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Rights Guide

A Rights Guide for Individuals in an Inpatient Mental Health Facility


Cover of DRSD's Rights Guide for Individuals in a Mental Health Facility

Know Your Rights!


The following informational booklet is for the use of individuals, 18 years of age or older, who are inpatients in any public or private psychiatric facility in South Dakota. The laws of South Dakota are written to ensure that each person in any psychiatric facility or unit be given privacy, individual dignity, and reasonable protection from harm. 

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Cover of DRSD's Rights Guide for Individuals in an Inpatient Mental Health Facility


A Rights Guide for Individuals in an Inpatient Mental Health Facility

A Publication of the Protection & Advocacy for Individuals with Mental Illness (PAIMI) Program.

The following informational booklet is for use by individuals 18 years of age or older who are inpatients in any public or private psychiatric facility in South Dakota. The laws of South Dakota are written to ensure that each person in any psychiatric facility or unit be given privacy, individual dignity, and reasonable protection from harm.

If you feel any of your legal rights have been denied as described in this guide, you may contact Disability Rights South Dakota at 1-800-658-4782 (SD only) or 605-224-8294.

Your rights may be limited only to protect you or someone else from harm. Rights cannot be limited for the convenience of staff.

Table of Contents


Each Person has the Right...

Rights Concerning your Medical Care

Your Responsibilities

Timelines to Consider

How to File a Grievance

Contact Information


Each Person has the Right...


  • To vote and hold a driver’s license
  • To have access to his/her attorney, advocate, or private physician
  • To have private conversations
  • To refuse electroconvulsive therapy (ECT) or other treatments
  • To refuse to participate in research projects
  • To refuse to work for the institution
  • To refuse being photographed or fingerprinted
  • To control his/her own money and assets if qualified and competent to do so
  • To personal care and safe and sanitary housing
  • To have reasonable use of a telephone
  • To be given writing supplies and to send and receive uncensored and unopened mail
  • To get at least two hours of exercise each day
  • To wear his or her own clothing
  • To remain silent and fully clothed
  • To have hours visitors during regular visiting hours
  • To have the facts of admission and all records kept confidential unless disclosure is authorized by the person, guardian, or by law
  • To be fully informed of his/her rights, both verbally and in writing
  • To have limited access to mental health and medical records
  • To have storage space for personal articles
  • To have access to toilet facilities
  • To practice religion
  • To have a discharge plan or aftercare plan
  • To actively participate in one's individual comprehensive psychiatric treatment plan

Rights Concerning Medical Care


  1. There must be written orders for any emergency physical restraint or seclusion. The person must be monitored by staff who will chart the person’s condition.

  2. Each person must have a physical and mental examination within 48 hours (not including weekends and holidays) after being admitted to an inpatient psychiatric facility.

  3. Each person and their records shall be examined at 10, 30, and 90 days to determine whether commitment should be continued.

  4. Each person, at his or her own request and expense, has the right to consult with an independent mental health professional or physician prior to a commitment hearing. The person’s county of residence must pay for the evaluation if the person does not have money.

  5. ECT cannot be given to a person who refuses OR is unable to give informed consent, unless permission from a court of law, the county board of mental illness, or the person’s legal guardian is obtained by the psychiatric facility to give ECT.

  6. Each person has the right to prompt medical treatment.

  7. Each person has the right to be provided accurate medical information.

Psychotropic Medication, and ECT, can be ordered by a physician to be given in an emergency to prevent “significant deterioration of the person’s mental illness.” This order can be administered for up to 10 days. The doctor may request an additional 10 days of treatment from a court of law.

Each Person is Responsible For:


  • Having input in his/her treatment and discharge plan
  • Financial obligations of health care
  • Consideration of the rights of others
  • Respect for the property of others 
  • Maintaining cleanliness and order

Timelines to Consider:


  • Within 90 days after a person is involuntarily committed, a hearing will be held to review whether commitment should continue. If it is to continue, a commitment may last up to 6 months.
  •  Another hearing will be held within these 6 months to review whether commitment should continue. 
  • If involuntary commitment is continued again, a commitment may be extended for another 6 months. 
  • Another hearing will then be held after this second 6 months to review the need for continued commitment for up to 1 year. 
  • Review hearings will then be held within each year a person remains involuntarily committed. 

Grievances

A person may file a grievance if he or she feels their rights are being violated.

The facility cannot discriminate or threaten to deny a person treatment, benefits, privileges or other rights if steps are taken to assert a complaint or concern. 

For further information, read the patient’s handbook and refer to the facility’s grievance procedure.

An individual may also contact an advocate to assist through the grievance process. 

Contact

Disability Rights South Dakota

1-800-658-4782 or 605-224-8294

www.drsdlaw.org

You have a right to access DRSD as your Protection & Advocacy (P&A) System.

Handbook written by: DRSD - The Protection and Advocacy for Individuals with Mental Illness (PAIMI) Program