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                       SUPERIOR COURT
               MENTAL PROCEEDINGS RULES (MPR)

                       TABLE OF RULES


                         1. GENERAL
Rule
1.1  Notice--General
1.2  Continuance or Postponement
1.3  Confidentiality of Proceedings
1.4  Alternative Less Restrictive Treatment

            2. PROCEEDINGS FOR INITIAL DETENTION

2.1  Summons
2.2  Authorization and Notice of Detention
2.2A Notice of Emergency Detention
2.3  Right To Copy Court Files
2.4  Probable Cause Hearing
2.5  Rescinded

          3. PROCEEDINGS FOR NINETY OR ONE HUNDRED
                   EIGHTY-DAY COMMITMENT

3.1  First Court Appearance
3.2  Preliminary Appearance
3.3  Jury Demand
3.4  Hearing
3.5  Notice of Restrictions

         4. PROCEEDINGS FOR CONDITIONAL RELEASE AND
                 REVOCATION OR MODIFICATION

4.1  Notice of Conditions
4.2  Authorization for Apprehension and Detention
4.3  Petition and Order of Apprehension and Detention--Service
4.4  Petition for Initial Detention
4.5  Hearing

                          5. VENUE

5.1  General
5.2  Conditional Release Hearing
5.3  Release of Records
5.4  Reserved

                        6. PETITIONS

6.1  Petition for Initial Detention
6.1A Petition for Initial Detention of a Minor
6.2  Petition for Fourteen-Day Involuntary Treatment
6.2A Petition for Fourteen-Day Commitment of Minors
6.3  Petition for Ninety-Day Involuntary Treatment
6.4  Petition for One Hundred Eighty-Day Involuntary Treatment
6.4A Petition for One Hundred Eighty-Day Involuntary Treatment of a Minor
6.5  Petition for Revocation of Conditional Release or Less Restrictive Treatment
6.5A Petition for Revocation of Conditional Release or Less Restrictive Treatment of a Minor
    

 


    
                                                                                 
                        INTRODUCTION                                             
                                                                                 
    The following rules have been designed and promulgated to give full          
force and effect to Laws of 1973, 1st Ex. Sess., ch. 142. Any future             
amendments which may be enacted will be dealt with in rules as the need may      
arise.                                                                           
    Section 62 of the act directs the Supreme Court to adopt rules with          
respect to court procedures and proceedings. Adoption of these rules is not      
to be construed as approval of what could be a breach of the separation of       
powers of government. While the Legislature may recommend rulemaking as to       
particular matters, it may not mandate rulemaking which is an inherent           
power of the judicial branch.                                                    
    Although the courts generally do not pass upon the wisdom or the             
workability of statutes, they are concerned with their constitutionality.        
The adoption of these rules, which are merely designed to give effect to         
the statute as it is written, does not in any manner indicate an opinion of      
the court that the statute is or is not constitutional in any respect. In        
promulgating them, the court does not in any manner obviate further              
consideration of any portion of the statute or these rules in a proper           
case.                                                                            
    Because of the complicated nature of the statute necessitating these         
rules and the need that they be effective January 1, 1974, the court has         
promulgated them without submitting them for comment, and now invites            
comment from the bench and bar.
    

 


    
                                                                                 
                          RULE 1.1                                               
                      NOTICE--GENERAL                                            
                                                                                 
    Whenever any notice or document pursuant to the provisions of RCW 71.05      
is required to be served on a person who is detained or committed, such          
notice or document shall be provided to the person's attorney, guardian, if      
any, and, if the person is under 18 years of age, to any person, entity, or      
institution having actual custody, in addition to any other person provided      
by statute.                                                                      
    (a) Notice to Prosecutor. In any judicial proceeding under RCW 71.05         
for involuntary commitment or detention in which the prosecuting attorney        
is required to represent a party (see RCW 71.05.130), the prosecuting            
attorney for the county in which the proceeding is initiated shall be            
served with written notice of the proceedings and copies of the initiating       
papers by the party initiating the proceedings.                                  
    (b) Notice to Attorney General. In any judicial proceeding under RCW         
71.05 for involuntary commitment or detention in which the Attorney General      
is required to represent a party (see RCW 71.05.130), the Attorney General       
shall be served with written notice of the proceedings and copies of the         
initiating papers by the party initiating the proceedings.                       
    (c) Notice of Release. Whenever a person committed or detained under         
RCW 71.05 is released or conditionally released, the court ordering such         
commitment shall be notified immediately in writing of the release by the        
superintendent or professional person in charge of the facility from which       
the person is released.
    

 


    
                                                                                 
                          RULE 1.2                                               
                CONTINUANCE OR POSTPONEMENT                                      
                                                                                 
    In any judicial proceeding for involuntary commitment or detention held      
pursuant to RCW 71.05 the court may continue or postpone such proceeding         
for a reasonable time, subject to RCW 71.05.210 and RCW 71.05.240, on the        
following grounds:                                                               
    (a) On motion of the respondent if there is a showing of good cause;         
    (b) On motion of the prosecuting attorney or the Attorney General if:        
    (1) The respondent expressly consents to a continuance or delay and          
there is a showing of good cause; or                                             
    (2) Required in the proper administration of justice and the respondent      
will not be substantially prejudiced in the presentation of respondent's         
case.                                                                            
    (c) The court on its own motion may continue the case when required in       
the due administration of justice and when the respondent will not be            
substantially prejudiced in the presentation of his case.                        
    An order granting continuance shall state whether detention will be          
extended and the grounds therefor.
    

 


    
                                                                                 
                          RULE 1.3                                               
               CONFIDENTIALITY OF PROCEEDINGS                                    
                                                                                 
    Proceedings had pursuant to RCW 71.05 shall not be open to the public,       
unless the person who is the subject of the proceedings or his attorney          
files with the court a written request that the proceedings be public. The       
court in its discretion may permit a limited number of persons to observe        
the proceedings as a part of a training program of a facility devoted to         
the healing arts or of an accredited educational institution within the          
state.
    

 


    
                                                                                 
                          RULE 1.4                                               
           ALTERNATIVE LESS RESTRICTIVE TREATMENT                                
                                                                                 
    (a) As an alternative to detention, where the court makes a finding or       
a special verdict is returned that the respondent should receive less            
restrictive alternative treatment, the court may order such less                 
restrictive alternative treatment for no longer than the period for which        
the respondent could have been committed at the hearing.                         
    (b) If the court orders less restrictive alternative treatment, the          
order shall specify the terms and conditions of the alternative treatment        
and a copy shall be delivered to the respondent.                                 
    (c) If the conditions of the alternative treatment are not adhered to,       
the designated mental health professional may order the respondent               
apprehended according to the procedure defined by rules 4.1 through 4.5.
    

 


    
                                                                                 
                          RULE 2.1                                               
                          SUMMONS                                                
                                                                                 
    The summons issued pursuant to RCW 71.05.150 shall include the               
following:                                                                       
    (a) The date and time for appearance, not less than 24 hours from the        
time at which the summons is served, at an evaluation and treatment              
facility.                                                                        
    (b) The address of the evaluation and treatment facility.                    
    (c) The business address and business telephone number of the                
designated mental health professional.                                           
    (d) A statement that the person summoned may be detained at the              
evaluation and treatment facility for up to 72 hours excluding Saturdays,        
Sundays, and holidays.                                                           
    (e) A statement whether the 72-hour evaluation period is on outpatient       
or inpatient status.                                                             
    (f) A statement that if the person summoned fails to appear at the           
evaluation and treatment facility on or before the date and time indicated,      
he may be taken into custody.                                                    
    (g) A statement that an attorney will be appointed for the person            
summoned unless the person has retained his own attorney.                        
    (h) The name, business address and business telephone number of the          
designated attorney.                                                             
    (i) The summons shall be in substantially the following form:                
                                                                                 
    THE STATE OF WASHINGTON TO (name of person to be detained):                  
    It is alleged that because of mental disorder you present a likelihood       
of serious harm to yourself, other persons, or the property of other             
persons, or are gravely disabled.                                                
    You are hereby required to appear in person at (address of evaluation        
and treatment facility) in (city), Washington, on or before (hour) on            
(month, day, year) for evaluation and possible treatment. You may be             
detained without court order for evaluation and possible treatment for not       
more than 72 hours, not including Saturdays, Sundays, or holidays. If you        
fail to appear in person on or before the date stated above, you may be          
taken into custody.                                                              
    You have the right to have an attorney. (Name, address, telephone            
number) will be appointed as your attorney unless you make arrangements to       
be represented by another attorney.                                              
    Dated this _______ day of ____________________, 19____.                      
                              (Signed) _______________________________           
                              Mental Health Professional                         
                              (name) County, Washington                          
                              Address: _______________________________           
                              Telephone: _____________________________
    

 


    
                                                                                 
                          RULE 2.2                                               
           AUTHORIZATION AND NOTICE OF DETENTION                                 
                                                                                 
    At the time when any person is taken into custody or as soon as              
possible thereafter pursuant to RCW 71.05.150(1)(d) or RCW 71.05.150(2)          
regardless of whether a summons has been issued pursuant to rule 2.1             
written authorization to do so shall be served upon such person. A copy of       
the authorization and a notice of detention shall be filed with the court.       
The authorization and notice of detention shall include:                         
    (a) The name of the person to be taken into custody.                         
    (b) A statement that the person authorized to take custody is                
authorized pursuant to RCW 71.05.150(1)(d) or RCW 71.05.150(2).                  
    (c) A statement that the person is to be taken into custody for the          
purpose of delivering that person to an evaluation and treatment facility        
for a period of up to 72 hours excluding Saturdays, Sundays, and holidays.       
The 72-hour period begins when the evaluation and treatment facility             
provisionally accepts the person as provided in RCW 71.05.170.                   
    (d) A statement specifying the name and location of the evaluation and       
treatment facility where such person will be detained.                           
    (e) The authorization and notice of detention shall be in substantially      
the following form:                                                              
                                                                                 
    TO: ANY PEACE OFFICER OR MENTAL HEALTH PROFESSIONAL                          
    (Name of person)  ____ has failed to appear in response to summons           
issued by me pursuant to RCW 71.05.150 a copy of which is attached, or ____      
as a result of mental disorder:                                                  
    ____    presents an imminent likelihood of serious harm to him/herself       
    ____    presents an imminent likelihood of serious harm to others            
    ____    presents an imminent likelihood of serious harm to the property      
            of others                                                            
    ____    is in imminent danger because he/she is gravely disabled             
    You are notified to take or to cause such person to be taken into            
custody forthwith and placed in (name and location of evaluation and             
treatment facility) for evaluation and treatment for not more than 72            
hours, or for such additional time as a court may order. The 72-hour period      
begins when the person is provisionally accepted at the evaluation and           
treatment facility and excludes Saturdays, Sundays, and holidays.                
Dated: _______________________     (signed) __________________________           
                                   Mental Health Professional                    
                                   (name) County, Washington                     
Respondent has been detained in (name and location of evaluation and             
treatment facility).                                                             
Dated: _______________________     Time: _____________________________           
                                   (signed) __________________________           
                                   ___ Peace Officer or ___ Mental               
                                   Health Professional, (name) County,           
                                   Washington
    

 


    
                                                                                 
                         RULE 2.2A                                               
               NOTICE OF EMERGENCY DETENTION                                     
                                                                                 
    The notice of emergency detention required to be filed with the court        
and served upon the designated attorney of the detained person pursuant to       
RCW 71.05.160 shall include a statement specifying the name and location of      
the evaluation and treatment facility where the person taken into custody        
has been detained.                                                               
    The notice of emergency detention shall be in substantially the              
following form:                                                                  
                                                                                 
(Respondent) has been detained in (name of evaluation and treatment              
facility).                                                                       
Dated: _______________________     Time of provisional acceptance:               
                                   (signed) __________________________           
                                   Mental Health Professional                    
                                   (name) County, Washington
    

 


    
                                                                                 
                          RULE 2.3                                               
                 RIGHT TO COPY COURT FILES                                       
                                                                                 
    Prior to and at the hearing provided for in RCW 71.05.200, 71.05.240,        
and 71.05.250, the attorney for any detained person who will be a                
respondent at such hearing shall be permitted to view and copy all               
documents relating to the detained person which have been filed with the         
court.
    

 


    
                                                                                 
                          RULE 2.4                                               
                   PROBABLE CAUSE HEARING                                        
                                                                                 
    (a) Notice. If notice to the court and the prosecuting attorney of the       
probable cause hearing as required by RCW 71.05.150(1)(c) includes the date      
and time of the provisional acceptance of any person involuntarily               
detained, no additional notice to the court shall be required pursuant to        
RCW 71.05.170.                                                                   
    (b) Procedure.                                                               
    (1) The probable cause hearing provided in RCW 71.05.200(1) shall be         
held in accordance with the provisions of RCW 71.05.200(1), 71.05.240, and       
71.05.250, except that under the circumstances defined by RCW 10.77.090,         
the prosecuting attorney may be the petitioner.                                  
    (2) The probable cause hearing shall proceed as in other civil actions,      
except that the court, in its discretion, may dispense with opening              
statements and final arguments.                                                  
    (3) The court shall be advised of any medications administered to the        
respondent within the prior 24-hour period, and if it appears that the           
person detained has refused medication 24 hours before the hearing, but was      
nevertheless forced to receive medication during that period, the court may      
continue the hearing for 24 hours, and may order that no medication shall        
be administered to the person detained during such period.                       
    (4) At the conclusion of the hearing, the court shall make written           
findings of fact and conclusions of law, and enter an order for release or       
for detention for an additional 14 days in an evaluation and treatment           
facility, or such lesser treatment as shall to the court appear proper. A        
copy of the order shall be served upon the evaluation and treatment              
facility and on the mental health professional who signed the petition.
    

 


    
                                                                                 
                          RULE 2.5                                               
                                                                                 
                (Rescinded. See RCW 71.34.)
    

 


    
                                                                                 
                          RULE 3.1                                               
                   FIRST COURT APPEARANCE                                        
                                                                                 
    For purposes of proceedings for 90-day commitment, the phrase "first         
court appearance" provided in RCW 71.05.310, shall refer to the appearance       
provided for in RCW 71.05.300 of that act.
    

 


    
                                                                                 
                          RULE 3.2                                               
                   PRELIMINARY APPEARANCE                                        
                                                                                 
    Prior to the hearing provided for in RCW 71.05.320(2), the committed         
person shall be brought before the court for an appearance which shall be        
the same as that provided in RCW 71.05.300 of that act.
    

 


    
                                                                                 
                          RULE 3.3                                               
                        JURY DEMAND                                              
                                                                                 
    (a) When Available. A jury is available only in a hearing for 90- or         
180-day commitment proceedings pursuant to RCW 71.05.300 and RCW 71.05.320.      
    (b) Procedure for Demand. Within 2 judicial days after the person            
detained is advised in open court of his right to a jury trial as provided       
in RCW 71.05.300 the person detained may demand a trial by jury in the           
hearing on the petition for 90-day or 180-day detention by serving upon the      
prosecuting attorney a demand therefor in writing, by filing the demand          
therefor with the clerk. No jury fee shall be required. If no party, within      
the time above specified, serves and files a demand for jury trial, the          
matter shall be heard without a jury. If no party, within the time above         
specified, serves or files a demand that the matter be tried by a jury of        
12, it shall be tried by a jury of 6 members, with concurrence of 5 being        
required to reach a verdict.
    

 


    
                                                                                 
                          RULE 3.4                                               
                          HEARING                                                
                                                                                 
    (a) Procedure. The hearing shall be proceeded with as in any other           
civil action.                                                                    
    (b) Findings and Conclusions. Unless the matter is tried to a jury, the      
court shall make and enter findings of fact and conclusions of law.              
    (c) Verdict. If the matter is tried to a jury, the court shall instruct      
the jury to bring in a special verdict, which shall be in terms of the           
issues specified in RCW 71.05.320.
    

 


3.5 NOTICE OF RESTRICTIONS

The contents of this item are only available on-line.


    
                                                                                 
                          RULE 4.1                                               
                    NOTICE OF CONDITIONS                                         
                                                                                 
    Any person conditionally released pursuant to RCW 71.05.340 shall be         
notified in writing of the terms and conditions of the release and shall be      
notified in writing of any modifications of such terms and conditions. Such      
notification shall also be given in writing to the court which ordered the       
person's commitment.
    

 


    
                                                                                 
                          RULE 4.2                                               
        AUTHORIZATION FOR APPREHENSION AND DETENTION                             
                                                                                 
    At the time of taking any person into custody for failure to adhere to       
the terms and conditions of release under RCW 71.05.340 or of an                 
alternative treatment under RCW 71.05.320, an authorization for                  
apprehension and detention shall be served upon the person. The                  
authorization for apprehension and detention shall include:                      
    (a) The name of the person taken into custody;                               
    (b) A statement that it is issued pursuant to the suspension of              
conditional release or alternative treatment;                                    
    (c) The date on which the order of commitment or order for alternative       
treatment was entered and the number of days, if any, for which the person       
was ordered committed.                                                           
    (d) The authorization shall be in substantially the following form:          
                                                                                 
    TO: ANY PEACE OFFICER OR MENTAL HEALTH PROFESSIONAL                          
    You are authorized to take or cause to be taken (name of person) into        
custody and place such person in (name and location of evaluation and            
treatment facility) for detention pursuant to ___ RCW 71.05.340 (suspension      
of conditional release) or ___ RCW 71.05.320 (suspension of alternative          
treatment). The named person was ___ conditionally released from an order        
of commitment or ___ originally placed on alternative treatment, the             
conditions of which have been violated. The named person's commitment to         
inpatient treatment or alternative treatment was originally ordered for          
(number) days by (name of court) on (date).                                      
Date: ___________________     (signed) _______________________________           
                              ___ Secretary, Department of Social and            
                              Health Services, State of Washington,              
                              or His Designee,                                   
                              ___ Mental Health Professional                     
                              (name) County, Washington
    

 


    
                                                                                 
                          RULE 4.3                                               
             PETITION AND ORDER OF APPREHENSION                                  
                   AND DETENTION--SERVICE                                        
                                                                                 
    Unless otherwise ordered by the court, the petition and order of             
apprehension and detention required in RCW 71.05.340, shall be served on         
the person to be apprehended and detained at the time of apprehension, and       
on his guardian, if any, and his attorney, if any, as soon as possible.          
    Where no order of apprehension and detention has been issued, a              
petition shall be filed with the court within 72 hours and the person, his       
attorney, if any, and his guardian, if any, shall be served with a copy of       
the petition within 24 hours after the petition is filed with the court. At      
the time the petition is served on the person, notice shall be filed with        
the court and served on the person that a hearing will be held within 15         
days.
    

 


    
                                                                                 
                          RULE 4.4                                               
               PETITION FOR INITIAL DETENTION                                    
                                                                                 
    A mental health professional may commence new proceedings for 72-hour        
detention pursuant to RCW 71.05.150, notwithstanding an order of less            
restrictive alternative treatment under RCW 71.05.320 or a grant of              
conditional release pursuant to RCW 71.05.340.
    

 


    
                                                                                 
                          RULE 4.5                                               
                          HEARING                                                
                                                                                 
    (a) Burden of Proof. Before entering an order returning any person for       
involuntary treatment on an inpatient basis as a result of failure to            
adhere to the terms and conditions of conditional release pursuant to RCW        
71.05.340 or less restrictive treatment under RCW 71.05.320, the court           
shall find at the hearing that there is clear, cogent, and convincing            
evidence that such person did not adhere to the terms and conditions of          
release or less restrictive treatment, that the terms of such release or         
treatment should not be modified, and that the person should be returned to      
inpatient treatment.                                                             
    (b) Waiver. Waiver of the hearing provided for in RCW 71.05.340 shall        
be in writing signed by all persons required to waive under that section. A      
copy of the waiver shall be filed with the court in which the notice of          
apprehension and detention was filed.
    

 


    
                                                                                 
                          RULE 5.1                                               
                          GENERAL                                                
                                                                                 
    Proceedings pursuant to RCW 71.05 shall be brought in the superior           
court of the county in which the person is being detained. The court, for        
good cause, may transfer a proceeding to the county of respondent's              
residence, or to the county in which the alleged conduct evidencing need         
for treatment occurred.
    

 


    
                                                                                 
                          RULE 5.2                                               
                CONDITIONAL RELEASE HEARING                                      
                                                                                 
    The notice of apprehension and detention and the petition for hearing        
required in RCW 71.05.340, shall be filed in the county ordering the             
commitment from which the person was conditionally released. Upon motion         
for good cause, the court may order the proceeding transferred to the court      
in the county in which the person was receiving outpatient care or the           
county of the person's residence.
    

 


    
                                                                                 
                          RULE 5.3                                               
                     RELEASE OF RECORDS                                          
                                                                                 
    A proceeding for the release of records or files pursuant to                 
RCW 71.05. 390 shall be in the court maintaining such records or files.
    

 


    
                                                                                 
                          RULE 5.4                                               
                                                                                 
                         (RESERVED)
    

 


    
                                                                                 
                          RULE 6.1                                               
               PETITION FOR INITIAL DETENTION                                    
                                                                                 
    The petition for initial detention shall contain the following:              
    (a) Identification of the petitioner as a peace officer or designated        
mental health professional.                                                      
    (b) A statement describing the circumstances under which the condition       
of the respondent was brought to the petitioners attention.                      
    (c) A statement that as a result of the petitioners personal                 
observation or investigation, the petitioner believes that the actions of        
the respondent constitute a likelihood of harm to the respondent, others,        
or to the property of others, or that the respondent is gravely disabled.        
    (d) A statement of the specific facts known to the petitioner upon           
which he bases his belief that respondent should be detained for the             
purposes and under the authority of RCW 71.05.                                   
    (e) A request that the respondent be detained at an evaluation and           
treatment facility for no more than a 72-hour treatment and evaluation           
period.                                                                          
    (f) The date and the signature of the petitioner.                            
    (g) The petition shall be in substantially the following form:               
                                                                                 
                SUPERIOR COURT OF WASHINGTON                                     
                FOR (_______________) COUNTY                                     
                                                                                 
In re the Detention of:   )                                                      
                          )               No. __________                         
                          )                                                      
Petitioner:               )               PETITION FOR INITIAL                   
and                       )                    DETENTION                         
                          )                                                      
Respondent:               )               RCW __________                         
                                                                                 
    Pursuant to RCW 71.05 petitioner ___ a peace officer or ___ mental           
health professional designated by the county alleges under penalty of            
perjury that:                                                                    
    Respondent, _______________, was brought to my attention under the           
following circumstances: _____________________________________________           
______________________________________________________________________           
______________________________________________________________________           
    As a result of my personal observation or investigation I believe that       
the actions of the respondent constitute a likelihood of serious harm to         
the respondent, others, or to the property of others, or that the                
respondent is gravely disabled.                                                  
    The specific facts known to me as a result of personal observation or        
investigation, upon which I base the belief that the respondent should be        
detained for the purposes and under the authority of RCW 71.05 are:              
______________________________________________________________________           
______________________________________________________________________           
    Therefore the petitioner requests that the respondent be detained at an      
evaluation and treatment facility for no more than a 72-hour evaluation and      
treatment period, excluding Saturdays, Sundays, and holidays.                    
    Dated this _______ day of ____________________, 19____.                      
                                   ___________________________________           
                                               Petitioner                        
    Sworn and Subscribed on _________________________________________            
                                   ___________________________________           
                                   Notary Public for the State of                
                                   Washington Residing at ____________           
                                   My commission expires on __________
    

 


    
                                                                                 
                                                                                 
                         RULE 6.1A                                               
         PETITION FOR INITIAL DETENTION OF A MINOR                               
                                                                                 
    The petition for initial detention shall contain the following:              
    (a) Identification of the petitioner as a designated mental health           
professional.                                                                    
    (b) A statement describing the circumstances under which the condition       
of the respondent was brought to the petitioners attention.                      
    (c) A statement that as a result of the petitioners personal                 
observation or investigation, the petitioner believes that the actions of        
the respondent constitute a likelihood of serious harm to the respondent,        
others, or to the property of others, or that the respondent is gravely          
disabled.                                                                        
    (d) A statement of the specific facts known to the petitioner upon           
which he bases his belief that respondent should be detained for the             
purposes and under the authority of RCW 71.34.                                   
    (e) A request that the respondent be detained at an evaluation and           
treatment facility for no more than a 72-hour treatment and evaluation           
period.                                                                          
    (f) A statement that voluntary admission for inpatient treatment is not      
possible.                                                                        
    (g) The date and the signature of the petitioner.                            
    (h) The petition shall be in substantially the following form:               
                                                                                 
                SUPERIOR COURT OF WASHINGTON                                     
                FOR (_______________) COUNTY                                     
                                                                                 
In re the Detention of:   )                                                      
                          )               No. __________                         
                          )                                                      
Petitioner:               )               PETITION FOR INITIAL                   
and                       )               DETENTION OF A MINOR                   
                          )                                                      
Respondent:               )               RCW 71.34.050                          
                                                                                 
    Pursuant to RCW 71.34 petitioner, a mental health professional               
designated by the county, alleges under penalty of perjury that:                 
    Respondent, _______________, was brought to my attention under               
the following circumstances: _________________________________________           
______________________________________________________________________           
______________________________________________________________________           
    As a result of my personal observation or investigation I believe that       
the actions of the respondent constitute a likelihood of serious harm or         
that the respondent is gravely disabled.                                         
    The specific facts known to me as a result of personal observation or        
investigation, upon which I base the belief that the respondent should be        
detained for the purposes and under the authority of RCW 71.34 are:              
______________________________________________________________________           
______________________________________________________________________           
    Voluntary admission is not possible. Therefore the petitioner requests       
that the respondent be detained at an evaluation and treatment facility for      
no more than a 72-hour evaluation and treatment period, excluding                
Saturdays, Sundays, and holidays.                                                
    Dated this _______ day of ____________________, 19____.                      
                             _________________________________________           
                                            Petitioner                           
    Sworn and Subscribed on _________________________________________            
                             _________________________________________           
                             Notary Public for the State of Washington           
                             Residing at _____________________________           
                             My commission expires on ________________
    

 


    
                             RULE 6.2
          PETITION FOR FOURTEEN-DAY INVOLUNTARY TREATMENT


    The petition for 14-day involuntary treatment shall contain the following:

    (a) The name and address of the petitioner(s).

    (b) The name of the person alleged, as a result of mental disorder,
to present a likelihood of serious harm to him/herself, others, or the
property of others, or to be gravely disabled, and, if known to the
petitioner, the address, age, sex, marital status and occupation of the
person. Such person shall be denominated the respondent.

    (c) The facts upon which the allegations of the petition are based.

    (d) The name of every person known or believed by the petitioner to
be legally responsible for the care, support, and maintenance of the
person alleged, as a result of mental disorder, to present a likelihood
of serious harm to others or himself, or to be gravely disabled, and the
address of each such person if known to the petitioner.

    (e) A statement that the professional staff of the evaluation and
treatment facility has examined and analyzed respondent's condition and
finds that as a result of mental disorder respondent presents a
likelihood of serious harm to himself or others or is gravely disabled.

    (f) A statement that the respondent has been advised of the need for
voluntary treatment and that the professional staff of the facility has
evidence that he has not in good faith volunteered.

    (g) A statement that the facility providing intensive treatment is
certified to provide such treatment by the Department of Social and
Health Services of the State of Washington.

    (h) A statement that there is no less restrictive alternative to
detention in the best interests of respondent or others, or that a less
restrictive alternative is sought and a specification of what that alternative is.

    (i) A demand that a probable cause hearing be held within 72 hours
after provisional acceptance at the evaluation and treatment facility,
excluding Saturdays, Sundays, and holidays, unless the person is sooner
released, on the issue of whether the respondent shall be detained for an
additional 14 days' involuntary treatment or whether such person shall be
treated under less restrictive alternatives.

    (j)The petition shall be in substantially the following form:

                SUPERIOR COURT OF WASHINGTON
                FOR (_______________) COUNTY

In re the Detention of:   )               No. __________
                          )
                          )               PETITION FOR FOURTEEN-
                          )                  DAY INVOLUNTARY
                          )                     TREATMENT
                          )
     Respondent.          )               RCW __________


    (Petitioner(s)), ___ mental health professional for _____________
County, ___ member(s) of professional staff of _______________________
(agency or facility), ___ prosecuting attorney for _________________

County pursuant to RCW 10.77.090, alleges that:

    (Respondent), residing at (address) in (city or town), is a
___ single ___ married ___ widowed ___ divorced ___ male ___ female
age _____. (Respondent's) occupation is ______________________________
______________________________________________________________________
______________________________________________________________________

    The professional staff of the evaluation agency or facility has
examined respondent's condition and finds that as a result of mental
disorder (respondent) presents:

    ___ a likelihood of serious harm to him/herself,
    ___ a likelihood of serious harm to others,
    ___ a likelihood of serious harm to the property of others,
    ___ is gravely disabled.

    The facts upon which the allegations of this petition are based are as follows:

______________________________________________________________________

______________________________________________________________________
                (use back of page if necessary)

    The person(s) legally responsible for the care, support, and
maintenance of (respondent) and their relationship to him are, so far as
known to the petitioner, as follows: (Give names, addresses, and
relationship of persons named as respondents.)

______________________________________________________________________
                (use back of page if necessary)

    The respondent has been advised of the need for, but has not accepted
voluntary treatment.

    The facility providing intensive treatment is certified to provide
such treatment by the Department of Social and Health Services.

    The petitioner(s) request(s) that a hearing be held before (time and
date) unless the respondent is sooner released, to determine whether
(respondent) ___ shall be detained for 14 days' involuntary treatment
because there is no less restrictive alternative to detention in the best
interest of respondent or others, or ___ shall be required to comply with
the following less restrictive alternative:

______________________________________________________________________

______________________________________________________________________

    Dated this _______day of ____________________, 19____.

             _________________________________________________________

             Petitioner __ Physician __ MHP __ Prosecuting Attorney __

             _________________________________________________________

             Petitioner __ Physician __ MHP __ Prosecuting Attorney __

             _________________________________________________________

             _________________________________________________________
                                    Address

    Sworn and Subscribed on__________________________________________

                  ____________________________________________________
                  Notary Public for the State of Washington
                  Residing at ________________________________________
                  My commission expires on____________________________
    

 


    
                                                                                 
                         RULE 6.2A                                               
            PETITION FOR FOURTEEN-DAY COMMITMENT                                 
                         OF MINORS                                               
                                                                                 
    The petition for 14-day commitment of a minor shall contain the              
following:                                                                       
    (a) The names and addresses of the petitioners. The petitioners shall        
be two physicians or one physician and one mental health professional.           
    (b) The name, address, age, and sex of the respondent minor.                 
    (c) The name, address and telephone number, if known, of every person        
believed by the petitioner to be legally responsible for the minor.              
    (d) A statement that the minor is or is not in detention at the time         
the petition is filed, and, if so, the name and location of the place of         
detention.                                                                       
    (e) A statement that the minor, as a result of mental disorder,              
presents a likelihood of serious harm to him/herself or others, or is            
gravely disabled.                                                                
    (f) A statement that the minor has been advised of the need of               
voluntary treatment but has been unwilling or unable to consent to               
necessary treatment.                                                             
    (g) The facts upon which the allegations of the petition are based.          
    (h) A statement concerning whether an alternative less restrictive than      
inpatient treatment is in the best interest of the minor.                        
    (i) The name and location of the facility in which respondent will be        
detained and a statement that such facility is certified by the Department       
of Social and Health Services to provide evaluation and treatment to             
persons under 18 years of age suffering from mental disorders.                   
    (j) A statement recommending the appropriate facility or facilities to       
provide the necessary treatment.                                                 
    (k) A demand that a hearing be held to determine whether the minor           
shall be committed to inpatient treatment or whether an alternative less         
restrictive treatment exists.                                                    
    (l) The petition shall be in substantially the following form:               
                                                                                 
                SUPERIOR COURT OF WASHINGTON                                     
                FOR (_______________) COUNTY                                     
                                                                                 
In re the Detention of:   )               No. __________                         
                          )                                                      
                          )               PETITION FOR FOURTEEN-                 
                          )                   DAY COMMITMENT                     
                          )                     OF A MINOR                       
                          )                                                      
     Respondent.          )               RCW 71.34.070                          
                                                                                 
    (Petitioners) are (physician) and (physician/mental health                   
professional). Petitioners' addresses are ____________________________           
                                          ____________________________           
    (Respondent), residing at (address) in (city or town), Washington, is a      
___ male ___ female years of age.                                                
    The name, address and telephone number of every person believed              
by the petitioner to be legally responsible for the minor:                       
______________________________________________________________________           
______________________________________________________________________           
    At the time of filing this petition, respondent ___ is ___ is not in         
detention pursuant to RCW 71.34. If respondent is in detention, the name         
and location of the facility in which respondent is in detention are             
_________________________________________________________________.               
    Respondent, as a result of mental disorder, ___ presents a likelihood        
of serious harm to him/herself, ___ presents a likelihood of serious harm        
to others, ___ is gravely disabled.                                              
    That the minor has been advised of the need for voluntary treatment and      
is unwilling or unable to consent to necessary treatment.                        
    The facts upon which the allegations of this petition are based              
are: _________________________________________________________________           
______________________________________________________________________           
    The following alternative courses of treatment have been considered:         
______________________________________________________________________           
    No alternative less restrictive than detention is in the best interest       
of the respondent.                                                               
    The facility in which respondent will be detained is (name and               
location), certified by the Department of Social and Health Services to          
provide evaluation and treatment to persons under 18 years of age suffering      
from mental disorders.                                                           
    Recommended treatment facilities: _______________________________            
                                       Name                                      
                                       _______________________________           
                                       Address                                   
    The petitioner(s) request(s) that a hearing be held in the above named       
court to determine whether respondent shall be involuntarily committed to        
inpatient care or whether there shall be an alternative less restrictive         
treatment pursuant to RCW 71.34.                                                 
    Dated this _______ day of ____________________, 19____.                      
                             _________________________________________           
                                          Petitioner (MD)                        
                             _________________________________________           
                                          Petitioner (MD/MHP)                    
    Sworn and Subscribed on _________________________________________            
                             _________________________________________           
                             Notary Public for the State of Washington           
                             Residing at _____________________________           
                             My commission expires on ________________
    

 


    
                                                                                 
                          RULE 6.3                                               
       PETITION FOR NINETY-DAY INVOLUNTARY TREATMENT                             
                                                                                 
    The petition for 90-day involuntary treatment shall contain the              
following:                                                                       
    (a) The name and address of the petitioner.                                  
    (b) The name and address of the person alleged, as a result of mental        
disorder, to present a likelihood of serious harm to him/herself or others       
because such person (1) has threatened, attempted, or inflicted physical         
harm upon the person of another or him/herself or substantial damage upon        
the property of another after having been taken into custody for evaluation      
and treatment, or (2) was taken into custody as a result of conduct in           
which he/she attempted or inflicted physical harm upon the person of             
another or him/herself, or (3) is gravely disabled, or (4) has been              
determined to be incompetent and criminal charges have been dismissed            
pursuant to RCW 10.77.090(3) and has committed acts constituting a felony,       
and presents substantial likelihood of repeating similar acts. Such person       
shall be denominated the respondent.                                             
    (c) A statement that petitioner is the professional person in charge of      
the treatment facility in which the respondent is detained pursuant to           
court order or his professional designee, or the county mental health            
professional of (name) County.                                                   
    (d) The name of the court ordering 14-day involuntary treatment or           
finding the respondent incompetent pursuant to RCW 10.77.090(3) and the          
date on which such order or finding was entered.                                 
    (e) A summary of the facts supporting the allegations of the petition.       
    (f) A demand that a hearing be held within 5 judicial days of the first      
court appearance after the probable cause hearing unless the person named        
in the petition requests a jury trial, in which case trial shall commence        
within 10 judicial days of the filing of the petition for 90-day treatment       
on the issue of whether the person alleged, as a result of mental disorder,      
to present a likelihood of serious harm, to himself or others, shall be          
detained for involuntary treatment for a period not to exceed 90 days.           
    (g) A statement that the petition is supported by accompanying               
affidavits and the names of the persons signing such affidavits.                 
    (h) The petition shall be in substantially the following form:               
                                                                                 
                SUPERIOR COURT OF WASHINGTON                                     
                FOR (_______________) COUNTY                                     
                                                                                 
In re the Detention of:   )               No. __________                         
                          )                                                      
                          )               PETITION FOR NINETY-DAY                
                          )               INVOLUNTARY TREATMENT                  
                          )                                                      
     Respondent.          )               RCW __________                         
                                                                                 
(Petitioner), ___ the professional person in charge, or ___ his                  
professional designee, or ___ the county mental health professional for          
(name) county, of (name of facility) in which (respondent) is detained for       
(number) days pursuant to an order of (name of court) entered on (date)          
alleges that:                                                                    
    (Respondent), residing at (address) in (city or town), is a                  
___ single ___ married ___ widowed ___ divorced ___ male ___ female              
age _____.                                                                       
    As a result of mental disorder (respondent) presents a likelihood of         
serious harm to him/herself or others because respondent ___ has                 
threatened, attempted, or inflicted physical harm upon the person of             
another or him/herself or substantial damage upon the property of another        
after having been taken into custody for evaluation and treatment, or ___        
was taken into custody as a result of conduct in which respondent                
threatened, attempted or inflicted physical harm upon the person of another      
or him/herself, or ___ is gravely disabled, or ___ has been determined to        
be incompetent and criminal charges have been dismissed pursuant to RCW          
10.77.090(3), and has committed acts constituting a felony, and as a result      
of mental disorder, presents a substantial likelihood of repeating similar       
acts.                                                                            
    The facts upon which the allegations of this petition are based              
are summarized as follows: ___________________________________________           
______________________________________________________________________           
    The allegations are supported by the accompanying affidavits                 
signed by ___________________________________________________________.           
    The petitioner requests that a hearing be held to determine whether          
(respondent) shall be detained for involuntary treatment for a period not        
to exceed 90 days.                                                               
    Dated this _______ day of ____________________, 19____.                      
                             _________________________________________           
                                          Petitioner                             
    Sworn and Subscribed on _________________________________________            
                             _________________________________________           
                             Notary Public for the State of Washington           
                             Residing at _____________________________           
                             My commission expires on ________________
    

 


    
                                                                                 
                          RULE 6.4                                               
            PETITION FOR ONE HUNDRED EIGHTY-DAY                                  
                   INVOLUNTARY TREATMENT                                         
                                                                                 
    The petition for 180-day involuntary treatment shall contain the             
following:                                                                       
    (a) The name and address of the person filing the petition and the           
statement that the petitioner is the superintendent or professional person       
in charge of the facility in which the person who is alleged, as a result        
of mental disorder, to present a likelihood of serious harm to others, is        
detained, or in the event that the defendant has received involuntary            
treatment but has not been committed to a treatment facility or has been         
conditionally released from such a facility, a statement that the                
petitioner is the county mental health professional of (name) County.            
    (b) The name and address of the person alleged, as a result of a mental      
disorder, to present a likelihood of serious harm to others because such         
person (1) during his/her current period of court ordered treatment has          
threatened, attempted or actually inflicted physical harm on another or          
substantial damage upon the property of another, or (2) was taken into           
custody as a result of conduct in which he/she attempted or inflicted            
serious physical harm upon the person of another and continues to present,       
as a result of mental disorder, a likelihood of serious harm to others, or       
(3) is in custody pursuant to RCW 71.05.280(3) (acts constituting a felony)      
and as a result of mental disorder presents a substantial likelihood of          
repeating similar acts, or (4) continues to be gravely disabled. Such            
person shall be denominated the respondent.                                      
    (c) The name of the court ordering involuntary treatment for which the       
respondent is presently detained, and the date on which such order was           
entered.                                                                         
    (d) A summary of the facts supporting the allegations of the petition.       
    (e) A demand that a hearing be held within 5 judicial days of the first      
court appearance after the probable cause hearing unless the person named        
in the petition requests a jury trial, in which case trial shall commence        
within 10 judicial days of the filing of the petition for 180-day treatment      
on the issue of whether the person alleged, as a result of mental disorder,      
to present a likelihood of serious harm to others, shall be detained for         
involuntary treatment for a period not to exceed 180 days.                       
    (f) A statement that a form of treatment less restrictive than               
involuntary detention is not in the best interest of the respondent or           
others.                                                                          
    (g) The petition shall be in substantially the following form:               
                                                                                 
                SUPERIOR COURT OF WASHINGTON                                     
                FOR (_______________) COUNTY                                     
                                                                                 
In re the Detention of:   )               No. __________                         
                          )                                                      
                          )               PETITION FOR ONE HUNDRED               
                          )               EIGHTY-DAY INVOLUNTARY                 
                          )                      TREATMENT                       
                          )                                                      
     Respondent.          )               RCW __________                         
                                                                                 
    (Petitioner), the superintendent or professional person in charge of         
(name of facility) in which (respondent) is detained for (number) days           
pursuant to an order of (name of court) entered on (date) alleges that:          
    (Respondent), residing at (address) in (city or town), is a                  
___ single ___ married ___ widowed ___ divorced ___ male ___ female              
age _____.                                                                       
    (Respondent) ___ has threatened, attempted or actually inflicted harm        
on another person, or substantial damage upon the property of another            
during respondent's current period of court ordered treatment and as a           
result of mental disorder presents a likelihood of serious harm to others,       
or ___ was taken into custody as a result of conduct in which respondent         
attempted or inflicted serious physical harm upon the person of another and      
continues to present as a result of mental disorder a likelihood of serious      
harm to others, or ___ is in custody pursuant to RCW 71.05.280(3) (acts          
constituting a felony) and as a result of mental disorder presents a             
substantial likelihood of repeating similar acts, or ___ continues to be         
gravely disabled.                                                                
    The facts upon which the allegations of this petition are based              
are as follows: ______________________________________________________           
______________________________________________________________________           
______________________________________________________________________           
    A form of treatment less restrictive than involuntary detention is not       
in the best interest of the respondent or others.                                
    The petitioner requests that a hearing be held to determine whether          
(respondent) shall be detained for involuntary treatment for a period not        
to exceed 180 days.                                                              
    Dated this _______ day of ____________________, 19____.                      
                             _________________________________________           
                                            Petitioner                           
    Sworn and Subscribed on _________________________________________            
                             _________________________________________           
                             Notary Public for the State of Washington           
                             Residing at _____________________________           
                             My commission expires on ________________
    

 


    
                                                                                 
                         RULE 6.4A                                               
      PETITION FOR ONE HUNDRED EIGHTY-DAY INVOLUNTARY                            
                    TREATMENT OF A MINOR                                         
                                                                                 
    The petition for 180-day involuntary treatment of a minor shall contain      
the following:                                                                   
    (a) The name and address of the person filing the petition and the           
statement that the petitioner is the professional person in charge of the        
facility in which the person who is alleged, as a result of mental               
disorder, to present a likelihood of serious harm to others or is gravely        
disabled, is detained, or in the event that the defendant has received           
involuntary treatment but has not been committed to a treatment facility or      
has been conditionally released from such a facility, a statement that the       
petitioner is the county mental health professional of (name) County.            
    (b) The name and address and age of the minor alleged, as a result of a      
mental disorder, to present a likelihood of serious harm to him/herself,         
others, or property or continues to be disabled. Such minor shall be             
denominated the respondent.                                                      
    (c) The name of the court ordering involuntary treatment for which the       
respondent is presently detained, and the date on which such order was           
entered.                                                                         
    (d) A summary of the facts supporting the allegations of the petition.       
    (e) A demand that a hearing be held within 7 days of the filing of the       
petition for 180-day treatment on the issue of whether the minor alleged,        
as a result of mental disorder, to present a likelihood of serious harm or       
is gravely disabled, shall be detained for involuntary treatment for a           
period not to exceed 180 days.                                                   
    (f) A statement that the minor is in need of further treatment that can      
only be provided in a 180-day commitment and this treatment is in the            
minors best interests.                                                           
    (g) A statement that less restrictive alternative treatment is/is not        
available and/or appropriate.                                                    
    (h) The petition shall be supported by accompanying affidavits signed        
by two examining physicians, one of whom shall be a child psychiatrist, or       
by one examining physician and one children's mental health specialist.          
    (i) The petition shall be in substantially the following form:               
                                                                                 
                SUPERIOR COURT OF WASHINGTON                                     
                FOR (_______________) COUNTY                                     
                                                                                 
In re the Detention of:   )               No. __________                         
                          )                                                      
                          )               PETITION FOR ONE HUNDRED               
                          )               EIGHTY-DAY INVOLUNTARY                 
                          )               TREATMENT OF A MINOR                   
                          )                                                      
     Respondent.          )               RCW 71.34.090                          
                                                                                 
    (Petitioner), professional person in charge of (name of facility) in         
which (respondent) is detained for (number) days pursuant to an order of         
(name of court) entered on (date) alleges that:                                  
    (Respondent), residing at (address) in (city or town), is a                  
___ single ___ married ___ widowed ___ divorced ___ male ___ female              
age _____.                                                                       
    (Respondent) ___ presents a likelihood of serious harm to him/herself        
or ___ presents a likelihood of serious harm to others or ___ presents a         
likelihood of serious harm to property or ___ is gravely disabled.               
    (Respondent) ___ has threatened, attempted or actually inflicted harm        
on another person, or substantial damage upon the property of another            
during respondent's current period of court ordered treatment and a s            
result of mental disorder presents a likelihood of serious harm to other,        
or ___ was taken into custody as a result of conduct in which respondent         
attempted or inflicted serious physical harm upon the person of another and      
continues to present as a result of mental disorder a likelihood of serious      
harm to others, or ___ is in custody pursuant to RCW 71.05.280(3) (acts          
constituting a felony) and as a result of mental disorder presents a             
substantial likelihood of repeating similar acts, or ___ continues to be         
gravely disabled.                                                                
    Summary of facts supporting the petition: _______________________            
______________________________________________________________________           
______________________________________________________________________           
______________________________________________________________________           
    A form of treatment less restrictive than involuntary detention              
___ is or ___ is not in the best interest of the respondent or others.           
    The petitioner requests that a hearing be held to determine whether          
(respondent) shall be detained for involuntary treatment for a period not        
to exceed 180 days.                                                              
    Dated this _______ day of ____________________, 19____.                      
                             _________________________________________           
                                          Petitioner (MD)                        
                             _________________________________________           
                                          Petitioner (MD/MHP)                    
    Sworn and Subscribed on _________________________________________            
                             _________________________________________           
                             Notary Public for the State of Washington           
                             Residing at _____________________________           
                             My commission expires on ________________
    

 


    
                                                                                 
                          RULE 6.5                                               
       PETITION FOR REVOCATION OF CONDITIONAL RELEASE                            
               OR LESS RESTRICTIVE TREATMENT                                     
                                                                                 
    The petition for revocation of conditional release or less restrictive       
treatment shall contain the following:                                           
    (a) The name and address of the petitioner and the statement that            
petitioner is the Secretary of the Department of Social and Health               
Services, State of Washington, or is the county mental health professional       
for (name) County.                                                               
    (b) The name and address of the person alleged to have failed to adhere      
to the terms and conditions of release or less restrictive treatment. Such       
person shall be denominated the respondent.                                      
    (c) The facts upon which the allegations of the petition are based.          
    (d) A statement that the respondent was released under terms and             
conditions of a court ordered less restrictive treatment or under terms and      
conditions set by an evaluation and treatment facility, and that a copy of       
the terms and conditions is attached to the petition. The statement shall        
also contain the date the order was entered, number of days for which            
effective, and the court entering such order.                                    
    (e) The date, time and place of detention of the respondent if he is         
detained pursuant to an order of the secretary, or whether such an order         
has been or will be issued.                                                      
    (f) A demand that a hearing be held within 5 days of the date on which       
respondent was detained pursuant to an order of the secretary, or not less       
than 15 days from the date of service of the petition on the respondent, on      
the issues of whether the respondent failed to adhere to the terms and           
conditions of release or less restrictive treatment, whether the conditions      
of the release should be modified, or whether the person should be placed        
in an involuntary treatment facility.                                            
    (g) The petition shall be in substantially the following form, with a        
copy of the terms and conditions attached:                                       
                                                                                 
                SUPERIOR COURT OF WASHINGTON                                     
                FOR (_______________) COUNTY                                     
                                                                                 
In re the Detention of:   )               No. __________                         
                          )                                                      
                          )               PETITION FOR REVOCATION                
                          )               OF CONDITIONAL RELEASE                 
                          )                                                      
     Respondent.          )               RCW __________                         
                                                                                 
    (Petitioner), ___ Secretary of the Department of Social and Health           
Services, State of Washington, or ___ county mental health professional for      
(name) County alleges that:                                                      
    (Respondent), residing at (address) in (city or town), is a                  
___ single ___ married ___ widowed ___ divorced ___ male ___ female              
age _____.                                                                       
    Pursuant to an order of (name) court entered on (date), respondent was       
detained for involuntary treatment                                               
for a period not to exceed (number) days in (name of facility), or was           
placed on less restrictive alternative treatment.                                
    ___ (Respondent) was conditionally released from inpatient care at           
(name of facility) prior to expiration of the court ordered period of            
detention, under terms and conditions for such release copies of which,          
including modifications, are attached and were filed in (name) court on          
(date(s)) or ___ respondent was placed on less restrictive treatment under       
terms and conditions copies of which, including modifications, are               
attached.                                                                        
    During the period of conditional release or less restrictive treatment,      
respondent was receiving outpatient care from (name of facility) located in      
(city or town), (name) County.                                                   
    Pursuant to RCW __________, petitioner ___ has ___ has not issued an         
order for the apprehension and detention of respondent and respondent ___        
is not detained ___ is detained in (name of facility) located in (city,          
town), (name) county.                                                            
    (Respondent) has failed to adhere to the terms and conditions of             
respondent's release from involuntary detention or less restrictive              
alternative treatment and ___ the conditions of release or less restrictive      
treatment should be modified or ___ the person should be placed in an            
involuntary treatment facility.                                                  
    The facts upon which the allegations of this petition are based              
are as follows: ______________________________________________________           
______________________________________________________________________           
    The petitioner requests that a hearing be held to determine whether          
respondent has failed to adhere to the terms and conditions of release or        
less restrictive treatment, and whether the respondent shall be placed on        
involuntary treatment on an inpatient basis or whether the terms and             
conditions of release or less restrictive treatment shall be modified.           
    Dated this _______ day of ____________________, 19____.                      
                             _________________________________________           
                                          Petitioner                             
    Sworn and Subscribed on _________________________________________            
                             _________________________________________           
                             Notary Public for the State of Washington           
                             Residing at _____________________________           
                             My commission expires on ________________
    

 


    
                                                                                 
                         RULE 6.5A                                               
       PETITION FOR REVOCATION OF CONDITIONAL RELEASE                            
          OR LESS RESTRICTIVE TREATMENT OF A MINOR                               
                                                                                 
    The petition for revocation of conditional release or less restrictive       
treatment shall contain the following:                                           
    (a) The name and address of the petitioner and the statement that            
petitioner is the Secretary of the Department of Social and Health               
Services, State of Washington, or is the county mental health professional       
for (name) County.                                                               
    (b) The name and address of the person alleged to have failed to adhere      
to the terms and conditions of release or less restrictive treatment or          
whose functioning has substantially deteriorated. Such person shall be           
denominated the respondent.                                                      
    (c) The facts upon which the allegations of the petition are based.          
    (d) A statement that the respondent was released under terms and             
conditions of a court ordered less restrictive treatment or under terms and      
conditions set by an evaluation and treatment facility, and that a copy of       
the terms and conditions is attached to the petition, or that substantial        
deterioration of the minors functioning has occurred. The statement shall        
also contain the date the order was entered, number of days for which            
effective, and the court entering such order.                                    
    (e) The date, time and place of detention of the respondent if he/she        
is detained pursuant to an order of the secretary, or whether such an order      
has been or will be issued.                                                      
    (f) A demand that a hearing be held within 7 days of the date on which       
respondent was detained.                                                         
    (g) The petition shall describe the behavior of the minor indicating         
violation of the conditions or deterioration of routine functioning and a        
dispositional recommendation.                                                    
    (h) The petition shall be in substantially the following form, with a        
copy of the terms and conditions attached:                                       
                                                                                 
                SUPERIOR COURT OF WASHINGTON                                     
                FOR (_______________) COUNTY                                     
                                                                                 
In re the Detention of:   )               No. __________                         
                          )                                                      
                          )               PETITION FOR REVOCATION                
                          )               OF CONDITIONAL RELEASE                 
                          )                 OR LESS RESTRICTIVE                  
                          )                ALTERNATIVE TREATMENT                 
                          )                                                      
     Respondent.          )               RCW 71.34.110                          
                                                                                 
    (Petitioner), ___ Secretary of the Department of Social and Health           
Services, State of Washington, or ___ county mental health professional for      
(name) County alleges that:                                                      
    (Respondent), residing at (address) in (city or town), is a                  
___ single ___ married ___ widowed ___ divorced ___ male ___ female              
age _____.                                                                       
    Pursuant to an order of (name) court entered on (date), respondent was       
detained for involuntary treatment for a period not to exceed (number) days      
in (name of facility), or was placed on less restrictive alternative             
treatment.                                                                       
    ___ (Respondent) was conditionally released from inpatient care at           
(name of facility) prior to expiration of the court ordered period of            
detention, under terms and conditions for such release copies of which,          
including modifications, are attached and were filed in (name) court on          
(date(s)) or ___ respondent was placed on less restrictive treatment under       
terms and conditions copies of which, including modifications, are               
attached.                                                                        
    During the period of conditional release or less restrictive treatment,      
respondent was receiving outpatient care from (name of facility) located in      
(city or town), (name) County.                                                   
    Pursuant to RCW __________, petitioner ___ has ___ has not issued an         
order for the apprehension and detention of respondent and respondent ___        
is not detained ___ is detained in (name of facility) located in (city or        
town), (name) County.                                                            
    (Respondent) has failed to adhere to the terms and conditions of             
respondent's release from involuntary detention or less restrictive              
alternative treatment, the minors routine functioning has substantially          
deteriorated and ___ the conditions of release or less restrictive               
treatment should be modified or ___ the person should be placed in an            
involuntary treatment facility.                                                  
    The facts upon which the allegations of this petition are based              
are as follows: ______________________________________________________           
______________________________________________________________________           
    The petitioner requests that a hearing be held to determine whether          
respondent has failed to adhere to the terms and conditions of release or        
less restrictive treatment, or whether the minors routine functioning has        
substantially deteriorated, and whether the respondent shall be placed on        
involuntary treatment on an inpatient basis or whether the terms and             
conditions of release or less restrictive treatment shall be modified.           
    Dated this _______ day of ____________________, 19____.                      
                             _________________________________________           
                                          Petitioner                             
    Sworn and Subscribed on _________________________________________            
                             _________________________________________           
                             Notary Public for the State of Washington           
                             Residing at _____________________________           
                             My commission expires on ________________
    

 


 
 
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