Hospital of Vedea, Arges county. According to the procedure, a person could only be admitted involuntarily if a certified physician of the hospital found: • the presence of violent acute behaviour due to a psychological disorder; • the presence of an obvious and imminent risk of self-injury or injuries to others due to psychological disorders; • well-founded medical reasons to show that the failure to immediately establish adequate treatment would increase the risk of behaviour injuring oneself or other persons or serious damage to mental health (the cases stipulated in the Guideline on the Enforcement of Law no. 487/2002 on mental health and the protection of persons with psychological disorders, republished) and if the patient refused to sign the informed consent (that was provided to him/her for signature purposes as s/he was admitted) within 24-72 hours from the admission. This latter provision goes against art. 58 of Law no. 487/2002, republished, based on which, after assessing the mental health of the referred individual and after appreciating the opportunity of involuntary admission, the psychiatrist must immediately inform the concerned person and his/her legal representative on the decision to subject him/her to psychiatric treatment, as well as the proposal to subject him/her to involuntary admission. Furthermore, both the procedure and the protocol fully reproduce the text of the law regarding involuntary admission, but this is not operational, i.e. they do not detail the activities required in case of involuntary admission; no harmonization was provided with Order of the Minister of Health no. 488/2016 on the approval of the Guideline for the Enforcement of Law no. 487/2002, republished. In the hospital, the Commission for involuntary admission included two psychiatrists and a social worker, which goes against art. 61 par. (2) of Law no. 487/2002, republished, stipulating the following structure of this commission: 2 psychiatrists and a physician with a different specialization or a representative of civil society, chosen by the hospital manager. The appointment, selection procedure and the conditions to be met by the representatives of the civil society are stipulated under art. 19 of the Guideline on the enforcement of Law no. 487/2002, republished, i.e. the person proposed as a representative of the civil society (by non-governmental organizations working in the field of mental health or human rights protection) should meet the following conditions: perform activities in the field of mental health 109

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