MO SB178

Prosecuting attorneys in second, third, and fourth class counties and first class counties with 150,000-200,000 inhabitants containing state mental health facilities may employ an assistant prosecuting attorney at $15,000 annual salary paid from state funds.

County counselors or circuit attorneys in first class charter counties with cities over 450,000 population and independent cities may employ an assistant at $15,000 annual salary paid from state funds for mental health facility duties.

Counties and cities meeting specified criteria may employ additional investigative and clerical personnel for mental health matters, with compensation not to exceed $15,000 annually per entity, paid from state funds.

Advanced practice registered nurses in collaborative practice arrangements with physicians may issue restraint, isolation, and seclusion orders in mental health facilities, with physician review required if restraints extend beyond 4 hours for minors or 8 hours for adults in a 24-hour period.

All uses of physical or chemical restraint, isolation, or seclusion must be documented in clinical records and discontinued once circumstances necessitating the action have ended, except security escort devices during transport are excluded from restraint definitions.