SB-1121, As Passed House, June 27, 2006

SUBSTITUTE FOR

SENATE BILL NO. 1121

     A bill to amend 1974 PA 258, entitled

"Mental health code,"

by amending section 409 (MCL 330.1409), as amended by 2004 PA 555.

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

     Sec. 409. (1) Each community mental health services program

shall establish 1 or more preadmission screening units with 24-hour

availability to provide assessment and screening services for

individuals being considered for admission into hospitals or

alternative treatment programs. The community mental health

services program shall employ mental health professionals or

licensed bachelor's social workers licensed under article 15 of the

public health code, 1978 PA 368, MCL 333.16101 to 333.18838, to

provide the preadmission screening services or contract with

another agency  , which shall meet  that meets the requirements of

this section. Preadmission screening unit staff shall be supervised

by a registered professional nurse or other mental health

professional possessing at least a master's degree.

     (2) Each community mental health services program shall

provide the address and telephone number of its preadmission

screening unit or units to law enforcement agencies, the

department, the court, and hospital emergency rooms.

     (3) A preadmission screening unit shall assess  an individual

being considered for admission into  a hospital operated by the

department or under contract with the community mental health

services program. If the individual is clinically suitable for

hospitalization, the preadmission screening unit shall authorize

voluntary admission to the hospital.

     (4) If the preadmission screening unit of the community mental

health services program denies hospitalization, the individual or

the person making the application may request a second opinion from

the executive director. The executive director shall arrange for an

additional evaluation by a psychiatrist, other physician, or

licensed psychologist to be performed within 3 days, excluding

Sundays and legal holidays, after the executive director receives

the request. If the conclusion of the second opinion is different

from the conclusion of the preadmission screening unit, the

executive director, in conjunction with the medical director, shall

make a decision based on all clinical information available. The

executive director's decision shall be confirmed in writing to the

individual who requested the second opinion, and the confirming

document shall include the signatures of the executive director and

medical director or verification that the decision was made in

conjunction with the medical director. If an individual is assessed

and found not to be clinically suitable for hospitalization, the

preadmission screening unit shall provide appropriate referral

services.

     (5) If an individual is assessed and found not to be

clinically suitable for hospitalization, the preadmission screening

unit shall provide information regarding alternative services and

the availability of those services, and make appropriate referrals.

     (6) A preadmission screening unit shall assess and examine, or

refer to a hospital for examination, an individual who is brought

to the unit by a peace officer or ordered by a court to be

examined. If the individual meets the requirements for

hospitalization, the preadmission screening unit shall designate

the hospital to which the individual shall be admitted. The

preadmission screening unit shall consult with the individual and,

if the individual agrees, it shall consult with the individual's

family member of choice, if available, as to the preferred hospital

for admission of the individual.

     (7) If the individual chooses a hospital not under contract

with a community mental health services program, and the hospital

agrees to the admission, the preadmission screening unit shall

refer the individual to the hospital that is requested by the

individual. Any financial obligation for the services provided by

the hospital shall be satisfied from funding sources other than the

community mental health services program, the department, or other

state or county funding.