ilpsychlaw.org
Image in the public domain, courtesy of Pixabay.
Introduction
Welcome to the website, which I hope you will find helpful. The many areas in which mental health treatment intersects with the law can be a confusing and frustrating experience. It is my hope that the resource links on this website will help Illinois psychiatrists, psychologists, psychotherapists and other mental health professionals navigate these potentially treacherous waters. If I've been successful, at least the website is a start for "one stop shopping" to find answers.
CLINICAL PRACTICE ISSUES
MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES CODE (405 ILCS 5/)
Person subject to involuntary admission on an inpatient basis
Person subject to involuntary admission on an outpatient basis
Standard of care, Informed consent
Emergency treatment with psychotropic medication or ECT
Court-ordered involuntary treatment
Treatment in a medical or dental emergency, 405 ILCS 5/2-111
Disclosure to patient prior to examination for the purpose of complete a certificate, 405 ILCS 5/3/208
Evaluation of a patient as a perpetrator of abuse
http://ilga.gov/legislation/ilcs/documents/040500050K3-211.htm
Informal admission
http://ilga.gov/legislation/ilcs/documents/040500050K3-300.htm
Voluntary admission
http://www.ilga.gov/legislation/ilcs/ilcs4.asp?DocName=040500050HCh.+III+Art.+IV&ActID=1496&ChapterID=34&SeqStart=9400000&SeqEnd=10100000
Request for discharge under voluntary admission, 405 ILCS 5/3-403
Admission of minors
http://ilga.gov/legislation/ilcs/ilcs4.asp?DocName=040500050HCh.+III+Art.+V&ActID=1496&ChapterID=34&SeqStart=10100000&SeqEnd=11400000
Minors requesting counseling or psychotherapy, 405 ILCS 5/3-501
Minor over 16 years old requesting voluntary admission as an adult
http://www.ilga.gov/legislation/ilcs/documents/040500050K3-502.htm
Admission of a minor upon application of a parent or guardian
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=040500050K3-503
Emergency admission of a minor
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=040500050K3-504
Request for discharge by a minor, 405 ILCS 5/3-507
Request for discharge of a minor by a parent or guardian, 405 ILCS 5/3-508
Hearing re. discharge of a minor, 405 ILCS 5/3-509, -510
ECT for minors
http://ilga.gov/legislation/ilcs/documents/040500050K2-110.5.htm
Emergency admission of an adult by certificate and petition
http://ilga.gov/legislation/ilcs/ilcs4.asp?DocName=040500050HCh.+III+Art.+VI&ActID=1496&ChapterID=34&SeqStart=11400000&SeqEnd=12900000
Completion of the Petition
http://www.ilga.gov/legislation/ilcs/documents/040500050K3-601.htm
Role of a healthcare surrogate in emergency admission via certificate and petition
http://www.ilga.gov/legislation/ilcs/documents/040500050K3-601.2.htm
1st certificate
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=040500050K3-602
Detention for examination towards completion of a certificate
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=040500050K3-603
24-hour limit of detention for examination towards completion of a certificate
http://ilga.gov/legislation/ilcs/documents/040500050K3-604.htm
Temporary detention of patient by a peace officer for certification
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=040500050K3-606
Temporary detention of patient by the court for certification
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=040500050K3-607
Initiation of treatment after 1st certificate
http://ilga.gov/legislation/ilcs/documents/040500050K3-608.htm
Examination by a psychiatrist
2nd certificate
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=040500050K3-610
Filing petition and certificates for court hearing
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=040500050K3-611
Admission of an adult on an inpatient basis by court order
http://www.ilga.gov/legislation/ilcs/ilcs4.asp?DocName=040500050HCh.+III+Art.+VII&ActID=1496&ChapterID=34&SeqStart=12900000&SeqEnd=13750000
Admission of an adult on an outpatient basis by court order
http://www.ilga.gov/legislation/ilcs/ilcs4.asp?DocName=040500050HCh.+III+Art.+VII-A&ActID=1496&ChapterID=34&SeqStart=13750000&SeqEnd=13899219
Court hearings for involuntary treatment and hospitalization
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=040500050K3-800
Request for informal or voluntary inpatient admission
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=040500050K3-801
Agreed order for outpatient admission (treatment)
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=040500050K3-801.5
Patient’s right to a jury
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=040500050K3-802
Patient’s right to an independent examiner
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=040500050K3-804
Patient’s right to counsel
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=040500050K3-805
Permissibility of video conferencing
http://www.ilga.gov/legislation/ilcs/documents/040500050K3-806.1.htm
Required testimony
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=040500050K3-807
Standard of proof
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=040500050K3-808
Alternative mental health facilities with involuntary admission
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=040500050K3-811
Modification, revocation of court-ordered outpatient admission / treatment
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=040500050K3-812
Time frames of orders for inpatient or outpatient commitment
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=040500050K3-813
Request for discharge from inpatient or outpatient admission, 405 ILCS 5/3-900
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=040500050K3-901
Inpatient admission of an intellectually disabled person
http://ilga.gov/legislation/ilcs/documents/040500050K4-201.htm
Administrative and temporary admission of a developmentally disabled person
http://www.ilga.gov/legislation/ilcs/ilcs4.asp?DocName=040500050HCh.+IV+Art.+III&ActID=1496&ChapterID=34&SeqStart=19500000&SeqEnd=21100000
Emergency admission of a intellectually disabled person
http://www.ilga.gov/legislation/ilcs/ilcs4.asp?DocName=040500050HCh.+IV+Art.+IV&ActID=1496&ChapterID=34&SeqStart=21100000&SeqEnd=22100000
Duty to protect and warn (Tarasoff duty)
http://www.ilga.gov/legislation/ilcs/documents/040500050K6-103.htm
Notification of a determination of an intellectual disability for purposes of the FOID Act
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=040500050K6-103.2
Notification of a person determined to pose a “clear and present danger”
http://www.ilga.gov/legislation/ilcs/documents/040500050K6-103.3.htm
Confidentiality and Privilege
Dr. Thomas Gutheil is often quoted as saying that Confidentiality is the Clinician's Obligation to keep patient information private, while Privilege is the patient's right to keep information about themselves private.
MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES CONFIDENTIALITY ACT (740 ILCS 110/)
Full text
http://www.ilga.gov/legislation/ilcs/ilcs3.asp?ActID=2043&ChapterID=57
Definitions
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=074001100K2
Personal notes, 740 ILCS 110/2
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=074001100K2
Persons entitled to inspect and copy a patient's record, 740 ILCS 110/4
http://codes.lp.findlaw.com/ilstatutes/740/110/4
Amendment of the clinical record by a patient, 740 ILCS 110/4(c)
http://codes.lp.findlaw.com/ilstatutes/740/110/4
Requirements of a valid authorization to release mental health documentation
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=074001100K5
Disclosure of information in regards to application for or receiving benefits
http://codes.lp.findlaw.com/ilstatutes/740/110/6
Use of a patient's record for the purpose of reviewing a therapist or agency
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=074001100K7
Interagency disclosure among state agencies:
for the purpose of searching for a missing parent believed to be residing in a state mental health facility, or
in compliance with the Early Intervention Services System Act
http://codes.lp.findlaw.com/ilstatutes/740/110/7.1
Investigation under the Guardianship and Advocacy Act
http://codes.lp.findlaw.com/ilstatutes/740/110/8
Complaint against an intellectually disabled person residing in a intellectual disability or mental health facility
http://www.ilga.gov/legislation/ilcs/documents/074001100K8.1.htm
Disclosure of information
within a treatment team,
for purposes of peer review,
to the Institute of Juvenile Research and the Institute for the Study of Developmental Disabilities,
per a DCFS investigation
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=074001100K9
Interagency disclosure among state agencies for admission, treatment, planning, coordination of care, discharge or mandated public health reporting
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=074001100K9.2
Disclosure without consent under the Sexually Violent Persons Commitment Act
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=074001100K9.3
Disclosure for treatment and coordination of care
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=074001100K9.4
Use and disclosure to a Health Information Exchange
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=074001100K9.5
Opting out from a Health Information Exchange
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=074001100K9.6
Disclosure of records in civil, criminal, administrative and legislative proceedings
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=074001100K9.6
Requirement of a subpoena for mental health records to be accompanied by a written, court order,
740 ILCS 110/10(d)
Disclosure under:
the Abused and Neglected Children Child Reporting Act,
civil commitment or involuntary treatment,
if needed to provide emergency medical care,
to warn or protect a specific individual (Tarasoff) 740 ILCS 110/11(vii)
Sex Offender Registration Act,
Rights of Crime Victims and Witnesses Act,
Abuse and Neglected Long Term Care Facility Residents Reporting Act,
Abuse of Adults with Disabilities Intervention Act,
or to a Health Information Exchange
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=074001100K11
Disclosure to the United States Secret Service or Illinois State Police
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=074001100K12
Disclosure of a violation of criminal law or other serious incident within a mental health / intellectual disability facility
http://www.ilga.gov/legislation/ilcs/documents/074001100K12.1.htm
Disclosure re.
escaped / eloped inpatient,
missing person report to law enforcement,
investigation of a possible felony or sex offense by a forensic patient
http://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=074001100K12.2
Notation in the records of any information disclosed without patient's consent
AIDS CONFIDENTIALITY ACT
http://www.ilga.gov/legislation/ilcs/ilcs3.asp?ActID=1550&ChapterID=35
Substitute Medical Decision-making
A Practitioner's Guide to Adult Guardianship in Illinois
http://www.illinois.gov/sites/gac/osg/documents/praguide2007.pdf
Probate Act of 1975 (755 ILCS 5/)
http://www.ilga.gov/legislation/ilcs/ilcs3.asp?ActID=2104&ChapterID=60
Guardians for Disabled Adults (755 ILCS 5/11A)
http://www.ilga.gov/legislation/ilcs/ilcs4.asp?DocName=075500050HArt%2E+XIa&ActID=2104&ChapterID=60&SeqStart=14300000&SeqEnd=17750000
Powers of Attorney for Health Care
http://www.ilga.gov/legislation/ilcs/ilcs5.asp?ActID=2113&ChapterID=60
Living Will Act
http://www.ilga.gov/legislation/ilcs/ilcs3.asp?ActID=2110&ChapterID=60
Health Care Surrogate Act
http://www.ilga.gov/legislation/ilcs/ilcs3.asp?ActID=2111&ChapterID=60
Mental Health Treatment Preference Declarations Act
http://www.ilga.gov/legislation/ilcs/ilcs3.asp?ActID=2112&ChapterID=60
Mental Health Treatment Preference Declarations Act form
https://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-2102.pdf
Mandated Reporting
Child Abuse
http://www.illinois.gov/dcfs/safekids/reporting/documents/cfs_1050-21_mandated_reporter_manual.pdf
Abuse and Neglected Child Reporting Act (325 ILCS 5/)
http://www.ilga.gov/legislation/ilcs/ilcs3.asp?ActID=1460&ChapterID=32
Recognizing and Reporting Child Abuse: Training for Mandated Reports
Online training from DCFS
https://mr.dcfstraining.org/UserAuth/Login!loginPage.action
Elder Abuse and Adults with Disabilities
https://www.illinois.gov/aging/ProtectionAdvocacy/Pages/abuse.aspx
What Professionals Need to Know: Understanding your new responsibilities as a mandated reporter under the recently instituted Adult Protective Services Act
http://www.illinois.gov/aging/Resources/NewsAndPublications/Publications/Documents/Report%20Abuse_ProsKnow2014.pdf
Adult Protective Services Act (320 ILCS 20/)
http://www.ilga.gov/legislation/ilcs/ilcs3.asp?ActID=1452&ChapterID=31
Firearm Owners Identification (FOID) Mental Health Reporting System
Individuals who have been adjudicated mentally disabled, voluntarily admitted to a psychiatric unit, determined to be a "clear and present danger" determined developmentally / intellectually disabled
http://www.dhs.state.il.us/page.aspx?item=37393
DHS FOID Mental Health Reporting System Qualified Examiners Users Manual
http://www.dhs.state.il.us/OneNetLibrary/27897/documents/FOID%20Documents/QualifiedExaminersFOIDUserManual.pdf
"Clear and Present Danger"
http://www.dhs.state.il.us/page.aspx?item=69194&newssidebar=27893
"Adjudicated as mentally disabled or defective"
http://www.ilga.gov/legislation/publicacts/fulltext.asp?name=095-0581&GA=095
Link to online reporting system
https://foid.dhs.illinois.gov/foidpublic/foid/
Firearm Owners Identification (FOID) Card Act (430 ILCS 65/)
http://www.ilga.gov/legislation/ilcs/ilcs3.asp?ActID=1657&ChapterID=39
Public Act 095-0564 which amended the FOID Card ACt
Section 10 amends the Mental Health and Developmental Disabilities Confidentiality Act (740 ILCS 110/12)
http://www.ilga.gov/legislation/publicacts/fulltext.asp?name=095-0564&GA=095
Firearm Concealed Carry Act (430 ILCS 66/)
http://www.ilga.gov/legislation/ilcs/ilcs3.asp?ActID=3497&ChapterID=39
DHS FORMS
Main page to search for DHS forms
http://www.dhs.state.il.us/page.aspx?item=61585
Medication counseling
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-0012MA.pdf
Medication counseling (Spanish)
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-0012MAS.pdf
Request for discharge
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-0019.pdf
Request for discharge (Spanish)
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-0019S.pdf
Authorization to Disclose/ Release Information
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-0146.pdf
Authorization to Disclose / Release Information (Spanish)
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-0146S.pdf
Revocation of an Authorization to Disclose Health Information
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-9401.pdf
Request for Amendment of Medical Records
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-9601.pdf
Psychiatric Medical Clearance Checklist
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-0203.pdf
Uniform Screening and Referral Form
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-1222.pdf
Petition for Involuntary / Judicial (inpatient) Admission
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-2005.pdf
Petition for Involuntary / Judicial (inpatient) Admission (Spanish)
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-2005s.pdf
Certificate for Inpatient Admission
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-2006.pdf
Certificate for Inpatient Admission (Spanish)
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-2006s.pdf
Physician's Report / Certificate for Guardianship
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-2016.pdf
Physician's Report / Certificate for Guardianship (Spanish)
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-2016S.pdf
Petition for Discharge
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-2021.pdf
Petition for Administration of Psychotropic Medications / Electroconvulsive Therapy
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-2025.pdf
Petition for Administration of Psychotropic Medications / Electroconvulsive Therapy (Spanish)
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-2025S.pdf
Declaration for Mental Health Treatment (Mental Health Treatment Preference Declarations Act form)
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-2102.pdf
Application for Voluntary (inpatient) Admission
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-2202M.pdf
Application for Voluntary (inpatient) Admission (Spanish)
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-2202MS.pdf
Examination of Minor for Admission or Continued Hospitalization
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-2205M.pdf
Application by an Adult for the Admission of a Minor to a State-Operated Facility
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-2206m.pdf
Application by an Adult for the Admission of a Minor to a State-Operated Facility (Spanish)
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-2206ms.pdf
Petition for Involuntary Outpatient Treatment
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-2210.pdf
Petition for Involuntary Outpatient Treatment (Spanish)
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-2210S.pdf
Certificate for Involuntary Outpatient Treatment
http://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-2012.pdf