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At the expiration of the ninety-six-hour period, the respondent may be detained and treated involuntarily for an additional two judicial days only if the head of the mental health facility has filed a petition for additional inpatient detention and treatment not to exceed twenty-one days or has filed a petition for
While laws vary from state to state, all state laws include two basic criteria for commitment. The first is that a person must have (or be suspected of having) a mental illness. The second is that a person must be at risk of harming themselves or others.
Payments for involuntary care may come from various sources, including public programs, private insurance, charity programs, and out-of-pocket spending.
One method is involuntary civil commitment. Missouri laws allow a judge or law enforcement to send someone to an inpatient psychiatric facility for up to 96 hours for evaluation IF there is reason to believe the individual may, as a result of a mental disorder, be at risk of self-harm or harm to others.
However, the Supreme Court found in Addington v. Texas that to meet due process demands in a proceeding for involuntary civil commitment, the state must prove its case for commitment by clear and convincing evidence.
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In hearings for involuntary civil commitments, the petitioner must prove by clear and convincing evidence that the respondent is either mentally ill, or is a substance abuser, as applicable, and, in either case, presents a likelihood of serious physical harm to himself or others.

who can authorize an involuntary 72 hour hold in missouri