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1 | AN ACT concerning health.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Mental Health and Developmental | ||||||||||||||||||||||||
5 | Disabilities Code is amended by changing Section 2-107.1 as | ||||||||||||||||||||||||
6 | follows:
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7 | (405 ILCS 5/2-107.1) (from Ch. 91 1/2, par. 2-107.1)
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8 | Sec. 2-107.1. Administration of psychotropic medication | ||||||||||||||||||||||||
9 | and electroconvulsive therapy
upon
application to a court.
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10 | (a) (Blank).
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11 | (a-5) Notwithstanding the provisions of Section 2-107 of | ||||||||||||||||||||||||
12 | this
Code, psychotropic medication and electroconvulsive | ||||||||||||||||||||||||
13 | therapy may be administered to an adult recipient of
services | ||||||||||||||||||||||||
14 | without the informed consent of the recipient under the | ||||||||||||||||||||||||
15 | following
standards:
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16 | (1) Any person 18 years of age or older, including any | ||||||||||||||||||||||||
17 | guardian, may
petition the circuit court for an order | ||||||||||||||||||||||||
18 | authorizing the administration of psychotropic medication | ||||||||||||||||||||||||
19 | and electroconvulsive therapy to a recipient
of services.
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20 | The petition shall state that the petitioner has made a | ||||||||||||||||||||||||
21 | good faith attempt to
determine whether the recipient has | ||||||||||||||||||||||||
22 | executed a power of attorney for health
care under the | ||||||||||||||||||||||||
23 | Powers of Attorney for Health Care Law or a declaration for
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1 | mental health treatment under the Mental Health Treatment | ||||||
2 | Preference
Declaration Act and to obtain copies of these | ||||||
3 | instruments if they exist. If
either of the above-named | ||||||
4 | instruments is available to the petitioner, the
instrument | ||||||
5 | or a copy of the instrument shall be attached to the | ||||||
6 | petition as
an exhibit.
The petitioner shall deliver a copy | ||||||
7 | of the petition, and notice of the time
and place of the | ||||||
8 | hearing, to the respondent, his or her attorney, any known
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9 | agent or
attorney-in-fact, if any, and the
guardian, if | ||||||
10 | any, no later than 3 days prior to the date of the
hearing.
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11 | Service of the petition and notice of the time and place of | ||||||
12 | the hearing may
be made by transmitting them via facsimile | ||||||
13 | machine to the
respondent or other party. Upon receipt of | ||||||
14 | the petition and notice, the party
served, or the person | ||||||
15 | delivering the petition and notice to
the party served, | ||||||
16 | shall acknowledge service. If the party sending the | ||||||
17 | petition
and notice does not receive acknowledgement of | ||||||
18 | service
within 24 hours, service must be made by personal | ||||||
19 | service.
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20 | The
petition may include a request that the court | ||||||
21 | authorize such testing and
procedures as may be essential | ||||||
22 | for the safe and effective administration of the | ||||||
23 | psychotropic medication or electroconvulsive therapy | ||||||
24 | sought to be
administered, but only where the
petition
sets | ||||||
25 | forth the specific testing and procedures sought to be | ||||||
26 | administered.
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1 | If a hearing is requested to be held immediately | ||||||
2 | following the hearing on
a petition for
involuntary | ||||||
3 | admission, then the notice requirement shall be the same as | ||||||
4 | that
for the hearing on
the petition for involuntary | ||||||
5 | admission, and the petition filed pursuant to this
Section | ||||||
6 | shall be filed
with the petition for involuntary admission.
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7 | (2) The court shall hold a hearing within 7 days of the | ||||||
8 | filing
of the petition. The People, the petitioner, or the | ||||||
9 | respondent shall be
entitled
to a continuance of up to 7 | ||||||
10 | days as of right. An additional
continuance of not more | ||||||
11 | than 7 days may be granted to
any party (i)
upon a showing | ||||||
12 | that the continuance is needed in order
to adequately
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13 | prepare for or present evidence in a hearing under this | ||||||
14 | Section or
(ii) under exceptional circumstances. The court | ||||||
15 | may
grant an additional continuance
not to exceed 21 days | ||||||
16 | when, in its discretion, the court determines that such a
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17 | continuance is necessary in order to provide the recipient | ||||||
18 | with an examination
pursuant to Section 3-803 or 3-804 of | ||||||
19 | this Act, to provide the recipient with a
trial by jury as | ||||||
20 | provided in Section 3-802 of this Act, or to arrange for | ||||||
21 | the
substitution of counsel as provided for by the Illinois | ||||||
22 | Supreme Court Rules.
The hearing shall be
separate from a | ||||||
23 | judicial proceeding held to determine whether a person is
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24 | subject to involuntary admission but may be heard | ||||||
25 | immediately preceding or
following such a judicial | ||||||
26 | proceeding and may be heard by the same trier of fact
or |
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1 | law as in that judicial proceeding.
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2 | (3) Unless otherwise provided herein, the procedures | ||||||
3 | set forth in
Article VIII of Chapter 3 of this Act, | ||||||
4 | including the provisions regarding
appointment of counsel, | ||||||
5 | shall govern hearings held under this subsection
(a-5).
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6 | (4) Psychotropic medication and electroconvulsive | ||||||
7 | therapy may be administered to the recipient if and only if
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8 | it has been determined by clear and convincing evidence | ||||||
9 | that all of
the following factors are present. In | ||||||
10 | determining whether a person meets the criteria specified | ||||||
11 | in the following
paragraphs (A) through (G), the court may | ||||||
12 | consider evidence of the person's history of
serious | ||||||
13 | violence, repeated past pattern of specific behavior, | ||||||
14 | actions related to the person's
illness, or past outcomes | ||||||
15 | of various treatment options.
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16 | (A) That the recipient has a serious mental illness | ||||||
17 | or
developmental disability.
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18 | (B) That because of said mental illness or | ||||||
19 | developmental disability,
the recipient currently | ||||||
20 | exhibits any one of the following: (i)
deterioration of | ||||||
21 | his
or her ability to function, as compared to the | ||||||
22 | recipient's ability to
function prior to the current | ||||||
23 | onset of symptoms of the mental illness or
disability | ||||||
24 | for which treatment is presently sought, (ii) | ||||||
25 | suffering, or (iii)
threatening
behavior.
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26 | (C) That the illness or disability has existed for |
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1 | a period marked by
the continuing presence of the | ||||||
2 | symptoms set forth in item (B) of this
subdivision (4) | ||||||
3 | or the repeated episodic occurrence of these symptoms.
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4 | (D) That the benefits of the treatment
outweigh the | ||||||
5 | harm.
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6 | (E) That the recipient lacks the capacity to make a
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7 | reasoned
decision about the treatment.
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8 | (F) That other less restrictive services have been | ||||||
9 | explored
and found inappropriate.
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10 | (G) If the petition seeks authorization for | ||||||
11 | testing and other
procedures,
that such testing and | ||||||
12 | procedures are essential for the safe and effective
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13 | administration of the treatment.
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14 | (5) In no event shall an order issued under this | ||||||
15 | Section be effective
for more than 90 days.
A second 90-day | ||||||
16 | period of involuntary treatment may be authorized pursuant | ||||||
17 | to
a hearing that
complies
with the standards and | ||||||
18 | procedures of this subsection (a-5).
Thereafter, | ||||||
19 | additional 180-day periods of involuntary treatment may be
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20 | authorized pursuant to
the standards and procedures of this | ||||||
21 | Section without limit.
If a new petition to authorize the | ||||||
22 | administration of psychotropic medication or | ||||||
23 | electroconvulsive therapy
is filed at least 15 days prior | ||||||
24 | to the
expiration of the prior order, and if
any | ||||||
25 | continuance of the hearing is agreed to by the recipient, | ||||||
26 | the
administration of the treatment may continue in |
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1 | accordance
with
the prior order
pending the completion of a | ||||||
2 | hearing under this Section.
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3 | (6) An order issued under this subsection (a-5) shall
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4 | designate the persons
authorized to administer the | ||||||
5 | treatment under the
standards
and procedures of this | ||||||
6 | subsection (a-5) and shall allow any of those persons to | ||||||
7 | designate one or more other persons to administer the | ||||||
8 | treatment in the court-designated person's absence .
Those | ||||||
9 | persons shall have complete discretion not to administer | ||||||
10 | any
treatment authorized under this Section.
The order | ||||||
11 | shall also specify the medications and the anticipated | ||||||
12 | range of
dosages that have been authorized and may include | ||||||
13 | a list of any alternative
medications and range of dosages | ||||||
14 | deemed necessary. A person designated in the court order as | ||||||
15 | authorized to administer the treatment must be a qualified | ||||||
16 | acute and long-term health care professional familiar with | ||||||
17 | the recipient's mental and physical status and active in | ||||||
18 | the recipient's care. A person designated by a | ||||||
19 | court-designated person to administer the treatment in the | ||||||
20 | court-designated person's absence must be a licensed and | ||||||
21 | qualified health care professional.
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22 | (a-10) The court may, in its discretion, appoint a guardian | ||||||
23 | ad litem for a recipient before the court or authorize an | ||||||
24 | existing guardian of the person to monitor treatment and | ||||||
25 | compliance with court orders under this Section.
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26 | (b) A guardian may be authorized to consent to the |
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1 | administration
of psychotropic medication or electroconvulsive | ||||||
2 | therapy to an
objecting recipient only under the
standards and | ||||||
3 | procedures of subsection (a-5).
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4 | (c) Notwithstanding any other provision of this Section, a | ||||||
5 | guardian may
consent to the administration of psychotropic | ||||||
6 | medication or electroconvulsive therapy to a
non-objecting
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7 | recipient under Article XIa of the Probate Act of 1975.
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8 | (d) Nothing in this Section shall prevent the | ||||||
9 | administration of psychotropic medication or electroconvulsive | ||||||
10 | therapy to recipients
in an emergency under Section 2-107 of
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11 | this Act.
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12 | (e) Notwithstanding any of the provisions of this Section, | ||||||
13 | psychotropic medication or electroconvulsive therapy may be | ||||||
14 | administered pursuant to a power of attorney for
health care | ||||||
15 | under the Powers of Attorney for Health Care Law or a | ||||||
16 | declaration
for mental health treatment under the Mental Health | ||||||
17 | Treatment Preference
Declaration Act.
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18 | (f) The Department shall conduct annual trainings for | ||||||
19 | physicians and registered nurses working in State-operated | ||||||
20 | mental health facilities on the appropriate use of psychotropic | ||||||
21 | medication and electroconvulsive therapy, standards for their | ||||||
22 | use, and the preparation of court petitions under this Section.
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23 | (Source: P.A. 94-1066, eff. 8-1-06; 95-172, eff. 8-14-07.)
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24 | Section 99. Effective date. This Act takes effect upon | ||||||
25 | becoming law.
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