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Chapter 462 vs Mental Health Commitment in Texas

Which Texas law fits your situation, and how they differ.

Chapter 462 vs Mental Health Commitment in Texastexasrehabs.net
Texas has two separate involuntary treatment systems. Chapter 462 covers chemical dependency, meaning alcohol or drug abuse or addiction. The Texas Mental Health Code (Chapter 573 for emergency detention and Chapter 574 for court-ordered mental health services) covers mental illness. When both are present, families and courts choose the law that fits the main problem.

Side by side

Chapter 462 (chemical dependency)Chapters 573 and 574 (mental illness)
CoversAbuse of, dependence on or addiction to alcohol or a controlled substanceMental illness
Emergency holdUp to 24 hours after arrival without a court filing and protective custody orderUp to 48 hours under Chapter 573
Physician certificatesTwo, by different physiciansTwo, and one must be a psychiatrist if one is available in the county
Length of orderAt least 30, no more than 90 daysTemporary orders up to 45 days (up to 90 if the judge finds it necessary); extended orders up to 12 months

When both apply

Addiction and mental illness often travel together. If the person's danger comes mainly from psychosis, mania or suicidal depression, the mental health process is usually the better fit. If it comes from the alcohol or drugs themselves, Chapter 462 is. The county attorney's office that handles these cases can help you decide, and many people ultimately need dual diagnosis treatment that addresses both.

Crisis help first

For a mental health or substance use crisis, call 988 or your county's local mental health authority crisis line, listed on our Texas crisis help page. If anyone is in immediate danger, call 911.

Each county handles intake a little differently. Find your county's court, the office that helps families file, and nearby detox programs on our court-ordered treatment by county page.

This guide is general information about Texas law, not legal advice. Local court procedures differ; check with your county clerk, the county attorney's office or an attorney before filing.

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