Bill Text: NY A10025 | 2013-2014 | General Assembly | Introduced


Bill Title: Establishes protocols for assisted outpatient treatment for substance abuse; provides criteria for assisted outpatient treatment for substance abuse; provides for service, right to counsel, hearings, appeals and applications for additional periods of treatment; makes related changes.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2014-06-09 - referred to alcoholism and drug abuse [A10025 Detail]

Download: New_York-2013-A10025-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         10025
                                 I N  A S S E M B L Y
                                     June 9, 2014
                                      ___________
       Introduced  by COMMITTEE ON RULES -- (at request of M. of A. Gunther) --
         read once and referred to the Committee on Alcoholism and Drug Abuse
       AN ACT to amend the mental hygiene  law,  in  relation  to  establishing
         protocols for assisted outpatient treatment for substance abusers
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. The mental hygiene law is amended by adding a  new  article
    2  23 to read as follows:
    3                                 ARTICLE 23
    4             ASSISTED OUTPATIENT TREATMENT FOR SUBSTANCE ABUSERS
    5  SECTION 23.01 CRITERIA FOR ASSISTED OUTPATIENT TREATMENT FOR
    6                  SUBSTANCE ABUSERS.
    7          23.03 RESPONSIBILITIES OF SERVICE PROVIDERS.
    8          23.05 PETITION TO THE COURT.
    9          23.07 SERVICE.
   10          23.09 RIGHT TO COUNSEL.
   11          23.11 HEARING.
   12          23.13 WRITTEN TREATMENT PLAN.
   13          23.15 DISPOSITION.
   14          23.17 PETITION FOR ADDITIONAL PERIODS OF TREATMENT.
   15          23.19 PETITION FOR AN ORDER TO STAY, VACATE OR MODIFY.
   16          23.21 APPEALS.
   17          23.23 FAILURE TO COMPLY WITH ASSISTED OUTPATIENT TREATMENT.
   18          23.25 EFFECT OF DETERMINATION THAT A PERSON IS IN NEED OF
   19                  ASSISTED OUTPATIENT TREATMENT.
   20          23.27 FALSE PETITION.
   21          23.29 EXCEPTION.
   22          23.31 EDUCATION AND TRAINING.
   23  S 23.01 CRITERIA FOR ASSISTED  OUTPATIENT  TREATMENT FOR SUBSTANCE ABUS-
   24            ERS.
   25    (A) A PERSON MEETS THE CRITERIA FOR ASSISTED OUTPATIENT TREATMENT  FOR
   26  SUBSTANCE ABUSE IF THERE IS A GOOD FAITH REASON TO BELIEVE THE PERSON IS
   27  SUBSTANCE ABUSE IMPAIRED AND, BECAUSE OF SUCH IMPAIRMENT SUCH PERSON HAS
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD15281-02-4
       A. 10025                            2
    1  LOST  THE  POWER  OF  SELF-CONTROL  WITH  RESPECT  TO SUBSTANCE USE, AND
    2  EITHER:
    3    (1)  HAS  INFLICTED,  OR THREATENED OR ATTEMPTED TO INFLICT, OR UNLESS
    4  PLACED IN TREATMENT IS LIKELY TO INFLICT, PHYSICAL HARM  ON  HIMSELF  OR
    5  HERSELF OR ANOTHER; OR
    6    (2) IS IN NEED OF SUBSTANCE ABUSE SERVICES AND, BY REASON OF SUBSTANCE
    7  ABUSE  IMPAIRMENT,  HIS  OR  HER  JUDGMENT HAS BEEN SO IMPAIRED THAT THE
    8  PERSON IS INCAPABLE OF APPRECIATING HIS OR HER NEED  FOR  SUCH  SERVICES
    9  AND  OF  MAKING  A  RATIONAL  DECISION  IN REGARD THERETO; HOWEVER, MERE
   10  REFUSAL TO RECEIVE SUCH SERVICES DOES NOT CONSTITUTE EVIDENCE OF LACK OF
   11  JUDGMENT WITH RESPECT TO HIS OR HER NEED FOR SUCH SERVICES; AND
   12    (B) A PERSON MEETS THE CRITERIA FOR ASSISTED OUTPATIENT TREATMENT  FOR
   13  SUBSTANCE  ABUSE IF A COURT OF COMPETENT JURISDICTION FINDS BY CLEAR AND
   14  CONVINCING EVIDENCE THAT THE SUBJECT OF THE PETITION MEETS  ALL  OF  THE
   15  FOLLOWING CRITERIA:
   16    (1) IS EIGHTEEN YEARS OF AGE OR OLDER;
   17    (2)  HAS  A HISTORY OF LACK OF COMPLIANCE WITH TREATMENT FOR SUBSTANCE
   18  ABUSE THAT HAS:
   19    (A) PRIOR TO THE FILING OF THE PETITION, AT  LEAST  TWICE  WITHIN  THE
   20  LAST THIRTY-SIX MONTHS BEEN A SIGNIFICANT FACTOR IN NECESSITATING HOSPI-
   21  TALIZATION  IN A HOSPITAL, OR RECEIPT OF SERVICES FOR SUBSTANCE ABUSE IN
   22  A CORRECTIONAL FACILITY, NOT INCLUDING ANY  CURRENT  PERIOD,  OR  PERIOD
   23  ENDING  WITHIN  THE  LAST  SIX MONTHS, DURING WHICH THE PERSON WAS OR IS
   24  HOSPITALIZED OR INCARCERATED; OR
   25    (B) PRIOR TO FILING OF THE PETITION, RESULTED IN ONE OR MORE  ACTS  OF
   26  SERIOUS  VIOLENT  BEHAVIOR  TOWARD  SELF  OR  OTHERS  OR  THREATS OF, OR
   27  ATTEMPTS AT, SERIOUS PHYSICAL HARM TO SELF OR  OTHERS  WITHIN  THE  LAST
   28  FORTY-EIGHT  MONTHS,  NOT INCLUDING ANY CURRENT PERIOD, OR PERIOD ENDING
   29  WITHIN THE LAST SIX MONTHS, IN WHICH THE PERSON WAS OR  IS  HOSPITALIZED
   30  OR INCARCERATED;
   31    (3) IS IN NEED OF SUBSTANCE ABUSE SERVICES AND, BY REASON OF SUBSTANCE
   32  ABUSE  IMPAIRMENT,  HIS  OR  HER  JUDGMENT HAS BEEN SO IMPAIRED THAT THE
   33  PERSON IS INCAPABLE OF APPRECIATING HIS OR HER NEED  FOR  SUCH  SERVICES
   34  AND  OF  MAKING  A  RATIONAL  DECISION  IN REGARD THERETO; HOWEVER, MERE
   35  REFUSAL TO RECEIVE SUCH SERVICES DOES NOT CONSTITUTE EVIDENCE OF LACK OF
   36  JUDGMENT WITH RESPECT TO HIS OR HER NEED FOR SUCH SERVICES;
   37    (4) IS, AS A RESULT OF HIS OR HER SUBSTANCE ABUSE, UNLIKELY TO  VOLUN-
   38  TARILY  PARTICIPATE IN THE OUTPATIENT TREATMENT THAT WOULD ENABLE HIM OR
   39  HER TO LIVE SAFELY IN THE COMMUNITY; AND
   40    (5) IS LIKELY TO BENEFIT FROM ASSISTED OUTPATIENT TREATMENT.
   41    (C) A COURT MAY NOT GRANT SUCH PETITION UNLESS IT FINDS THAT  ASSISTED
   42  OUTPATIENT  TREATMENT IS THE LEAST RESTRICTIVE ALTERNATIVE AVAILABLE FOR
   43  THE PERSON.
   44    (D) FOR THE PURPOSES OF THIS ARTICLE, THE TERM "SUBSTANCE ABUSE" SHALL
   45  MEAN PERSONS WHO ARE UNDER THE INFLUENCE OF A  CONTROLLED  SUBSTANCE  AS
   46  DEFINED   IN   SUBDIVISIONS  (B)  AND  (C)  OF  SCHEDULE  I  OF  SECTION
   47  THIRTY-THREE HUNDRED SIX OF THE PUBLIC HEALTH LAW.
   48  S 23.03 RESPONSIBILITIES OF SERVICE PROVIDERS.
   49    IT IS THE RESPONSIBILITY OF THE SERVICE PROVIDER TO:
   50    (A) ENSURE THAT A PERSON WHO IS ADMITTED TO A SERVICE  PROVIDER  MEETS
   51  THE ADMISSION CRITERIA SPECIFIED BY SECTION 23.01 OF THIS ARTICLE;
   52    (B)  ASCERTAIN  WHETHER  THE  MEDICAL AND BEHAVIORAL CONDITIONS OF THE
   53  PERSON AS PRESENTED ARE WITHIN THE SAFE MANAGEMENT CAPABILITIES  OF  THE
   54  SERVICE PROVIDERS; AND
       A. 10025                            3
    1    (C)  PROVIDE  FOR THE ADMISSION OF THE PERSON TO THE SERVICE COMPONENT
    2  THAT REPRESENTS THE LEAST RESTRICTIVE AVAILABLE SETTING THAT IS  RESPON-
    3  SIVE TO THE PERSON'S TREATMENT NEEDS.
    4  S 23.05 PETITION TO THE COURT.
    5    (A)  A PETITION FOR AN ORDER AUTHORIZING ASSISTED OUTPATIENT TREATMENT
    6  FOR SUBSTANCE ABUSERS MAY BE FILED IN THE SUPREME OR COUNTY COURT IN THE
    7  COUNTY IN WHICH THE SUBJECT OF THE PETITION  IS  PRESENT  OR  REASONABLY
    8  BELIEVED  TO  BE  PRESENT.  A  PETITION  TO  OBTAIN AN ORDER AUTHORIZING
    9  ASSISTED OUTPATIENT TREATMENT MAY BE INITIATED  ONLY  BY  THE  FOLLOWING
   10  PERSONS:
   11    (1) ANY PERSON EIGHTEEN YEARS OF AGE OR OLDER WITH WHOM THE SUBJECT OF
   12  THE PETITION RESIDES; OR
   13    (2)  THE  PARENT,  SPOUSE,  SIBLING EIGHTEEN YEARS OF AGE OR OLDER, OR
   14  CHILD EIGHTEEN YEARS OR OLDER OF THE SUBJECT OF THE PETITION; OR
   15    (3) THE DIRECTOR OF A HOSPITAL IN WHICH THE SUBJECT OF THE PETITION IS
   16  HOSPITALIZED; OR
   17    (4) THE DIRECTOR OF ANY PUBLIC OR CHARITABLE ORGANIZATION,  AGENCY  OR
   18  HOME  PROVIDING  SUBSTANCE ABUSE SERVICES TO THE SUBJECT OF THE PETITION
   19  IN WHOSE INSTITUTION THE SUBJECT OF THE PETITION RESIDES; OR
   20    (5) THE DIRECTOR OF COMMUNITY SERVICES, OR SOCIAL SERVICES OFFICIAL OF
   21  THE CITY OR COUNTY WHERE THE PERSON IS PRESENT OR IS REASONABLY BELIEVED
   22  TO BE PRESENT; OR
   23    (6) A PAROLE OFFICER OR PROBATION OFFICER ASSIGNED  TO  SUPERVISE  THE
   24  PERSON.
   25    (B)  THE  PETITION  MUST ALLEGE THAT THE SUBJECT OF THE PETITION MEETS
   26  THE CRITERIA FOR ASSISTED OUTPATIENT  TREATMENT  FOR  SUBSTANCE  ABUSERS
   27  CRITERIA  AS  DEFINED  IN  SECTION  23.01  OF  THIS  ARTICLE AND MUST BE
   28  SUPPORTED BY A SWORN STATEMENT OF ANY PERSON IDENTIFIED  IN  SUBDIVISION
   29  (A) OF THIS SECTION.
   30  S 23.07 SERVICE.
   31    THE  PETITIONER SHALL CAUSE WRITTEN NOTICE OF THE PETITION TO BE GIVEN
   32  TO THE SUBJECT OF THE PETITION AND A COPY THEREOF TO BE GIVEN PERSONALLY
   33  OR BY MAIL TO THE HEALTH CARE AGENT IF ANY SUCH AGENT IS  KNOWN  TO  THE
   34  PETITIONER,  THE  APPROPRIATE  PROGRAM  COORDINATOR, AND THE APPROPRIATE
   35  DIRECTOR OF COMMUNITY SERVICES, IF SUCH DIRECTOR IS NOT THE PETITIONER.
   36  S 23.09 RIGHT TO COUNSEL.
   37    THE SUBJECT OF THE PETITION SHALL HAVE THE RIGHT TO BE REPRESENTED  BY
   38  A PUBLIC DEFENDER OR ASSIGNED COUNSEL, OR PRIVATELY FINANCED COUNSEL, AT
   39  ALL STAGES OF A PROCEEDING COMMENCED UNDER THIS SECTION.
   40  S 23.11 HEARING.
   41    (A)  UPON  RECEIPT OF THE PETITION, THE COURT SHALL FIX THE DATE FOR A
   42  HEARING. SUCH DATE SHALL BE NO LATER THAN THREE DAYS FROM THE DATE  SUCH
   43  PETITION  IS  RECEIVED  BY  THE  COURT, EXCLUDING SATURDAYS, SUNDAYS AND
   44  HOLIDAYS. ADJOURNMENTS SHALL BE PERMITTED ONLY FOR GOOD CAUSE SHOWN.  IN
   45  GRANTING  ADJOURNMENTS,  THE  COURT  SHALL CONSIDER THE NEED FOR FURTHER
   46  EXAMINATION BY A PHYSICIAN OR THE POTENTIAL  NEED  TO  PROVIDE  ASSISTED
   47  OUTPATIENT TREATMENT EXPEDITIOUSLY. THE COURT SHALL CAUSE THE SUBJECT OF
   48  THE  PETITION,  ANY  OTHER  PERSON  RECEIVING NOTICE PURSUANT TO SECTION
   49  23.07 OF THIS ARTICLE, THE PETITIONER, THE PHYSICIAN  WHOSE  AFFIRMATION
   50  OR  AFFIDAVIT  ACCOMPANIED  THE  PETITION, AND SUCH OTHER PERSONS AS THE
   51  COURT MAY DETERMINE TO BE ADVISED OF SUCH DATE. UPON SUCH DATE, OR  UPON
   52  SUCH  OTHER  DATE  TO  WHICH  THE PROCEEDING MAY BE ADJOURNED, THE COURT
   53  SHALL HEAR TESTIMONY AND, IF IT BE DEEMED ADVISABLE AND THE  SUBJECT  OF
   54  THE PETITION IS AVAILABLE, EXAMINE THE SUBJECT OF THE PETITION IN OR OUT
   55  OF COURT. IF THE SUBJECT OF THE PETITION DOES NOT APPEAR AT THE HEARING,
   56  AND  APPROPRIATE  ATTEMPTS  TO ELICIT THE ATTENDANCE OF THE SUBJECT HAVE
       A. 10025                            4
    1  FAILED, THE COURT MAY CONDUCT THE HEARING IN THE SUBJECT'S  ABSENCE.  IN
    2  SUCH  CASE,  THE  COURT SHALL SET FORTH THE FACTUAL BASIS FOR CONDUCTING
    3  THE HEARING WITHOUT THE PRESENCE OF THE SUBJECT OF THE PETITION.
    4    (B)  THE COURT SHALL NOT ORDER ASSISTED OUTPATIENT TREATMENT UNLESS AN
    5  EXAMINING PHYSICIAN, WHO RECOMMENDS ASSISTED  OUTPATIENT  TREATMENT  AND
    6  HAS  PERSONALLY  EXAMINED  THE  SUBJECT OF THE PETITION NO MORE THAN SIX
    7  MONTHS BEFORE THE FILING OF THE PETITION, TESTIFIES  IN  PERSON  AT  THE
    8  HEARING.  SUCH  PHYSICIAN  SHALL  STATE  THE FACTS AND CLINICAL DETERMI-
    9  NATIONS WHICH SUPPORT THE ALLEGATION THAT THE SUBJECT  OF  THE  PETITION
   10  MEETS EACH OF THE CRITERIA FOR ASSISTED OUTPATIENT TREATMENT.
   11    (C)  THE  SUBJECT  OF THE PETITION SHALL BE AFFORDED AN OPPORTUNITY TO
   12  PRESENT EVIDENCE, TO CALL WITNESSES ON HIS OR HER BEHALF, AND TO  CROSS-
   13  EXAMINE ADVERSE WITNESSES.
   14  S 23.13 WRITTEN TREATMENT PLAN.
   15    (A)  THE  COURT SHALL NOT ORDER ASSISTED OUTPATIENT TREATMENT UNLESS A
   16  PHYSICIAN APPOINTED BY THE APPROPRIATE DIRECTOR,  IN  CONSULTATION  WITH
   17  SUCH  DIRECTOR,  DEVELOPS  AND  PROVIDES TO THE COURT A PROPOSED WRITTEN
   18  TREATMENT PLAN. THE WRITTEN TREATMENT PLAN SHALL INCLUDE CASE MANAGEMENT
   19  SERVICES OR ASSERTIVE COMMUNITY TREATMENT TEAM SERVICES TO PROVIDE  CARE
   20  COORDINATION.  THE WRITTEN TREATMENT PLAN ALSO SHALL INCLUDE ALL CATEGO-
   21  RIES OF SERVICES WHICH SUCH PHYSICIAN RECOMMENDS THAT THE SUBJECT OF THE
   22  PETITION RECEIVE. ALL SERVICE  PROVIDERS  SHALL  BE  NOTIFIED  REGARDING
   23  THEIR  INCLUSION IN THE WRITTEN TREATMENT PLAN. IF THE WRITTEN TREATMENT
   24  PLAN INCLUDES MEDICATION, IT SHALL STATE WHETHER SUCH MEDICATION  SHOULD
   25  BE  SELF-ADMINISTERED OR ADMINISTERED BY AUTHORIZED PERSONNEL, AND SHALL
   26  SPECIFY TYPE AND DOSAGE RANGE OF MEDICATION MOST LIKELY TO PROVIDE MAXI-
   27  MUM BENEFIT FOR THE SUBJECT. IF A DIRECTOR IS THE PETITIONER, THE  WRIT-
   28  TEN TREATMENT PLAN SHALL BE PROVIDED TO THE COURT NO LATER THAN THE DATE
   29  OF THE HEARING ON THE PETITION. IF A PERSON OTHER THAN A DIRECTOR IS THE
   30  PETITIONER,  SUCH  PLAN SHALL BE PROVIDED TO THE COURT NO LATER THAN THE
   31  DATE SET BY THE COURT PURSUANT TO SUBDIVISION (C) OF  SECTION  23.15  OF
   32  THIS ARTICLE.
   33    THE  PHYSICIAN  APPOINTED  TO DEVELOP THE WRITTEN TREATMENT PLAN SHALL
   34  PROVIDE THE FOLLOWING PERSONS WITH AN OPPORTUNITY  TO  ACTIVELY  PARTIC-
   35  IPATE  IN THE DEVELOPMENT OF SUCH PLAN: THE SUBJECT OF THE PETITION; THE
   36  TREATING PHYSICIAN, IF ANY; AND UPON THE REQUEST OF THE SUBJECT  OF  THE
   37  PETITION,  AN  INDIVIDUAL SIGNIFICANT TO THE SUBJECT INCLUDING ANY RELA-
   38  TIVE, CLOSE FRIEND OR INDIVIDUAL OTHERWISE CONCERNED WITH THE WELFARE OF
   39  THE SUBJECT. IF THE SUBJECT OF THE PETITION HAS EXECUTED A  HEALTH  CARE
   40  PROXY, THE APPOINTED PHYSICIAN SHALL CONSIDER ANY DIRECTIONS INCLUDED IN
   41  SUCH PROXY IN DEVELOPING THE WRITTEN TREATMENT PLAN.
   42    (B)  THE  COURT SHALL NOT ORDER ASSISTED OUTPATIENT TREATMENT UNLESS A
   43  PHYSICIAN APPEARING ON BEHALF OF A DIRECTOR  TESTIFIES  TO  EXPLAIN  THE
   44  WRITTEN  PROPOSED TREATMENT PLAN. SUCH PHYSICIAN SHALL STATE THE CATEGO-
   45  RIES OF ASSISTED OUTPATIENT TREATMENT  RECOMMENDED,  THE  RATIONALE  FOR
   46  EACH  SUCH  CATEGORY,  FACTS  WHICH ESTABLISH THAT SUCH TREATMENT IS THE
   47  LEAST RESTRICTIVE ALTERNATIVE, AND, IF THE RECOMMENDED  ASSISTED  OUTPA-
   48  TIENT TREATMENT PLAN INCLUDES MEDICATION, SUCH PHYSICIAN SHALL STATE THE
   49  TYPES  OR  CLASSES  OF MEDICATION RECOMMENDED, THE BENEFICIAL AND DETRI-
   50  MENTAL PHYSICAL AND MENTAL EFFECTS OF SUCH MEDICATION, AND WHETHER  SUCH
   51  MEDICATION  SHOULD BE SELF-ADMINISTERED OR ADMINISTERED BY AN AUTHORIZED
   52  PROFESSIONAL. IF THE SUBJECT OF THE PETITION HAS EXECUTED A HEALTH  CARE
   53  PROXY,  SUCH  PHYSICIAN  SHALL  STATE  THE  CONSIDERATION  GIVEN  TO ANY
   54  DIRECTIONS INCLUDED IN SUCH PROXY IN DEVELOPING  THE  WRITTEN  TREATMENT
   55  PLAN.  IF A DIRECTOR IS THE PETITIONER, TESTIMONY PURSUANT TO THIS PARA-
   56  GRAPH SHALL BE GIVEN AT THE HEARING ON THE PETITION. IF A  PERSON  OTHER
       A. 10025                            5
    1  THAN  A DIRECTOR IS THE PETITIONER, SUCH TESTIMONY SHALL BE GIVEN ON THE
    2  DATE SET BY THE COURT PURSUANT TO SUBDIVISION (C) OF  SECTION  23.15  OF
    3  THIS ARTICLE.
    4  S 23.15 DISPOSITION.
    5    (A) IF AFTER HEARING ALL RELEVANT EVIDENCE, THE COURT DOES NOT FIND BY
    6  CLEAR AND CONVINCING EVIDENCE THAT THE SUBJECT OF THE PETITION MEETS THE
    7  CRITERIA  FOR ASSISTED OUTPATIENT TREATMENT, THE COURT SHALL DISMISS THE
    8  PETITION.
    9    (B) IF AFTER HEARING ALL RELEVANT EVIDENCE, THE COURT FINDS  BY  CLEAR
   10  AND  CONVINCING  EVIDENCE  THAT  THE  SUBJECT  OF THE PETITION MEETS THE
   11  CRITERIA FOR ASSISTED OUTPATIENT TREATMENT, AND THERE IS NO  APPROPRIATE
   12  AND  FEASIBLE  LESS  RESTRICTIVE  ALTERNATIVE,  THE  COURT MAY ORDER THE
   13  SUBJECT TO RECEIVE ASSISTED OUTPATIENT TREATMENT FOR AN  INITIAL  PERIOD
   14  NOT  TO  EXCEED  SIX  MONTHS.  IN  FASHIONING THE ORDER, THE COURT SHALL
   15  SPECIFICALLY MAKE FINDINGS BY CLEAR AND  CONVINCING  EVIDENCE  THAT  THE
   16  PROPOSED  TREATMENT  IS  THE LEAST RESTRICTIVE TREATMENT APPROPRIATE AND
   17  FEASIBLE FOR THE SUBJECT. THE ORDER SHALL STATE AN  ASSISTED  OUTPATIENT
   18  TREATMENT  PLAN,  WHICH  SHALL INCLUDE ALL CATEGORIES OF ASSISTED OUTPA-
   19  TIENT TREATMENT WHICH THE ASSISTED OUTPATIENT IS TO RECEIVE,  BUT  SHALL
   20  NOT  INCLUDE ANY SUCH CATEGORY THAT HAS NOT BEEN RECOMMENDED IN BOTH THE
   21  PROPOSED WRITTEN TREATMENT PLAN AND THE TESTIMONY PROVIDED TO THE  COURT
   22  PURSUANT TO SECTION 23.13 OF THIS ARTICLE.
   23    (C)  IF  AFTER HEARING ALL RELEVANT EVIDENCE PRESENTED BY A PETITIONER
   24  WHO IS NOT A DIRECTOR, THE COURT FINDS BY CLEAR AND CONVINCING  EVIDENCE
   25  THAT  THE SUBJECT OF THE PETITION MEETS THE CRITERIA FOR ASSISTED OUTPA-
   26  TIENT TREATMENT, AND THE COURT HAS YET TO BE  PROVIDED  WITH  A  WRITTEN
   27  PROPOSED  TREATMENT PLAN AND TESTIMONY PURSUANT TO SECTION 23.13 OF THIS
   28  ARTICLE, THE COURT SHALL ORDER THE APPROPRIATE DIRECTOR TO  PROVIDE  THE
   29  COURT  WITH SUCH PLAN AND TESTIMONY NO LATER THAN THE THIRD DAY, EXCLUD-
   30  ING SATURDAYS, SUNDAYS AND HOLIDAYS, IMMEDIATELY FOLLOWING THE  DATE  OF
   31  SUCH  ORDER. UPON RECEIVING SUCH PLAN AND TESTIMONY, THE COURT MAY ORDER
   32  ASSISTED OUTPATIENT TREATMENT AS PROVIDED FOR IN SUBDIVISION (B) OF THIS
   33  SECTION.
   34    (D) IF THE PETITIONER IS THE DIRECTOR OF A HOSPITAL THAT  OPERATES  AN
   35  ASSISTED  OUTPATIENT TREATMENT PROGRAM, THE COURT ORDER SHALL DIRECT THE
   36  HOSPITAL DIRECTOR TO PROVIDE OR ARRANGE FOR ALL CATEGORIES  OF  ASSISTED
   37  OUTPATIENT  TREATMENT  FOR THE ASSISTED OUTPATIENT THROUGHOUT THE PERIOD
   38  OF THE ORDER. IN ALL OTHER INSTANCES, THE ORDER SHALL REQUIRE THE APPRO-
   39  PRIATE DIRECTOR, AS THAT TERM IS DEFINED IN THIS SECTION, TO PROVIDE  OR
   40  ARRANGE  FOR  ALL  CATEGORIES  OF  ASSISTED OUTPATIENT TREATMENT FOR THE
   41  ASSISTED OUTPATIENT THROUGHOUT THE PERIOD OF THE ORDER.
   42    (E) THE DIRECTOR SHALL CAUSE A COPY OF ANY COURT ORDER ISSUED PURSUANT
   43  TO THIS SECTION TO BE SERVED PERSONALLY, OR BY MAIL, FACSIMILE OR  ELEC-
   44  TRONIC  MEANS,  UPON  THE  ASSISTED  OUTPATIENT, OR ANYONE ACTING ON THE
   45  ASSISTED  OUTPATIENT'S  BEHALF,  THE  ORIGINAL  PETITIONER,   IDENTIFIED
   46  SERVICE PROVIDERS, AND ALL OTHERS ENTITLED TO NOTICE UNDER SECTION 23.07
   47  OF THIS ARTICLE.
   48  S 23.17 PETITION FOR ADDITIONAL PERIODS OF TREATMENT.
   49    (A)  PRIOR TO THE EXPIRATION OF AN ORDER PURSUANT TO THIS SECTION, THE
   50  APPROPRIATE  DIRECTOR  SHALL  REVIEW  WHETHER  THE  ASSISTED  OUTPATIENT
   51  CONTINUES TO MEET THE CRITERIA FOR ASSISTED OUTPATIENT TREATMENT. IF, AS
   52  DOCUMENTED  IN  THE PETITION, THE DIRECTOR DETERMINES THAT SUCH CRITERIA
   53  CONTINUE TO BE MET OR HAS MADE APPROPRIATE ATTEMPTS TO, BUT HAS NOT BEEN
   54  SUCCESSFUL IN ELICITING, THE COOPERATION OF THE SUBJECT TO SUBMIT TO  AN
   55  EXAMINATION,  WITHIN  THIRTY DAYS PRIOR TO THE EXPIRATION OF AN ORDER OF
   56  ASSISTED OUTPATIENT TREATMENT, SUCH DIRECTOR MAY PETITION THE  COURT  TO
       A. 10025                            6
    1  ORDER  CONTINUED ASSISTED OUTPATIENT TREATMENT PURSUANT TO PARAGRAPH TWO
    2  OF THIS SUBDIVISION. UPON DETERMINING WHETHER SUCH CRITERIA CONTINUE  TO
    3  BE MET, SUCH DIRECTOR SHALL NOTIFY THE PROGRAM COORDINATOR IN WRITING AS
    4  TO  WHETHER  A  PETITION  FOR CONTINUED ASSISTED OUTPATIENT TREATMENT IS
    5  WARRANTED AND WHETHER SUCH A PETITION WAS OR WILL BE FILED.
    6    (B) WITHIN THIRTY DAYS PRIOR TO THE EXPIRATION OF AN ORDER OF ASSISTED
    7  OUTPATIENT TREATMENT, THE APPROPRIATE DIRECTOR OR THE CURRENT  PETITION-
    8  ER,  IF THE CURRENT PETITION WAS FILED PURSUANT TO SECTION 23.05 OF THIS
    9  ARTICLE, AND THE CURRENT PETITIONER RETAINS HIS OR HER  ORIGINAL  STATUS
   10  PURSUANT TO THE APPLICABLE SUBPARAGRAPH, MAY PETITION THE COURT TO ORDER
   11  CONTINUED  ASSISTED  OUTPATIENT TREATMENT FOR A PERIOD NOT TO EXCEED ONE
   12  YEAR FROM THE EXPIRATION DATE OF  THE  CURRENT  ORDER.  IF  THE  COURT'S
   13  DISPOSITION OF SUCH PETITION DOES NOT OCCUR PRIOR TO THE EXPIRATION DATE
   14  OF  THE  CURRENT  ORDER,  THE CURRENT ORDER SHALL REMAIN IN EFFECT UNTIL
   15  SUCH DISPOSITION.
   16    THE NOTICE PROVISIONS SET FORTH IN SECTION 23.15 OF THIS ARTICLE SHALL
   17  BE APPLICABLE. ANY COURT ORDER REQUIRING PERIODIC BLOOD TESTS OR  URINA-
   18  LYSIS  FOR  THE PRESENCE OF ALCOHOL OR ILLEGAL DRUGS SHALL BE SUBJECT TO
   19  REVIEW AFTER SIX MONTHS BY  THE  PHYSICIAN  WHO  DEVELOPED  THE  WRITTEN
   20  TREATMENT PLAN OR ANOTHER PHYSICIAN DESIGNATED BY THE DIRECTOR, AND SUCH
   21  PHYSICIAN  SHALL BE AUTHORIZED TO TERMINATE SUCH BLOOD TESTS OR URINALY-
   22  SIS WITHOUT FURTHER ACTION BY THE COURT.
   23  S 23.19 PETITION FOR AN ORDER TO STAY, VACATE OR MODIFY.
   24    (A) IN ADDITION TO ANY OTHER RIGHT OR REMEDY  AVAILABLE  BY  LAW  WITH
   25  RESPECT  TO  THE  ORDER  FOR ASSISTED OUTPATIENT TREATMENT, THE ASSISTED
   26  OUTPATIENT, OR ANYONE ACTING ON THE  ASSISTED  OUTPATIENT'S  BEHALF  MAY
   27  PETITION  THE  COURT ON NOTICE TO THE DIRECTOR, THE ORIGINAL PETITIONER,
   28  AND ALL OTHERS ENTITLED TO NOTICE UNDER SECTION 23.07 OF THIS ARTICLE TO
   29  STAY, VACATE OR MODIFY THE ORDER.
   30    (B) THE APPROPRIATE DIRECTOR SHALL PETITION  THE  COURT  FOR  APPROVAL
   31  BEFORE INSTITUTING A PROPOSED MATERIAL CHANGE IN THE ASSISTED OUTPATIENT
   32  TREATMENT  PLAN,  UNLESS  SUCH  CHANGE IS AUTHORIZED BY THE ORDER OF THE
   33  COURT. SUCH PETITION SHALL BE FILED ON NOTICE TO ALL PARTIES ENTITLED TO
   34  NOTICE UNDER SECTION 23.07 OF THIS ARTICLE. NOT  LATER  THAN  FIVE  DAYS
   35  AFTER  RECEIVING  SUCH  PETITION, EXCLUDING SATURDAYS, SUNDAYS AND HOLI-
   36  DAYS, THE COURT SHALL HOLD A HEARING ON THE PETITION; PROVIDED  THAT  IF
   37  THE  ASSISTED  OUTPATIENT INFORMS THE COURT THAT HE OR SHE AGREES TO THE
   38  PROPOSED MATERIAL CHANGE, THE COURT MAY APPROVE SUCH  CHANGE  WITHOUT  A
   39  HEARING.  NON-MATERIAL CHANGES MAY BE INSTITUTED BY THE DIRECTOR WITHOUT
   40  COURT APPROVAL. FOR THE PURPOSES OF THIS PARAGRAPH, A MATERIAL CHANGE IS
   41  AN ADDITION OR DELETION OF A CATEGORY OF SERVICES TO OR FROM  A  CURRENT
   42  ASSISTED  OUTPATIENT  TREATMENT  PLAN,  OR  ANY  DEVIATION  WITHOUT  THE
   43  ASSISTED OUTPATIENT'S CONSENT FROM THE TERMS OF A CURRENT ORDER RELATING
   44  TO THE ADMINISTRATION OF PSYCHOTROPIC DRUGS.
   45  S 23.21 APPEALS.
   46    REVIEW OF AN ORDER ISSUED PURSUANT TO THIS SECTION  SHALL  BE  HAD  IN
   47  LIKE  MANNER  AS SPECIFIED IN SECTION 9.35 OF ARTICLE NINE OF THIS CHAP-
   48  TER.
   49  S 23.23 FAILURE TO COMPLY WITH ASSISTED OUTPATIENT TREATMENT.
   50    WHERE THE SUBJECT FAILS TO COMPLY WITH THE  ASSISTED  OUTPATIENT  PLAN
   51  SET  FORTH IN ACCORDANCE WITH SECTION 23.15 OF THIS ARTICLE, THE SUBJECT
   52  SHALL BE BROUGHT TO  A  FACILITY  OR  TREATMENT  PROGRAM  FOR  EMERGENCY
   53  SERVICES PURSUANT TO SECTION 22.09 OF THIS CHAPTER.
   54  S  23.25  EFFECT  OF  DETERMINATION THAT A PERSON IS IN NEED OF ASSISTED
   55            OUTPATIENT TREATMENT.
       A. 10025                            7
    1    THE DETERMINATION BY A COURT THAT A PERSON  IS  IN  NEED  OF  ASSISTED
    2  OUTPATIENT  TREATMENT SHALL NOT BE CONSTRUED AS OR DEEMED TO BE A DETER-
    3  MINATION  THAT  SUCH  PERSON  IS  INCAPACITATED  PURSUANT   TO   ARTICLE
    4  EIGHTY-ONE OF THIS CHAPTER.
    5  S 23.27 FALSE PETITION.
    6    A  PERSON  MAKING  A FALSE STATEMENT OR PROVIDING FALSE INFORMATION OR
    7  FALSE TESTIMONY IN A PETITION OR HEARING UNDER  THIS  SECTION  SHALL  BE
    8  SUBJECT  TO  CRIMINAL PROSECUTION PURSUANT TO ARTICLE ONE HUNDRED SEVEN-
    9  TY-FIVE OR ARTICLE TWO HUNDRED TEN OF THE PENAL LAW.
   10  S 23.29 EXCEPTION.
   11    NOTHING IN THIS SECTION SHALL BE CONSTRUED TO AFFECT  THE  ABILITY  OF
   12  THE  DIRECTOR  OF  A  HOSPITAL TO RECEIVE, ADMIT, OR RETAIN PATIENTS WHO
   13  OTHERWISE  MEET  THE  PROVISIONS  OF  THIS  ARTICLE  REGARDING  RECEIPT,
   14  RETENTION OR ADMISSION.
   15  S 23.31 EDUCATION AND TRAINING.
   16    (A)  THE OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES, IN CONSUL-
   17  TATION WITH THE OFFICE OF COURT  ADMINISTRATION,  SHALL  PREPARE  EDUCA-
   18  TIONAL AND TRAINING MATERIALS ON THE USE OF THIS SECTION, WHICH SHALL BE
   19  MADE AVAILABLE TO LOCAL GOVERNMENTAL UNITS, PROVIDERS OF SERVICES, JUDG-
   20  ES, COURT PERSONNEL, LAW ENFORCEMENT OFFICIALS AND THE GENERAL PUBLIC.
   21    (B)  THE OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES, IN CONSUL-
   22  TATION WITH THE  OFFICE  OF  COURT  ADMINISTRATION,  SHALL  ESTABLISH  A
   23  SUBSTANCE ABUSE TRAINING PROGRAM FOR SUPREME AND COUNTY COURT JUDGES AND
   24  COURT  PERSONNEL.  SUCH  TRAINING SHALL FOCUS ON THE USE OF THIS SECTION
   25  AND GENERALLY ADDRESS ISSUES RELATING TO HEROIN AND OPIOID ADDICTION.
   26    S 2. This act shall take effect on the one hundred twentieth day after
   27  it shall have become a law; provided, however, that effective immediate-
   28  ly, the addition, amendment and/or repeal  of  any  rule  or  regulation
   29  necessary  for  the implementation of this act on its effective date are
   30  authorized and directed to be made  and  completed  on  or  before  such
   31  effective date.
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