When an Iowa court has ordered a respondent found seriously mentally impaired into treatment on an outpatient or other appropriate basis, the treating facility reports back to the district court on this form under Iowa Code 229.15(2). It states whether the condition improved, stayed the same or deteriorated, whether the respondent is complying, and recommends discharge, inpatient care, continued outpatient treatment or another placement.
The facility's medical director, or the psychiatrist or psychiatric ARNP treating the respondent, completes and signs it. An ARNP without psychiatric certification who meets the mental health professional definition in Iowa Code 228.1 may also complete it.
Download the current version from the source each time; forms change without notice.
Periodic Report (Respondent Outpatient)
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The facility's medical director, or the psychiatrist or psychiatric advanced registered nurse practitioner treating the respondent, under Iowa Code 229.15(3)(a). Under 229.15(3)(b), an ARNP without psychiatric certification may sign if they meet the mental health professional definition in Iowa Code 228.1.
Check item 10(C) to report that the respondent is failing or refusing to submit to treatment as the court ordered and, in your opinion, has not shown good cause. Then give your recommended treatment and placement and the facts supporting it.
Your opinion on whether the respondent is mentally ill, with diagnosis and symptoms; can make responsible treatment decisions; is likely to injure self or others or inflict serious emotional injury; cannot meet basic needs; and has a history of noncompliance leading to emergency hospitalization or injury.