Tools IDAHO · HOSPITALIST
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Involuntary Hold

Idaho, for the hospitalist. There is more than one kind — pick the pathway you're weighing and you'll get its criteria, the common misconceptions, and a step-by-step. (No "pink slip"/"white slip" — those are other states.)

Educational decision-support — not legal advice. Statutes and facility policy change; verify against the current Idaho Code and your institution. For any real case, involve on-call psychiatry, your designated examiner, and the prosecuting attorney / risk-legal as required.

Which are you weighing?

Tap the situation you're actually facing. Everything below re-scopes to it.

↑ Pick a pathway above to see its criteria, misconceptions, and a guided walk-through.

Scenarios — which pathway fits?

Tap a case for the reasoning and the right pathway.

34M, schizophrenia off meds, command hallucinations to hurt his roommate — refuses to stay.Emergency §66-326▸

Mental illness + imminent danger to others. If he won't stay voluntarily → emergency hold; document threat, target, means, immediacy.

26F, intentional overdose 2 h ago, stabilizing — says she'll try again and wants to leave.Emergency §66-326▸

Danger to self from a mental-health crisis, act already taken. Hold pending psych eval; 1:1, remove means.

72M, psychotic depression, refusing all food/fluids 3 days — believes food is poisoned.Emergency §66-326▸

Mental illness + grave disability. Emergency hold, then examination.

48M, acutely intoxicated, belligerent — no psych history, fine when sober.Medical / capacity▸

Intoxication alone is excluded (§66-329). Keep safe under implied consent / capacity, use security for behavior, reassess when sober.

Medical / lacks-capacity pathway
81F, advanced dementia, wandering and combative — no acute psychiatric illness.Medical / capacity▸

A neurocognitive disorder alone is excluded. Capacity assessment → surrogate decision-maker → guardianship. Not a psych hold.

55M, acute agitation + hallucinations from a UTI (delirium).Medical / capacity▸

Delirium is medical, not mental illness. Treat the cause under emergency/implied consent; §66-326 does not apply.

29F, bipolar, suicidal but calm, has capacity — agrees to inpatient admission.Voluntary §66-320▸

Voluntary admission is preferred. Note: on a written request to leave, the facility may hold up to 3 business days to examine / file for continued care.

40M, chronic schizophrenia, non-adherent and disorganized — not currently dangerous, meeting basic needs.Commitment §66-329▸

Not an emergency (no active prong). A deteriorating pattern is the judicial route — §66-329, which can be court-ordered outpatient.

Idaho civil mental-health pathways for inpatient use. Educational aid only — not legal, clinical, or compliance advice; verify against the current statutes and your facility policy, and involve psychiatry / legal for real cases. Sources: Idaho Code §§66-317, 66-320, 66-323, 66-326, 66-329, 66-346, 66-402/406; 39-4504; Title 15 (guardianship); Title 18 (forensic).
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