des.......a lot of hospitals don't have a Pdoc on staff. the admitting doctor, of the hospital, or the head ER doctor can have her sent, with police, to the local lockup mental health facility if they determine that she will hurt herself. in all the time that i worked in ER, no one was ever evaluated by a Pdoc and our head ER doc always talked to the family and sent the patient on to the center...it doesn't take two doctors to agree to do it.....that's true in six states that i know of. xoxoxo pat