Any of Lake County’s designated 5150 staff can rescind a 5150 hold upon re-evaluation and determining the individual no longer meets 5150 criteria and after discussion with the crisis supervisor and receiving permission to rescind the 5150 hold. (Or in the case of a hold written by law enforcement, after the Behavioral Health staff’s initial evaluation deems the individual is not holdable).
If the ED physician believes that the psychiatric emergency has been resolved for a patient on a 5150 hold, he/she may request a reassessment of the patient by an LCBH crisis worker.
The Behavioral Health Director has also granted authority to doctors at the hospitals to rescind a 5150 hold if medically appropriate to do so because the condition deemed to be a mental illness by the peace officer either has turned out to be a medical condition, or the condition was passing in nature and is now fully ameliorated. Most common occurrence for this would be an individual is brought to the Emergency Department by law enforcement who voiced suicidal ideation while intoxicated, then once sober, the individual denies any suicidal ideation. In addition, ED physicians can also lift a 5150 hold if it is determined that the individual requires immediate medical treatment for a medical condition. In these circumstances the physician will have authority to rescind the 5150 hold without evaluation/consultation by Behavioral Health staff.
In these circumstances, the physician will make a note in the hospital record of the finding, providing the peace officer with documentation indicating the patient is cleared (medically &/or psychiatrically), and the invalid 5150 application shall become a part of the hospital’s records.
CRISIS EVALUATIONS: Lake County Behavioral Health Services will assess any person brought to the local hospital. All persons will receive a full crisis evaluation.
EVALUATIONS & SAFETY: ED will provide a space where the LCBH crisis worker may conduct an assessment in a confidential setting, if possible.