What must be documented during the hold process?

• A. Only the time of hold
• B. The observed criteria, decision rationale, rights notices, and disposition
• C. Personal opinions
• D. No documentation

Answer: (B)

When a hold is used, the record should capture the exact criteria that were observed, the reasoning for applying the hold, the rights notices given to the individual, and the planned disposition. The observed criteria show precisely what behaviors, statements, or conditions indicated danger to self or others or grave disability. The decision rationale connects those observations to the statutory threshold, explaining why detention for evaluation was warranted at that moment. Rights notices confirm the person was informed of their protections and options, such as the right to a medical evaluation and to legal counsel or a review hearing. The disposition documents what happens next—where the person is placed for further evaluation, whether they will be transferred to a facility, released with a plan, or other next steps. Keeping these elements in the record ensures legal compliance, protects the individual’s rights, and supports coordinated care.