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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>60055</law_id><section_number>53.1-40.1</section_number><catch_line>Medical and mental health treatment of prisoners incapable of giving consent</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><referred_to_by><reference>17.1-405</reference><reference>17.1-410</reference><reference>37.2-803</reference><reference>53.1-40.3</reference><reference>53.1-40.8</reference><reference>53.1-40.9</reference></referred_to_by><structure><unit label="title" level="1" order_by="1" identifier="53.1">Prisons and Other Methods of Correction</unit><unit label="chapter" level="2" order_by="1" identifier="2">State Correctional Facilities</unit><unit label="article" level="3" order_by="1" identifier="2.1">Medical and Mental Health Care; Involuntary Admission and Treatment</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> The <span class="dictionary">Director</span> or his designee may <span class="dictionary">petition</span> the <span class="dictionary">circuit</span> <span class="dictionary">court</span> or any district <span class="dictionary">court</span> <span class="dictionary">judge</span> or any special justice, as defined in &#xA7; <a class="law" title="Definitions" href="/37.2-100/">37.2-100</a>, herein referred to as the <span class="dictionary">court</span>, of the county or city in which the prisoner is located for an <span class="dictionary">order</span> authorizing treatment of a prisoner sentenced and committed to the <span class="dictionary">Department</span> of Corrections. The <span class="dictionary">court</span> shall authorize such treatment in a facility designated by the <span class="dictionary">Director</span> upon <span class="dictionary">finding</span>, on the basis of clear and convincing <span class="dictionary">evidence</span>, that the prisoner is incapable, either mentally or physically, of giving informed consent to such treatment and that the proposed treatment is in the best interests of the prisoner. <a id="paragraph-219803" class="section-permalink" href="https://vacode.org/53.1-40.1/#A"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> Prior to the <span class="dictionary">court</span>&#x2019;s authorization of such treatment, the <span class="dictionary">court</span> shall appoint an attorney to represent the interests of the prisoner. <span class="dictionary">Evidence</span> shall be presented concerning the prisoner&#x2019;s condition and proposed treatment, which <span class="dictionary">evidence</span> may, in the <span class="dictionary">court</span>&#x2019;s discretion and in the absence of objection by the prisoner or the prisoner&#x2019;s attorney, be submitted by <span class="dictionary">affidavit</span>. <a id="paragraph-219804" class="section-permalink" href="https://vacode.org/53.1-40.1/#B"><i class="fa fa-link"/></a></p></section>
						<section id="C"><p><span class="prefix-number">C.</span> Any <span class="dictionary">order</span> authorizing treatment pursuant to subsection A shall describe the treatment authorized and authorize generally such examinations, tests, medications, and other treatments as are in the best interests of the prisoner but may not authorize nontherapeutic sterilization, abortion, or psychosurgery. Such <span class="dictionary">order</span> shall require the licensed physician, psychiatrist, clinical psychologist, professional counselor, or clinical social worker acting within his area of expertise who is treating the prisoner to report to the <span class="dictionary">court</span> and the prisoner&#x2019;s attorney any change in the prisoner&#x2019;s condition resulting in restoration of the prisoner&#x2019;s capability to consent prior to completion of the authorized treatment and related services. Upon receipt of such report, the <span class="dictionary">court</span> may enter such <span class="dictionary">order</span> withdrawing or modifying its prior authorization as it deems appropriate. Any <span class="dictionary">petition</span> or <span class="dictionary">order</span> under this section may be orally presented or entered, provided a written <span class="dictionary">order</span> is subsequently executed. <a id="paragraph-219805" class="section-permalink" href="https://vacode.org/53.1-40.1/#C"><i class="fa fa-link"/></a></p></section>
						<section id="D"><p><span class="prefix-number">D.</span> Any <span class="dictionary">order</span> of a <span class="dictionary">judge</span> under subsection A may be appealed <span class="dictionary">de novo</span> within 10 days to the <span class="dictionary">circuit</span> <span class="dictionary">court</span> for the <span class="dictionary">jurisdiction</span> where the prisoner is located, and any <span class="dictionary">order</span> of a <span class="dictionary">circuit</span> <span class="dictionary">court</span> hereunder, either originally or on <span class="dictionary">appeal</span>, may be appealed within 10 days to the <span class="dictionary">Court</span> of <span class="dictionary">Appeals</span>, which shall give such <span class="dictionary">appeal</span> priority and hear the <span class="dictionary">appeal</span> as soon as possible. <a id="paragraph-219806" class="section-permalink" href="https://vacode.org/53.1-40.1/#D"><i class="fa fa-link"/></a></p></section>
						<section id="E"><p><span class="prefix-number">E.</span> Whenever the <span class="dictionary">director</span> of any hospital or facility reasonably believes that treatment is necessary to protect the life, health, or safety of a prisoner, such treatment may be given during the period allowed for any <span class="dictionary">appeal</span> unless prohibited by <span class="dictionary">order</span> of a <span class="dictionary">court</span> of record wherein the <span class="dictionary">appeal</span> is pending. <a id="paragraph-219807" class="section-permalink" href="https://vacode.org/53.1-40.1/#E"><i class="fa fa-link"/></a></p></section>
						<section id="F"><p><span class="prefix-number">F.</span> Upon the advice of a licensed physician, psychiatrist, or clinical psychologist acting within his area of expertise who has attempted to obtain consent and upon a <span class="dictionary">finding</span> of <span class="dictionary">probable cause</span> to believe that a prisoner is incapable, due to any physical or mental condition, of giving informed consent to treatment and that the medical standard of care calls for testing, observation, or other treatment within the next 12 hours to prevent death, disability or a serious irreversible condition, the <span class="dictionary">court</span> or, if the <span class="dictionary">court</span> is unavailable, a <span class="dictionary">magistrate</span> shall <span class="dictionary">issue</span> an <span class="dictionary">order</span> authorizing temporary admission of the prisoner to a hospital or other health care facility and authorizing such testing, observation, or other treatment. Such <span class="dictionary">order</span> shall expire after a period of 12 hours unless extended by the <span class="dictionary">court</span> as part of an <span class="dictionary">order</span> authorizing treatment under subsection A. <a id="paragraph-219808" class="section-permalink" href="https://vacode.org/53.1-40.1/#F"><i class="fa fa-link"/></a></p></section>
						<section id="G"><p><span class="prefix-number">G.</span> Any licensed health or mental health professional or licensed facility providing services pursuant to the <span class="dictionary">court</span>&#x2019;s or <span class="dictionary">magistrate</span>&#x2019;s authorization as provided in this section shall have no liability arising out of a claim to the extent it is based on lack of consent to such services. Any such professional or facility providing services with the consent of the prisoner receiving treatment shall have no liability arising out of a claim to the extent it is based on lack of capacity to consent if a <span class="dictionary">court</span> or a <span class="dictionary">magistrate</span> has denied a <span class="dictionary">petition</span> hereunder to authorize such services, and such denial was based on an affirmative <span class="dictionary">finding</span> that the prisoner was capable of making an informed decision regarding the proposed services. <a id="paragraph-219809" class="section-permalink" href="https://vacode.org/53.1-40.1/#G"><i class="fa fa-link"/></a></p></section>
						<section id="H"><p><span class="prefix-number">H.</span> Nothing in this section shall be deemed to limit or repeal any <span class="dictionary">common law</span> rule relating to consent for medical treatment or the right to apply or the authority conferred by any other applicable <span class="dictionary">statute</span> or regulation relating to consent. <a id="paragraph-219810" class="section-permalink" href="https://vacode.org/53.1-40.1/#H"><i class="fa fa-link"/></a></p></section></text><history>1988, c. 873; 1997, c. 801; 2005, c. 716; 2016, c. 211.</history><metadata></metadata></law>
