Other CA Counties


BCDBH will conduct a comprehensive ?Involuntary Hold training program that focuses on two primary elements: effective assessment strategies to determine level of dangerousness to self, others, and/or grave disability, and; the legal definition and requirements necessary to determine if “probable cause” exists that the condition is as a result of a mental health disorder.

?Involuntary Hold training will be conducted for all existing mobile crisis team members, and routinely thereafter for all new hires to the mobile crisis team. The training program will be provided for licensed health professionals in community hospital Emergency Rooms approved by the Director, or designee, on an ‘as needed’ basis. Community providers who wish to attend the training must submit a written request directly to the Director. The Director has the sole discretion to determine whether to offer the training to community providers and to grant or deny individual requests to attend and/or received certification.

Organizations employing community providers seeking certification will enter into a written agreement with BCDBH that stipulates issues of adequate insurance coverage and indemnification of the County should any litigation arise from the exercise of the authority to write a 5150 hold.

Upon successful completion of the training program, which includes a passing score on the final examination, individuals will receive a certificate. For BCDBH staff, certification will be noted in the employee‘s personnel file, and recorded in the Department‘s electronic personnel record.

The BCDBH Program Manager of Crisis Services will be responsible for maintaining a list of names of all individuals, both BCDBH staff and community providers, authorized to initiate a 5150 application.

Continued certification will be contingent on individuals attending a ?refresher/update—training every 2 years. The Director, or designee, may require more frequent training should changes in laws or procedures indicate a need. Such training will have two primary purposes: provide updated information on any changes in laws or regulations relevant to involuntary treatment holds, and to provide an open forum on current practices and how they may be improved.

Revocation of the 5150 designation is at the discretion of the Director, or his designee.


The community partners agree to establish a training plan/calendar for all agency personnel on issues dealing with 5150 protocols, other related mental health issues and to share in the delivery of that training based on their respective areas of expertise. All agency personnel involved in carrying out the agreements shall be trained in this response protocol.

Madera County law enforcement agencies and Child Welfare Services will have the opportunity to participate in Crisis Intervention Team Training as it is available.

In accordance with this community protocol, all parties shall verify and ensure that its employees and agents are in good standing with their boards of licensure or certification; shall verify and ensure that its employees and agents have the appropriate education, knowledge, experience and clinical competency, commensurate with their responsibilities and job duties.


It is the policy of Mariposa County Behavioral Health and Recovery Services that all clinical and Alcohol and Drug staff be trained in crisis response before being expected to participate as a member of the afterhours crisis response team.

Initial Training—Eight (8) Hours

  • Mandated Reporting—Child Abuse, Adult Abuse, Tarasoff.
  • Acute Psychiatric Facility Admission and Discharge Criteria.
  • Welfare and Institutions 5150 Code—Definitions.
  • Welfare and Institutions 5170 Code—Definitions.
  • Assessing for Gravely Disabled.
  • Assessing for Danger to Others.
  • Assessing for Danger to Self.
  • Complicating Issues—Alcohol/Drug Intoxication, Dementia, Co-Occurring Disorders
  • Behavioral Health‘s Policy and Procedures—Pragmatics and Documentation.
  • Emergency Room Medical Clearance.
  • Evaluations and Liaison—Sheriff‘s Office, Jail, Field, Emergency Room.
  • Cross County Admissions.
  • Yosemite Medical Clinic Emergencies—Similarities and Differences.
  • Deciding Upon a Specific Acute Psychiatric Facility and Seeking Admission for an Individual.
  • Specific Diagnoses Used—Licensed vs. Unlicensed Personnel.
  • Referrals and Networking in After Hours Crisis Work.
  • Legal Ramifications of Placing Someone on a 5150—Taking Some of Their Rights.
  • Local Processes, as described below.

Ongoing Training

  • Ongoing—All Crisis Response Team (CRT) staff attend weekly training/consultative meeting.
  • Twice Monthly—New CRT staff attend continuing training sessions.
  • These continuing training sessions are required for one year for unlicensed staff.
  • These continuing training sessions are required for licensed staff until released from this requirement by Behavioral Health Deputy Director.
  • Each week has an assigned crisis worker and an assigned supervisor available 24 hours.
  • For one year unlicensed staff are required to have supervisor permission prior to finalizing disposition.
  • Licensed staff are required to have supervisor permission prior to finalizing disposition until released from this requirement by Behavioral Health Deputy Director.

All participating agencies agree to jointly plan and facilitate training for their employees and agree to participate in a joint training for agency designated staff on 5150 protocols.