Title 18, Crimes and Criminal ProcedureRelease 119-110

§4245 Hospitalization of an Imprisoned Person Suffering From Mental Disease or Defect

Title 18 › PART III — PRISONS AND PRISONERS › CHAPTER 313 — OFFENDERS WITH MENTAL DISEASE OR DEFECT › § 4245

Last updated Sep 22, 2026|Official source

Summary

If a prisoner objects to being moved to a hospital or treatment center for mental health care, a government lawyer can ask the local court for a hearing about the prisoner’s current mental condition. The court must hold the hearing if there is good reason to think the prisoner now has a mental illness or defect and needs to be kept in a treatment facility. Asking for that hearing pauses any transfer until the court’s procedures are finished. Before the hearing, the court can order a psychiatric or psychological exam and report. If the court finds, by more likely than not, that the prisoner needs custody for treatment, it must place the person under the Attorney General’s care and have them hospitalized until they no longer need treatment or until their prison sentence ends, whichever comes first. When the hospital director says the person has recovered, the director must file a paper with the court. The court clerk sends copies to the prisoner’s lawyer and the government lawyer. If the prison term has not ended, the court will send the person back to prison until the sentence is over.

Full Legal Text

Title 18, §4245

Crimes and Criminal Procedure, Source: USLM XML via OLRC

(a)Motion To Determine Present Mental Condition of Imprisoned Person.—
If a person serving a sentence of imprisonment objects either in writing or through his attorney to being transferred to a suitable facility for care or treatment, an attorney for the Government, at the request of the director of the facility in which the person is imprisoned, may file a motion with the court for the district in which the facility is located for a hearing on the present mental condition of the person. The court shall grant the motion if there is reasonable cause to believe that the person may presently be suffering from a mental disease or defect for the treatment of which he is in need of custody for care or treatment in a suitable facility. A motion filed under this subsection shall stay the transfer of the person pending completion of procedures contained in this section.
(b)Psychiatric or Psychological Examination and Report.—
Prior to the date of the hearing, the court may order that a psychiatric or psychological examination of the person may be conducted, and that a psychiatric or psychological report be filed with the court, pursuant to the provisions of section 4247(b) and (c).
(c)Hearing.—
The hearing shall be conducted pursuant to the provisions of section 4247(d).
(d)Determination and Disposition.—
If, after the hearing, the court finds by a preponderance of the evidence that the person is presently suffering from a mental disease or defect for the treatment of which he is in need of custody for care or treatment in a suitable facility, the court shall commit the person to the custody of the Attorney General. The Attorney General shall hospitalize the person for treatment in a suitable facility until he is no longer in need of such custody for care or treatment or until the expiration of the sentence of imprisonment, whichever occurs earlier.
(e)Discharge.—
When the director of the facility in which the person is hospitalized pursuant to subsection (d) determines that the person has recovered from his mental disease or defect to such an extent that he is no longer in need of custody for care or treatment in such a facility, he shall promptly file a certificate to that effect with the clerk of the court that ordered the commitment. The clerk shall send a copy of the certificate to the person’s counsel and to the attorney for the Government. If, at the time of the filing of the certificate, the term of imprisonment imposed upon the person has not expired, the court shall order that the person be reimprisoned until the expiration of his sentence of imprisonment.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Amendments

1984—Pub. L. 98–473 amended section generally, substituting “Hospitalization of an imprisoned person suffering from mental disease or defect” for “Mental incompetency undisclosed at trial” in section catchline, and substituting provisions relating to motion, examination and report, hearing, etc., to determine present mental condition of imprisoned person, for provisions relating to procedures and authorities regarding mental incompetency undisclosed at trial.

Reference

Citations & Metadata

Citation

18 U.S.C. § 4245

Title 18, Crimes and Criminal Procedure

Last Updated

Sep 22, 2026

Release point: 119-110