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I write in opposition to HB888. Serious mental illnesses, such as Schizophrenia and Schizoaffective Disorder, are fundamentally neurocognitive in nature. Informed expert medical opinion in the field increasingly regards Serious Mental Illness (SMI) as brain disorders deserving of funding and treatment on a par with other neurocognitive and neurological disorders, such as Alzheimers Disease and 22q11 Chromosome Gene Deletion Syndrome. The most recent edition of the DSM-V classifies Schizophrenia as a neurodevelopmental disorder, not quintessentially a psychotic disorder, for diagnostic classification purposes. Schizophrenia spectrum disorders typically emerge in adolescence and early adulthood, resulting in neurocognitive deficits, estimated on average as a composite loss of 1 to 2 SDs in assessed IQ points. Psychosis may be present in acute physical illness as well. For example, Post-Intensive Care Syndrome (PIC) unquestionably has a physical etiology , for example in sepsis and long COVID, yet symptoms suggestive of acute psychosis, such as hallucinations and paranoid delusions, depression, delayed emotional trauma , and neurocognitive impairment are common and chronic in nature, and often refractory to treatment. It is understandable that policy makers should seek a simple and straightforward means to limit emergency custody (ECO) and detention (TDO) patients entering the EDs of our overtaxed private and public hospitals. There is nothing simple and straightforward, however, about the causes and diagnosis of these complex neuropsychiatric and neurodevelopmental disorders. These cases are often difficult differential diagnoses to make in clinical practice, even by qualified and licensed mental health professionals who specialize in these areas in teaching hospitals. They certainly should not be made "int the field" by emergency workers and law enforcement officers who must make practical "life and death" decisions operating under "real world" conditions and urgencies. It is best to leave these decisions to medically trained and qualified psychiatrists in triage support with other medically qualified professionals AFTER such individuals have been 'dropped off" at a Crisis Receiving Center or the hospital Emergency Department for medical clearance and further assessment. There is a reason that most MDs doing this kind of work are board certified in Psychiatry and Neurology. Edmund W. Creekmore, Jr, Ph.D., LCP, NSSC Policy Acton Co-Chair