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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>58318</law_id><section_number>16.1-345</section_number><catch_line>Involuntary commitment; criteria</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><referred_to_by><reference>16.1-337</reference><reference>16.1-338</reference><reference>16.1-339</reference><reference>16.1-340.3</reference><reference>16.1-341</reference><reference>16.1-342</reference><reference>16.1-345.4</reference><reference>16.1-345.5</reference><reference>16.1-346</reference><reference>22.1-7</reference><reference>66-20</reference></referred_to_by><structure><unit label="title" level="1" order_by="1" identifier="16.1">Courts Not of Record</unit><unit label="chapter" level="2" order_by="1" identifier="11">Juvenile and Domestic Relations District Courts</unit><unit label="article" level="3" order_by="1" identifier="16">Psychiatric Treatment of Minors Act</unit></structure><text>
						<section><p>After observing the <span class="dictionary">minor</span> and considering (i) the recommendations of any treating or examining physician or psychologist licensed in Virginia, if available, (ii) any past actions of the <span class="dictionary">minor</span>, (iii) any past <span class="dictionary">mental health treatment</span> of the <span class="dictionary">minor</span>, (iv) any <span class="dictionary">qualified evaluator</span>&#x2019;s report, (v) any medical records available, (vi) the preadmission screening report, and (vii) any other <span class="dictionary">evidence</span> that may have been admitted, <span class="dictionary">the court</span> shall <span class="dictionary">order</span> the involuntary commitment of the <span class="dictionary">minor</span> to a <span class="dictionary">mental health facility</span> for treatment for a period not to exceed 90 days if it finds, by clear and convincing <span class="dictionary">evidence</span>, that:</p></section>
						<section id="1"><p><span class="prefix-number">1.</span> Because of <span class="dictionary">mental illness</span>, the <span class="dictionary">minor</span> (i) presents a serious danger to himself or others to the extent that severe or irremediable injury is likely to result, as evidenced by recent acts or threats or (ii) is experiencing a serious deterioration of his ability to care for himself in a developmentally age-appropriate manner, as evidenced by delusionary thinking or by a significant impairment of functioning in hydration, nutrition, self-protection, or self-control; <a id="paragraph-213589" class="section-permalink" href="https://vacode.org/16.1-345/#1"><i class="fa fa-link"/></a></p></section>
						<section id="2"><p><span class="prefix-number">2.</span> The <span class="dictionary">minor</span> is in need of compulsory treatment for a <span class="dictionary">mental illness</span> and is reasonably likely to benefit from the proposed treatment; and <a id="paragraph-213590" class="section-permalink" href="https://vacode.org/16.1-345/#2"><i class="fa fa-link"/></a></p></section>
						<section id="3"><p><span class="prefix-number">3.</span> If <span class="dictionary">the court</span> finds that <span class="dictionary">inpatient treatment</span> is not the least restrictive treatment, <span class="dictionary">the court</span> shall consider entering an order for mandatory outpatient treatment pursuant to &#xA7; <a class="law" title="Mandatory outpatient treatment; criteria; orders" href="/16.1-345.2/">16.1-345.2</a>.
			Upon the expiration of an order for involuntary commitment, the <span class="dictionary">minor</span> shall be released unless he is involuntarily admitted by further <span class="dictionary">petition</span> and order of a court, which shall be for a period not to exceed 90 days from the date of the subsequent <span class="dictionary">court order</span>, or the <span class="dictionary">minor</span> or his <span class="dictionary">parent</span> rescinds the objection to <span class="dictionary">inpatient treatment</span> and <span class="dictionary">consents</span> to admission pursuant to &#xA7; <a class="law" title="Parental admission of minors younger than 14 and nonobjecting minors 14 years of age or older" href="/16.1-338/">16.1-338</a> or subsection D of &#xA7; <a class="law" title="Parental admission of an objecting minor 14 years of age or older" href="/16.1-339/">16.1-339</a> or the <span class="dictionary">minor</span> is ordered to mandatory outpatient treatment pursuant to &#xA7; <a class="law" title="Mandatory outpatient treatment; criteria; orders" href="/16.1-345.2/">16.1-345.2</a>.
			A <span class="dictionary">minor</span> who has been hospitalized while properly detained by a juvenile and domestic relations district court shall be returned to the <span class="dictionary">detention home</span>, <span class="dictionary">shelter care</span>, or other facility approved by the <span class="dictionary">Department</span> of Juvenile Justice by the sheriff serving the <span class="dictionary">jurisdiction</span> where the <span class="dictionary">minor</span> was detained within 24 hours following completion of a period of <span class="dictionary">inpatient treatment</span>, unless <span class="dictionary">the court</span> having <span class="dictionary">jurisdiction</span> over the case <span class="dictionary">orders</span> that the <span class="dictionary">minor</span> be released from <span class="dictionary">custody</span>. However, such a <span class="dictionary">minor</span> shall not be eligible for mandatory outpatient treatment.
			In conducting an evaluation of a <span class="dictionary">minor</span> who has been properly detained, if the evaluator finds, irrespective of the <span class="dictionary">fact</span> that the <span class="dictionary">minor</span> has been detained, that the <span class="dictionary">minor</span> meets the criteria for involuntary commitment in this section, the evaluator shall recommend that the <span class="dictionary">minor</span> meets the criteria for involuntary commitment.
			If the <span class="dictionary">parent</span> or <span class="dictionary">parents</span> with whom the <span class="dictionary">minor</span> resides are not willing to approve the proposed commitment, <span class="dictionary">the court</span> shall order <span class="dictionary">inpatient treatment</span> only if it finds, in addition to the criteria specified in this section, that such treatment is necessary to protect the <span class="dictionary">minor</span>&#x2019;s life, health, safety, or normal development. If a special justice believes that issuance of a removal order or protective order may be in the child&#x2019;s best interest, the special justice shall report the matter to the local <span class="dictionary">department</span> of social services for the county or city where the <span class="dictionary">minor</span> resides.
			Upon <span class="dictionary">finding</span> that the best interests of the <span class="dictionary">minor</span> so require, <span class="dictionary">the court</span> may enter an order directing either or both of the <span class="dictionary">minor</span>&#x2019;s <span class="dictionary">parents</span> to comply with reasonable conditions relating to the <span class="dictionary">minor</span>&#x2019;s treatment.
			If the <span class="dictionary">minor</span> is committed to <span class="dictionary">inpatient treatment</span>, such placement shall be in a <span class="dictionary">mental health facility</span> for <span class="dictionary">inpatient treatment</span> designated by the <span class="dictionary">community services board</span> which serves the political subdivision in which the <span class="dictionary">minor</span> was evaluated pursuant to &#xA7; <a class="law" title="Involuntary commitment; clinical evaluation" href="/16.1-342/">16.1-342</a>. If the <span class="dictionary">community services board</span> does not provide a placement recommendation at the <span class="dictionary">hearing</span>, the <span class="dictionary">minor</span> shall be placed in a <span class="dictionary">mental health facility</span> designated by the Commissioner of Behavioral Health and Developmental Services.
			When a <span class="dictionary">minor</span> has been involuntarily committed pursuant to this section, <span class="dictionary">the judge</span> shall determine, after consideration of information provided by the <span class="dictionary">minor</span>&#x2019;s treating mental health professional and any involved <span class="dictionary">community services board</span> staff regarding the <span class="dictionary">minor</span>&#x2019;s dangerousness, whether transportation shall be provided by the sheriff or may be provided by an alternative transportation provider, including a <span class="dictionary">parent</span>, family member, or friend of the <span class="dictionary">minor</span>, a representative of the <span class="dictionary">community services board</span>, a representative of the facility at which the <span class="dictionary">minor</span> was detained pursuant to a temporary detention order, or other alternative transportation provider with personnel trained to provide transportation in a safe manner. If <span class="dictionary">the judge</span> determines that transportation may be provided by an alternative transportation provider, <span class="dictionary">the judge</span> may consult with the proposed alternative transportation provider either in person or via two-way electronic video and audio or telephone communication system to determine whether the proposed alternative transportation provider is available to provide transportation, willing to provide transportation, and able to provide transportation in a safe manner. If <span class="dictionary">the judge</span> finds that the proposed alternative transportation provider is available to provide transportation, willing to provide transportation, and able to provide transportation in a safe manner, <span class="dictionary">the judge</span> may order transportation by the proposed alternative transportation provider. In all other cases, <span class="dictionary">the judge</span> shall order transportation by the sheriff of the <span class="dictionary">jurisdiction</span> where the <span class="dictionary">minor</span> is a resident unless the sheriff&#x2019;s office of that <span class="dictionary">jurisdiction</span> is located more than 100 road miles from the nearest boundary of the <span class="dictionary">jurisdiction</span> in which the proceedings took place. In cases where the sheriff of the <span class="dictionary">jurisdiction</span> in which the <span class="dictionary">minor</span> is a resident is more than 100 road miles from the nearest boundary of the <span class="dictionary">jurisdiction</span> in which the proceedings took place, it shall be the responsibility of the sheriff of the latter <span class="dictionary">jurisdiction</span> to transport the <span class="dictionary">minor</span>.
			If <span class="dictionary">the judge</span> determines that the <span class="dictionary">minor</span> requires transportation by the sheriff, the sheriff, as specified in this section shall transport the <span class="dictionary">minor</span> to the proper facility. In no event shall transport commence later than six hours after notification to the sheriff or alternative transportation provider of <span class="dictionary">the judge</span>&#x2019;s order.
			If an alternative transportation provider providing transportation of a <span class="dictionary">minor</span> becomes unable to continue providing transportation of the <span class="dictionary">minor</span> at any time after taking <span class="dictionary">custody</span> of the <span class="dictionary">minor</span>, the primary law-enforcement agency for the <span class="dictionary">jurisdiction</span> in which the alternative transportation provider is located at the time he becomes unable to continue providing transportation shall take <span class="dictionary">custody</span> of the <span class="dictionary">minor</span> and shall transport the <span class="dictionary">minor</span> to the proper facility. In such cases, if the alternative transportation provider originally authorized to provide transportation is a person other than the <span class="dictionary">minor</span>&#x2019;s <span class="dictionary">parent</span>, the alternative transportation provider shall notify the <span class="dictionary">minor</span>&#x2019;s <span class="dictionary">parent</span> (a) that the primary law-enforcement agency for the <span class="dictionary">jurisdiction</span> in which he is located has taken <span class="dictionary">custody</span> of the <span class="dictionary">minor</span> and is transporting the <span class="dictionary">minor</span> to the facility of temporary detention and (b) of the name of <span class="dictionary">the law</span>-enforcement officer providing transportation of the <span class="dictionary">minor</span>.
			No person who provides alternative transportation pursuant to this section shall be liable to the person being transported for any civil <span class="dictionary">damages</span> for ordinary <span class="dictionary">negligence</span> in acts or omissions that result from providing such alternative transportation. <a id="paragraph-213591" class="section-permalink" href="https://vacode.org/16.1-345/#3"><i class="fa fa-link"/></a></p></section></text><history>1990, c. 975; 1992, c. 539; 2005, c. 346; 2009, cc. 112, 455, 555, 697, 813, 840; 2010, cc. 778, 825; 2015, cc. 297, 308; 2020, cc. 879, 880.</history><metadata></metadata></law>
