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COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF MENTAL HEALTH APPLICATION FOR AN AUTHORIZATION OF TEMPORARY INVOLUNTARY HOSPITALIZATION M.G.L. Chapter 123, Sections 12 (a) and 12 (b)Application Pursuant
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How to fill out application for involuntary hospitalization
How to fill out application for involuntary hospitalization
01
Obtain the application form for involuntary hospitalization from the designated authority.
02
Fill out the personal information section accurately, providing your name, address, contact details, and any relevant identification information.
03
Explain the reasons for the application in a clear and concise manner, detailing the specific behaviors or symptoms that indicate the need for involuntary hospitalization.
04
Provide any supporting documentation or evidence, such as medical reports or witness statements, that substantiate the need for involuntary hospitalization.
05
Make sure to include the date and signature at the bottom of the application form.
06
Submit the completed application form to the designated authority or mental health facility.
07
Follow any additional steps or procedures as instructed by the authority or facility staff.
Who needs application for involuntary hospitalization?
01
An application for involuntary hospitalization is typically needed for individuals who pose a threat to themselves or others due to severe mental illness or substance abuse.
02
Examples of people who may require involuntary hospitalization include individuals with severe depression or suicidal tendencies, those experiencing psychosis or delusions, individuals engaging in violent or dangerous behaviors, or those who are unable to care for themselves due to mental impairment.
03
Ultimately, the decision to pursue involuntary hospitalization is usually made by mental health professionals, law enforcement, or designated authorities who assess the individual's condition and determine the level of risk they present.
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