110 CMR 11.18
Legal Proceedings
(1) Whenever the Department may not consent to a medical procedure, but must seek prior judicial approval
for such procedure, the Department shall seek the appointment of a guardian ad them to investigate whether
such procedure should be administered, and thereafter report back to the court.
(2) At any subsequent hearing when the court is considering the question of whether such treatment ought to
be administered, the Department shall not request that the court authorize the Department to consent to such
treatment; but rather the Department shall request that the court, using a substituted judgment standard, make
the decision whether to authorize such treatment.