If the court finds that alternatives to involuntary confinement and treatment have been investigated and deemed unsuitable and that there is no less restrictive alternative to institutional confinement, the court will order that the respondent be committed to the custody of DMHMRSAS for appropriate treatment and confinement in a secure facility.
Once a person is committed, he will be placed in the custody of the DMHMRSAS for control, care, and treatment until such time as his mental abnormality or personality disorder has changed so that he will not present an undue risk to public safety.
If a respondent is placed on conditional release, the DMHMRSAS or, if applicable, the respondent's parole or probation officer will implement the court's conditional release orders and submit reports to the court on the respondent's progress every six months.
The Department of Mental Health, Mental Retardation and Substance Abuse Services (DMHMRSAS) currently operates eight mental health facilities throughout the Commonwealth for the care and treatment of persons with mental illness and one facility specifically for the treatment of children and adolescents.
Prior to considering the restructuring of the system of mental health services that would impact an existing state mental health facility, the DMHMRSAS Commissioner (Commissioner) must establish a state and community consensus and planning team.
The Secretary must also coordinate the efforts of the Department of Medical Assistance Services and DMHMRSAS in seeking maximum Medicaid service options and potential Medicaid waivers from the Centers for Medicare & Medicaid Services.
Current DMHMRSAS Client Management Guidelines give CSBs control of the admission and discharge process to hospitals, but this is not balanced by incentives to minimize bed utilization.
A survey of key CSB and DMHMRSAS administrative and clinical mental health leaders revealed important findings about their knowledge of and attitudes about these factors.
This compares to approximately 55% male and 45% female for the overall active patient population in DMHMRSAS facilities.
The average length of stay for NGRI patients currently in DMHMRSAS facilities is approximately 50.3 months (4.18 years).
DMHMRSAS policy results in judicial admissions for most, if not all, children in this youngest age group who are hospitalized in DMHMRSAS-operated hospitals.
Hospitals operated by DMHMRSAS are both most likely to express a policy of invoking judicial process when admitting a minor to psychiatric hospitalization and to follow such a practice, as evidenced by the very large proportion of their admissions which were judicially involved (8970).