How to Get a Court-Ordered Mental Health Evaluation

When a judge says “I’m ordering you to get your head checked,” it’s not just a figure of speech.
A court-ordered mental health evaluation happens when a judge legally requires someone to be assessed by a mental health professional. These evaluations are crucial pieces of evidence in everything from criminal cases to custody battles, helping courts make informed decisions based on someone’s psychological state.
Let’s break down how these evaluations work, why they happen, and what to expect if you or someone you know is ordered to get one.
The Step-by-Step Process of Getting a Court-Ordered Evaluation
1. Someone files a motion (AKA a formal request)

Everything starts with paperwork (doesn’t it always?). Either an attorney or someone involved in the case files a formal motion with the court asking for a mental health evaluation. This document needs to explain:
- Why the evaluation is necessary
- What specific mental health issues need to be examined
- Legal reasons supporting the request
2. The other side gets notified
Once filed, the motion gets served to all other parties in the case. This is the legal equivalent of saying “heads up, we’re asking the court to order a mental health evaluation.”
The other side can:
- Agree to it
- Fight against it
- Suggest different evaluators
3. The judge makes a decision
A hearing gets scheduled where everyone presents their arguments. After listening to both sides, the judge either grants or denies the request. If granted, they issue a formal order for the evaluation to take place.
4. Finding the right professional

The court appoints a qualified mental health professional – typically a psychologist, psychiatrist, or clinical social worker with relevant expertise. Sometimes the parties can agree on who should do the evaluation, but the judge has final say to ensure the process remains impartial.
According to the American Psychological Association, forensic evaluators need specialized training beyond their clinical credentials.
5. The evaluation happens (and it’s thorough)
This isn’t a quick chat with a therapist. The evaluation is comprehensive and might include:
- In-depth interviews about personal history, medical background, and mental health
- Psychological testing – personality assessments, cognitive tests, risk evaluations
- Record reviews of medical files, police reports, previous mental health treatments
- Talking to others who know the person – family, friends, coworkers
- Behavioral observations during the evaluation itself
The exact approach depends on what the court needs to know. A competency evaluation looks different than a custody evaluation, which looks different than a violence risk assessment.
6. The report gets submitted

After completing the evaluation, the mental health professional writes up a detailed report that:
- Summarizes their findings
- Offers diagnostic impressions
- Provides relevant recommendations
This report gets submitted to the court and shared with the relevant parties.
7. The findings influence the case
The evaluation report becomes critical evidence that can significantly impact the outcome of the case. The evaluator might be called to testify about their findings during hearings or trials.
According to a study in the Journal of the American Academy of Psychiatry and the Law, courts follow forensic mental health recommendations in approximately 78% of cases.
Why Courts Order Mental Health Evaluations
Courts don’t order these evaluations just for fun. They’re looking for specific information to help with legal decisions, like:
- Determining competency – Can this person understand the charges and help in their defense?
- Criminal responsibility – Was a mental illness involved in the alleged crime?
- Child custody disputes – What parent arrangement serves the child’s best interests?
- Guardianship decisions – Does this person need someone to make decisions for them?
- Treatment planning – What kind of mental health or substance abuse treatment might help?
- Safety assessment – Is this person a danger to themselves or others?
What Actually Happens During the Evaluation?
If you’re picturing a couch and someone asking about your childhood dreams, think again. These evaluations are structured and thorough:
- Clinical interviews – Detailed questions about your history, symptoms, and current functioning
- Psychological testing – Standardized assessments measuring personality, cognitive abilities, and specific mental health concerns
- Collateral information – Conversations with people who know you
- Behavioral observations – How you act and respond during the evaluation itself
The National Center for State Courts notes that comprehensive evaluations are essential for judicial decision-making but must be conducted with appropriate ethical safeguards.
After the Evaluation: Now What?

Once the evaluation is complete:
- The report goes to the court and involved parties
- The findings become evidence in the case
- The court may order treatment based on the recommendations
- Compliance with treatment might be monitored by the court
Important Things You Should Know
- Not confidential! Unlike therapy, these evaluations aren’t private. What you say will be reported to the court.
- Get a lawyer. If you’re being evaluated, make sure you have legal representation to protect your rights.
- Takes time. The whole process can stretch from weeks to months.
- Costs vary. Who pays depends on the type of case and your jurisdiction.
According to the American Bar Association, understanding the scope and limitations of these evaluations is essential for attorneys and their clients.
So there you have it – the complete rundown on court-ordered mental health evaluations.
Whether you’re going through one yourself, supporting someone who is, or just curious about the process, now you know what to expect when a judge decides it’s time to get professional insight into someone’s mental state.