Teen Psychiatric Hospitalization:
Voluntary vs. Involuntary Commitment

Navigating teen inpatient mental health care is certainly challenging, but reaching out for help is a powerful act of love. Understanding what psychiatric commitment for teens is before you begin the process is essential. With guidance on the process, you can ensure you’re on the right side of the law and can make the best possible mental health decisions for your child. 

According to the most recent stats on mental health care for minors, back in 2022, around 7.7 million Americans between the ages of 12 and 17 received some form of mental health treatment.¹​ The National Library of Medicine also presents a report showing that as much as two-thirds of children will experience some form of trauma by the time they’re 16 years old.² 

So, if you’re looking into psychiatric holds for teenagers or need help with mental health crisis intervention for adolescents, know that you’re not alone and there is support available. A mental health professional can guide you in this process, and this article can also help by covering:

  • What psychiatric hospitalization for teens is
  • When a minor can be hospitalized for mental health issues
  • If a teen can refuse mental health treatment – and when
  • What to expect from a psychiatric hold for teenagers
  • Supporting your teen before, during, and after hospitalization
  • How to manage teen psychiatric hospitalization with confidence 
Teen Psychiatric Hospitalization

Mental Health Emergency Services for Youth: What Is Psychiatric Hospitalization for Teens?

A mental health hospital for teens provides the highest level of care. Teen psychiatric hospitalization is designed as short-term treatment with the main goal of achieving stabilization if there’s a serious mental health issue at play. When a teenager receives treatment in an inpatient setting, they’re enveloped in a secure environment and provided the support and care they need. All while being under constant clinical supervision to ensure safety and comfort.

Some of the benefits of psychiatric hospitalization for teens include:

  • 24/7 care
  • Supportive routines with structured therapy sessions
  • Personalized therapy sessions
  • Removal of triggers
  • A supportive community of peers
  • Family integration
  • Discharge planning for seamless transition back into regular life

What Is a Voluntary Admission to the Mental Health Ward?

Admission to a mental health ward may be recommended if a teen is considered a danger to themself or others. Consent is something that legally comes into play when hospitalizing teens for psychiatric care. And that’s where teen voluntary vs. involuntary psychiatric care matters.

Voluntary admission of a teen comes in two forms:

Voluntary Admission With Parental Consent

Parental consent for teen psychiatric hospitalization is required in most states before treating patients under the age of 18. This is documented in a column appearing in the Innovations in Clinical Neuroscience Journal and published by the National Library of Medicine.³

Voluntary Admission With a Teen’s Informed Consent (Depending on Age and State Law)

In some states, minors 14 years old or older can decide to enter psychiatric treatment on their own. They can consent to psychiatric care without consulting their parents. Of course, each state has its own set of laws, and these are usually based on the teen’s age, their level of maturity, and what treatment they require.

In some instances, if the state decides that the minor is competent and has a full understanding of the treatment, they’ll likely be allowed to admit themselves for treatment. However, in some states, parental or guardian consent remains mandatory, regardless of the minor’s age or willingness. 

Here’s a brief overview of the laws relevant to the states where Mission Prep facilities for teens are available: 

  • California: Minors aged 12 or older can consent to outpatient mental health services if they are mature enough to participate intelligently and meet certain criteria.⁴
  • Virginia: Minors aged 14 or older may be admitted to a mental health facility for inpatient treatment upon the joint application and consent of the minor and the minor’s parent.⁵

 

[While these laws are correct at the time of publishing, some laws can change over time. It’s always best to check each state’s mental health consent laws for minors before beginning the admission process.

What Is Involuntary Commitment?

Involuntary commitment is the legal process of hospitalizing a minor for psychiatric care without their consent, and in some cases, even without the parent’s. There’s a process involved in committing a minor for psychiatric care. It requires a licensed mental health professional or physician to determine that the teen poses an immediate danger to themselves or others. Or else that the teen is too severely impaired to make safe decisions on their own (usually due to a mental health condition).

Involuntary commitment can also apply in instances of court-ordered treatment for minors. In such instances, it may be possible to ask for emergency mental health hospitalization for teens. It’s a good idea to know the laws on involuntary commitment for minors before initiating it.

Involuntary commitment of a teen to psychiatric care can feel overwhelming for families, but the intention is always centered on safety and stabilizing the teen in crisis. Involuntary holds are usually time-limited and range from 72 hours to a few days. During this time, a team of mental health professionals assesses the situation and determines whether continued inpatient treatment is necessary.

Involuntary commitment is only temporary – it’s not an indefinite stay. Laws are in place that prevent unnecessary hospitalization or extended stays. Parents typically have the right to be involved in discharge planning, treatment decisions, and ongoing care coordination if they’re fit to do so. A mental health professional can talk you through this process.

When Can a Minor Be Hospitalized for Mental Health?

Each state has its own criteria and procedures for initiating a voluntary or  involuntary psychiatric hold for teens, but the most common reasons include:

  • Suicidal thoughts or attempts
  • Violence or aggression toward others
  • Severe psychosis or signs of disorganized thinking
  • Being unable to care for basic needs due to having a mental illness

 

Can a Teen Refuse Mental Health Treatment & When Can a Teen Refuse Mental Health Treatment?

The answer is, “sometimes.” Some states allow minors to consent to psychiatric treatment, but refusing it is a little more complicated. In most instances, parents (or guardians) can make healthcare decisions for children. However, if the minor is thought to be capable of understanding the implications of refusing treatment and refusal doesn’t pose an immediate risk to their safety or others’, their refusal may be considered and respected. 

 

Understanding Teen Rights in Psychiatric Treatment

The rights of teens in psychiatric treatment and mental health care differ significantly from state to state. Some states allow minors to access mental health care without parental consent for teen psychiatric hospitalization. This means they are legally allowed to access therapy, counseling, and sometimes even medication management without needing their parents’ approval. 

 

Parental Consent and Rights in Teen Hospitalization

While many teens may seek independence when it comes to their mental health care, it’s important to note that parents have rights in the process, too. They have a legal duty to provide care for their children, including making healthcare decisions. That said, the mature minor doctrine in some states ensures teens have rights to privacy and autonomy. This means that minors who are mature – and can demonstrate it – often make their own medical and mental health decisions.

Psychiatric Holds for Teenagers: What to Expect

The process of initiating a psychiatric hold for teens starts with a phone call. This is usually from a parent, guardian, or healthcare professional to Mission Prep. The admissions team will work to gather all the required information about the teen to help the family determine if admission is the best course of action. Mission Prep focuses on helping teens with several mental health issues like anxiety, depression, mood and thought disorders, PTSD, trauma, technology dependence, and even academic and social challenges.

A treatment team approach is used in teen psychiatric hospitals. Mental health professionals on the team are qualified and trained. They may include some or all of the following:

  • Psychiatrists
  • Psychologists
  • Therapists
  • Social workers
  • Nurses
  • Teachers
  • Activity therapists

Each of the mental health professionals involved in the process of initiating a psychiatric hold will review the case and make recommendations for treatment approaches while the teen is hospitalized. They will also make recommendations for after-care treatment.

During a psychiatric hold at a hospital, teens will generally participate in several daily activities that are structured for growth. These can include:

  • Academic programs to keep up with school work
  • Family therapy
  • Group therapy with other teens
  • One-on-one therapy
  • Occupational therapy
  • Recreational and art therapy

At Mission Prep, our facilities for adolescent mental health treatment offer ample personal space to unwind and focus on healing. Teens aren’t isolated from their comforts and are allowed to bring their mobile phones, musical instruments, and other personal effects to make their stay more comfortable.

Supporting Your Teen Before, During, and After Hospitalization

Teens need a consistent support network when receiving psychiatric care. It’s recommended to focus on open communication, providing consistent reassurance, and being proactive about engagement. Before admission to a psychiatric hospital, encourage open conversation about the treatment and seek out the help of a counsellor or therapist to help if the conversation is difficult. 

During your teen’s hospitalization, keep up with contact and be as normal as possible. You’ll want to provide supportive encouragement without prying or demanding to know what changes they’re actively making. A gentle approach works best. 

When your teen is discharged, prioritize self-care for your teen and monitor gently to keep on top of any changes in behavior or renewed signs that a teen may need hospitalization. 

Teen Psychiatric Hospitalization: Voluntary vs. Involuntary Commitment

Managing Teen Psychiatric Hospitalization With Confidence

Helping your teen get the psychiatric treatment they need is sure to be challenging, but it’s not something you have to do alone. The Mission Prep team specializes in supporting families through every step of the process, from initial concerns and admission to treatment, discharge, and aftercare. We take the guesswork and overwhelm out of the process and provide patients and their loved ones with structured support and clarity. 

We offer two teen-centered residential treatment facilities in California and Virginia. Our home-like setting provides 24/7 supervision with highly trained staff and therapies designed specifically for teens. We offer teens the safety and consistency they need while preserving some of the comforts of daily life.

We believe healing starts with trust, and that includes trust in the process, the team, and the environment.

Ready to learn more about the next steps or want to speak with a professional who can provide guidance and direction? Contact Mission Prep today to learn more about our adolescent residential programs and how we can support your family.

References

  1. Foster, R. (2024, July 31). Nearly 1 in 3 U.S. adolescents are getting mental health treatment. U.S. News & World Report. https://www.usnews.com/news/health-news/articles/2024-07-31/nearly-1-in-3-u-s-adolescents-are-getting-mental-health-treatment
  2. Lawrence-Sidebottom, D., Huffman, L. G., Beam, A. B., Guerra, R., Parikh, A., Roots, M., & Huberty, J. (2024). Rates of trauma exposure and posttraumatic stress in a pediatric digital mental health intervention: Retrospective analysis of associations with anxiety and depressive symptom improvement over time. JMIR Pediatrics and Parenting, 7, e55560. https://pmc.ncbi.nlm.nih.gov/articles/PMC10933721/#:~:text=More%20than%20two%2Dthirds%20of,years%20%5B1%2C2%5D
  3. McNary, A. (2014). Consent to treatment of minors. Innovations in Clinical Neuroscience, 11(3–4), 43–45. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4008301
  4. ​ California State Board of Behavioral Sciences. (2023, April 14). Minors: Consent to mental health services [Board meeting agenda item VI]. https://www.bbs.ca.gov/pdf/agen_notice/2023/04142023item_vi.pdf
  5. Virginia Code § 16.1-338. (2024). Parental admission of minors younger than 14 and nonobjecting minors 14 years of age or older. Retrieved from https://law.lis.virginia.gov/vacode/title16.1/chapter11/section16.1-338/