5.3.2. 5.3.3. 5.3.4. 5.3.5. 5.3.6. 5.3.7. The practice of obtaining informed consent to the hospitalization and treatment of persons with mental health issues shall be secured. Consent to hospitalization and consent to treatment are separate questions, and the patient shall be provided with an opportunity to express a position on each of these questions separately. When in a psychiatric organization, a person with mental health issues or his lawful representative may refuse or discontinue the proposed medical care. In case of refusing or discontinuing treatment in a psychiatric organization (even when the person earlier gave consent to hospitalization and/or treatment), the person shall be immediately discharged from the psychiatric organization, unless an appropriate procedure is initiated when grounds for involuntary treatment are present. For involuntary treatment, the following shall be confirmed: a) That the person poses a threat to himself or other persons or failure to provide treatment or discontinuing treatment may deteriorate the patient’s health condition; b) That the circumstances specified in sub-paragraph “a” above have been confirmed by a conclusion of a psychiatric commission; c) That after a psychiatric commission has confirmed that hospitalization is justified from a professional point of view, the director of the psychiatric organization has applied to court for involuntary treatment of the person in a psychiatric hospital; and d) That the court has granted the director’s application. In light of the logic of the aforementioned procedure defined by the lawmaker for involuntary treatment, it is unacceptable to perform medication interventions upon the person unless the court has issued an appropriate 57