
Involuntary commitment laws in the US allow for the detainment and treatment of individuals who pose a risk to themselves or others due to mental illness or substance use disorder. In Missouri, a person can be involuntarily committed if they are deemed to be a danger to themselves or others as a result of a mental disorder or substance use disorder. This process, known as Civil Involuntary Detention, allows law enforcement or a judge to send an individual for psychiatric evaluation for up to 96 hours if they are believed to be a harm to themselves or others. The criteria for harm to self include endorsing suicidal ideation, self-harm, or being unable to take care of oneself due to an untreated mental health condition. Past patterns of behaviour that have resulted in harm may also be considered.
| Characteristics | Values |
|---|---|
| Verbal threats | Sufficient |
| Placing a person in fear of harm | Sufficient |
| Standard | A likelihood of serious physical harm to self or others |
| Past patterns of behavior | Considered if they have historically resulted in harm |
| Mental disorder | Must be present |
| Harm to self or others | Must be likely |
| Inability to make decisions | Must be due to an impairment |
| Inability to provide basic necessities | Must be present |
| Initial detention period | Up to 96 hours |
| Further detention | 21 days, 90 days, or one year for mental health treatment; 30 or 90 days for alcohol or drug treatment |
| Substance use disorder | Not a valid reason for involuntary commitment unless it causes harm or inability to care for oneself |
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What You'll Learn

Endorsing suicidal ideation or self-harm
Missouri laws allow a judge or law enforcement officer to send an individual to an inpatient psychiatric facility for up to 96 hours for evaluation if there is reason to believe that they may be at risk of self-harm or harming others due to a mental disorder. This initial period can be extended if a court hearing determines that the individual continues to meet the criteria for involuntary commitment.
To initiate the process of involuntary commitment in Missouri, any adult may file an application for detention, evaluation, and treatment with the probate division of the circuit court. Law enforcement personnel may also detain and transport an individual believed to be imminently harmful due to a mental disorder or substance use disorder to an appropriate facility for evaluation.
It is important to note that verbal threats or placing someone in fear of harm are sufficient grounds for involuntary commitment in Missouri. The standard for commitment is "a likelihood of serious physical harm to self or others," which includes endorsing suicidal ideation or self-harm. Past patterns of behavior that have resulted in harm may also be considered.
In addition to involuntary commitment, Missouri also offers outpatient commitment, where individuals can be released from a mental health facility but must adhere to certain conditions set by the facility. This allows for ongoing treatment and monitoring while the individual transitions back to the community.
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Unable to care for oneself
Missouri laws allow a judge or law enforcement officer to send an individual to an inpatient psychiatric facility for up to 96 hours for evaluation if there is reason to believe that the individual may be at risk of harm to themselves or others as a result of a mental disorder. This initial period of 96 hours excludes weekends and certain holidays. If the individual is deemed to continue to meet these criteria in a court hearing, they may be kept for longer periods of 21 days, 90 days, or one year for mental health treatment.
In Missouri, a person may be considered harmful to themselves if, as a result of an impairment or mental disorder, they are unable to make decisions regarding their hospitalization or treatment. This is evidenced by their inability to provide for basic necessities such as food, clothing, shelter, safety, or medical care. This standard also applies to individuals misusing alcohol or drugs, who may be unable to make decisions about caring for their basic human needs.
In such cases, guardianship should be considered. This legal process involves transferring the authority to make personal decisions to another person who is legally able to authorize the necessary services. This requires a probate court hearing and an order designating an authority for decision-making.
It is important to note that any adult may file an application for civil involuntary detention, evaluation, and treatment with the probate division of the circuit court. Law enforcement personnel may also detain and transport an individual to an appropriate facility for evaluation if they are believed to be imminently harmful due to a mental disorder or substance use disorder.
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Verbal threats or fear of harm
In Missouri, verbal threats of harm or placing someone in fear of harm are grounds for involuntary commitment. This falls under the standard of "a likelihood of serious physical harm to self or others." The state's involuntary commitment laws allow for a person to be detained and evaluated if they are believed to be a danger to themselves or others due to a mental disorder or substance use disorder.
Missouri laws enable law enforcement or a judge to send an individual to an inpatient psychiatric facility for an initial evaluation period of up to 96 hours if there is reason to believe the person may be a harm to themselves or others due to a mental disorder. This initial period can be extended if medical professionals deem further evaluation and treatment necessary. A formal hearing will be held in court to determine whether the individual continues to meet the criteria for commitment.
The criteria for involuntary commitment in Missouri include having a mental disorder and presenting a likelihood of harm to oneself or others. This can include endorsing suicidal ideation, homicidal thoughts, or an inability to take care of oneself due to an untreated mental health condition. Substance use disorders can also be a factor in involuntary commitment if they contribute to any of the previously mentioned criteria.
It is important to note that while verbal threats or fear of harm are considered in involuntary commitment, there are additional factors that are evaluated. These include past patterns of behavior that have resulted in harm and the individual's ability to make decisions regarding their basic needs, such as food, clothing, shelter, safety, and medical care. If an individual is unable to make these basic decisions due to an impairment, guardianship may be considered, where decision-making authority is transferred to another person.
If you or someone you know is in immediate danger or considering harm, it is crucial to contact law enforcement or emergency services immediately. For concerns about self-harm or harm to others without an immediate threat, seeking assistance from a crisis line or local administrative agent is recommended.
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Substance use disorder
Missouri's involuntary commitment laws allow for the detention and treatment of individuals who pose a risk to themselves or others due to mental illness or substance use disorder (SUD). Missouri Statutes, Chapter 632 RSMo, authorises involuntary treatment under certain conditions, a process known as Civil Involuntary Detention.
In Missouri, any adult may file an application for Civil Involuntary Detention if they believe someone is imminently harmful due to a mental disorder or substance use disorder. Law enforcement personnel may also detain such individuals and transport them to an appropriate facility for evaluation and admission. The Access Crisis Intervention (ACI) system, a 24-hour crisis hotline, can provide assistance and connect callers with mental health workers who can evaluate the situation.
To initiate involuntary commitment, there must be sufficient evidence that the individual has a mental disorder and presents a likelihood of harm to self or others. Verbal threats or placing someone in fear of harm are considered sufficient evidence. Past patterns of behaviour that have resulted in harm may also be considered.
For individuals with substance use disorders, Missouri law requires additional evidence beyond substance misuse itself. Family members or advocates must demonstrate that the individual is unable to manage their personal affairs and lacks self-control due to substance misuse. They must also show that treatment will improve the individual's health. Involuntary commitment for substance use disorder can be challenging due to the need to balance protecting an individual's privacy and freedoms with providing necessary care and promoting public safety.
In Missouri, the initial period of Civil Involuntary Detention is up to 96 hours, excluding weekends and certain holidays. After this period, a treating physician and their team will decide if further detention, evaluation, and treatment are necessary. If so, a court hearing will be held to determine the appropriate timeframe, which can range from 21 days to one year for mental health treatment and 30 to 90 days for alcohol or drug treatment.
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Past patterns of harmful behaviour
Missouri law states that past patterns of behaviour that have historically resulted in harm may be considered grounds for involuntary commitment. This is in addition to the criteria that an individual must be mentally disordered and, as a result, present harm to themselves or others.
In Missouri, involuntary commitment is authorised when an individual is judged to be a danger to themselves or others due to a mental disorder or substance use disorder. This can include endorsing suicidal or homicidal ideation, or the inability to take care of oneself, endangering their own life as a result.
The process of involuntary commitment in Missouri is known as Civil Involuntary Detention, and it allows law enforcement or a judge to send an individual to an inpatient psychiatric facility for up to 96 hours for evaluation. This initial period can be extended if a court hearing determines that the individual continues to meet the criteria for involuntary commitment.
The criteria for involuntary commitment in Missouri are in line with the general standards for involuntary commitment in the United States, which require that an individual be a danger to themselves or others and be unable to make rational decisions about their treatment. This is supported by the Supreme Court ruling in Addington v. Texas, which established that the state must provide clear and convincing evidence to justify involuntary commitment.
In the context of past patterns of harmful behaviour, Missouri's laws recognise that an individual's history of harming themselves or others can be a critical factor in determining the need for involuntary commitment. This consideration ensures that individuals with a history of harmful behaviour who may be at risk of reoffending can receive the necessary evaluation and treatment to ensure their safety and the safety of those around them.
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Frequently asked questions
Missouri laws allow a judge or law enforcement to send someone to an inpatient psychiatric facility for up to 96 hours for evaluation if there is reason to believe the individual may, as a result of a mental disorder, be at risk of self-harm or harm to others. This includes endorsing suicidal ideation or the desire to self-harm.
The criteria for involuntary commitment in Missouri include:
- The individual must be mentally disordered and, as a result, present harm to self or others.
- Verbal threats to do harm or placing a person in fear of harm is sufficient.
- Past patterns of behaviour that have historically resulted in harm may also be considered.
- The individual may be deemed harmful if, as a result of an impairment, they are unable to make decisions regarding hospitalization or treatment, as evidenced by not providing for basic necessities such as food, clothing, shelter, safety, or medical care.
If you have sufficient information that the person has a mental disorder and presents a likelihood of harm to self or others, you may petition the Probate Court for civil detention. Any adult can file an application for detention, evaluation, and treatment with the probate division of the circuit court. Law enforcement personnel may also detain and transport a person believed to be imminently harmful to an appropriate facility for evaluation.




















