229.15 PERIODIC REPORTS REQUIRED.
1. Not more than thirty days after entry of an order for
continued hospitalization of a patient under section 229.14,
subsection 1, paragraph "b", and thereafter at successive
intervals of not more than sixty days continuing so long as
involuntary hospitalization of the patient continues, the chief
medical officer of the hospital shall report to the court which
entered the order. The report shall be submitted in the manner
required by section 229.14, shall state whether the patient's
condition has improved, remains unchanged, or has deteriorated, and
shall indicate if possible the further length of time the patient
will be required to remain at the hospital. The chief medical
officer may at any time report to the court a finding as stated in
section 229.14, subsection 1, and the court shall act upon the
finding as required by section 229.14, subsection 2.
2. Not more than sixty days after the entry of a court order for
treatment of a patient pursuant to a report issued under section
229.14, subsection 1, paragraph "c", and thereafter at successive
intervals as ordered by the court but not to exceed ninety days so
long as that court order remains in effect, the medical director of
the facility or the psychiatrist or psychiatric advanced registered
nurse practitioner treating the patient shall report to the court
which entered the order. The report shall state whether the
patient's condition has improved, remains unchanged, or has
deteriorated, and shall indicate if possible the further length of
time the patient will require treatment by the facility. If at any
time the patient without good cause fails or refuses to submit to
treatment as ordered by the court, the medical director shall at once
so notify the court, which shall order the patient hospitalized as
provided by section 229.14, subsection 2, paragraph "d", unless
the court finds that the failure or refusal was with good cause and
that the patient is willing to receive treatment as provided in the
court's order, or in a revised order if the court sees fit to enter
one. If at any time the medical director reports to the court that
in the director's opinion the patient requires full-time custody,
care, and treatment in a hospital, and the patient is willing to be
admitted voluntarily to the hospital for these purposes, the court
may enter an order approving hospitalization for appropriate
treatment upon consultation with the chief medical officer of the
hospital in which the patient is to be hospitalized. If the patient
is unwilling to be admitted voluntarily to the hospital, the
procedure for determining involuntary hospitalization, as set out in
section 229.14, subsection 2, paragraph "d", shall be followed.
3. a. A psychiatric advanced registered nurse practitioner
treating a patient previously hospitalized under this chapter may
complete periodic reports pursuant to this section on the patient if
the patient has been recommended for treatment on an outpatient or
other appropriate basis pursuant to section 229.14, subsection 1,
paragraph "c", and if a psychiatrist licensed pursuant to chapter
148 personally evaluates the patient on at least an annual basis.
b. An advanced registered nurse practitioner who is not
certified as a psychiatric advanced registered nurse practitioner but
who meets the qualifications set forth in the definition of a mental
health professional in section 228.1 on July 1, 2008, may complete
periodic reports pursuant to paragraph "a".
4. When a patient has been placed in an alternative facility
other than a hospital pursuant to a report issued under section
229.14, subsection 1, paragraph "d", a report on the patient's
condition and prognosis shall be made to the court which placed the
patient, at least once every six months, unless the court authorizes
annual reports. If an evaluation of the patient is performed
pursuant to section 227.2, subsection 4, a copy of the evaluation
report shall be submitted to the court within fifteen days of the
evaluation's completion. The court may in its discretion waive the
requirement of an additional report between the annual evaluations.
If the administrator exercises the authority to remove residents from
a county care facility or other county or private institution under
section 227.6, the administrator shall promptly notify each court
which placed in that facility any resident so removed.
5. a. When in the opinion of the chief medical officer the
best interest of a patient would be served by a convalescent or
limited leave, the chief medical officer may authorize the leave and,
if authorized, shall promptly report the leave to the court. When in
the opinion of the chief medical officer the best interest of a
patient would be served by a transfer to a different hospital for
continued full-time custody, care, and treatment, the chief medical
officer shall promptly send a report to the court. The court shall
act upon the report in accordance with section 229.14A.
b. This subsection shall not be construed to add to or
restrict the authority otherwise provided by law for transfer of
patients or residents among various state institutions administered
by the department of human services. If a patient is transferred
under this subsection, the treatment provider to whom the patient is
transferred shall be provided with copies of relevant court orders by
the former treatment provider.
6. Upon receipt of any report required or authorized by this
section the court shall furnish a copy to the patient's attorney, or
alternatively to the advocate appointed as required by section
229.19. The court shall examine the report and take the action
thereon which it deems appropriate. Should the court fail to receive
any report required by this section or section 229.14 at the time the
report is due, the court shall investigate the reason for the failure
to report and take whatever action may be necessary in the matter.
229.15 PERIODIC REPORTS REQUIRED.
1. Not more than thirty days after entry of an order for
continued hospitalization of a patient under section 229.14,
subsection 1, paragraph "b", and thereafter at successive
intervals of not more than sixty days continuing so long as
involuntary hospitalization of the patient continues, the chief
medical officer of the hospital shall report to the court which
entered the order. The report shall be submitted in the manner
required by section 229.14, shall state whether the patient's
condition has improved, remains unchanged, or has deteriorated, and
shall indicate if possible the further length of time the patient
will be required to remain at the hospital. The chief medical
officer may at any time report to the court a finding as stated in
section 229.14, subsection 1, and the court shall act upon the
finding as required by section 229.14, subsection 2.
2. Not more than sixty days after the entry of a court order for
treatment of a patient pursuant to a report issued under section
229.14, subsection 1, paragraph "c", and thereafter at successive
intervals as ordered by the court but not to exceed ninety days so
long as that court order remains in effect, the medical director of
the facility or the psychiatrist or psychiatric advanced registered
nurse practitioner treating the patient shall report to the court
which entered the order. The report shall state whether the
patient's condition has improved, remains unchanged, or has
deteriorated, and shall indicate if possible the further length of
time the patient will require treatment by the facility. If at any
time the patient without good cause fails or refuses to submit to
treatment as ordered by the court, the medical director shall at once
so notify the court, which shall order the patient hospitalized as
provided by section 229.14, subsection 2, paragraph "d", unless
the court finds that the failure or refusal was with good cause and
that the patient is willing to receive treatment as provided in the
court's order, or in a revised order if the court sees fit to enter
one. If at any time the medical director reports to the court that
in the director's opinion the patient requires full-time custody,
care, and treatment in a hospital, and the patient is willing to be
admitted voluntarily to the hospital for these purposes, the court
may enter an order approving hospitalization for appropriate
treatment upon consultation with the chief medical officer of the
hospital in which the patient is to be hospitalized. If the patient
is unwilling to be admitted voluntarily to the hospital, the
procedure for determining involuntary hospitalization, as set out in
section 229.14, subsection 2, paragraph "d", shall be followed.
3. a. A psychiatric advanced registered nurse practitioner
treating a patient previously hospitalized under this chapter may
complete periodic reports pursuant to this section on the patient if
the patient has been recommended for treatment on an outpatient or
other appropriate basis pursuant to section 229.14, subsection 1,
paragraph "c", and if a psychiatrist licensed pursuant to chapter
148 personally evaluates the patient on at least an annual basis.
b. An advanced registered nurse practitioner who is not
certified as a psychiatric advanced registered nurse practitioner but
who meets the qualifications set forth in the definition of a mental
health professional in section 228.1 on July 1, 2008, may complete
periodic reports pursuant to paragraph "a".
4. When a patient has been placed in an alternative facility
other than a hospital pursuant to a report issued under section
229.14, subsection 1, paragraph "d", a report on the patient's
condition and prognosis shall be made to the court which placed the
patient, at least once every six months, unless the court authorizes
annual reports. If an evaluation of the patient is performed
pursuant to section 227.2, subsection 4, a copy of the evaluation
report shall be submitted to the court within fifteen days of the
evaluation's completion. The court may in its discretion waive the
requirement of an additional report between the annual evaluations.
If the administrator exercises the authority to remove residents from
a county care facility or other county or private institution under
section 227.6, the administrator shall promptly notify each court
which placed in that facility any resident so removed.
5. a. When in the opinion of the chief medical officer the
best interest of a patient would be served by a convalescent or
limited leave, the chief medical officer may authorize the leave and,
if authorized, shall promptly report the leave to the court. When in
the opinion of the chief medical officer the best interest of a
patient would be served by a transfer to a different hospital for
continued full-time custody, care, and treatment, the chief medical
officer shall promptly send a report to the court. The court shall
act upon the report in accordance with section 229.14A.
b. This subsection shall not be construed to add to or
restrict the authority otherwise provided by law for transfer of
patients or residents among various state institutions administered
by the department of human services. If a patient is transferred
under this subsection, the treatment provider to whom the patient is
transferred shall be provided with copies of relevant court orders by
the former treatment provider.
6. Upon receipt of any report required or authorized by this
section the court shall furnish a copy to the patient's attorney, or
alternatively to the advocate appointed as required by section
229.19. The court shall examine the report and take the action
thereon which it deems appropriate. Should the court fail to receive
any report required by this section or section 229.14 at the time the
report is due, the court shall investigate the reason for the failure
to report and take whatever action may be necessary in the matter.
229.15 PERIODIC REPORTS REQUIRED.
1. Not more than thirty days after entry of an order for
continued hospitalization of a patient under section 229.14,
subsection 1, paragraph "b", and thereafter at successive
intervals of not more than sixty days continuing so long as
involuntary hospitalization of the patient continues, the chief
medical officer of the hospital shall report to the court which
entered the order. The report shall be submitted in the manner
required by section 229.14, shall state whether the patient's
condition has improved, remains unchanged, or has deteriorated, and
shall indicate if possible the further length of time the patient
will be required to remain at the hospital. The chief medical
officer may at any time report to the court a finding as stated in
section 229.14, subsection 1, and the court shall act upon the
finding as required by section 229.14, subsection 2.
2. Not more than sixty days after the entry of a court order for
treatment of a patient pursuant to a report issued under section
229.14, subsection 1, paragraph "c", and thereafter at successive
intervals as ordered by the court but not to exceed ninety days so
long as that court order remains in effect, the medical director of
the facility or the psychiatrist or psychiatric advanced registered
nurse practitioner treating the patient shall report to the court
which entered the order. The report shall state whether the
patient's condition has improved, remains unchanged, or has
deteriorated, and shall indicate if possible the further length of
time the patient will require treatment by the facility. If at any
time the patient without good cause fails or refuses to submit to
treatment as ordered by the court, the medical director shall at once
so notify the court, which shall order the patient hospitalized as
provided by section 229.14, subsection 2, paragraph "d", unless
the court finds that the failure or refusal was with good cause and
that the patient is willing to receive treatment as provided in the
court's order, or in a revised order if the court sees fit to enter
one. If at any time the medical director reports to the court that
in the director's opinion the patient requires full-time custody,
care, and treatment in a hospital, and the patient is willing to be
admitted voluntarily to the hospital for these purposes, the court
may enter an order approving hospitalization for appropriate
treatment upon consultation with the chief medical officer of the
hospital in which the patient is to be hospitalized. If the patient
is unwilling to be admitted voluntarily to the hospital, the
procedure for determining involuntary hospitalization, as set out in
section 229.14, subsection 2, paragraph "d", shall be followed.
3. a. A psychiatric advanced registered nurse practitioner
treating a patient previously hospitalized under this chapter may
complete periodic reports pursuant to this section on the patient if
the patient has been recommended for treatment on an outpatient or
other appropriate basis pursuant to section 229.14, subsection 1,
paragraph "c", and if a psychiatrist licensed pursuant to chapter
148 personally evaluates the patient on at least an annual basis.
b. An advanced registered nurse practitioner who is not
certified as a psychiatric advanced registered nurse practitioner but
who meets the qualifications set forth in the definition of a mental
health professional in section 228.1 on July 1, 2008, may complete
periodic reports pursuant to paragraph "a".
4. When a patient has been placed in an alternative facility
other than a hospital pursuant to a report issued under section
229.14, subsection 1, paragraph "d", a report on the patient's
condition and prognosis shall be made to the court which placed the
patient, at least once every six months, unless the court authorizes
annual reports. If an evaluation of the patient is performed
pursuant to section 227.2, subsection 4, a copy of the evaluation
report shall be submitted to the court within fifteen days of the
evaluation's completion. The court may in its discretion waive the
requirement of an additional report between the annual evaluations.
If the administrator exercises the authority to remove residents from
a county care facility or other county or private institution under
section 227.6, the administrator shall promptly notify each court
which placed in that facility any resident so removed.
5. a. When in the opinion of the chief medical officer the
best interest of a patient would be served by a convalescent or
limited leave, the chief medical officer may authorize the leave and,
if authorized, shall promptly report the leave to the court. When in
the opinion of the chief medical officer the best interest of a
patient would be served by a transfer to a different hospital for
continued full-time custody, care, and treatment, the chief medical
officer shall promptly send a report to the court. The court shall
act upon the report in accordance with section 229.14A.
b. This subsection shall not be construed to add to or
restrict the authority otherwise provided by law for transfer of
patients or residents among various state institutions administered
by the department of human services. If a patient is transferred
under this subsection, the treatment provider to whom the patient is
transferred shall be provided with copies of relevant court orders by
the former treatment provider.
6. Upon receipt of any report required or authorized by this
section the court shall furnish a copy to the patient's attorney, or
alternatively to the advocate appointed as required by section
229.19. The court shall examine the report and take the action
thereon which it deems appropriate. Should the court fail to receive
any report required by this section or section 229.14 at the time the
report is due, the court shall investigate the reason for the failure
to report and take whatever action may be necessary in the matter.
