Can You Commit a Family Member to a Mental Hospital
Involuntary Psychiatric Hospitalization of Adults
Data for Petitioners, Family Members and Concerned Others
The psychiatric hospitalization of an private against his or her will is a treatment option that is pursued only when all less restrictive treatment options have been wearied or deemed unsuitable.
Taking away an private's personal liberty, even with the proficient intention of providing mental health treatment, is such a serious step that the Virginia legislature has established strict requirements that must be met earlier a person can be involuntarily hospitalized.
CSB Emergency Services staff have prepared data for petitioners, family unit members and concerned others who want to understand the involuntary psychiatric hospitalization process.
Observe: The information contained on this page is not intended as directly personal legal advice and is for informational purposes only. For legal advice related to your own situation, you should consult a lawyer.
A printable version of this information is as well available.
The psychiatric hospitalization of an individual confronting his or her will is a treatment option that is pursued only when all less restrictive handling options have been exhausted or deemed unsuitable.
Taking away an individual's personal freedom, fifty-fifty with the good intention of providing mental wellness treatment, is such a serious pace that the Virginia legislature has established strict requirements that must be met earlier a person can be involuntarily hospitalized.
Involuntary hospitalization occurs only when an individual's psychiatric condition causes a state of affairs where there is a substantial likelihood that the individual, in the near future, will "cause serious physical damage" to self or others, or will "endure serious harm" due to lack of capacity to protect himself/herself or to provide for his/her basic human needs.
The process typically starts with the issuance of a Temporary Detention Social club (TDO) and the scheduling of a Commitment Hearing. The involuntary hospitalization of adults is washed in accordance with the Code of Virginia, §37.2-800 through 37.2-847.
A Temporary Detention Order (TDO) is an club issued past a Magistrate that requires an individual to exist held in a psychiatric facility for a period of 1 to five days until a commitment hearing is held. How long the person is hospitalized before the hearing occurs depends on when the TDO is issued and whether there is an intervening weekend or legal vacation. Magistrates are available to issue a TDO every twenty-four hours of the year, 24 hours a twenty-four hours. You can accomplish the Fairfax County Office of the Magistrate at 703-246-2178 .
A TDO is issued in response to a request by a "Petitioner," or upon the Magistrate'due south own movement, and, except in rare circumstances, only subsequently completion of an in-person assessment within the preceding 72 hours by a "Certified Prescreener." The Petitioner is "whatsoever responsible person" or "treating doctor" and is the person who is requesting involuntary hospitalization of the individual. The Certified Prescreener must be a mental health clinician who is employed by the Community Services Board (CSB) and is certified to conduct TDO evaluations.
When deciding whether to event a TDO, the Magistrate may consider:
- The recommendations of any treating or examining doc or psychologist licensed in Virginia.
- Whatsoever past actions of the individual.
- Whatever by mental health treatment the individual has received.
- Any relevant hearsay prove.
- Any available medical records.
- Any affidavits submitted, if the witness is unavailable, and it and then states in the affidavit.
- Whatsoever other information available that the Magistrate considers relevant.
The purpose of the Certified Prescreener'due south assessment is to determine whether the individual meets the TDO criteria specified in the statute. Based on the results, the Certified Prescreener will and so recommend or not recommend that the individual be involuntarily hospitalized under a TDO. If a TDO is issued, the results of the cess are documented in a Preadmission Screening Report ("prescreening") that is sent to the hospital and is admitted into evidence at the commitment hearing. The Certified Prescreener is required to inform the petitioner and the "on-site treating physician" if hospitalization under a TDO is non being recommended.
Prior to issuance of the TDO, the Certified Prescreener is required to place the facility where the private will be hospitalized and the individual's insurance status. The TDO will not be issued until the admitting hospital is identified.
To event the TDO, the Magistrate, based on all the evidence readily available, must decide that the individual:
- Has a mental affliction and that there exists a substantial likelihood that, as a event of mental illness, the person volition, in the near futurity:
- Cause serious physical harm to himself or others as evidenced by recent beliefs causing, attempting, or threatening damage and other relevant information, if any, or
- Suffer serious harm due to his lack of capacity to protect himself from damage or to provide for his basic human needs, and
- Is in demand of hospitalization or handling, and
- Is unwilling to volunteer or incapable of volunteering for hospitalization or treatment.
In determining whether there is serious concrete impairment or serious impairment, the Magistrate and Certified Prescreener typically look for evidence that the individual is engaging in behavior that could result in physical injury, inability or death, or could result in physical damage because he/she is not caring for himself/herself or providing for his/her food, vesture or shelter.
Once the TDO is issued, a constabulary enforcement officeholder will serve the TDO, accept the individual into custody, and transport him/her to the hospital. During transportation to the hospital, law officers usually identify the private in handcuffs.
A request tin be fabricated to the Magistrate to have the private transported to the hospital by an "alternative transportation provider" rather than by a law enforcement officer. The "alternative transportation provider" can be a person, facility, or agency, including a family unit member or friend of the individual, a representative of the Customs Services Lath, or other transportation provider with personnel trained to provide transportation in a safe manner. Authorization of an "alternative transportation provider" tin be given if the Magistrate deems it to exist appropriate.
Every try will be fabricated to take the individual admitted to a infirmary within Fairfax County: Inova Fairfax Infirmary, Inova Mountain Vernon Hospital, Rule Hospital, or Northern Virginia Mental Health Institute (NVMHI). If the individual cannot be admitted to a hospital located in Fairfax County, an attempt volition be made to accept him/her admitted to a hospital in a neighboring jurisdiction (Arlington Canton, Prince William County, Loudoun County). In some situations, the private may accept to be admitted to a infirmary outside of the Northern Virginia expanse.
The Petitioner is given data near where the individual is admitted. In the dorsum of this pamphlet you volition find a list of the names and addresses of the local hospitals and a space where you can tape the name, address, and phone number of the hospital where the individual has been admitted.
If the individual is admitted to one of the iv hospitals in Fairfax County, the commitment hearing is held at the hospital where he/she was admitted. The "courtroom" travels a "excursion," going to each infirmary to conduct the hearings. The circuit starts at Dominion Hospital and then proceeds to NVMHI, Inova Fairfax Infirmary and, finally, Inova Mountain Vernon Hospital. Hearings are scheduled to brainstorm at 7 a.m. The petitioner and witnesses must arrive at the hospital by that time. Usually, several hearings are scheduled on any given day, and there is no mode of knowing in advance which case will exist heard commencement. When many cases have to be heard, the petitioner and/or witnesses may exist waiting at the hospital for several hours.
Commitment hearings are held in a meeting room. When yous arrive at the psychiatric unit, permit the staff know that you are there to attend the hearing, and they volition show you to a waiting room. You will be notified when to go to the hearing room. It is absolutely essential that the Petitioner and any witnesses be present when the instance is called. If the Petitioner and/or witnesses are not nowadays, the TDO will likely be dismissed, and the person will be released from the hospital.
The Certified Prescreener who recommended issuance of the TDO will requite you the appointment and location of the hearing. That data can also be obtained by contacting the hospital where the private has been admitted or past contacting Emergency Services at the (703-573-5679 , TTY 703-207-7737
).Make a note of the location, date and time of the hearing.
If the individual was admitted to a infirmary outside of Fairfax County, the delivery hearing will be held past the jurisdiction where the hospital is located. The process of conducting the hearings in that jurisdiction will likely be unlike than the process in Fairfax County. The Certified Prescreener who recommended issuance of the TDO will give y'all information well-nigh how delivery hearings are held in that jurisdiction.
Those attending the delivery hearing include: the individual, a Special Justice, his/her court-appointed Attorney, a Fairfax Banana County Attorney (for Fairfax TDOs), an Independent Evaluator, a CSB representative, a Deputy Sheriff (who provides security), Hospital security, the Petitioner, and whatsoever witnesses who are attending the hearing to testify. At times, students from nursing and police bookish programs discover the proceedings.
The Special Justice conducts the hearing and determines the final effect of the hearing. The Special Justice is appointed by the Chief Judge of the Circuit Court, must exist licensed to practice police force in Virginia, and is required to complete specialized training.
The courtroom-appointed attorney, at Land expense, represents the individual at the hearing. The individual can hire an attorney at his/her own expense. Under Virginia law, the attorney is required to "represent the wishes of his client." This requirement means that if the individual wants to be discharged from the hospital, the chaser will claiming the opinion and testimony of those who retrieve he/she should remain in the hospital. Earlier the hearing, the attorney may obtain information by interviewing the individual, the Petitioner, the Certified Prescreener, the Independent Evaluator and any witnesses, and by reviewing relevant treatment records and reports
In Fairfax County, the Contained Evaluator is ordinarily a Clinical Psychologist, skilled in the diagnosis and treatment of mental illness. Before the hearing, the Independent Evaluator conducts an evaluation of the private at the infirmary where the individual is detained. The Independent Evaluator reviews clinical records and may phone call the petitioner or other witnesses equally needed. The Independent Evaluator provides an "expert clinical opinion" about whether the individual has a mental disease and whether there is a substantial likelihood that, as a result of mental illness, the individual will, in the near future, (1) crusade serious physical harm to cocky or others, or (two) suffer serious damage due to his/her lack of chapters to protect cocky from harm or to provide for his/her bones human needs. The Independent Evaluator also provides a clinical opinion virtually what type of handling the person needs and whether or not that treatment should exist ordered by the courtroom.
The Banana County Attorney represents Fairfax County and the Fairfax-Falls Church CSB. At the hearing, the Assistant County Chaser may obtain testimony from the Petitioner and any witnesses and will seek to have the Special Justice order the disposition sought past the CSB. The Assistant County Attorney may represent the Petitioner at the hearing if the wishes of the CSB and the Petitioner are the same. The Banana County Chaser may call the Petitioner prior to the hearing. In any event, the Petitioner is free to retain an chaser to represent him/her or to stand for himself/herself at the hearing. For individuals who were detained in another county, or when a disharmonize exists, the Banana Canton Attorney volition not represent the Petitioner, and instead, the Petitioner will independently nowadays their own bear witness.
A clinician from the Fairfax-Falls Church building CSB attends each hearing and is available to provide relevant paperwork to the Special Justice, help the petitioner and family members with information nearly mental health services, arrange the location of a hospital bed for individuals who were committed or agreed to sign into the hospital at the time of the hearing, and link individuals to Mandatory Outpatient Handling. Petitioners and family members for individuals who were detained by another county are directed to the CSB that serves the individual for data about resources in that community.
The Petitioner is the person who requested that the individual be involuntarily hospitalized and is an essential part of the TDO procedure. A TDO will not exist issued without a Petitioner. Petitioners are ofttimes family members or friends just can be other mental wellness professionals or concerned individuals.
Co-ordinate to the Virginia Lawmaking, the Petitioner is "entitled" to attend the hearing and to "testify and present testify." Information technology likewise indicates that the Petitioner is "encouraged" just "not required" to testify at the hearing and that the "person whose involuntary access is sought shall not exist released solely on the basis of the Petitioner's failure to nourish or testify during the hearing." Simply the presence and testimony of the Petitioner at the hearing is a practical necessity. If the Petitioner and/or witness are not present to provide get-go-mitt show about the private's beliefs – peculiarly those behaviors and verbal threats that take resulted in, or could upshot in, physical impairment – in that location is the strong possibility that the TDO volition be dismissed at the hearing due to bereft evidence. When that happens, the individual will be free to leave the hospital.
As the Petitioner, you volition be asked to complete and sign a "Petition for Certification for Involuntary Access for Treatment" court form. On this grade you will be required to provide specific information virtually why you lot are asking to have a TDO issued. Personal identification from the petitioner, such as a drivers license, is required because the form volition be notarized by the CSB Emergency Services clinician and be sent to the Court.
As the Petitioner, you are strongly encouraged to bring other witnesses to the hearing so they can provide relevant testimony. You and your witnesses should exist available to the Independent Evaluator prior to the hearing to provide data about why you sought the TDO. You are also encouraged to bring to the hearing any relevant concrete evidence (for example, photographs, audio recordings, texts, messages, documents, etc.) that supports your testimony. Exercise not bring any type of weapon as concrete evidence. Instead, bring a photograph of the weapon. As Petitioner, y'all may exist able to enquire questions of the Special Justice or the CSB Representative if you lot do not empathise something that is occurring at the hearing.
The Virginia laws of evidence and procedure apply to the commitment hearing, fifty-fifty though it takes place in a hospital and not in a courtroom. The testimony of the Petitioner should provide starting time-paw information about what the individual has done or said that puts him/her at gamble for causing serious physical damage to himself/herself or others or at run a risk for suffering serious harm because he/she is not protecting himself/herself from harm or providing for his/her basic human needs. When you prove, it is of import to focus on the individual'southward recent behavior that you have personally witnessed and on contempo statements or verbal threats made by the individual that you accept personally heard. A definition of "contempo" varies but may encompass anything from the past few days to the past few weeks or longer. More recent evidence tends to be the most convincing.
When testifying, try to exist as direct and precise as possible and provide equally may details equally you can. You volition about likely non exist able to simply express your opinion or concern that the private will suffer or cause physical harm because the individual's attorney will probably object to such testimony. Testimony should focus on facts and specific examples of the individual's recent beliefs and verbal threats about which you take personal and straight knowledge. This testimony may include recent statements made by the individual directly to you or that you take personally heard the private make to others and whatever documents or other writings such as text messages, emails, etc. that you have obtained that were recently written by the private. Remember to include evidence related to the private's refusal to seek or cooperate with voluntary psychiatric treatment.
If you lot are the Petitioner and do not have first-paw evidence, then information technology is essential that you lot bring witnesses who do have such information. The private'south attorney will most likely object if yous show about what someone else told you or about behavior yous have not personally seen or heard, and the Special Justice will not consider that testimony. Such evidence is rarely open-door because it is considered "hearsay" under the laws of evidence.
According to the Virginia Lawmaking, the Special Justice, in add-on to his/her "observations" of the individual, should consider the following evidence, if admissible under the Virginia Rules of Testify, when making a decision near the effect of the hearing:
- The recommendations of any treating or examining physician or psychologist licensed in Virginia, if available.
- Any past actions of the individual.
- Any by mental health handling of the individual.
- Any examiner's certification.
- Whatever wellness records bachelor.
- The Preadmission Screening Report.
- Any other relevant evidence that may have been admitted.
At the start of the hearing, after the Special Justice makes introductions, he/she volition then suggest the individual of his/her legal rights and inform the individual of his/her correct to use for voluntary admission to inpatient handling. According to the Virginia Code, the Special Justice must allow the individual an opportunity for voluntary admission and must decide if the individual is willing and capable of seeking voluntary hospitalization. If the Special Justice determines that the individual is willing to accept voluntary admission for treatment and the individual is capable of making that conclusion, the Special Justice volition require the individual to be hospitalized as a Courtroom Mandated Admission (CMA). When that happens, no testimony is taken and the hearing is concluded. The Petitioner can disagree with (object to) the decision to allow an admission under a CMA if there is show that the private is not capable of understanding the choice to be a CMA or is not willing to accept handling and ask that a formal hearing be held to determine if the individual should be committed. The Special Justice tin (i) concur with the objection and hear testimony or (2) disagree with the objection and allow the CMA to occur.
A formal commitment hearing is held and testimony is taken only if the individual refuses voluntary hospitalization or is found incapable of making that decision, or if the Special Justice agrees with the Petitioner's objection to assuasive a voluntary admission. The Special Justice will and then hear testimony from the Petitioner and any other witnesses and decide on the disposition. During the hearing, the private is not required to testify just may choose to practise and so. At the conclusion of the hearing, the private volition be either committed to inpatient treatment or ordered into Mandatory Outpatient Treatment or the petition will exist dismissed. A voluntary access nether a CMA is no longer an pick.
The possible outcomes of the hearing process include the post-obit:
- Court-Mandated Admission (CMA) – According to the Virginia Code, the Special Justice "shall afford" the individual "an opportunity for voluntary admission" if the Special Justice determines that the private is "willing and capable of seeking voluntary admission." This voluntary access that occurs as a part of the delivery hearing process is referred to every bit a Court-Mandated Admission (CMA). When the Special Justice permits the individual to be a CMA, the individual is required to accept a "minimum period of treatment." Co-ordinate to the Virginia Code, the individual is required to stay in the infirmary for a minimum of 72 hours unless discharged sooner by the hospital, and, later that menses, is required to give 48 hours notice of his/her want to leave the hospital. The individual is required to remain in the hospital during that 48 hour period unless discharged past the hospital. This upshot effectively ways that the individual would remain in the hospital for a minimum of five days after the hearing, unless discharged sooner by the infirmary. When the private is permitted to stay in the hospital as a CMA, a commitment cannot so be ordered at this indicate in the process.
- Delivery – When the Special Justice orders a commitment, the individual is nether a courtroom club to be involuntarily admitted to the hospital and is required to remain in the hospital for a maximum period of 30 days, unless discharged sooner by the hospital. To be committed, the Special Justice must find, by clear and convincing bear witness, that:
(one) The individual has a mental illness and there is a substantial likelihood that, as a result of mental illness, the individual volition, in the near future, (a) cause serious physical harm to himself or others as evidenced by recent behavior causing, attempting, or threatening harm and other relevant information, if any, or (b) suffer serious impairment due to his lack of capacity to protect himself from harm or to provide for his basic human needs, and
(2) All available less restrictive treatment alternatives to involuntary inpatient treatment have been investigated and adamant to be inappropriate.
Individuals nether commitment can be discharged from the hospital without farther involvement of the court or can be "re-committed." A re-delivery occurs when another TDO is issued, and a second delivery hearing is held prior to the expiration of the original commitment. If the individual is "re-committed" at that hearing, the duration of the re-commitment is a maximum of 180 days.
An individual tin can entreatment a commitment or re-commitment gild to the Circuit Courtroom. The entreatment must exist filed within 10 days of the entry of the court club ordering the individual committed. The individual's court-appointed chaser would correspond the individual for the entreatment.
- Mandatory Outpatient Treatment – The Special Justice tin order the private to participate in a menstruation of outpatient treatment. This result is referred to as Mandatory Outpatient Treatment (MOT). The elapsing of the MOT is determined by the Special Justice based on the recommendations of the CSB but cannot exceed 90 days. When MOT is ordered, the patient is released from the hospital. To order MOT, the Special Justice must find, past clear and convincing evidence, that:
(1) The individual has a mental illness and there exists a substantial likelihood that, every bit a consequence of mental affliction, the person will, in the near future, (a) crusade serious physical damage to himself or others equally evidenced past recent behavior causing, attempting, or threatening harm and other relevant information, if whatsoever, or (b) suffer serious damage due to his lack of chapters to protect himself from impairment or to provide for his basic human needs; and
(2) The less restrictive alternatives to involuntary inpatient treatment have been investigated and are deemed appropriate; and
(3) The individual agrees to bide by his treatment plan, and has the ability to do so; and
(4) The ordered handling will exist delivered on an outpatient basis by the CSB or designated provider.
When an individual is ordered to participate in MOT, his/her compliance with treatment is monitored past the CSB where the individual resides. Failure of the individual to adhere to the terms of the outpatient handling could result in a revocation of the MOT and an gild for commitment to a infirmary. Before the MOT expires, it tin exist continued for a period non to exceed 180 days or it can exist rescinded (removed).
The MOT club can also be appealed to the Circuit Courtroom. The appeal must be filed inside 10 days of the entry of the court lodge ordering the private to participate in MOT. The individual's court-appointed attorney would represent the private for the entreatment.
At the time that the person is committed at the hearing, the Special Justice may authorize the treating physician to identify the person on a period of Mandatory Outpatient Treatment (MOT) when he/she is discharged from the hospital. This outcome is informally referred to equally a "step-down" MOT. The duration of the "footstep-down" MOT is recommended by the CSB and determined past the Special Justice just cannot exceed 90 days.
To authorize the "footstep-downwards" MOT, the Special Justice must find by "clear and convincing evidence" that:
- The individual has a history of lack of compliance with treatment for mental illness that, at to the lowest degree twice within the by 36 months, has resulted in the individual being subject area to an club for involuntary admission; and
- In view of the individual's treatment history and electric current behavior, the individual is in demand of mandatory outpatient handling following inpatient handling in guild to forestall a relapse or deterioration that would be likely to event in the individual coming together the criteria for involuntary inpatient treatment; and
- Every bit a outcome of mental disease, the private is unlikely to voluntarily participate in outpatient treatment unless the court enters an order authorizing discharge to mandatory outpatient handling post-obit inpatient treatment; and
- The private is likely to benefit from mandatory outpatient treatment.
The assessment conducted by the Independent Evaluator must also include a clinical stance near whether the individual meets the criteria for a "step-down" MOT.
Prior to discharging the person to MOT, a belch plan must be developed by the treating physician and the hospital staff in conjunction with the CSB and the individual. The plan must be submitted to the Court for approval, incorporated into the commitment order, and provided to the individual. The private should not be discharged to MOT if he/she meets the criteria for involuntary commitment. In addition, the treating doc, based on his professional judgment, must determine that:
- The individual, in view of his treatment history and current behavior, no longer needs inpatient hospitalization; and
- The individual requires mandatory outpatient treatment at the fourth dimension of discharge to prevent relapse or deterioration of his condition that would likely result in his coming together the criteria for involuntary inpatient treatment; and
- The individual has agreed to abide by the discharge plan and has the ability to exercise so; and
- The ordered treatment can be delivered on an outpatient footing by the CSB or designated provider.
Finally, if a person is placed on "step-down" MOT, his/her compliance with the discharge program is monitored by the CSB where the individual resides. Failure of the individual to adhere to the terms of the discharge programme could result in a revocation of the "step-down" MOT and an order for delivery to a infirmary. Also, earlier the "step-down" MOT expires, information technology could be connected for a period non to exceed 180 days or it could be rescinded (removed).
Dismissal of the Petition – The law has certain requirements regarding the format and service of the TDO and other necessary documents, such every bit the petition. If these requirements are non met, the Special Justice may dismiss the petition for involuntary hospitalization. The petition tin can likewise be dismissed if the Special Justice decides that the bear witness does non see the clear and disarming burden of proof to society a commitment. When the petition is dismissed, the private is free to leave the hospital and is under no legal obligation to receive any type of psychiatric treatment. Dismissal of the petition does non preclude the individual from voluntarily staying in the infirmary if he/she agrees to remain in the hospital and is accustomed for admission.
If the TDO was dismissed or if the private was placed on MOT at the hearing, he/she is complimentary to exit the hospital and volition be discharged. An individual placed on MOT volition go to a CSB site on the 24-hour interval of belch so that the MOT tin can exist implemented immediately.
If the private was allowed to remain hospitalized every bit a CMA or was committed to inpatient treatment at the hearing, he/she will remain at the hospital to which he/she was initially admitted until a determination is made near which hospital volition provide treatment to this individual. The private may exist able to stay at the same hospital or may be transferred to another hospital.
Emergency Services staff at the CSB where the TDO originated will determine if the individual tin stay at the same hospital or will be transferred to another hospital. That determination is based on health insurance coverage, bed availability, and whether or not a particular hospital will take the individual for admission. When an individual is transferred to another hospital, transportation volition likely be provided by a Deputy Sheriff although alternative transportation could exist ordered by the Special Justice. For individuals detained by Fairfax Canton, all attempts will exist fabricated to take the individual hospitalized at a local psychiatric facility in Fairfax County. For individuals detained by another jurisdiction, guidance about mail-hearing procedures would exist provided by the detaining CSB.
The correct to accept access to firearms is not lost if the TDO is dismissed. All the same, if the upshot of the hearing is anything other than dismissal, (for instance, the private is voluntarily hospitalized under a CMA, is committed to inpatient treatment, or is ordered into MOT) the individual does lose his/her right to "buy, possess, or ship a firearm." Violation of this mandate is considered a Class 1 misdemeanor. Subsequently his/her release from the CMA, the commitment, or the MOT, the individual tin can "petition" (ask) the appropriate district court to restore his/her right.
During the detention period, the toll of all treatment provided while the individual is hospitalized under the TDO is the responsibility of the private. When the individual is covered by private health insurance, Medicare, or Medicaid, the hospital can seek reimbursement from these insurance carriers. In cases where the individual is not covered by insurance and is demonstrably unable to pay the cost of treatment, the hospital tin can ask for reimbursement from the Commonwealth of Virginia'due south indigent patient fund.
After the commitment hearing, the cost of all treatment is the responsibility of the private, even when he or she is committed or hospitalized as a CMA. When the individual is covered by insurance, he/she volition usually be admitted to a facility that accepts his/her insurance, and the hospital will seek reimbursement from the insurance carrier. Uninsured individuals are unremarkably referred for hospitalization to Northern Virginia Mental Wellness Institute, a state facility, where the price of treatment is determined by the private'south income level and ability to pay. If space is not available in that location, the individual may be admitted to a private facility using a land fund that covers the cost of the hospitalization. Concerns virtually the cost of treatment and the payment for treatment should be directed to a hospital social worker.
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Source: https://www.fairfaxcounty.gov/community-services-board/involuntary-psychiatric-hospitalization-adults
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