Where'd You Go, Bernadette

From Dr. Janelle Kurtz

Dear Mr. Branch,

I have received your inquiry regarding your wife. Perhaps I have misread your intent, but what you genially refer to as “supervised R&R,” which you fear Bernadette won’t “be too keen on,” is, in practicality, asking that she be detained against her will at Madrona Hill.

The procedure for such extreme action is detailed in the Involuntary Treatment Act, Title 71, Chapter 5, Section 150, of the Revised Code of Washington. Per the ITA, in order for a County Designated Mental Health Professional to place an individual on an involuntary hold, the CDMHP must thoroughly evaluate the person and determine if they are an imminent danger to themselves, others, or property, due to a psychiatric illness.

If you believe your wife poses such a threat, you must immediately call 911 and have her taken to an emergency room. There she will be assessed. If it is determined that Bernadette does present such a threat, she will be asked to voluntarily seek appropriate treatment. If your wife refuses, her civil liberties will be suspended and she will be transferred to a state-licensed psychiatric hospital and put on an ITA hold for up to seventy-two hours. From that point, it’s up to the courts.

Madrona Hill, on Orcas Island, is unique in that along with our renowned inpatient and residential treatment, we operate the only private psych ER in the state. Therefore, I witness the devastating effects of involuntary commitment every day. Families are ripped apart. Police, lawyers, and judges get involved. It goes on public record, for all future employers and financial institutions to see. Because it is so costly in terms of blood, treasure, and emotion, involuntary commitment should be considered only after every other option has been exhausted.

As you describe it, your wife’s behavior is cause for concern. I was surprised to learn that she isn’t in therapy. That seems like a logical first step. I’d be happy to suggest some wonderful psychiatrists in your area who could meet Bernadette and ask the proper questions so she can receive appropriate treatment. Don’t hesitate to call if this is a path you choose to pursue.

Sincerely,

Dr. Janelle Kurtz