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TITLE:  DoD Instruction 6490.4, "Requirements for Mental Health Evaluations of Members of the Armed Forces", 08/28/1997

SUMMARY: This Instruction: 1. Implements DoD policy, assigns responsibility, and prescribes procedures in accordance with DoD Directive 6490.1, October 1, 1997, Section 546 of Public Law 102-484, October 23, 1992 and DoD Directive 7050.6, August 12, 1995 for the referral, evaluation, treatment and administrative management of Service members who may require mental health evaluation, psychiatric hospitalization and/or assessment of risk for potentially dangerous behavior. 2. Establishes procedures to protect the rights of Service members referred by commanding officers for mental health evaluations, including whistleblower protections. 3. Establishes procedures for psychiatric hospitalization of active duty Service members. These procedures are modeled after guidance prepared by professional civilian mental health organizations for psychiatric hospitalization and treatment of adults per National Center for State Courts' Guidelines for Involuntary Civil Commitment, 1986, American Psychiatric Association's Task Force Report, "Involuntary Commitment to Outpatient Treatment," 1987; American Psychiatric Association, "Guidelines for Legislation on the Psychiatric Hospitalization of Adults," American Journal of Psychiatry, 140:5, May 1983; American Psychiatric Association, "The Principles of Medical Ethics with Annotations Especially Applicable to Psychiatry," 1995; American Psychological Association, "Ethical Principles of Psychologists and Code of Conduct," 1992; National Association of Social Workers "Code of Ethics," 1996. 4. Provides guidance to mental healthcare providers and commanding officers about evaluations, treatment, and recommendations for administrative management of Service members referred for mental health evaluations who may suffer from serous mental disorders and who may be imminently or potentially dangerous.

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OPR:  ASD(HA), 703-697-2112