Visiting Hours
  General Medical
  Chemical Dependency Services
  Electroconvulsive Therapy (ECT)
  Adult Psychiatric Services
  Youth Services
  Outpatient Senior Services
  Partial Hospitalization Programs



Information Regarding Holds

Q: Who makes the determination that an involuntary hold is necessary?
A: A qualified individual who is designated by the county can place an individual on an involuntary hold.

Q: What are the criteria for a psychiatric inpatient hospitalization?
A: Danger to self (DTS) / Danger to Others (DTO) A person may be dangerous to self and others when he/she has recently threatened or attempted suicide or serious bodily injury. He/she may have demonstrated danger of substantial and imminent harm to himself/herself and/ or others through some recent act, attempt or threat of the same. Gravely Disabled (GD) Gravely disabled means that the person is unable to take care of themselves and their basic needs like food, clothing, or shelter.

Q: What is a "5150 hold?"
A: A 72-hour involuntary hold used to place an adult in an inpatient hospital setting for psychiatric evaluation and treatment. The person must meet one or more of the following criteria:

  • Danger to self- (DTS)
  • Danger to other- (DTO)
  • Gravely disabled- (GD)

Q: What is a "5585 hold?"
A: A 72-hour involuntary hold used to place a person under the age of 18 in an inpatient hospital setting for psychiatric evaluation and treatment. The person must meet one or more of the following criteria:

  • Danger to self- (DTS)
  • Danger to other- (DTO)
  • Gravely disabled- (GD)

Q: What is a "5250 hold?"
A: A 14-day involuntary hold that is placed by a physician following a 5150 hold for additional intensive treatment. The person must meet one or more of the following criteria:

  • Danger to self- (DTS)
  • Danger to other- (DTO)
  • Gravely disabled- (GD)
Just because the 5250 is a 14-day hold, the patient may be released (by the physician) sooner than 14 days based on the patient's behaviors.

Q: What is a "5270 hold?"
A: A 30-day involuntary hold that is placed by the physician following a 5250 for additional intensive treatment. A patient must meet the criteria of:

  • Gravely disabled- (GD)

Q: What is a Probable Cause Hearing (PCH)?
A: Each patient is placed on 5250 (14 day hold) or 5270 (30 day hold) has a right to a Probable Cause Hearing. The Probable Cause Hearing is held within the first four days of a 14 day or 30 day hold. A Probable Cause Hearing is scheduled at the hospital. The purpose of the Probable Cause Hearing is to gather as much information as possible so the hearing officer can decide whether probable cause exists to believe the person is Danger to Self (DTS), Danger to Others (DTO), or Gravely Disabled (GD).

Q: What is Writ of Habeas Corpus?
A: A patient that is placed on an involuntary hold has the right to request a Writ of Habeas Corpus. A Writ of Habeas Corpus is a legal proceeding where the patient will appear before a judge in Supreme Court to contest a psychiatric hold. A patient may file a Writ of Habeas Corpus at any time during their stay.

Q: What is a Riese Petition?
A: A legal process initiated when a physician believes that the patient lacks the capacity to consent for psychiatric medications. If approved, the medications can be administered without the patient's consent.

Q: What is LPS Conservatorship?
A: The LPS Conservatorship process occurs when the court appoints a conservator. A conservator is someone who makes certain legal decisions for the patient. Some of these decisions include:

  • Medication approval/consent
  • Medical treatment decisions
  • Money management
  • Residency approval
When a patient is on conservatorship in addition to the above, the court may limit their right to:
  • Vote
  • Enter into contracts
  • To drive
  • Own firearms
The LPS Conservatorship lasts for a maximum of one year at a time, unless the court is petitioned and then it can be renewed by the court for one additional year.

Q: How can I obtain a LPS Conservatorship for the patient?
A: If the patient's physician believes that the patient's mental disorder keeps them from being able to provide their basic needs (food, shelter, or clothing) he/she may make a recommendation to county public guardian's office. The public guardian investigator then makes a recommendation to the court regarding the conservatorship. A judge makes the final decision on the conservatorship.


Information Regarding Visiting Hours

Q: What are the visiting hours?
A: Please see Visiting Hours


Information Regarding Patient's Stay

Q: How often is the patient seen by the Psychiatrist?
A: The patient will be seen by the psychiatrist daily.

Q: Why would the Psychiatrist change a patient's medication?
A: A psychiatrist may change a patient's medication for the following reasons:

  • Poor treatment response- i.e the patient is not responding appropriate to the course of treatment that is prescribed;
  • Adverse effects-a harmful or abnormal effect from the prescribed medication;
  • Request of patient/caregiver

Q: Why won't staff tell me how the patient is doing while they're in the hospital?
A: Hospital staff may release information to individuals (i.e., family/friends) that the patient or legal guardian/conservator approves to have that information. The hospital will make every effort to communicate with those approved to receive information about the patient.

Q: With "Voluntary Status," can the patient leave at any time?
A: Yes. If the patient is no longer meets criteria (DTS, DTO, GD) the hospital can no longer legally hold the patient and he/she may leave. However, should the patient meet criteria the patient may be placed on a 5150.


Information Regarding Discharge

Q: Can the hospital find the patient a new place to live?
A: The Social Services Department can provide placement resources and referrals. Placement results depend on a number of factors including:

  • Current resources
  • Recommended level of care
  • Placement availability
  • Patient's desire
Types of Placements may include:
  • Board and Care
  • Room and Board
  • Sober Living
Social Services will communicate with the selected facility and the patient's support system. They will also arrange for the patient's placement and their outpatient follow up treatment.


Contact Information

We want to ensure that your questions and/or concerns are adequately and timely addressed. Should you need additional information, you may contact us below for additional assistance:

Susan Taylor, JD, FACHE
Chief Executive Officer
(949) 574-3328
Kimberly Beard, MSN, RN-BC, CPHQ
Chief Nursing Officer
(949) 574-3623
Sarah Magana, CTRS, RTC
Director of Activity Therapy / Program
Customer Service Ambassador
(949) 642-2734 Ext. 2388
Nicolette Pacheco, LVN, HACP
Quality Improvement / Risk Manager
(949) 574-3607
Notice of Privacy Practices
Special Language Needs Program

College Hospital Costa Mesa recognizes that language and/or communication barriers may exist between patients and hospital staff. Please be advised that arrangements will be made for interpreters or bilingual professional staff to ensure adequate and speedy communication between patients and staff at all times. A copy of our Special Language Needs Program Policy is provided here for you to review.

© 2019 College Hospitals. All rights reserved.