Separating Fact from Fiction
There are many misconceptions about 1013 holds that can create unnecessary fear and stigma. Let'''s examine some common myths and the reality behind them.
Myth #1: Anyone Can Have You Committed
Fact: Only specific licensed professionals can initiate a 1013 hold, including law enforcement officers, physicians, psychologists, and certain mental health clinicians. They must document specific criteria showing imminent danger. A family member or friend cannot simply decide to have someone committedâthey can only alert professionals who will then make an independent assessment.
Myth #2: Once Committed, You'''re Stuck Indefinitely
Fact: The initial hold has a strict time limit, typically 72 hours. After that, you must either be released, agree to stay voluntarily, or the facility must petition a court for extended commitment. You have the right to legal representation and a hearing before any extension is granted.
Myth #3: You Lose All Your Rights
Fact: While certain freedoms are restricted during a hold, you retain many important rights:
- The right to legal representation
- The right to communicate with others (within facility rules)
- The right to refuse certain treatments
- The right to be treated with dignity
- The right to challenge the hold in court
Myth #4: A 1013 Hold Will Ruin Your Life
Fact: Mental health records are protected by strict privacy laws (HIPAA). A 1013 hold:
- Does not automatically appear on background checks
- Does not go on your criminal record (it'''s a medical, not criminal, matter)
- Cannot be accessed by employers without your consent
- May affect gun ownership in some states, but procedures exist to restore rights
Myth #5: Psychiatric Hospitals Are Like Prisons
Fact: While acute psychiatric units have security measures for safety, they are medical facilities focused on treatment. Modern psychiatric care includes:
- Individual and group therapy
- Medication management by psychiatrists
- Activities and recreational therapy
- Discharge planning and care coordination
- Connection to outpatient resources
Myth #6: If You'''re Calm Now, They Can'''t Hold You
Fact: The assessment considers your mental state over time, not just at one moment. If you were recently suicidal or dangerous but now appear calm, professionals will consider:
- Whether this calmness is sustained or temporary
- Whether you have a plan for continued safety
- Whether you have insight into what led to the crisis
- Whether you have a support system and follow-up plan
Myth #7: You Can Just Lie Your Way Out
Fact: Mental health professionals are trained to assess risk beyond just what someone says. They consider:
- Your behavior and affect (how you present emotionally)
- Information from family, friends, or first responders
- Your history and patterns
- Whether your statements are consistent over time
- Your willingness to engage in safety planning
Myth #8: Voluntary Admission is Always Better Than a Hold
Fact: Both voluntary and involuntary admissions can provide necessary treatment. Some advantages of involuntary holds:
- Strict time limits protect against indefinite stays
- More legal oversight and protections
- Can help someone who lacks insight into their need for treatment
- Provides a pathway to court-ordered outpatient treatment if needed
Myth #9: Getting Committed Means You'''re "Crazy"
Fact: A 1013 hold simply means you were in crisis at a particular moment in time. Mental health crises can happen to anyone and don'''t define who you are. Many people who have been through a hold go on to:
- Recover and maintain stable mental health
- Return to work, school, and normal activities
- Build strong relationships and meaningful lives
- Help others by sharing their experience
Myth #10: The System Doesn'''t Care About You
Fact: While the mental health system has flaws and can feel impersonal during a crisis, most professionals in this field genuinely want to help. They work under difficult conditions trying to balance safety with individual rights. If you feel your rights were violated, there are patient advocates, grievance procedures, and legal resources available to address concerns.
The Bottom Line
A 1013 hold is a tool for crisis intervention, not punishment. It'''s designed to provide immediate safety and stabilization during the most dangerous moments of a mental health crisis. Understanding the facts can help reduce fear and stigma for both those who may need this intervention and their loved ones.
If you have concerns about the process or believe your rights were violated, contact:
- The facility'''s patient advocate or ombudsman
- A mental health attorney
- Your state'''s Protection and Advocacy organization
- Local legal aid services