Nevada § 433.4543 - Text of Compact

§ 433.4543. Text of Compact

The Interstate Compact on Mental Health is hereby ratified, enacted into law and entered

into with all jurisdictions legally joining in the Compact, in substantially the form

set forth in this section: INTERSTATE COMPACT ON MENTAL HEALTH The contracting states solemnly agree that: ARTICLE I. The party states find that the proper and expeditious treatment of persons with mental

illness and mental deficiencies can be facilitated by cooperative action, to the benefit

of the patients, their families and society as a whole. Further, the party states find that the necessity of and desirability for furnishing

such care and treatment bears no primary relation to the residence or citizenship

of the patient but that, on the contrary, the controlling factors of community safety

and humanitarianism require that facilities and services be made available for all

who are in need of them. Consequently, it is the purpose of this Compact and of the party states to provide

the necessary legal basis for the institutionalization or other appropriate care and

treatment of the mentally ill and mentally deficient under a system that recognizes

the paramount importance of patient welfare and to establish the responsibilities

of the party states in terms of such welfare. ARTICLE II. As used in this Compact: (a) “ Aftercare ” means care, treatment and services provided to a patient on convalescent status

or conditional release. (b) “ Institution ” means any hospital or other facility maintained by a party state or political subdivision

thereof for the care and treatment of mental illness or mental deficiency. (c) “ Mental deficiency ” means mental deficiency as defined by appropriate clinical authorities to such extent

that a person so afflicted is incapable of managing himself or herself and his or

her affairs, but does not include mental illness as defined herein. (d) “ Mental illness ” means mental disease to such extent that a person so afflicted requires care and

treatment for his or her own welfare, or the welfare of others, or of the community. (e) “ Patient ” means any person subject to or eligible as determined by the laws of the sending

state, for institutionalization or other care, treatment or supervision pursuant to

the provisions of this Compact. (f) “ Receiving state ” means a party state to which a patient is transported pursuant to the provisions

of the Compact or to which it is contemplated that a patient may be so sent. (g) “ Sending state ” means a party state from which a patient is transported pursuant to the provisions

of the Compact or from which it is contemplated that a patient may be so sent. (h) “ State ” means any state, territory or possession of the United States, the District of Columbia

and the Commonwealth of Puerto Rico. ARTICLE III. (a) Whenever a person physically present in any party state is in need of institutionalization

by reason of mental illness or mental deficiency, he or she is eligible for care and

treatment in an institution in that state irrespective of his or her residence, settlement

or citizenship qualifications. (b) The provisions of paragraph (a) of this Article to the contrary notwithstanding,

any patient may be transferred to an institution in another state whenever there are

factors based upon clinical determinations indicating that the care and treatment

of said patient would be facilitated or improved thereby. Any such institutionalization may be for the entire period of care and treatment

or for any portion or portions thereof. The factors referred to in this paragraph include the patient's full record with

due regard for the location of the patient's family, character of the illness and

probable duration thereof and such other factors as are considered appropriate. (c) No state is obliged to receive any patient pursuant to the provisions of paragraph

(b) of this Article unless the sending state has given advance notice of its intention

to send the patient, furnished all available medical and other pertinent records concerning

the patient and given the qualified medical or other appropriate clinical authorities

of the receiving state an opportunity to examine the patient if said authorities so

wish and the receiving state agrees to accept the patient. (d) In the event that the laws of the receiving state establish a system of priorities

for the admission of patients, an interstate patient under this Compact must receive

the same priority as a local patient and must be taken in the same order and at the

same time that he or she would be taken if he or she were a local patient. (e) Pursuant to this Compact, the determination as to the suitable place of institutionalization

for a patient may be reviewed at any time and such further transfer of the patient

may be made as seems likely to be in the best interest of the patient. ARTICLE IV. (a) Whenever, pursuant to the laws of the state in which a patient is physically present,

it is determined that the patient should receive aftercare or supervision, such care

or supervision may be provided in a receiving state. If the medical or other appropriate clinical authorities having responsibility for

the care and treatment of the patient in the sending state have reason to believe

that aftercare in another state would be in the best interest of the patient and would

not jeopardize the public safety, they shall request the appropriate authorities in

the receiving state to investigate the desirability of affording the patient such

aftercare in said receiving state, and such investigation must be made with all reasonable

speed. The request for investigation must be accompanied by complete information concerning

the patient's intended place of residence and the identity of the person in whose

charge it is proposed to place the patient, the complete medical history of the patient

and such other documents as may be pertinent. (b) If the medical or other appropriate clinical authorities having responsibility

for the care and treatment of the patient in the sending state and the appropriate

authorities in the receiving state find that the best interest of the patient would

be served thereby, and if the public safety would not be jeopardized thereby, the

patient may receive aftercare or supervision in the receiving state. (c) In supervising, treating or caring for a patient on aftercare pursuant to the

terms of this Article, a receiving state shall employ the same standards of visitation,

examination, care and treatment that it employs for similar local patients. ARTICLE V. Whenever a dangerous or potentially dangerous patient escapes from an institution

in any party state, that state shall promptly notify all appropriate authorities within

and without the jurisdiction of the escape in a manner reasonably calculated to facilitate

the speedy apprehension of the escapee. Immediately upon the apprehension and identification of any such dangerous or potentially

dangerous patient, he or she must be detained in the state where found pending disposition

in accordance with law. ARTICLE VI. The duly accredited officers of any state party to this Compact, upon the establishment

of their authority and the identity of the patient, must be permitted to transport

any patient being moved pursuant to this Compact through any and all states party

to this Compact, without interference. ARTICLE VII. (a) No person shall be deemed a patient of more than one institution at any given

time. Completion of transfer of any patient to an institution in a receiving state has

the effect of making the person a patient of the institution in the receiving state. (b) The sending state shall pay all costs of and incidental to the transportation

of any patient pursuant to this Compact, but any two or more party states may, by

making a specific agreement for that purpose, arrange for a different allocation of

costs as among themselves. (c) No provision of this Compact shall be construed to alter or affect any internal

relationships among the departments, agencies and officers of and in the government

of a party state, or between a party state and its subdivisions, as to the payment

of costs or responsibilities therefor. (d) Nothing in this Compact shall be construed to prevent any party state or subdivision

thereof from asserting any right against any person, agency or other entity in regard

to costs for which such party state or subdivision thereof may be responsible pursuant

to any provision of this Compact. (e) Nothing in this Compact shall be construed to invalidate any reciprocal agreement

between a party state and a nonparty state relating to institutionalization, care

or treatment of the mentally ill or mentally deficient, or any statutory authority

pursuant to which such agreements may be made. ARTICLE VIII. (a) Except as otherwise provided in paragraph (b) of this Article, nothing in this

Compact shall be construed to abridge, diminish or in any way impair the rights, duties

and responsibilities of any patient's guardian on his or her own behalf or in respect

of any patient for whom he or she may serve. (b) Except as otherwise provided in paragraph (c) of this Article, where the transfer

of any patient to another jurisdiction makes advisable the appointment of a supplemental

or substitute guardian, any court of competent jurisdiction in the receiving state

may make such supplemental or substitute appointment and the court which appointed

the previous guardian shall, upon being duly advised of the new appointment and upon

the satisfactory completion of such accounting and other acts as such court may by

law require, relieve the previous guardian of power and responsibility to whatever

extent is appropriate in the circumstances. (c) In the case of any patient having settlement in the sending state, the court of

competent jurisdiction in the sending state has the sole discretion to relieve a guardian

appointed by it or continue his or her power and responsibility, whichever it deems

advisable. The court in the receiving state may, in its discretion, confirm or reappoint the

person or persons previously serving as guardian in the sending state in lieu of making

a supplemental or substitute appointment. (d) The term “guardian” as used in paragraphs (a), (b) and (c) of this Article includes

any guardian, trustee, legal committee, conservator or other person or agency, however

denominated, who is charged by law with power to act for or responsibility for the

person or property of a patient. ARTICLE IX. (a) No provision of this Compact except Article V applies to any person institutionalized

while under sentence in a penal or correctional institution or while subject to trial

on a criminal charge, or whose institutionalization is due to the commission of an

offense for which, in the absence of mental illness or mental deficiency, said person

would be subject to incarceration in a penal or correctional institution. (b) To every extent possible, it is the policy of states party to this Compact that

no patient shall be placed or detained in any prison, jail or lockup, but such patient

must, with all expedition, be taken to a suitable institutional facility for mental

illness or mental deficiency. ARTICLE X. (a) Each party state shall appoint a Compact Administrator who, on behalf of his or

her state, shall act as general coordinator of activities under the Compact in his

or her state and who shall receive copies of all reports, correspondence and other

documents relating to any patient processed under the Compact by his or her state

either in the capacity of sending or receiving state. The Compact Administrator or his or her duly designated representative is the official

with whom other party states shall deal in any matter relating to the Compact or any

patient processed thereunder. (b) The Compact Administrators of the respective party states have power to promulgate

reasonable rules and regulations to carry out more effectively the terms and provisions

of this Compact. ARTICLE XI. The duly constituted administrative authorities of any two or more party states may

enter into supplementary agreements for the provision of any service or facility or

for the maintenance of any institution on a joint or cooperative basis whenever the

states concerned find that such agreements will improve services, facilities or institutional

care and treatment in the fields of mental illness or mental deficiency. No such supplementary agreement shall be construed so as to relieve any party state

of any obligation which it otherwise would have under other provisions of this Compact. ARTICLE XII. This Compact enters into full force and effect as to any state when enacted by it

into law and such state shall thereafter be a party thereto with any and all states

legally joining therein. ARTICLE XIII. (a) A state party to this Compact may withdraw therefrom by enacting a statute repealing

the same. Such withdrawal takes effect 1 year after notice thereof has been communicated officially

and in writing to the Governors and Compact Administrators of all other party states. However, the withdrawal of any state does not change the status of any patient who

has been sent to said state or sent out of said state pursuant to the provisions of

the Compact. (b) Withdrawal from any agreement permitted by paragraph (b) of Article VII as to

costs or from any supplementary agreement made pursuant to Article XI must be in accordance

with the terms of such agreement. ARTICLE XIV. This Compact shall be liberally construed so as to effectuate the purposes thereof. The provisions of this Compact are severable and if any phrase, clause, sentence

or provision of this Compact is declared to be contrary to the constitution of any

party state or of the United States or the applicability thereof to any government,

agency, person or circumstance is held invalid, the validity of the remainder of this

Compact and the applicability thereof to any government, agency, person or circumstance

will not be affected thereby. If this Compact is held contrary to the constitution of any state party thereto,

the Compact remains in full force and effect as to the remaining states and in full

force and effect as to the state affected as to all severable matters.