The majority of patients are admitted to Pavilion’s Acute Care Program under a temporary detention order (TDO) issued by a local community magistrate via a community services board. A person who decides to submit to treatment voluntarily would enter our mood disorder program.
Taking away a person’s freedom and committing them to psychiatric treatment against their will is an extreme measure that it is only undertaken when all other treatment options have failed or been deemed unsuitable. A TDO is issued when a person has a mental illness and it has been determined that the person is likely to cause harm to himself/herself or to others in the near future, or that the mental illness impairs the person’s capacity to protect himself/herself from harm or to provide for his/her basic needs. Involuntary psychiatric treatment is a last resort and is only used for patients who are a danger to themselves or others.
In Virginia, a TDO allows a person to be hospitalized for 1–3 days. During that time, a hearing must be held to determine whether continued treatment is warranted. At Pavilion, hearings are held each Monday at 2:00 pm, Wednesday at 11:30 am, and Friday at 11:30 am. Following the hearing, the patient may be released, remain under care until the next hearing, or be moved to another care program, such as The Pavilion Mood Disorder Program.