LPS 5150 Certification & Oversight

Riverside University Health System- Behavioral Health’s LPS 5150 Certification & Oversight department provides 5150 training coordination, 5150 authorization, oversight of involuntary holds written including feedback for quality improvement, as well as, guidance and technical assistance relating to 5150 involuntary hospitalizations.

For questions or concerns relating to 5150 authorization and involuntary hospitalizations, please contact LPS 5150 Certification & Oversight either by phone at (951) 358-4544 or via email at 5150@ruhealth.org. To apply for 5150 authorization, please submit an Application for 5150 Authorization to 5150@ruhealth.org.

As a reminder, when a 5150 hold is written, please fax a copy of the 5150 to LPS 5150 Certification & Oversight at (951) 351-8027 within 1-3 business days. Recurrent failure to do so may result in 5150 authorization being terminated.

Below are additional 5150-related forms and documents:

To reference 5150 training material, policies and procedures, and best practices see: 5150 Manual (PDF)
Once 5150 authorized to write involuntary holds, please use the most current 5150 form: RUHS-BH 5150 Form
A fillable version of the 5150 form is available here: RUHS-BH 5150 Form Blank Fillable
To order the duplicate version of the 5150 form (2^nd page is yellow copy) use: 5150 NCR Order Form
The following is the list of approved LPS 5150 designated facilities for Riverside County: Riverside County LPS 5150 Designated Facilities
To submit a change of your worksite, supervisor, or name please submit: 5150 Request for Status Change Form
To understand family member/significant others rights relating to 5150 assessments see: AB 1424 Important Information for Family Members
To view RUHS-BH Dept Policy re: Interruption of 5150s in the field see: Policy 221- Interrupting 5150 Applications Prior to Arrival at Designated Facility
To view how to document interruptions of holds via telehealth see: Example of Interrupted Hold Documentation
To view Common Disorders & Symptoms for 5150 Holds, see: Common Disorders and Symptoms for Hold Writing
To view, use of Telehealth to initiate and interrupt 5150s holds, see: Memo