Untitled Texas Attorney General Opinion

October 26, 1961 Honorable Dean Martin Opinion No. !:IW-1175 County Attorney Grayson County Re: Whether the County Judge Sherman, Texas of Grayson County has the authority to commit an involuntary mentally ill person to the Sherman Community Hospital under the named conditions and Dear Mr. Martin: related question. You have requested an opinion of this office on the following question: "Does the County Judge of Grayson County, Texas, have the authority to commit an involuntary mentally ill person to the Sherman Community Hos- pital under the conditions set out in the letter from the Department of Health, or would it be necessary for the Sherman Community Hospital to obtain a license under Vernon's Ann.Civ.St., art. 5547 Mental Health Code, permitting them to op- erate a private mental hospital in connection with the General Hospital?" e From your letter and enclosed materials, the follow- ing facts appear: the Sherman Community Hospital, which has a psychiatric unit operated under the supervision of a psychi- atrist, is licensed as a general hospital. Your attention is directed to Article 5547, Vernon's Civil Statutes, and the provisions thereof covering general definitions (Art. 5547-41; Involuntary admissions--in emergen- cies (Art3.. 5+$- 74-28)--for temporar periods (Art. 5574-31, 38)-- for an inde in te period (Art. 55 fi 7-52); the necessary'orders (Art. 5547-58); and, licensing requirements (Art. 5547-88); which provisions read in part as follows: "Article 5547-4. Definitions. As used in this Code, unless the context otherwise requires: I, . . . Honorable Dean Martin, Page 2 (w-1175) "(f) 'general hospital' means a hospital operated primarily for the diagnosis, care and treatment of the physically ill. "(g) 'mental hospital' means a hospital operated for the primary purpose of providing in-patient care and treatment for the mentally ill. A hospital operated by an agency of the United States and equipped to provide in-patient care and treatment for the mentally Ill shall be considered a mental hospital. "(h) 'State mental hospital' means a mental hospital operated by the Board. "(I) 'private mental hospital' means a mental hospital operated by any person or polltical subdivision. II * . .II Article 5547-28. Emergency Admission. The head of a mental hospital or a general hospital may admit and detain any person for emergency ,observation and treatment for a period not to exceed ninety-six (96) hours upon . . ." "Article 5547-31. Application for temporary hospitalization. . . .,The Application may be made by any adult person, or by the county judge, ,and shall state upon information and belief that the proposed patient . . . requires observation and/or treatment in a mental hospital." "Article 5547-38. Order upon hearing. . ..‘. "(b) If upon the hearing the coutit finds that the proposed patient is mentally ill . . . the court shall order that the mentally ill person be committed as a patient for observation and/or treatment in a mental hospital for a per- iod not exceeding ninety (90) days." "Article 5547-52. Order upon hearing. . . . "(b) If the court or the jury, as the case may be, finds that the proposed patient is mentally Ill and requires hospitalization in a mental hos- pital . . .'the.'courtshall order that the mentally ill person be committed as a patient to a mental hospital for an indefinite period." Honorable Dean Martin, page 3 (WW-1175) "Article 5547-58. Designation of a hospital. In the Order of Temporary Hospitalization or In- definite Commitment, the court shall commit the patient to a designated (a) State mental hospital; (b) private mental hospital; or (c) ;g;;en;a;fh",;;it",;tEd States operating . "Article 5547-88. License Required. Ninety (90) days after the effective date of this Code, no person or political subdivision may operate a mental hospital unless licensed to do so by the Department." First, it is clear that the County Court presided over by the County Judge, is a court of competent jurisdic- tion over lunacy proceedings and proceedings for hearing and commitments for confinement, treatment and observation of the mentally ill. Pate v. Stevens, 257 S.W.2d 763 (Civ.App. 1953, error dism.) Specifically, your question deals with whether the County Judge has the authority to commit a men- tally ill person to a general hospital with a psychiatric y;dswhich is not licensed under the provisions of Art. 5547, . . . You will notice that there are basically four types of hospitals referred to in the Code (i.e. general hospitals, mental hospitals, State mental hospitals, private mental hos- pitals). From your letter and enclosures, the Sherman Com- munity Hospital falls within the statutory "general hospital" definition quoted above. In addition, there are three classi- fications of commitments for the involuntary mentally ill authorized by the Code (i.e. "emergency" (96 hours or less), "temporary" (90 days or less) and "indefinite"). Based upon the foregoing statutory provisions, we are of the opinion that the County Judge is authorized to commit the mentally ill to a general hospital with an un- licensed psychiatric ward only for ninety-six (96) hours or less within the "emergency" commitment category of the Code. Only the section authorizing an "emergency" commitment allows commitment to a general hospital of the type in question. Both of the other types of commitments of the mentally ill (i.e. "temporary" and "indefinite") specifically require confinement in a "mental hospital" as definied in the Code and set out above. Honorable Dean Martin, page 4 (W-1175) Further, Article 5547-88, supra, specifically re- quires a "mental hospital" as defined in the Code, and set out-above to be licensed by the Texas State Department of Health after ninety (90) days from the effective date of the Code (i.e. ninety days after January 1, 1958). As a commit- ment for the mentally ill for either a "temporaryw or indefi- nite" period is required in a "mental hospital," and such must be licensed under Article 5547-88, supra, we are of the opinion that the County Judge would thus not be authorized to commit such person to the Sherman Community Hospital for a period exceeding ninety-six (96) hours "emergency" commitment under the .facts presented. SUMMARY Under Article 5547, V.C.S., a County Judge may not commit an involuntary mentally ill person to a general hospital with a psychiatric ward not licensed under the statute for a period in excess of ninety-six (96) hours. Very truly yours, WILL WILSON Attorney General of Texas EBS:dhs APPROVED: OPINION COMMITTEE W. V. Geppert, Chairman Vernon Teofan Gordon Cass w. Ray scruggs Ben Harrison REVIEWED FOR THE ATTORNEY GENERAL BY: Houghton Brownlee, Jr.