225.1 Establishment.

There shall be established a state psychiatric hospital, especially designed, kept, and administered for the care, observation, and treatment of those persons who are afflicted with abnormal mental conditions.

225.10 Voluntary public patients.

Persons suffering from mental diseases may be admitted as voluntary public patients as follows: Any physician authorized to practice medicine, osteopathy, or osteopathic medicine in the state of Iowa may file information with any district court of the state or with any judge thereof, stating that the physician has examined the person named therein and finds that the person is suffering from some abnormal mental condition that can probably be remedied by observation, treatment, and hospital care; that the physician believes it would be appropriate for the person to enter the state psychiatric hospital for that purpose and that the person is willing to do so; and that neither the person nor those legally responsible for the person are able to provide the means for such observation and hospital care.

225.11 Initiating commitment procedures.

When a court finds upon completion of a hearing held pursuant to section 229.12 that the contention that a respondent is seriously mentally impaired has been sustained by clear and convincing evidence, and the application filed under section 229.6 also contends or the court otherwise concludes that it would be appropriate to refer the respondent to the state psychiatric hospital for a complete psychiatric evaluation and appropriate treatment pursuant to section 229.13, the judge may order that a financial investigation be made in the manner prescribed by section 225.13. If the costs of a respondent's evaluation or treatment are payable in whole or in part by a county, an order under this section shall be for referral of the respondent through the single entry point process for an evaluation and referral of the respondent to an appropriate placement or service, which may include the state psychiatric hospital for additional evaluation or treatment. For purposes of this chapter, "single entry point process" means the same as defined in section 331.440.

225.12 Voluntary public patient--physician's report.

A physician filing an information under section 225.10 shall include a written report to the judge, giving such a history of the case as will be likely to aid in the observation, treatment, and hospital care of the person named in the information and describing the same in detail.

225.13 Financial condition.

It shall be the duty of the judge to have a thorough investigation made by the county attorney of the county of residence of the person named in the information regarding the financial condition of that person and of those legally responsible for the person.

225.14 Finding and order.

Upon the filing of the report of a financial investigation made pursuant to an order issued under section 225.11, the judge of the district court as aforesaid shall review it and make a determination in the matter. If the judge finds that the respondent is an appropriate subject for referral to the state psychiatric hospital, and that the respondent and those legally responsible for the respondent are unable to pay the expenses thereof, the judge shall enter an order directing that the respondent shall be sent to the state psychiatric hospital at the state University of Iowa for observation, treatment, and hospital care as a committed public patient.

225.15 Examination and treatment.

When a respondent arrives at the state psychiatric hospital, the admitting physician shall examine the respondent and determine whether or not, in the physician's judgment, the respondent is a fit subject for observation, treatment, and hospital care. If, upon examination, the physician decides that the respondent should be admitted to the hospital, the respondent shall be provided a proper bed in the hospital; and the physician who has charge of the respondent shall proceed with observation, medical treatment, and hospital care as in the physician's judgment are proper and necessary, in compliance with sections 229.13 to 229.16.

A proper and competent nurse shall also be assigned to look after and care for the respondent during observation, treatment, and care. Observation, treatment, and hospital care under this section which are payable in whole or in part by a county shall only be provided as determined through the single entry point process.

225.16 Voluntary public patients--admission.

If the judge of the district court, or the clerk of the court, as aforesaid, finds from the physician's information which was filed under the provisions of section 225.10, that it would be appropriate for the person to enter the state psychiatric hospital, and the report of the county attorney shows that neither the person nor those legally responsible for the person, are able to pay the expenses thereof, or able to pay only a part of the expenses, the judge or clerk shall enter an order directing that the said person shall be sent to the state psychiatric hospital at the state University of Iowa for observation, treatment, and hospital care as a voluntary public patient.

When the said patient arrives at the hospital, the patient shall receive the same treatment as is provided for committed public patients in section 225.15.

225.17 Committed private patient--treatment.

If the judge of the district court finds upon the review and determination made under the provisions of section 225.14 that the respondent is an appropriate subject for placement at the state psychiatric hospital, and that the respondent, or those legally responsible for the respondent, are able to pay the expenses associated with the placement, the judge shall enter an order directing that the respondent shall be sent to the state psychiatric hospital at the state university of Iowa for observation, treatment, and hospital care as a committed private patient.

When the respondent arrives at the hospital, the respondent shall receive the same treatment as is provided for committed public patients in section 225.15, in compliance with sections 229.13 to 229.16. However, observation, treatment, and hospital care under this section of a respondent whose expenses are payable in whole or in part by a county shall only be provided as determined through the single entry point process.

225.18 Attendants.

The court or clerk may appoint a person to accompany the committed public patient or the voluntary public patient or the committed private patient from the place where the patient may be to the state psychiatric hospital of the state university at Iowa City, or to accompany the patient from the hospital to a place as may be designated by the court or clerk. If a patient is moved pursuant to this section, at least one attendant shall be of the same sex.

225.19 Compensation for attendant.

Any person appointed by the court or judge or clerk to accompany said person to or from the hospital or to make an investigation and report on any question involved in the complaint, other than the physician making the examination, shall receive the sum of three dollars per day for the time actually spent in making such investigation (except in cases where the person appointed therefor receives a fixed salary or compensation) and actual necessary expenses incurred in making such investigation or trip.

225.2 Name--location.

It shall be known as the state psychiatric hospital, and shall be located at Iowa City, and integrated with the college of medicine and hospital of the state university of Iowa.

225.20 Compensation for physician.

The physician making the examination on which is based any information filed under section 225.10 shall receive such sum as the court may direct for each and every examination information so made, and the actual necessary expenses incurred by the physician in making such examination, in conformity with the requirements of this chapter, if the person named in the information is referred to the state psychiatric hospital.

225.21 Vouchers.

The person making claim to compensation shall present to the court or judge an itemized sworn statement of the claim, and when the claim for compensation has been approved by the court or judge or clerk, it shall be filed in the office of the county auditor and shall be allowed by the board of supervisors.

225.22 Liability of private patients--payment.

Every committed private patient, if the patient has an estate sufficient for that purpose, or if those legally responsible for the patient's support are financially able, shall be liable to the county and state for all expenses paid by them in behalf of such patient. All bills for the care, nursing, observation, treatment, medicine, and maintenance of such patients shall be paid by the director of revenue and finance in the same manner as those of committed and voluntary public patients as provided in this chapter, unless the patient or those legally responsible for the patient make such settlement with the state psychiatric hospital.

225.23 Collection for treatment.

If the bills for such patient are paid by the state, it shall be the duty of the state psychiatric hospital to file a certified copy of the claim which has been so paid, with the auditor of the proper county, who shall proceed to collect the same by action, if necessary, in the name of the state psychiatric hospital, and when collected pay the same to the director of revenue and finance. The hospital shall also, at the same time, forward a duplicate of the account to the director of revenue and finance.

225.24 Collection of preliminary expense.

Unless said committed private patient or those legally responsible for the patient offer to make such settlement, it shall also be the duty of the county auditor of the proper county as aforesaid to proceed to collect, by action if necessary, in the name of the said county, the amount of all claims for per diem and expenses that have been approved by the said court or judge and paid by the county treasurer of said county as provided for under the provisions of section 225.21, and when collected to pay the same into the county treasury.

225.25 Commitment of private patient as public.

If any patient be admitted to the state psychiatric hospital and thereafter an order of commitment of the patient as a public patient be made by the court or judge or clerk having jurisdiction thereof, the expense of keeping and maintaining the patient from the date of the filing of the information upon which the order is made shall be paid by the state.

225.26 Private patients--disposition of funds.

All moneys collected from private patients shall be used for the support of the said hospital.

225.27 Discharge--transfer.

The state psychiatric hospital may, at any time, discharge any patient as recovered, as improved, or as not likely to be benefited by further treatment. If the patient being so discharged was involuntarily hospitalized, the hospital shall notify the committing judge or court thereof as required by section 229.14, subsection 3 or section 229.16, whichever is applicable. The court or judge shall, if necessary, appoint some person to accompany the discharged patient from the state psychiatric hospital to such place as the hospital or the court may designate, or authorize the hospital to appoint such attendant.

225.28 Appropriation.

The state shall pay to the state psychiatric hospital, out of any money in the state treasury not otherwise appropriated, all expenses for the administration of the hospital, and for the care, treatment, and maintenance of committed and voluntary public patients therein, including their clothing and all other expenses of the hospital for the public patients. The bills for the expenses shall be rendered monthly in accordance with rules agreed upon by the director of revenue and finance and the state board of regents.

225.29

Repealed by 76 Acts, ch 1136, § 26.

225.3 Under control of state board of regents.

The state board of regents shall have full power to manage, control, and govern the said hospital the same as other institutions already under its control.

225.30 Blanks--audit.

The medical faculty of the hospital of the college of medicine of the state University of Iowa shall prepare blanks containing such questions and requiring such information as may be necessary and proper to be obtained by the physician who examines a person or respondent whose referral to the state psychiatric hospital is contemplated. A judge may request that a physician who examines a respondent as required by section 229.10 complete such blanks in duplicate in the course of the examination. A physician who proposes to file an information under section 225.10 shall obtain and complete such blanks in duplicate and file them with the information. The blanks shall be printed by the state and a supply thereof shall be sent to the clerk of each district court of the state. The director of revenue and finance shall audit, allow, and pay the cost of the blanks as other bills for public printing are allowed and paid.

225.31

Repealed by 75 Acts, ch 139, § 82.

225.32 Report and order to accompany patient.

One of the duplicate reports shall be sent to the state psychiatric hospital with the patient, together with a certified copy of the order of the court.

225.33 Death of patient--disposal of body.

In the event that a committed public patient or a voluntary public patient or a committed private patient should die while at the state psychiatric hospital or at the general hospital of the college of medicine of the state University of Iowa, the state psychiatric hospital shall have the body prepared for shipment in accordance with the rules prescribed by the state board of health for shipping such bodies; and it shall be the duty of the state board of regents to make arrangements for the embalming and such other preparation as may be necessary to comply with the rules and for the purchase of suitable caskets.

225.34 Appropriation.

Repealed by 96 Acts, ch 1215, § 59.

225.35 Expense collected.

In the event that the said person is a committed private patient, it shall be the duty of the county auditor of the proper county to proceed to collect all of such expenses, in accordance with the provisions of sections 225.23 and 225.24.

225.36 to 225.42

Repealed by 75 Acts, ch 139, § 82.

225.4

Repealed by 76 Acts, ch 1136, § 26.

225.43 to 225.45

Repealed by 77 Acts, ch 44, § 1.

225.5 Cooperation of hospitals.

The medical director of the state psychiatric hospital shall seek to bring about systematic cooperation between the several state hospitals for persons with mental illness and the state psychiatric hospital.

225.6

Repealed by 76 Acts, ch 1136, § 26.

225.7 Classes of patients.

Patients admitted to the said state psychiatric hospital shall be divided into four classes:

1. Voluntary private patients.

2. Committed private patients.

3. Voluntary public patients.

4. Committed public patients.

225.8 Maintenance.

All voluntary private patients and committed private patients shall be kept and maintained without expense to the state, and the voluntary public patients and committed public patients shall be kept and maintained by the state.

225.9 Voluntary private patients.

Voluntary private patients may be admitted in accordance with the regulations to be established by the state board of regents, and their care, nursing, observation, treatment, medicine, and maintenance shall be without expense to the state. However, the charge for such care, nursing, observation, treatment, medicine, and maintenance shall not exceed the cost of the same to the state. The physicians on the hospital staff may charge such patients for their medical services under such rules, regulations and plan therefor as approved by the state board of regents.