N.M. Stat. § 32A-6A-21
Voluntary residential treatment or habilitation for
children fourteen years of age or older.
A. A child fourteen years of age or older shall not receive treatment for mental
disorders or habilitation for developmental disabilities on a voluntary residential basis,
except as provided in this section.
B. An admission of a child fourteen years of age or older to a residential treatment
or habilitation program is voluntary when it is medically necessary and consented to by
the child and the child's legal custodian as set forth in this section, provided that the
admission does not exceed sixty days, subject to the requirements of this section.
C. To have a child voluntarily admitted to a residential treatment or habilitation
program, the child and the child's legal custodian shall knowingly and voluntarily
execute, prior to admission, a child's voluntary consent to admission document. The
document shall include a clear statement of the child's right to voluntarily consent or to
request an immediate discharge from the residential treatment or habilitation program at
any time; and the child's rights when the child requests a discharge and the child's
physician, licensed psychologist or the director of the residential treatment or habilitation
program determines the child needs continued treatment. The residential treatment or
habilitation program shall ensure that each statement is clearly explained in the child's
and legal custodian's primary language, if that is their language of preference, and in a
manner appropriate to the child's and legal custodian's developmental abilities, and
each statement shall be initialed by the child and the child's legal custodian.
D. A child who is admitted on a voluntary basis has a right to an attorney. Prior to
admission, the residential treatment or habilitation program shall inform the child's legal
custodian of the child's right to an independent attorney within seventy-two hours. If the
child's legal custodian is unable to obtain an independent attorney, the legal custodian
may petition the court to appoint an attorney for the child. If the child's legal custodian
obtains an independent attorney for the child, the legal custodian shall notify the
residential treatment or habilitation program of that attorney's name within seventy-two
hours of the child's voluntary admission.
E. The child's executed voluntary consent to admission document shall be filed in
the child's treatment record within twenty-four hours of the time of admission.
F. Upon the filing of the child's voluntary consent to admission document in the
child's treatment record, the director of the residential treatment or habilitation program
or the director's designee shall, on the next business day following the child's
admission, notify the district court or the special commissioner of the admission, giving
the child's name, date of birth and the date and place of admission. Upon receipt of
notice of a child's voluntary admission to a residential treatment or habilitation program,
the court or special commissioner shall establish a sequestered court file.
G. If within seventy-two hours of the child's voluntary admission the child has not
met with an independent attorney and the child's legal custodian has not notified the
residential treatment or habilitation program of the name of the child's independent
attorney, the residential treatment or habilitation program shall during the next business
day petition the court to appoint an attorney. When the court receives the petition, the
court shall appoint an attorney.
H. If within seventy-two hours of the child's voluntary admission the child has met
with an independent attorney or the child's legal custodian has notified the residential
treatment or habilitation program of the name of the child's independent attorney, the
residential treatment or habilitation program shall during the next business day notify the
court or the special commissioner of the name of the child's independent attorney.
I. Within seven days of the admission, an attorney representing the child pursuant
to the provisions of the Children's Mental Health and Developmental Disabilities Act
shall meet with the child. At the meeting with the child, the attorney shall explain to the
child the following:
(1)
the child's right to an attorney;
(2)
the child's right to terminate the child's voluntary admission and the
procedures to effect termination;
(3)
the effect of terminating the child's voluntary admission and options of the
clinician and other interested parties to petition for an involuntary admission; and
(4)
the child's rights under the provisions of the Children's Mental Health and
Developmental Disabilities Act, including the right to:
(a) legal representation;
(b) a presumption of competence;
(c) receive daily visitors of the child's choice;
(d) receive and send uncensored mail;
(e) have access to telephones;
(f) follow or abstain from the practice of religion;
(g) a humane and safe environment;
(h) physical exercise and outdoor exercise;
(i) a nourishing, well-balanced, varied and appetizing diet;
(j) medical treatment;
(k) educational services;
(l) freedom from unnecessary or excessive medication;
(m)individualized treatment and habilitation; and
(n) participation in the development of the individualized treatment plan and
access to that plan on request.
J. If the attorney determines that the child understands the child's rights and that
the child voluntarily and knowingly desires to remain as a patient in a residential
treatment or habilitation program, the attorney shall so certify on a form designated by
the supreme court. The form, when completed by the attorney, shall be filed in the
child's patient record at the residential treatment or habilitation program, and a copy
shall be forwarded to the court or special commissioner within seven days of the child's
admission. The attorney's statement shall not identify the child by name.
K. Upon reaching the age of fourteen, a child who was a voluntary admittee to a
residential treatment or habilitation program may petition the district court for the
records of the court regarding all matters pertinent to the child's voluntary admission to
a residential treatment or habilitation program. The court, upon receipt of the petition
and upon a determination that the petitioner was in fact the child who was a voluntary
admittee to a residential treatment or habilitation program, shall give all court records
regarding the admission to the petitioner, including all copies in the court's possession
unless there is a showing that provision of records would cause substantial harm to the
child. A person who was admitted to a residential or treatment or habilitation program as
a child, upon reaching the age of eighteen, may petition the district court for such
records and the district court shall provide all court records regarding the admission to
the petitioner, including all copies in the court's possession.
L. Any child voluntarily admitted to a residential treatment or habilitation program
has the right to an immediate discharge from the residential treatment or habilitation
program upon the child's request, except as provided in this section. If a child informs
the director, clinician or other member of the residential treatment or habilitation
program staff that the child desires to be discharged from the voluntary program, the
director, clinician or other staff member shall provide for the child's immediate
discharge. The residential treatment or habilitation program shall not require that the
child's request be in writing. Upon the request, the residential treatment or habilitation
program shall notify the child's legal custodian to take custody of the child and remit the
child to the legal custodian's care. The residential treatment or habilitation program shall
also notify the child's attorney. If the child's legal custodian is unavailable to take
custody of the child and immediate discharge of the child would endanger the child, the
residential treatment or habilitation program may detain the child until a safe and orderly
discharge is possible. If the child's legal custodian refuses to take physical custody of
the child, the residential treatment or habilitation program shall refer the case to the
department for an abuse and neglect or family in need of court-ordered services
investigation. The department may take the child into protective custody pursuant to the
provisions of the Abuse and Neglect Act [Chapter 32A, Article 4 NMSA 1978] or the
Family in Need of Court-Ordered Services Act [Chapter 32A, Article 3B NMSA 1978]. A
child requesting immediate discharge shall be discharged, except in those situations
when the director of the residential treatment or habilitation program, a physician or a
licensed psychologist determines that the child requires continued treatment and that
the child meets the criteria for involuntary residential treatment or habilitation services
as otherwise provided under the Children's Mental Health and Developmental
Disabilities Act. In that event, the director, physician or licensed psychologist, after
making the determination, shall, on the first business day following the child's request
for release from the voluntary program, request that the child's court attorney initiate
involuntary placement proceedings. The child's court attorney may petition for such a
placement. The child has a right to a hearing on the child's continued treatment within
five days of the child's request for release.
M. A child who is voluntarily admitted to a residential treatment or habilitation
program shall have the child's voluntary admission reviewed at the end of a sixty-day
period from the date of the child's initial admission to the program. The review shall be
accomplished by having the child's physician or licensed psychologist review the child's
treatment and determine whether it would be in the best interests of the child to
continue the voluntary admission. If the child's physician or licensed psychologist
concludes that continuation of treatment is in the child's best interests, the child's
clinician shall so state in a form to be filed in the child's patient record. The residential
treatment or habilitation program shall notify the child's attorney at least seven days
prior to the date that the sixty-day period is to end or, if necessary, request an attorney
pursuant to the provisions of the Children's Mental Health and Developmental
Disabilities Act. The attorney shall then personally meet with the child and ensure that
the child understands the child's rights as set forth in this section, that the child
understands the method for voluntary termination of the child's admission and that the
child knowingly and voluntarily consents to the child's continued treatment. If the
attorney determines that the child understands these rights and that the child voluntarily
and knowingly desires to remain in the residential treatment or habilitation program and
that the clinician has recommended the continued stay in the program, the attorney
shall so certify on a form designated by the supreme court. The disposition of these
forms shall be as set forth in this section, with one copy going in the child's patient
record and the other being sent to the district court in a manner that preserves the
child's anonymity. This procedure shall take place every sixty days from the last
admission or attorney's certification, whichever comes first.
N. If the attorney determines that the child does not voluntarily desire to remain in
the program or if the child's clinician has not recommended continued stay by the child
in the residential treatment or habilitation program, the child shall be released pursuant
to the involuntary placement procedures set forth in this section and the Children's
Mental Health and Developmental Disabilities Act shall be followed.