Table 2

Procedures in Connecticut for Involuntary Medication

Civil Procedures for Medication-Refusing Patients (§ 17a-543)Post-Sell Civil Procedures for Incompetent Medication-Refusing Criminal Defendants (§ 17a-543a)a
Applies to patients admitted under most statutesApplies only to patients admitted after finding of not competent to stand trial
Incapable of giving informed consent to medication for treatment of psychiatric disabilitiesIncapable of giving informed consent to medication for treatment of psychiatric disabilities
Such medication is necessary for patient's treatmentSuch medication is necessary for patient's treatment
Probate court finding by clear and convincing evidenceProbate court finding by clear and convincing evidence
Appointment of conservator with authority to give or withhold consent for 120 days, renewable; authority expires upon discharge from hospitalAppointment of Special Limited Conservator with authority to give or withhold consent for 120 days, renewable; authority expires upon discharge from hospital or resolution of competence matter in criminal court
Conservator meets with patient and physician and reviews medical record; considers risks and benefits of medication, likelihood and seriousness of adverse side effects, preferences of the patient, patient's religious views, and prognosis with and without medicationSpecial Limited Conservator meets with patient and physician and reviews medical record; considers risks and benefits of medication, likelihood and seriousness of adverse side effects, the preferences of the patient, and prognosis with and without medication
Alternative “internal procedure” available for in-hospital hearing with decision rendered by hearing officer not employed by facility in which the patient is admitted (involuntary medication may be authorized for 30 days via this procedure)Only probate court procedure available
  • a Special limited conservator/probate court procedures.