need of treatment, but does not require full-time hospitalization.
If the report so states, it shall include the chief medical officer's
recommendation for treatment of the respondent on an outpatient or
other appropriate basis.
d. The respondent is seriously mentally impaired and in need
of full-time custody and care, but is unlikely to benefit from
further inpatient treatment in a hospital. The report shall include
the chief medical officer's recommendation for an appropriate
alternative placement for the respondent.
2. Following receipt of the chief medical officer's report under
subsection 1, paragraph "b", "c", or "d", the court shall
issue an order for appropriate treatment as follows:
a. For a respondent whose expenses are payable in whole or in
part by a county, placement as designated through the central point
of coordination process in the care of an appropriate hospital or
facility on an inpatient or outpatient basis, or other appropriate
treatment, or in an appropriate alternative placement.
b. For any other respondent, placement in the care of an
appropriate hospital or facility on an inpatient or outpatient basis,
or other appropriate treatment, or an appropriate alternative
placement.
c. For a respondent who is an inmate in the custody of the
department of corrections, the court may order the respondent to
receive mental health services in a correctional program.
d. If the court orders treatment of the respondent on an
outpatient or other appropriate basis as described in the chief
medical officer's report pursuant to subsection 1, paragraph "c",
the order shall provide that, should the respondent fail or refuse to
submit to treatment in accordance with the court's order, the court
may order that the respondent be taken into immediate custody as
provided by section 229.11 and, following notice and hearing held in
accordance with the procedures of section 229.12, may order the
respondent treated on an inpatient basis requiring full-time custody,
care, and treatment in a hospital until such time as the chief
medical officer reports that the respondent does not require further
treatment for serious mental impairment or has indicated the
respondent is willing to submit to treatment on another basis as
ordered by the court. If a patient is transferred for treatment to
another provider under this paragraph, the treatment provider who
will be providing the outpatient or other appropriate treatment shall
be provided with copies of relevant court orders by the former
treatment provider.
229.14 CHIEF MEDICAL OFFICER'S REPORT.
1. The chief medical officer's report to the court on the
psychiatric evaluation of the respondent shall be made not later than
the expiration of the time specified in section 229.13. At least two
copies of the report shall be filed with the clerk, who shall dispose
of them in the manner prescribed by section 229.10, subsection 2.
The report shall state one of the four following alternative
findings:
a. That the respondent does not, as of the date of the
report, require further treatment for serious mental impairment. If
the report so states, the court shall order the respondent's
immediate release from involuntary hospitalization and terminate the
proceedings.
b. That the respondent is seriously mentally impaired and in
need of full-time custody, care and inpatient treatment in a
hospital, and is considered likely to benefit from treatment. The
report shall include the chief medical officer's recommendation for
further treatment.
c. That the respondent is seriously mentally impaired and in
need of treatment, but does not require full-time hospitalization.
If the report so states, it shall include the chief medical officer's
recommendation for treatment of the respondent on an outpatient or
other appropriate basis.
d. The respondent is seriously mentally impaired and in need
of full-time custody and care, but is unlikely to benefit from
further inpatient treatment in a hospital. The report shall include
the chief medical officer's recommendation for an appropriate
alternative placement for the respondent.
2. Following receipt of the chief medical officer's report under
subsection 1, paragraph "b", "c", or "d", the court shall
issue an order for appropriate treatment as follows:
a. For a respondent whose expenses are payable in whole or in
part by a county, placement as designated through the central point
of coordination process in the care of an appropriate hospital or
facility on an inpatient or outpatient basis, or other appropriate
treatment, or in an appropriate alternative placement.
b. For any other respondent, placement in the care of an
appropriate hospital or facility on an inpatient or outpatient basis,
or other appropriate treatment, or an appropriate alternative
placement.
c. For a respondent who is an inmate in the custody of the
department of corrections, the court may order the respondent to
receive mental health services in a correctional program.
d. If the court orders treatment of the respondent on an
outpatient or other appropriate basis as described in the chief
medical officer's report pursuant to subsection 1, paragraph "c",
the order shall provide that, should the respondent fail or refuse to
submit to treatment in accordance with the court's order, the court
may order that the respondent be taken into immediate custody as
provided by section 229.11 and, following notice and hearing held in
accordance with the procedures of section 229.12, may order the
respondent treated on an inpatient basis requiring full-time custody,
care, and treatment in a hospital until such time as the chief
medical officer reports that the respondent does not require further
treatment for serious mental impairment or has indicated the
respondent is willing to submit to treatment on another basis as
ordered by the court. If a patient is transferred for treatment to
another provider under this paragraph, the treatment provider who
will be providing the outpatient or other appropriate treatment shall
be provided with copies of relevant court orders by the former
treatment provider.
