IN THE DISTRICT COURT OF _____________________ COUNTY, STATE OF UTAH IN THE MATTER OF:

___________________________ Patient

FINDINGS AND ORDER UPON RETURN TO A MORE RESTRICTIVE ENVIRONMENT Case No.________________

Upon petition of the above-named patient requesting a review of his change from a less restrictive environment to a more restrictive environment, this matter was duly heard on the _____ day of ________________, 20_______, before the undersigned. The Court now finds: 1.

(a)

The less restrictive environment in which the patient has been placed is aggravating the patient’s dangerousness or mental illness; or

(b)

The patient has failed to comply with a specified treatment plan to which he had agreed in writing.

NOW THEREFORE IT IS ORDERED that ____________________, be treated in the more restrictive environment appropriate to his condition and needs for a period of ______________________, unless sooner returned to a less restrictive environment. This time period does not extend beyond expiration of the original order of commitment. 2.

(a)

the less restrictive environment in which the patient has been placed is not aggravating the patient’s mental illness or dangerousness, and

(b)

the patient has not failed to comply with any specified treatment plan to which he had agreed in writing.

NOW THEREFORE IT IS ORDERED that ____________________, be placed in a less restrictive environment appropriate for his needs. RECOMMENDED this ______ day of ___________________, 20_________.

_________________________

Mental Health Commissioner

ORDERED this _____ day of __________________, 20______.

_________________________

District Court Judge DSAMH Form 43-3, Revised 2012

Utah Code Annotated 62A-15-637 (2003)