Effective - 28 Aug 1996
632.392. Release of patient involuntarily detained, duties of department — educational materials — disclosure of confidential information — "care provider" defined. — 1. Notwithstanding the provisions of subsection 1 of section 630.140, a mental health program and any treating physician, upon release of a patient who was committed or who is civilly detained and consents to voluntary treatment during the course of the inpatient stay pursuant to section 632.150, 632.155, 632.300, 632.305, 632.330, 632.335, 632.340, 632.350, 632.355 or 632.375:
(1) Shall provide to the patient and his care provider a written packet of educational information developed and supplied by the department of mental health describing symptoms of common mental illnesses, early warning signs of decompensation, and availability of other education, community and statewide services. The packet shall also include the telephone number of the department of mental health information line and information specific to the laws and procedures addressing civil detention and guardianship;
(2) May disclose confidential treatment information to the primary care provider or care providers, when such information is medically necessary for the provision of appropriate health care or treatment by the care provider or is related to the safety of the patient or care provider.
2. Prior to disclosure of the information specified under subdivision (2) of subsection 1 of this section, the mental health facility shall provide written notice to the patient; request in writing the consent of the patient; work with the patient and care provider to encourage and secure appropriate patient authorization; function as a mediator, negotiating the boundaries of confidentiality to meet the needs of the client and care provider; and work with the client to stress the importance of keeping the care provider informed and involved with his treatment process. If the patient refuses to consent and the treating physician deems the information is medically necessary for the appropriate provision of health care or treatment by the care provider or is related to the safety of the patient or care provider, the information may still be released to the appropriate care provider. The reason for the intended disclosure, the specific information to be released and the persons to whom the disclosure is to be made, even if consent has not been obtained, will be provided to the client and care provider. All these procedures shall be documented by the treating physician in the client record, including a specific notation as to whether client consent was given.
3. As used in this section, the term "care provider" means the person or persons who can demonstrate that they are primarily responsible for the health care of the person with a mental illness. The term does not apply to any person providing care through hospitals, nursing homes, group homes or any other such facility.
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(L. 1996 S.B. 884 & 841)
Structure Missouri Revised Statutes
Title XL - Additional Executive Departments
Chapter 632 - Comprehensive Psychiatric Services
Section 632.005 - Definitions.
Section 632.010 - Responsibilities, powers, functions and duties of division.
Section 632.015 - Division director to be chief administrative officer.
Section 632.025 - Services to be provided.
Section 632.030 - Department to develop state plan, contents.
Section 632.035 - Department director to establish regions.
Section 632.045 - Duties of regional advisory councils — plans — employment of staff.
Section 632.050 - Division to identify community-based services.
Section 632.055 - Division to provide services.
Section 632.060 - Department may establish outpatient clinics — cooperation with others.
Section 632.115 - Juveniles to be admitted by heads of facilities when committed.
Section 632.300 - Procedure when a likelihood of serious harm is alleged.
Section 632.312 - Transportation costs, sheriff may be reimbursed.
Section 632.315 - Copies of admission application to be furnished.
Section 632.320 - Time limits for certain procedures.
Section 632.325 - Information to be furnished to patient and others, when.
Section 632.330 - Additional detention and treatment may be requested — contents of petition.
Section 632.350 - Conduct of hearing — jury question — result.
Section 632.360 - Discharge of patient, when — procedure.
Section 632.365 - Where detention to take place.
Section 632.380 - Provisions of chapter not to apply to certain persons.
Section 632.400 - Reexamination of detained person.
Section 632.405 - Prosecutor's duties.
Section 632.410 - Venue — change of jurisdiction.
Section 632.420 - Certain examining physicians to be paid by state.
Section 632.435 - Habeas corpus.
Section 632.445 - No liability for petitioners.
Section 632.450 - Representation by attorney required — duties of attorney.
Section 632.455 - Patient, absent without permission, return may be requested, when.
Section 632.480 - Definitions.
Section 632.492 - Trial — procedure — assistance of counsel, right to jury, when.
Section 632.501 - Petition for release — hearing (when director approves).
Section 632.504 - Subsequent petitions for release — approval or denial procedures.
Section 632.507 - Attorney general to inform victims — notification of proceedings.
Section 632.510 - Release of information, when.
Section 632.513 - Sealed records of proceedings — access permitted, when.
Section 632.525 - Abrogation of case law, sexually violent offense definition.
Section 632.550 - Definitions.
Section 632.555 - Governing board for project, members, terms, duties.
Section 632.557 - Reports to governor and general assembly.