North Carolinians who are suffering from mental illness are sometimes required by judicial officials to undergo treatment at a psychiatric facility — a process that could become more flexible if lawmakers take up a proposal expected Tuesday.
State Rep. Tim Reeder — a Pitt County Republican and physician who has been leading a review of North Carolina’s involuntary commitment laws — says he plans to amend a bill he filed last month to encourage mental health treatment outside of psychiatric facilities. North Carolina’s psychiatric facilities are often crowded and understaffed, prompting hospital employees to report unsafe environments to state regulators.
Reeder recently signaled his hopes of expanding the use of outpatient commitment services through a House committee focused on involuntary commitments and public safety that he leads. The committee in April called on lawmakers to identify funding to support the expansion of outpatient commitment services.
“The system as it is currently designed is not set up to do this. We are hoping to update statues and create a more efficient and effective system for this,” Reeder told WRAL Monday.
The committee launched its review of the state’s procedures for treating people with mental illness after the August death of Iryna Zarutska, a 23-year-old Ukrainian who moved to Charlotte in 2022 and was fatally stabbed on a city train.DeCarlos Brown, the man charged in her death, was deemed incapable of proceeding following a mental evaluation.
The General Assembly in October approved a judicial reform package titled, “Iryna’s Law,” in an attempt to keep more suspects in custody while awaiting trial. Brown had been arrested multiple times prior to Zarutska’s death.
However, legislators faced pushback for some of the new rules. For instance, hospital representatives took issue with a requirement for certain criminal defendants — who have undergone an involuntary commitment within three years of their arrest for a violent crime, or who judicial officials believe to be a danger to themselves or others — to be transported “to a hospital emergency department or other crisis facility” for a psychiatric evaluation.
Hospital leaders said they don’t want the suspects evaluated in emergency departments because they could endanger patients and hospital staff. Hospital leaders said the evaluations should be conducted in jails — a suggestion Reeder said he plans to incorporate into his bill.
Law enforcement officials have expressed concerns about proposals to require additional mental evaluations in county jails. In April, however, a spokesman for the North Carolina Sheriffs’ Association said sheriffs are willing to allow telehealth evaluations to be conducted on suspects who are already in their custody.