1. A proceeding for an order requiring any person in the State of Nevada to receive assisted outpatient treatment may be commenced by the filing of a petition for such an order with the clerk of the district court of the county where the person who is to be treated is present. The petition may be filed by:
(a) Any person who is at least 18 years of age and resides with the person to be treated;
(b) The spouse, parent, adult sibling, adult child or legal guardian of the person to be treated;
(c) A physician, physician assistant, psychologist, social worker or registered nurse who is providing care to the person to be treated;
(d) The Administrator or his or her designee; or
(e) The medical director of a division facility in which the person is receiving treatment or the designee of the medical director of such a division facility.
2. A proceeding to require a person who is the defendant in a criminal proceeding in the district court to receive assisted outpatient treatment may be commenced by the district court, on its own motion, or by motion of the defendant or the district attorney if:
(a) The defendant has been examined in accordance with NRS 178.415;
(b) The defendant is not eligible for commitment to the custody of the Administrator pursuant to NRS 178.461; and
(c) The Division makes a clinical determination that assisted outpatient treatment is appropriate.
3. A petition filed pursuant to subsection 1 or a motion made pursuant to subsection 2 must allege the following concerning the person to be treated:
(a) The person is at least 18 years of age.
(b) The person has a mental illness.
(c) The person has a history of poor compliance with treatment for his or her mental illness that has resulted in at least one of the following circumstances:
(1) At least twice during the immediately preceding 48 months, poor compliance with mental health treatment has been a significant factor in causing the person to be hospitalized or receive services in the behavioral health unit of a detention facility or correctional facility. The 48-month period described in this subparagraph must be extended by any amount of time that the person has been hospitalized, incarcerated or detained during that period.
(2) Poor compliance with mental health treatment has been a significant factor in causing the person to commit, attempt to commit or threaten to commit serious physical harm to himself or herself or others during the immediately preceding 48 months. The 48-month period described in this subparagraph must be extended by any amount of time that the person has been hospitalized, incarcerated or detained during that period.
(3) Poor compliance with mental health treatment has resulted in the person being hospitalized, incarcerated or detained for a cumulative period of at least 6 months and the person:
(I) Is scheduled to be discharged or released from such hospitalization, incarceration or detention during the 30 days immediately following the date of the petition; or
(II) Has been discharged or released from such hospitalization, incarceration or detention during the 60 days immediately preceding the date of the petition.
(d) Because of his or her mental illness, the person is unwilling or unlikely to voluntarily participate in outpatient treatment that would enable the person to live safely in the community without the supervision of the court.
(e) Assisted outpatient treatment is the least restrictive appropriate means to prevent further disability or deterioration that would result in the person becoming a person in a mental health crisis.
4. A petition filed pursuant to subsection 1 or a motion made pursuant to subsection 2 must be accompanied by:
(a) A sworn statement or a declaration that complies with the provisions of NRS 53.045 by a physician, a psychologist, a physician assistant under the supervision of a psychiatrist, a clinical social worker who has the psychiatric training and experience prescribed by the Board of Examiners for Social Workers pursuant to NRS 641B.160 or an advanced practice registered nurse who has the psychiatric training and experience prescribed by the State Board of Nursing pursuant to NRS 632.120, stating that he or she:
(1) Evaluated the person who is the subject of the petition or motion not earlier than 10 days before the filing of the petition or making of the motion;
(2) Recommends that the person be ordered to receive assisted outpatient treatment; and
(3) Is willing and able to testify at a hearing on the petition or motion; and
(b) A sworn statement or a declaration that complies with the provisions of NRS 53.045 from a person professionally qualified in the field of psychiatric mental health stating that he or she is willing to provide assisted outpatient treatment for the person in the county where the person resides.
5. A copy of the petition filed pursuant to subsection 1 or the motion made pursuant to subsection 2 must be served upon the person who is the subject of the petition or motion or his or her counsel and, if applicable, his or her legal guardian.
(Added to NRS by 2021, 3068)
Structure Nevada Revised Statutes
NRS 433A.010 - Applicability of chapter.
NRS 433A.012 - "Administrative officer" defined.
NRS 433A.013 - "Administrator" defined.
NRS 433A.0135 - "Assisted outpatient treatment" defined.
NRS 433A.0145 - "Consumer" defined.
NRS 433A.015 - "Division" defined.
NRS 433A.016 - "Division facility" defined.
NRS 433A.0163 - "Emergency admission" defined.
NRS 433A.0167 - "Involuntary court-ordered admission" defined.
NRS 433A.017 - "Medical director" defined.
NRS 433A.0172 - "Mental health crisis hold" defined.
NRS 433A.0175 - "Person in a mental health crisis" defined.
NRS 433A.018 - "Person professionally qualified in the field of psychiatric mental health" defined.
NRS 433A.019 - "Program of community-based or outpatient services" defined.
NRS 433A.0192 - "Supporter" defined.
NRS 433A.0194 - "Voluntary admission" defined.
NRS 433A.020 - Administrative officer: Qualifications.
NRS 433A.030 - Administrative officer: Powers and duties.
NRS 433A.040 - Administrative officer: Other employment prohibited; exceptions.
NRS 433A.080 - Coordinator of medical programs: Qualifications and selection; powers and duties.
NRS 433A.085 - Forms for detainment, evaluation, admission, treatment and conditional release.
NRS 433A.090 - Revolving Account for Northern Nevada Adult Mental Health Services.
NRS 433A.110 - Canteen for facility of Division: Establishment and operation.
NRS 433A.120 - Types of admission.
NRS 433A.130 - Forms for admission.
NRS 433A.145 - Restrictions on change of status from voluntary consumer to emergency admission.
NRS 433A.150 - Detention for assessment, evaluation, intervention and treatment; limitation on time.
NRS 433A.170 - Certificate of certain providers of health care required for emergency admission.
NRS 433A.190 - Notice of emergency admission for person who is at least 18 years of age.
NRS 433A.195 - Procedure for release from mental health crisis hold.
NRS 433A.197 - Requirements for and limitations on forms, applications and certificates.
NRS 433A.210 - Requirements of petition that is filed after mental health crisis hold.
NRS 433A.215 - Application for writ of habeas corpus before initial hearing.
NRS 433A.230 - Bond of petitioner.
NRS 433A.250 - Evaluation team: Establishment; composition; fees.
NRS 433A.270 - Right to counsel; compensation of counsel; recess; duties of district attorney.
NRS 433A.290 - Right of person alleged to be in mental health crisis to be present and testify.
NRS 433A.300 - Fees and mileage for witnesses.
NRS 433A.320 - Clinical abstract to accompany order.
NRS 433A.330 - Transportation to facility.
NRS 433A.336 - Hearing on petition or motion; notice.
NRS 433A.337 - Written treatment plan.
NRS 433A.342 - Presence and testimony of subject of petition.
NRS 433A.345 - Petition to renew order for assisted outpatient treatment; service; hearing.
NRS 433A.360 - Clinical records: Contents; confidentiality.
NRS 433A.370 - Escape or absence without leave.
NRS 433A.440 - Transfer of nonresident to state of residence.
NRS 433A.450 - Detention and treatment of offender in mental health crisis.
NRS 433A.470 - Guardian may be appointed for person adjudicated incapacitated.
NRS 433A.490 - Restoration of legal capacity of person previously adjudicated incapacitated.
NRS 433A.580 - Arrangements for payment of costs required.
NRS 433A.590 - Schedule of fees.
NRS 433A.620 - Limitation on payment from estate of person admitted to facility.
NRS 433A.650 - Benefits available from third party.
NRS 433A.660 - Collection of fees by legal action and other methods.
NRS 433A.690 - Claim against estate of deceased consumer.