CACI No. 4002

The term “gravely disabled” means that a person is presently unable to

provide for the person’s basic needs for food, clothing, shelter, personal

safety, or necessary medical care because of [a mental health disorder/a

severe substance use disorder/a co-occurring mental health disorder and

a severe substance use disorder/impairment by chronic alcoholism]. [The

term “gravely disabled” does not include persons with intellectual

disabilities by reason of the disability alone.]

[[Insert one or more of the following :] [psychosis/bizarre or eccentric

behavior/delusions/hallucinations/[insert other]] [is/are] not enough, by

[itself/themselves], to find that [name of respondent] is gravely disabled.

[He/She/Nonbinary pronoun] must be unable to provide for the basic

needs of food, clothing, shelter, personal safety, or necessary medical care

because of [a mental health disorder/a severe substance use disorder/a

co-occurring mental health disorder and a severe substance use disorder/

impairment by chronic alcoholism].]

[“Personal safety” means the ability of a person to survive safely in the

community without involuntary detention or treatment.]

[“Necessary medical care” means care that a licensed health care

practitioner, while operating within the scope of their practice,

determines to be necessary to prevent serious deterioration of an existing

physical medical condition that, if left untreated, is likely to result in

serious bodily injury. “Serious bodily injury” means an injury involving

extreme physical pain, substantial risk of death, or protracted loss or

impairment of function of a bodily member, organ, or of mental faculty,

or requiring medical intervention, including but not limited to

hospitalization, surgery, or physical rehabilitation.]

[If you find [name of respondent] will not take [his/her/ nonbinary pronoun]

prescribed medication without supervision and that a mental health

disorder makes [him/her/ nonbinary pronoun] unable to provide for [his/

her/nonbinary pronoun] basic needs for food, clothing, shelter, personal

safety, or necessary medical care without such medication, then you may

conclude [name of respondent] is gravely disabled.

In determining whether [name of respondent] is gravely disabled, you

may consider evidence that [he/she/ nonbinary pronoun] did not take

prescribed medication in the past. Y ou may also consider evidence of

[his/her/nonbinary pronoun] lack of insight into [his/her/ nonbinary

pronoun] mental health condition.]

In considering whether [name of respondent] is gravely disabled, you may

not consider the likelihood of future deterioration or relapse of a

condition.

In determining whether [name of respondent] is gravely disabled, you

may consider whether [he/she/ nonbinary pronoun] is unable or unwilling

to voluntarily accept meaningful treatment.

New June 2005; Revised January 2018, May 2019, May 2020, May 2022, May

2024, July 2025