TRIBL COURT
[NME OF TRIBE]
STTE OF NEW MEXICO
IN THE MTTER OF No. __________
__________________ , a child.
TRIBL COURT ORDER FOR INVOLUNTRY PLCEMENT FOR TRETMENT OR HBILITTION OF CHILD NOT TO EXCEED 60 DYS
THIS MTTER, having come before the Court upon proper notice and hearing on the petition of _____________________ (name of petitioner), for involuntary placement for treatment or habilitation of a child not to exceed 60 days, the ________________________________ (name of residential treatment or evaluation facility ) will admit _______________________ (name of child) for treatment.
The child was represented by ________________ (name of legal representative), the child's [counsel] [guardian ad litem appointed by the tribe]. The child has been afforded the opportunity to present evidence, including the testimony of a mental health and developmental disabilities professional of the child's own choosing, to cross-examine witnesses, and to access the complete record in this case. The child has been advised of the right to appeal this order.
THE COURT FINDS on the basis of clear and convincing evidence and by testimony of __________________________ (name), who is a person whose licensure allows the person to make independent clinical decisions, including a physician, licensed psychologist, psychiatric nurse practitioner, licensed independent social worker, licensed marriage and family therapist and licensed professional clinical counselor, that the child's medical and psychological evaluations demonstrate the following.
means principle.
THE COURT HEREBY ORDERS the involuntary commitment of the child into the custody of _____________________ (name of residential treatment or evaluation facility, pursuant to __________________ (applicable tribal statute). The child shall be transported by ___________________ to the receiving facility.
IT IS FURTHER ORDERED that the child shall be subject to the continuing jurisdiction of the tribal court under Section 32-6-29 NMS 1978, provided that any decisions regarding discharge or release from the evaluation facility shall be made by the administrator of that facility. The facility shall inform the tribal court of any decision to petition for continued involuntary placement. Further, prior to discharging or releasing the child, the facility shall notify the tribal court, make custody arrangements with the child's legal custodian, and establish a plan for the child's aftercare. This order shall be filed with the clerk of the district court in accordance with Section 32-6-29 NMS 1978.
________________________________
Tribal Court Judge
Prepared by: ____________________
[Approved by Supreme Court Order No. 18-8300-011, effective December 31, 2018.]
N.M. R. Child. Ct. 10-605