What is required for an involuntary hold to be extended beyond its initial period?

For an involuntary hold to be extended beyond its initial period, a court hearing to determine necessity is required. This process is essential because it ensures that the rights of the individual are carefully considered, and that there is a legal basis for the continuation of the hold. A court hearing allows for an objective evaluation of the individual’s mental health status and whether they pose a danger to themselves or others, which is critical in upholding due process rights.

This requirement is rooted in the principles of mental health law, which emphasize the need for oversight and protection of individuals' rights during potentially coercive actions such as involuntary holds. The court hearing provides an opportunity for the patient to be represented, and for any evidence or testimony to be presented, allowing for a thorough examination of the circumstances surrounding the initial hold.

The other choices do not fulfill the necessary legal criteria for extending an involuntary hold. A written request from the patient or a signed agreement by a family member would not suffice on their own, as the legal determination lies with the court. Similarly, a review by a medical board is not a requirement established in Colorado law for extending the duration of an involuntary hold.