53-21-126. Trial or hearing on petition. (1) The respondent must be present unless the respondent's presence has been waived as provided in 53-21-119(2), and the respondent must be represented by counsel at all stages of the trial. The trial must be limited to the determination of whether or not the respondent is suffering from a mental disorder and requires commitment. At the trial, the court shall consider all the facts relevant to the issues of whether the respondent is suffering from a mental disorder. If the court determines that the respondent is suffering from a mental disorder, the court shall then determine whether the respondent requires commitment. In determining whether the respondent requires commitment and the appropriate disposition under 53-21-127, the court shall consider the following:
(a) whether the respondent, because of a mental disorder, is substantially unable to provide for the respondent's own basic needs of food, clothing, shelter, health, or safety;
(b) whether the respondent has recently, because of a mental disorder and through an act or an omission, caused self-injury or injury to others;
(c) whether, because of a mental disorder, there is an imminent threat of injury to the respondent or to others because of the respondent's acts or omissions; and
(d) whether the respondent's mental disorder, as demonstrated by the respondent's recent acts or omissions, will, if untreated, predictably result in deterioration of the respondent's mental condition to the point at which the respondent will become a danger to self or to others or will be unable to provide for the respondent's own basic needs of food, clothing, shelter, health, or safety. Predictability may be established by the respondent's relevant medical history.
(2) The standard of proof in a hearing held pursuant to this section is proof beyond a reasonable doubt with respect to any physical facts or evidence and clear and convincing evidence as to all other matters. However, the respondent's mental disorder must be proved to a reasonable medical certainty. Imminent threat of self-inflicted injury or injury to others must be proved by overt acts or omissions, sufficiently recent in time as to be material and relevant as to the respondent's present condition.
(3) The professional person appointed by the court must be present for the trial and subject to cross-examination. The trial is governed by the Montana Rules of Civil Procedure. However, if the issues are tried by a jury, at least two-thirds of the jurors shall concur on a finding that the respondent is suffering from a mental disorder and requires commitment. The written report of the professional person that indicates the professional person's diagnosis may be attached to the petition, but any matter otherwise inadmissible, such as hearsay matter, is not admissible merely because it is contained in the report. The court may order the trial closed to the public for the protection of the respondent.
(4) The professional person may testify as to the ultimate issue of whether the respondent is suffering from a mental disorder and requires commitment. This testimony is insufficient unless accompanied by evidence from the professional person or others that:
(a) the respondent, because of a mental disorder, is substantially unable to provide for the respondent's own basic needs of food, clothing, shelter, health, or safety;
(b) the respondent has recently, because of a mental disorder and through an act or an omission, caused self-injury or injury to others;
(c) because of a mental disorder, there is an imminent threat of injury to the respondent or to others because of the respondent's acts or omissions; or
(d) (i) the respondent's mental disorder:
(A) has resulted in recent acts, omissions, or behaviors that create difficulty in protecting the respondent's life or health;
(B) is treatable, with a reasonable prospect of success;
(C) has resulted in the respondent's refusing or being unable to consent to voluntary admission for treatment; and
(ii) will, if untreated, predictably result in deterioration of the respondent's mental condition to the point at which the respondent will become a danger to self or to others or will be unable to provide for the respondent's own basic needs of food, clothing, shelter, health, or safety. Predictability may be established by the respondent's relevant medical history.
(5) The court, upon the showing of good cause and when it is in the best interests of the respondent, may order a change of venue.
(6) An individual with a primary diagnosis of a mental disorder who also has a co-occurring diagnosis of chemical dependency may satisfy criteria for commitment under this part.
History: En. 38-1305 by Sec. 5, Ch. 466, L. 1975; amd. Sec. 5, Ch. 546, L. 1977; R.C.M. 1947, 38-1305(part); amd. Sec. 8, Ch. 547, L. 1979; amd. Sec. 9, Ch. 376, L. 1987; amd. Sec. 22, Ch. 490, L. 1997; amd. Sec. 11, Ch. 342, L. 2001; amd. Sec. 2, Ch. 81, L. 2005.
Structure Montana Code Annotated
Title 53. Social Services and Institutions
Part 1. Treatment of the Seriously Mentally Ill
53-21-103. Court records to be kept separate
53-21-104. Powers and duties of mental disabilities board of visitors
53-21-105. Certification of professional persons required
53-21-106. Certification of professional persons
53-21-108. through 53-21-110 reserved
53-21-111. Voluntary admission -- content of admission form -- requirements for valid admission
53-21-112. Voluntary admission of minors
53-21-114. Notice of rights to be given
53-21-116. Right to be present at hearing or trial -- assignment of counsel
53-21-117. Right to representation by own attorney
53-21-118. Right to examination by professional person of own choosing
53-21-121. Petition for commitment -- contents of -- notice of
53-21-122. Petition for commitment -- filing of -- initial hearing on
53-21-124. Detention of respondent pending hearing or trial -- jail prohibited
53-21-125. Request for jury trial
53-21-126. Trial or hearing on petition
53-21-127. Posttrial disposition
53-21-128. Petition for extension of commitment period
53-21-129. Emergency situation -- petition -- detention
53-21-130. Transfer or commitment to mental health facility from other institutions
53-21-132. Cost of examination and commitment
53-21-133. Transfer to nonstate facilities
53-21-138. Renumbered 53-21-1201
53-21-139. Renumbered 53-21-1202
53-21-140. Use of two-way electronic audio-video communication
53-21-141. Civil and legal rights of person committed
53-21-142. Rights of persons admitted to facility
53-21-143. Right not to be fingerprinted
53-21-144. Rights concerning photographs
53-21-145. Right to be free from unnecessary or excessive medication
53-21-146. Right to be free from physical restraint and isolation
53-21-147. Right not to be subjected to experimental research
53-21-148. Right not to be subjected to hazardous treatment
53-21-149. Conditions of treatment in community facility, program, or course of treatment
53-21-150. Treatment plan -- provider choice
53-21-151. Notification of noncompliance as condition for treatment plan -- response
53-21-152. Department funding responsibility
53-21-154. through 53-21-160 reserved
53-21-161. Qualifications of professional persons
53-21-162. Establishment of patient treatment plan -- patient's rights
53-21-163. Examination following commitment
53-21-165. Records to be maintained
53-21-166. Records to be confidential -- exceptions
53-21-168. Statement of rights to be furnished and posted
53-21-169. Protection and advocacy system -- designation and authority
53-21-170. through 53-21-179 reserved
53-21-181. Discharge during or at end of initial commitment period -- patient's right to referral
53-21-182. Court-ordered release to alternative placement or treatment
53-21-183. Release conditioned on receipt of outpatient care
53-21-184. Patients for whom release and discharge provisions inapplicable
53-21-185. Care and treatment following release
53-21-186. Support of patient conditionally released
53-21-187. Clothing for patients discharged or conditionally released
53-21-189. Fact of evaluation or treatment not to be used for discrimination
53-21-191. and 53-21-192 reserved
53-21-193. Commitment to behavioral health inpatient facilities -- preference -- voluntary treatment
53-21-196. Detention of conditionally released patient pending hearing
53-21-197. Hearing on rehospitalization petition -- revocation of conditional release
53-21-198. Extension of conditions of release -- hearing
53-21-199. Option for diversion from involuntary commitment to Montana state hospital