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PETITION Hm INVOI,lJNTAIl Y T1ll'.ATMENT
MENTAL ~tEAL nt PROCEDURES ACT Of 11178
(SECTIONS 304 and 3061
(Th. blink. below m.v bl Ql)lnpl.-tld fulluwh'U .dmllll'Ht.)
-::~~;.~~,r;;. ............. .~~ -;:j<'.";:':~,,, "',' .. ."~,..:,r=:=-L ,11-";-
NAMI 0' 'ACILITV_~_=_~~_-=- ~______.AbMi.ij~~:-~:~E_=_-.~_ ~: -~___~,:.__.__ ~ ~]^:~:~'~~_N:~=--~~~:~-
INSl'IUJCl'lONS
I, PUll I, Ihe pellll')l1 for onler "I' the COUll, i. 10 he collll'letel! hy the llirectl,r of Ihe fadlity ,)r
hl~ a\llhori'led repre,elll'lllvl' If the I'atielll I. clIrrelldy reccivillg treillmelli, If Ihe I'ullerll I,
1101 currl'lIt1y recelvlllg lreallllelll, Pari IlIIay bl' wllIl'lele" hy allY re~l'oll~ihle 1"lrlY,
2, PUll II I~ 10 he ClIllll'leled by I'er,oll' iluthori,,',l hy the dirl'I'lor of Ihe filci!lty 10 expllllll
rlghu t,) pUtlelll' If rhe l"lllelll t. CUffl'lIt1y ill tfl'atlllelll, If the I'utlellr Is lIut currl'lIt1y In
treulmelll, il shuulll he Il'ft bialik, (See No, 71Hd,.w,)
3, P,m 1/IIIto he cOlIIl'leled on Ihe basis of 'I l;lIrrellll'XUllIinilllon. If Ihl' I'ulielllls n,)I currently
in IreUlment al1<1 has not bl'en l'xulIIllIl'" by a I'hyskian, Ihls sect 1011 may he cOlIIl'letl'd on
order of the ClIl1rt ulI"er Seclion .104 (c) (5) of ACl 14.1,
4, Purl IV ilto he ClIl11l'leled by the Cllutt,
5, If additional sheets arc needl'd al 'Iny l'oil1l, nOll' ,)II this fO~1II Ihe nUlllber of pllges which ure
ullllched.
6. Allach a copy of Ihe treatnlelll plan (If IlIlY) UlIlI copies of Ihe 302, 303 and 304 forllll if
prcvlously compleled prior 10 Ihe delivery of Ihis forlll to the coUrl.
7. If Ihe pUllem is 1101 currelllly ill tre'lllllelll, he/she should receiv" U copy of MH 78;;.11 unll U
copy of this pellllon when he/she is lIotlfled of thl' hellring,
8. If the pUllem I~ snhjccIlo crllllln"ll'rocel',llngs/,!etenll.m, brldly ,Ie,cribe below. Note special
use of Forlll MI-l786 for sped fie criminal provisions.
-.._----_.._--_.__._.__._.__....._~---_._--.---_.-
IMPORTANT NOTICE
ANY I'ERSON WI/O l'IWVllll.:S ANY F^"SE INFOllMATION ON I'UIU'OSE WilEN
COMI'LEl'IN(j TillS FOltM MAY lIE SlJnJECT TO CIUMINAJ. PROSECUTION ANI)
MA Y FACE C1l1MINAJ. I'ENAJ.TI/'S INCl.lJlIING CONVICTION OF A MISDEMEANOR.
PM-IE 1 of '.i
MI-l1M . 7.8~
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1'1 IlrlON j(m OI\l)l.lt 01 '1'111. COllin
-/av,,/r/
.5("IH)c)kA~'"
(NAMIOtfl:ATltNrl
beliow Ih~1 he I~ severdy lIIelll~lIy ,llsahled,
h;l:~ ,IOl'd )11 ."llllh ,I lIlilltllL'l' il~ to l'I1USC me CU
/11'[,' 25'--(l{~~, {/!.{lAliiq-.--------.- ~nd Waf
rn Ile/Nhe has beell eXaJllilled by
fuu"d Iu be IlIlleed of tr eatl lie III ,
o He/lh.. ha~ not beell examllle,1 hy a physiciall, bPt I believe he Islnnee.lof Irealmenl.
I,therefore, requUlllhal1 (Check allll cOlllplete A. II, C or 1>)
A. D
1304 b)
1\, fl]
(306)
c. D
1304 01
AI the pallenl il currelltly III _.,. u_..... . u. ___._._______ reecivinlllnvolunlary
"'iNA/'iiilF FACILITY)
Ireallllelll ulldl!r Seelloll 303, I II.k Ib~t Ihe' CUlIrt I~~ue ~n urder Ihal till! patie"1 bc involllnlary
cO/lllllllled ftlr: D lIutpalieJll, D parllnl hu.pllalizlltloll, D IlIpallellllreatlllenl.
A. Ihe !"l1lelll Is curfl'lllly ill ITr,t,' r,'ro) .!J.:I/: .... ..... .... . ..__reedvl"!,: Invullllltary
(NAME OF FAr,'LITVI
1"'llIlIIelll 1I11der S,"li,," 30,1, I a8k tlllll Ihl' lUllrt issll" ~II order Ihal Ihe palielll be IlIvuluntarlly
COllllllltled for allllthel' periud "f 0 lIUlplltklll, 0 partial Iw~plllllllallull, [lJ Illpnllenl
trc~tJncnt ,
As Ihe pati"lIt h ,",JI <'1I1'1"'IHI} ill II fi~lilll> ":I'eiviJ2~eillllll'"I, lask Ihis CUllrt III isslle all .order thaI
Ihe patiellt Ill' Illv"llIlIl....ll} l"ml\\1lled lor: U ""lpallellt, n pllrtl~1 huspllalll.lltlulI,
o ill\"llkllt 1I','.Jlllle II I , (A palirm ',III "lIly be l""l1lllnl',1 illvullllliurTI'y if Ihe p~tielll I. severely
IIleJll~lIy , Isahled,
A peuull I. severely lIIelll'llIy dl.\llhll'd whl'll, a.' ,I 11,,"11 "f Illellt'" IlIlless, his/hl'l' lIlpadty 10 e,erdse .df-COJllflll,
Judgelllellt al\ll discrellulI III the ....1I.!1I<'1 'If hb/IIl'1' "ffail" ,llId ,.,clal rel'lliullS Ul' III lIlre fu~ his/her OWII persollal
Ileedl Is .'0 lessellell chllc he/she p".Il" II lkal' alld 1'1'1"I'IIC .tall~"r "I "al'llI t" Utlll'" (II' Co hllllselt ur herlelf,
ele'lr ~lId preSl'lIt d'llI~el' tu "tI,el'8 '''1111 be .,hoWII by ".'Iabll,hill[\ Ih"l within the 1',,11.10 day.. Ihl'l'elloll
hIlS infl"lll'.! or ,melllptl'd c., inllkt s"rl,",. b"dily h.""1 '11\ II/lucher "nd Ih'll there is leasollab e pro-
h"bllity Ih,ll such condllll willi", 1'"I"'I1Ie,1. A c1e~1 "n.! pleSellt di\Jl~er of harm 10 olhen Illay bc demon-
'trate,1 by proof ChilI the perbllll hIls 11I.111" Ihreat"'!' IlIlllllalld has commllled acta in furlherallce of lhe
lhrcallO lOlllmil h~rll1: "r
Clear IIn,lprelelll d~llger to him,elf .h,,1I be .,hown by l'slllbll.,hlllg Ihal wllhlulhe palt .10 daYI:
(i) the pelloll h~s ~cte.! III slleh Ill.lnner ~s I" evldellce Ihal he/lllI' would be unllble, without care
.\Upervl,lolI lllld Ihe cOIlllinue,1 'lSslst~nle OI!' "chers. III ,allsfy his/her l1eed for lIourlshlllelll, perlol1al
or llle,II",1 c~re, ,h..lc,'r, or .,df-prllll:ctiOlI1 11I111 ,,,felY, '1Illllhal Ihere II realllllable probability lhal
.leach. seriOlus bodily IlIjllry "I' sl'rloll.' phy,ic'll debilil'lli,," wllul,1 el1M.re wltbln 30 d,ty~ un/ell
~dCtIUiUC treatllll'nt Wl'rc l.1ffordl.'d lInd(,.'r till' ,lct; or
(iI) Ihe persOlIl h'l' ,1lll!Jllple.',1 .,ulcld,' IIII.! Ih"t Ihell' is Ihe re""'l1llble 'protHlblllty of lulel.!e ulllell
~de'III"re Ire,llllIenc 15 IIHor,I.!'! 1I11,kr thl, ,Ill. F'lr the III"p'15e5 III Ihl~ ..uhscellon, " e1l'''1 al1d
p"'.~nc .!il/lger 1I111y he dl'lIloll'tr'lle,1 hy. I hI' prOl"f tll,ll Ihe p"'OIn h~l. m"de chreall 101 Wllllllil
.\Ullllle '111.1 h~, lllllllltllted all, wlll,b Me III flirt her 01 Ihl' threlll tOl lO1ll1l1l1 suicide: or
(Iii) the I'er,,," h,l, .\Uh,calltll\lIy 1IIIIIil.lI".! hil",e1f/hl'l's"lf or Illlelnptl'd III Illlltlble hllllself/berlelf
,"h't,lIllllllly ,,11,1 th,lr Ihl'''' i, ch" re,I."'lIllbk I'roh'lhility "t 1I111111illlloll unless "de'I'"11e Irellllllellt 15
'IHorded lindeI' till., 'I,:t. For Ihe P"I'I',,-,,,, of ch"",b,ect!"n. a ll.',"' '"111 pl'eSell1 d'llIlIer ,It.11I be
".\tllhlt,hl'.! hy I'r'H,f rhal till' pCI''' III I"" Iliad.. thrl'''l' tll lllllllllll 1I111111Jli'll1 '111.1 h'l' lOIllIlIlCtl'l1 alII
whh.:h "rl' in t'lIrtlll'r<lllu.' ottlll' thn';lr rl) l:IHlIlIlir 1lI11tiljiltioll.
-....------....---...-
PAUl 2,,, l\
. -----_._..._....., .__.~u_._...___...___.___.__
......__~._..._..._...h.___.__.____..._,._____
uu.__..___.._____..____._ ..__ ~... ._.___0.___
1\;, IN l"INUH1IJN NE)c r PAnE)
MH 1M. 1-11'2
Il. . [J
1304 cl
A~ thL' pntJmlt i~ l'lIrn'lIt1y ill.J I.llililY 1't'll'PJill~ v~,hllll:~!l trl'.ltJIIl'II,ll I il~~..t.I_H' I.'ljur~ to Iltallc un urdur
that th,' p;'lkrll I.., IIIV"IIIIII,IIII, '''"l1l1l1t".! I", L...J "'HI',HI"rIl r...1, pallial hlJspitall1atum
C"l illpallellt treatllll'IH, A I',IIkllll;'" ..,i1y h,. 1I111.Hultte.! ,"vohllHarily II the "atle/ll illeveruly
/IIen'tall,' Jlsahle,!' See ";IW' 2. "h"ve. 1", " .!etlnlti,," of ,,'vere 1II,'ntal dlo;.hllity, (I leinlbe the bcl,aviur
of the patielH withill th,' la.t .10 .!,'y' whkh CIIII.e, YOII tll helieve dlllt h,./.he l'levercly mentally
JIsahleJ, UNe ad,litllllllll .heeu if lIele,~''''y,J
__ __..._.___~.___.. _u_.~_ ..__.____~._____. .... ,____.___ ___ .___'. . ,_..___..____ ....___.__....____._ ._..__._
__t_
1I10NATUAI o~ PETI rloNlill
10ATI)
....'B'ONATUAio".WII'iiBB'---.-'-----
10Anl
-M----------j"iioAEBii-..-----...-.----
ITITLII
-----.IPiloNE.l-..--~-.-....-----.-
"ART II
TIlE I'A'I'Il'.NT'S ItlGIITS
I affirm thllt I h;lve IlIfolllll"llh,' "alient of the a<liOIl. I "Ill lakill~ alld have ex"lallle,lto the "atielH
Ihese proceJure. alld hi./her ril\ht, a, ,\,',ulhe,\ ill FOlm Mil 7H5.A. I heliL've thlll he/.he I'V1 uuder'lanJ. his/her
rlllhu, D Joe. lIot ulIJemllnJ hi,/her riHIIl.~, F
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N ClIVIN:ri\l(lHTBr- -.-.
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IOATEI
PART III
RI,SUI:rS OF EXAMINATION ANlllmrERMINATION OF NEl:l>
FOlt (CONTINUED) TREATMENT
I hereby affirm that Ihavc [3J l'x,,,"ll1ed 0 reeklllllille,l
on_.._L~.;::,Lrr_~(L3.. to dClerllllne if he~ .~ is 0. ClII111IlU," co
IOAnt- .."
need of IrClllmcnl.
.. '~J\-,J uS (:i'/h,_QC.!'<\Lf:
lNAMI OF FAT'"NTI U
be ,everely llIemally JisableJ 'InJ in
Resuh. of I1xaminallllll
(Give complete Jet~II.\ "f e"lmilllltioll, If re'l"e.t i. for .10", or J()5, ,\e.<:ribe delllll, glvhlll evidence Ihal
lhe p~tlelll I. or rr.lllllill. II c1e~r "lid pre.ent dllllHer to him.e1f/her,e1f or others IlnJ in,\icQle how Ihis I, ledlt
rc,uicllvc trellllllent .ellinl\ I"",ible.)
FINDINGS, (Ilescrlhe your fhl<lill~' In ,Ielilll. indudllll\ y,nlr t1l1dillg, 'If severe menllll Ji.ability, Ule additional
,heelS If nece"nry,)
J(...t'-..1v~t _~\l~'t~J~)_~:. .'(J'~......sU~.l~lV)~*~':t..\ \t"vt- ,,~'-..
::> blJ .lr.Jl\,~__lh J. 'A '~ L\.lb..,-,~lr-...-~-"--t{r-----k~~--.-14...,,'~M-J~
Cl1yktJ.(~ 4,,1l:-~,(~.l...':J:Io..',---~L:,_-'7l_\.,\:::~.\ .(.""~\ f ,'. I)~\t\ tl& . \{.I<..
,lC<l. 1/; J.(.i\,\ (t\~fLc....c..J.~_~_.~'-\-'-'_~n__,~t ......ih'::.'0lStll'~ ~~('" '
'Ad. :) 0' &
((:ONTINllf_O ON NE)(Y PAOE)
M~111'" . 1.82
TRl'.A1'MENT NEEIlEIl, (Ilncril" ,iI I' .'i11, . IIl,I.. :,! ,I, III. II" ."l.lili'"1otl Rheeu If necm..ry.)
\~ i \ .(A.~-'-'~~.t. . {)jl\1 \ L. .~l}. f\ ~'~.~'r~_~~!.._..~.~.J~_(2!l"A<.
J"J~lliL__iy-,- d.\"!_':.Y \~ _m "}.",\!1..:L ,'~~'2.~\:~~y~,;~~:....-,~.l.."-~. _~~1'i~t
>; _t.&._.11l...J>.L\..__(4~.~.,iJ~I...~Q.0._~_lLL.J\!)' J,~ -~fc\.~ (lr>>A.
!"",,,'LJ!.!..::.~h!.':,-,,A_.___________.____
....-...- ...---..-----------'--..-...r-
In illY opinion, (Check A or U,)
A.
IXI
o
The I'~tielltls 1101 III lice" "I' illvoluutllry tre~tlllellr.
fv\ 0\~ ~V.Ll.. 'J.""'J' ~l'YtieL)l /V\,.')
fBlllNITlJR!J fI-
I 2. -. I Sl- 11
IDA .)
The 1'~llentls severely 1I1l'IIlally "i.abled UI1l1111 lIeed of (Colltillued) tre~tlllellr.
B.
'fY1/1 ,~ II, r+
Tit J f S' /1 II I L.1
--[PAINT NAME 'ANO ADDRESS)
F',,~, H
PAIlT IV
Olu>m HlIt INVOLlJNTAll Y TltMTMEN'f
Check Olle' (V')
o Order for IlIvoluntilry trellllllelll ullder Sectloll 304 (b),
o Oilier for illvolulIlury treatlllelll ul"ler Sectioll 304 (c).
D Order for illvolunt~ry tre~tlllelllllllder Sl'Clloll 305,
III the Court of
of ..--.-.---0--.-,--- Coullty
_._______ ..________. term, 19_......
In.rel__
No,
._ ____._ _ ___,__. B.._ __....__.. __._._____._...___~,..~.__.___.____._
This ._.. . ___llay of ... ..._..._.__... 19_ ~t'ter hearlllg and cnruidemloll of
(Details of finding.. Indude ,1"tullR 011 why tr"illlllelltl, lI"edcd, Auo.dl reports, testimony, etc.)
---....... -~._-----,- _.._---_._-_._----~._---_.-
--_.....~-------. --..-., --_._._._._._--._.-------._.~--+_.__._._-----_._.__._-..----_.
,,,,QI . or S
ICONTINUED ON NI)cT PAOI)
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COM/olONW&lALTH
VB.
RONALD SCHOOLCRAFT
I
IN TH&I COU~T OF COMMON PL&lAS
OF CUMB&lRLAND COUNTY
NO.
FINDINGS AND R&lCOMM&lNDATION
AND NOW to wlt, thls 21st day of December, 1993, the Mental
Health Revlew Offlcer flnds.
1. The patlent was admltted to Farvlew State Hospltal on
October 20, 1993, trom scr Frackvl11e, where he was servlng a 6
year 6 month to 17 year sentence tor theft, attempted robbery and
assault by a prlsoner. Thls 18 the patlent's second admlsalon to
Farvlew. Hls last dlschar'lle date was July, 1993.
2. The patlent was readmltted to Farvlew State Hospltal
after cuttlnQ hlmeelf due to hls lnabillty to cope wlth the
stress Of prlson.
3. The patlent carrles a psychlatrlc dlaQnosls of organlc
braln syndrome and he has a hlstory of substance abuse.
4. The treatment team feels that Mr. Schoolcraft ls not
ready for return to a correct 10nal sott lng due to the fact that
he still does not have the proper coplnQ skills necessary to
wlthstand the stress of prison and he would ln all likelihood
attempt to commit sUlclde lf returned at thls tlme.
The pa-
tlent's lnslght ls superflclal and hls JUdQment and reasonlnQ are
lmpalred.
5. The patlent ls consldered to be severely mentally disa-
bled and a clear and present danger to hlmself.