Edit, Download, and Sign the Application for Emergency Detention Form - El Paso County
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How do I fill this out?
To begin filling out this form, gather information about the person needing emergency detention and your relationship to them. Next, provide detailed accounts of any evidence of mental illness and recent harmful behaviors. Finally, include your contact information and submit the form using the provided instructions.
How to fill out the Application for Emergency Detention Form - El Paso County?
1
Gather information about the person needing emergency detention.
2
Fill in your relationship and contact details.
3
Provide evidence of mental illness and harmful behaviors.
4
Include any prescribed medications and their usage details.
5
Submit the form following the given instructions.
Who needs the Application for Emergency Detention Form - El Paso County?
1
Family members of individuals experiencing a mental health crisis need this form to seek emergency intervention.
2
Healthcare providers use this form to request emergency detention for patients exhibiting dangerous behavior.
3
Law enforcement officers may submit this form when encountering individuals who pose a threat to themselves or others.
4
Social workers support clients in crisis by completing and submitting this form for emergency mental health services.
5
Legal guardians utilize this form to ensure the safety and well-being of individuals under their care.
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What are the instructions for submitting this form?
Submit the completed application to the El Paso County Attorney's Office, Mental Health Unit, at 500 E. San Antonio, Room 503, El Paso, Texas 79901. You may also fax the form to 915-543-3818 or email it to Michele Rodriguez at michele.rodriguez@epcounty.com or Marisol Nevarez at Manevarez@epcounty.com. Ensure the application is submitted by 1:00 PM during office hours from 8:00AM to 5:00PM, Monday to Friday. My advice: Double-check all sections for accuracy before submission to avoid any processing delays.
What are the important dates for this form in 2024 and 2025?
Submission deadline: 1:00 PM, Office hours: 8:00AM - 5:00PM, Monday - Friday.
What is the purpose of this form?
The Application for Emergency Detention form is a critical document used to request immediate intervention for individuals experiencing a mental health crisis. It serves as an official record of the applicant's observations and concerns, providing detailed accounts of the individual's behavior and mental health status. The information collected helps mental health professionals and law enforcement make informed decisions about the necessity of emergency detention.
Tell me about this form and its components and fields line-by-line.
- 1. Person Information: Includes the name, DOB, age, address, contact information, and duration at current address of the person in need of emergency detention.
- 2. Applicant Information: Contains the applicant's name, contact details, employment information, and relationship to the person in crisis.
- 3. Evidence of Mental Illness: Asks for mental illness diagnosis, medication details, and prescribed medication adherence.
- 4. Risk of Harm to Self: Requires a detailed account of any self-harming behavior or threats within the past 10 days.
- 5. Risk of Harm to Others: Requests detailed information about any harmful actions or threats toward others within the past 10 days.
- 6. Behavior: Collects information about the individual’s eating, drinking, hygiene, and living conditions.
What happens if I fail to submit this form?
Failure to submit this form in a timely manner could result in delayed intervention for the person in crisis. This may increase the risk of harm to themselves or others.
- Delayed Intervention: The necessary mental health services might not be provided promptly.
- Increased Risk: The person in crisis may continue to pose a threat to themselves or others.
- Legal Issues: Failure to follow through with the application process might lead to legal repercussions for the applicants or other involved parties.
How do I know when to use this form?
- 1. Family Members: When a loved one is experiencing a mental health crisis and poses a risk to themselves or others.
- 2. Healthcare Providers: When patients exhibit dangerous behavior that requires urgent attention.
- 3. Law Enforcement Officers: When encountering individuals in crisis who present an immediate threat.
- 4. Social Workers: To request emergency mental health services for clients in crisis.
- 5. Legal Guardians: When ensuring the safety and well-being of those under their care.
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