Approved, SCAO

STATE OF MICHIGAN

PROBATE COURT
COUNTY
CIRCUIT COURT - FAMILY DIVISION

ORDER FOLLOWING HEARING
ON PETITION FOR CONTINUED
HOSPITALIZATION OF MINOR

OSM CODE:  OHM

FILE NO.

2. A petition has been filed by

Petitioner name (type or print)

Judge:

    asserting that the minor is suitable

Bar no.

was present in court.
was not present for reasons stated on the record.

The hearing was

    a jury.

with
without

4. Testimony of a child and adolescent psychiatrist or a physician/licensed psychologist was waived by the minor and the

      , attorney for the minor, and

      , attorney for the petitioner.

In the matter of

1. Date of Hearing:

for hospitalization.

3. The minor

Present were:

minor's attorney.
5. Testimony was given by

THE COURT FINDS:

6. Notice of hearing has been given according to law.

7. By clear and convincing evidence, the minor is suitable for hospitalization.  The minor requires treatment by reason of

a. a substantial disorder of thought or mood that significantly impairs judgment, behavior, capacity to recognize reality,

or ability to cope with the ordinary demands of life,

b. a severe or persistent emotional condition characterized by seriously impaired personality development, individual

adjustment, social adjustment, or emotional growth which is demonstrated in behavior symptomatic of that impairment,

and the minor is in need of hospitalization and is expected to benefit from hospitalization, and an appropriate, less restrictive
alternative to hospitalization is not available.

8. The minor is not suitable for hospitalization.

IT IS ORDERED that the minor:

9. Be hospitalized at

hospital for a period not to exceed 60 days.

10.

Is discharged from the hospital and the petition is

denied on the merits.

dismissed/withdrawn.

Date

Judge

Do not write below this line - For court use only

PCM 239   (9/02)   ORDER FOLLOWING HEARING ON PETITION FOR CONTINUED HOSPITALIZATION OF MINOR

MCL 330.1498o