Form PCM222 "Order After Hearing on Petition for Discharge From Continuing Mental Health Treatment" - Michigan

What Is Form PCM222?

This is a legal form that was released by the Michigan Probate Court - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2019;
  • The latest edition provided by the Michigan Probate Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form PCM222 by clicking the link below or browse more documents and templates provided by the Michigan Probate Court.

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Download Form PCM222 "Order After Hearing on Petition for Discharge From Continuing Mental Health Treatment" - Michigan

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PCS CODE: DIO
Approved, SCAO
TCS CODE: DIO
STATE OF MICHIGAN
FILE NO.
ORDER AFTER HEARING
PROBATE COURT
ON PETITION FOR DISCHARGE FROM
COUNTY OF
CONTINUING MENTAL HEALTH TREATMENT
In the matter of
First, middle, and last name
1. Date of hearing:
Judge:
Bar no.
2. A petition has been filed by
asserting that the individual named
Petitioner name (type or print)
above be discharged from the treatment program.
THE COURT FINDS:
3. Notice of hearing has been given according to law.
4. The individual
was present in court.
was not present for reasons stated on the record.
The hearing was
with
without a jury.
Present were:
, attorney for the individual, and
, attorney for the hospital.
5.
Testimony was given by
.
Testimony was waived and the parties consented to entry of the order.
6. The individual is under a one-year order of involuntary mental health treatment.
7.
a. There is clear and convincing evidence that the individual has a mental illness and continues to require treatment.
b. The individual no longer is a person requiring treatment.
8.
hospital can provide treatment
that is adequate and appropriate to the individual’s condition.
IT IS ORDERED:
9. The individual is discharged from
hospital and/or from the
treatment program.
10. The order requiring involuntary mental health treatment shall be continued.
11. The individual shall be hospitalized under a continuing order for up to one year from date of this order.
(SEE SECOND PAGE)
Do not write below this line - For court use only
ORDER AFTER HEARING ON PETITION FOR DISCHARGE FROM CONTINUING
PCM 222 (12/19)
MENTAL HEALTH TREATMENT
MCL 330.1485a, MCR 5.747
PCS CODE: DIO
Approved, SCAO
TCS CODE: DIO
STATE OF MICHIGAN
FILE NO.
ORDER AFTER HEARING
PROBATE COURT
ON PETITION FOR DISCHARGE FROM
COUNTY OF
CONTINUING MENTAL HEALTH TREATMENT
In the matter of
First, middle, and last name
1. Date of hearing:
Judge:
Bar no.
2. A petition has been filed by
asserting that the individual named
Petitioner name (type or print)
above be discharged from the treatment program.
THE COURT FINDS:
3. Notice of hearing has been given according to law.
4. The individual
was present in court.
was not present for reasons stated on the record.
The hearing was
with
without a jury.
Present were:
, attorney for the individual, and
, attorney for the hospital.
5.
Testimony was given by
.
Testimony was waived and the parties consented to entry of the order.
6. The individual is under a one-year order of involuntary mental health treatment.
7.
a. There is clear and convincing evidence that the individual has a mental illness and continues to require treatment.
b. The individual no longer is a person requiring treatment.
8.
hospital can provide treatment
that is adequate and appropriate to the individual’s condition.
IT IS ORDERED:
9. The individual is discharged from
hospital and/or from the
treatment program.
10. The order requiring involuntary mental health treatment shall be continued.
11. The individual shall be hospitalized under a continuing order for up to one year from date of this order.
(SEE SECOND PAGE)
Do not write below this line - For court use only
ORDER AFTER HEARING ON PETITION FOR DISCHARGE FROM CONTINUING
PCM 222 (12/19)
MENTAL HEALTH TREATMENT
MCL 330.1485a, MCR 5.747
Order After Hearing on Petition for Discharge from Continuing Mental Health Treatment (12/19)
File No.
12. The individual shall receive combined hospitalization and assisted outpatient treatment for no longer than one year. The
individual shall be hospitalized for up to
days of the assisted outpatient treatment period.
An initial hospitalization period shall be up to
days.
13. The individual shall receive assisted outpatient treatment for no longer than one year.
14. Any hospitalization of the individual for mental health treatment shall occur in the hospital listed in item 8.
15. Any assisted outpatient treatment services shall be supervised by
.
Community mental health services or other designated entity
The following assisted outpatient services are ordered:
case management plan
case management services
all services recommended by the treatment provider
medication
blood or urinalysis tests to determine compliance with or effectiveness of prescribed medication
individual therapy
group therapy
individual and group therapy
day programs
partial day programs
educational training
vocational training
supervised living
assertive community treatment team services
substance use disorder treatment
substance use disorder testing (for individuals with a history of alcohol or substance use and for whom testing is
necessary to assist the court in ordering treatment designed to prevent deterioration)
any other services prescribed to treat the individual’s mental illness and either to assist the individual in living and
functioning in the community or to help prevent a relapse or deterioration that may reasonably be predicted to result in
suicide or the need for hospitalization. Those services are:
Date
Judge
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