Illinois Compiled Statutes

405 ILCS 5/2-107 (2026)

Refusal of services; informing of risks

✓ current as of May 2026
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(405 ILCS 5/2-107) (from Ch. 91 1/2, par. 2-107)
    Sec. 2-107. Refusal of services; informing of risks.
    (a) An adult recipient of services or the recipient's guardian, if the recipient is under guardianship, and the recipient's substitute decision maker, if any, must be informed of the recipient's right to refuse medication or electroconvulsive therapy. The recipient and the recipient's guardian or substitute decision maker shall be given the opportunity to refuse generally accepted mental health or developmental disability services, including but not limited to medication or electroconvulsive therapy. If such services are refused, they shall not be given unless such services are necessary to prevent the recipient from causing serious and imminent physical harm to the recipient or others and no less restrictive alternative is available. The facility director shall inform a recipient, guardian, or substitute decision maker, if any, who refuses such services of alternate services available and the risks of such alternate services, as well as the possible consequences to the recipient of refusal of such services.
    (b) Psychotropic medication or electroconvulsive therapy may be administered under this Section for up to 24 hours only if the circumstances leading up to the need for emergency treatment are set forth in writing in the recipient's record.
    (c) Administration of medication or electroconvulsive therapy may not be continued unless the need for such treatment is redetermined at least every 24 hours based upon a personal examination of the recipient by a physician or a nurse under the supervision of a physician and the circumstances demonstrating that need are set forth in writing in the recipient's record.
    (d) Neither psychotropic medication nor electroconvulsive therapy may be administered under this Section for a period in excess of 72 hours, excluding Saturdays, Sundays, and holidays, unless a petition is filed under Section 2-107.1 and the treatment continues to be necessary under subsection (a) of this Section. Once the petition has been filed, treatment may continue in compliance with subsections (a), (b), and (c) of this Section until the final outcome of the hearing on the petition.
    (e) The Department shall issue rules designed to insure that in State-operated mental health facilities psychotropic medication and electroconvulsive therapy are administered in accordance with this Section and only when appropriately authorized and monitored by a physician or a nurse under the supervision of a physician in accordance with accepted medical practice. The facility director of each mental health facility not operated by the State shall issue rules designed to insure that in that facility psychotropic medication and electroconvulsive therapy are administered in accordance with this Section and only when appropriately authorized and monitored by a physician or a nurse under the supervision of a physician in accordance with accepted medical practice. Such rules shall be available for public inspection and copying during normal business hours.
    (f) The provisions of this Section with respect to the emergency administration of psychotropic medication and electroconvulsive therapy do not apply to facilities licensed under the Nursing Home Care Act, the Specialized Mental Health Rehabilitation Act of 2013, the ID/DD Community Care Act, or the MC/DD Act.
    (g) Under no circumstances may long-acting psychotropic medications be administered under this Section.
    (h) Whenever psychotropic medication or electroconvulsive therapy is refused pursuant to subsection (a) of this Section at least once that day, the physician shall determine and state in writing the reasons why the recipient did not meet the criteria for administration of medication or electroconvulsive therapy under subsection (a) and whether the recipient meets the standard for administration of psychotropic medication or electroconvulsive therapy under Section 2-107.1 of this Code. If the physician determines that the recipient meets the standard for administration of psychotropic medication or electroconvulsive therapy under Section 2-107.1, the facility director or his or her designee shall petition the court for administration of psychotropic medication or electroconvulsive therapy pursuant to that Section unless the facility director or his or her designee states in writing in the recipient's record why the filing of such a petition is not warranted. This subsection (h) applies only to State-operated mental health facilities.
    (i) The Department shall conduct annual trainings for all physicians and registered nurses working in State-operated mental health facilities on the appropriate use of emergency administration of psychotropic medication and electroconvulsive therapy, standards for their use, and the methods of authorization under this Section.
(Source: P.A. 98-104, eff. 7-22-13; 99-180, eff. 7-29-15.)

    
Notes of Decisions
Cited in 19 cases (5 in the last 5 years), 1994–2026 · leading case: In Re Ce, 641 N.E.2d 345 (Ill. 1994).
In Re Ce, 641 N.E.2d 345 (Ill. 1994). · cites it 3× “(405 ILCS 5/2-107 (West 1992).) If the recommended services are refused, the recipient or guardian must be informed of alternative services also available, as well as the risks of such alternatives, and must additionally be advised of the possible consequences of refusing the…”
In Re Vanessa K., 954 N.E.2d 885 (Ill. App. Ct. 2011). “* * * If the recipient lacks the capacity to make a reasoned decision about the treatment, the treatment may be administered only (i) pursuant to the provisions of Section 2-107 or 2-107.”
People v. Winters, 627 N.E.2d 410 (Ill. App. Ct. 1994). · cites it 2× “Respondent first argues that she could not be committed merely because she refused to take psychotropic medication.”
In re Craig H., 2022 IL 126256 (Ill. 2022). “405 ILCS 5/2-107(a) (West 2018). Whenever emergency administration of psychotropic medications is refused by the recipient or his guardian or substitute decision maker, the physician must determine and state in writing whether the recipient meets the standard for longer-term…”
In re Marcus S., 2022 IL App (3d) 170014 (Ill. App. Ct. 2022). “The State’s Failure to Comply With the Involuntary Treatment Statute ¶ 24 The trial court erred in ordering the involuntary administration of three drugs because the State failed to comply with several mandatory requirements of the Code’s involuntary treatment statute (405 ILCS…”
In re Marcus S., 2022 IL App (3d) 160710 (Ill. App. Ct. 2022). “The State’s Failure to Comply With the Involuntary Treatment Statute ¶ 24 The trial court erred in ordering the involuntary administration of 27 drugs because the State failed to comply with several mandatory requirements of the Code’s involuntary treatment statute (405 ILCS…”
In re Beverly B., 2017 IL App (2d) 160327 (Ill. App. Ct. 2017). · cites it 2× “Three sections, section 2-102(a-5), section 2-107 (405 ILCS 5/2-107 (West 2016)), and section 2-107.”
People v. Robert F., 917 N.E.2d 1201 (Ill. App. Ct. 2009). “See 405 ILCS 5/2-107.1 (West 2008). No such hearing was conducted in this case.”
In re Carol B., 2017 IL App (4th) 160604 (Ill. App. Ct. 2017). · cites it 3× “Thus, there exists a need for an authoritative determination to guide mental health professionals and the State when those professionals decide to administer involuntary treatment prior to the trial court entering an order authorizing the treatment.”
In re Beverly B., 2017 IL App (2d) 160327 (Ill. App. Ct. 2017). · cites it 3× “Three sections, section 2-102(a-5), section 2-107 (405 ILCS 5/2-107 (West 2016)), and section 2-107.”
People v. Denetra P., 904 N.E.2d 44 (Ill. App. Ct. 2008). · cites it 2× “Statutory Conditions for the Involuntary Administration of Medication in a Nonemergency An adult recipient of mental-health services has a right to refuse medication (405 ILCS 5/2-107(a) (West 2006)), and the refusal will be honored except in two circumstances.”
In re Carol B., 2017 IL App (4th) 160604 (Ill. App. Ct. 2017). · cites it 4× “Thus, there exists a need for an authoritative determination to guide mental health professionals and the State when those professionals decide to administer involuntary treatment prior to the trial court entering an order authorizing the treatment.”
— 405 ILCS 5/2-107(a) — 11 cases
In re Craig H., 2022 IL 126256 (Ill. 2022). “405 ILCS 5/2-107(a) (West 2018). Whenever emergency administration of psychotropic medications is refused by the recipient or his guardian or substitute decision maker, the physician must determine and state in writing whether the recipient meets the standard for longer-term…”
People v. Denetra P., 904 N.E.2d 44 (Ill. App. Ct. 2008). “Statutory Conditions for the Involuntary Administration of Medication in a Nonemergency An adult recipient of mental-health services has a right to refuse medication (405 ILCS 5/2-107(a) (West 2006)), and the refusal will be honored except in two circumstances.”
Irvin v. S. Illinois Healthcare, 2019 IL App (5th) 170446 (Ill. App. Ct. 2019).
Threlkeld v. White Castle Sys., Inc., 127 F. Supp. 2d 986 (N.D. Ill. 2001).
In re Carol B., 2017 IL App (4th) 160604 (Ill. App. Ct. 2017). “Thus, there exists a need for an authoritative determination to guide mental health professionals and the State when those professionals decide to administer involuntary treatment prior to the trial court entering an order authorizing the treatment.”
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