LPS 5150 Certification & Oversight at RUHS - Behavioral Health

For questions or concerns relating to 5150 authorization and involuntary hospitalizations, please contact LPS 5150 Certification & Oversight either by phone at (951) 358-4544 or via email at [email protected]. To apply for 5150 authorization, please submit an Application for 5150 Authorization to [email protected].

As a reminder, when a 5150 hold is written, please fax a copy of the 5150 to LPS 5150 Certification & Oversight at (951) 351-8027 within 1-3 business days. Recurrent failure to do so may result in 5150 authorization being terminated.

5150 Manual (Revised 2018) RUHS-BH LPS 5150 Training Manual

Authorization Process/Renewals

• Application for 5150 Authorization
• 5150 Authorization Status Change Form

5150 Forms

• Riverside County LPS 5150 Designated Facilities
• RUHS-BH 5150 Form (Printable Copy)
• RUHS-BH 5150 Form (Blank Fillable)
• 5150 Hold Samples for DTS DTO GD
• 5150 NCR Order Form
• 5150 Form Guide (Instructions on how to complete form)
• Common Disorders and Symptoms for Hold Writing
• AB 1424 Important Information for Family Members (English)
• AB 1424 Information Information for Family Members (Spanish)

Memos/Policies

• Memo - 5150 Involuntary Holds Transferred to Medical Floors
• Memo - Authorization to Utilize Telehealth to Assess, Initiate, and Interrupt 5150 Involuntary Holds
• Memo - Civil Commitment Flowchart (WIC 5270.15 Memo & Flowchart)
• Policy 139 - 510 Involuntary Hospitalization Procedures
• Policy 202 - Tarasoff - Duty to Protect
• Policy 218 Reporting of Dependent Adult/Elderly Abuse
• Policy 219 - Reporting of Child Abuse and Neglect
• Policy 221 - Interrupting 5150 Applications

Interrupted Holds

• Interrupted Holds
• AB 2275 Bill
• AB 2275 Certification Hearing Workflow

County Resources/Miscellaneous

• RUHS Crisis Support Services
• SB 43 Website
• Patient's Rights Website

Law Enforcement

• Riverside County LPS 5150 Designated Facilities
• RUHS-BH 5150 Form (Printable Copy)
• RUHS-BH 5150 Form (Blank Fillable)
• 5150 NCR Order Form
• 5150 Form Guide (Instructions on how to complete form)
• 5150 Hold Samples for DTS DTO GD
• Common Disorders and Symptoms for Hold Writing
• AB 1424 Important Information for Family Members (English)
• AB 1424 Information Information for Family Members (Spanish)
• RUHS Crisis Supports & Services
• SB 43 Flyer