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Mississippi Complaint for Emergency Commitment of a Chemically Dependent Person for Treatment

State:
Mississippi
Control #:
MS-60224
Format:
Word; 
Rich Text
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What this document covers

The Complaint for Emergency Commitment of a Chemically Dependent Person for Treatment is a legal document used to initiate court proceedings for the involuntary commitment of an individual suffering from substance dependence. This form is specifically designed for use in Mississippi Chancery Court and provides a structured way to request that the court authorizes treatment at a chemical dependency unit. Unlike other legal documents focused on voluntary treatment or less urgent matters, this form addresses emergency situations requiring immediate intervention.

Main sections of this form

  • A detailed account of the defendant’s mental and physical health condition.
  • Information on the defendant’s current family life and community position.
  • Confirmation of health insurance coverage and financial support for treatment.
  • A statement of approval from the treatment facility for the defendant's admission.
  • A request for a specific duration of commitment and any outpatient treatment.
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  • Preview Complaint for Emergency Commitment of a Chemically Dependent Person for Treatment
  • Preview Complaint for Emergency Commitment of a Chemically Dependent Person for Treatment
  • Preview Complaint for Emergency Commitment of a Chemically Dependent Person for Treatment
  • Preview Complaint for Emergency Commitment of a Chemically Dependent Person for Treatment
  • Preview Complaint for Emergency Commitment of a Chemically Dependent Person for Treatment

When to use this form

This form should be used in circumstances where an individual is struggling with chemical dependency and poses a risk to themselves or others due to their condition. It is appropriate when family members or guardians believe that immediate treatment is necessary to ensure the individual’s health and safety. Use this form when other options for voluntary treatment have been exhausted or are not viable.

Who should use this form

  • Family members or guardians of a chemically dependent individual seeking emergency treatment.
  • Caretakers or friends concerned about the immediate health risks associated with an individual’s substance use.
  • Health care professionals recommending urgent commitment for treatment.

Completing this form step by step

  • Identify the parties involved: the plaintiff (the person filing) and the defendant (the individual in need of treatment).
  • Detail the defendant’s mental and physical health status, including any specific incidents or behaviors of concern.
  • Provide information regarding the defendant's health insurance and any assurances of payment for treatment.
  • Include a statement of acceptance from the treatment facility, confirming the defendant's admission.
  • Clearly articulate the request for commitment duration and any outpatient treatment guidelines to be considered by the court.

Does this document require notarization?

Notarization is not commonly needed for this form. However, certain documents or local rules may make it necessary. Our notarization service, powered by Notarize, allows you to finalize it securely online anytime, day or night.

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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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We protect your documents and personal data by following strict security and privacy standards.

Typical mistakes to avoid

  • Failing to provide comprehensive details about the defendant’s condition.
  • Not including information about insurance coverage or financial support.
  • Leaving out the treatment facility's acceptance confirmation.
  • Making vague requests regarding the duration of commitment.

Why complete this form online

  • Convenience of instant access to the form, allowing for immediate action in urgent situations.
  • Editability ensures that all necessary information can be tailored specifically for your case.
  • Reliability of using a form drafted by licensed attorneys, reducing the risk of legal errors.

What to keep in mind

  • The form is essential for initiating emergency commitments for chemically dependent individuals in Mississippi.
  • Cover all relevant health, financial, and treatment details to support your request.
  • Using the form online streamlines the process and helps ensure accuracy.

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FAQ

Involuntary commitment, civil commitment, or involuntary hospitalization (also known informally as sectioning or being sectioned in some jurisdictions, such as the United Kingdom) is a legal process through which an individual who is deemed by a qualified agent to have symptoms of severe mental disorder is detained in

Commitment Process Any citizen of Mississippi can initiate the process by submitting a sworn statement requesting psychiatric treatment for that person. The statement must include strong evidence that the person is dangerous to him or herself or to others by reason of mental illness.

The laws for Treatment Orders vary by state, but generally speaking, a mental health professional can apply for an order, which must then be approved by a legal authority such as a magistrate or tribunal.

Involuntary civil commitment is the admission of individuals against their will into a mental health unit. Generally speaking, there are three reasons why an individual would be subject to involuntary civil commitment under modern statutes: mental illness, developmental disability, and substance addiction.

Health Emergency (Writ) This Order for Detention and Examination, which is sometimes referred to as a Writ, directs law enforcement to transport an individual to the hospital for a psychiatric evaluation.

Any citizen of Mississippi can initiate the process by submitting a sworn statement requesting psychiatric treatment for that person. The statement must include strong evidence that the person is dangerous to him or herself or to others by reason of mental illness.

The 72 Hour Rule This 3-day period allows patients to receive basic medical treatment, recover from psychotic episodes and hopefully understand the need for further help. The patient can choose to voluntarily remain in care or commit to ongoing out-patient care.

Call 1-800-273-TALK or text MHA to 741741 if you are in crisis. Look up your local MHA affiliate for services in your area. Find a therapist. Find a support group. Plan for crisis by setting up a Psychiatric Advance Directive. Is hospitalization necessary? Read more about inpatient options.

The criteria for involuntary hospitalization are as follows: patients must exhibit dangerous behavior toward themselves or others, they must be helpless and unable to provide for their basic daily needs, and there is a danger of essential harm to their mental health if they do not receive mental care.

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Mississippi Complaint for Emergency Commitment of a Chemically Dependent Person for Treatment