doctor testified that he didn't make a rational decision versus a reasoned decision i think that's an issue of wall with the rational decision is versus recent decision persons who are issue of evidence or i think also with the boat onus on them on the appellate level of having determined before hand if you ever had it when it was never raised in the trial level but given his age and was never mentioned prior two elements that information is provided to the party and certain element that because of the mental illness the person lacks capacity to make a reasoned decision and that issue written information is my client showed a remarkable lack of confusion in some of his testimony in comparison to the clients i have that are you know and i think it may have helped if you would have been given written information on why counseling why know forcing responded to prove prejudice is switching the element of compliance with the code to the respondent where it's really the state who's depriving my client of their liberty  failure a rational decision was that time would be dying on dialysis or if you're have cancer you never really know would be chemotherapy but you have a right to make a non rational decision as long even if it's against their best interests so in the end didn't force best interest switch to this other medication but she made a reasoned decision because his current medication he was doing well on and he wanted to continue with the newer form medication so you know our issue of future compliance is really not even addressed in the war because it's not you could pay and i've had cases where you put social worker you know through social service agencies in your cities who could  administer the medication there was nothing stupid that people outside of the hospital area who in the midst of this medication to and also arm unfortunately there is always a parent of large parent noncompliance in the future or not in the past defeated put future lack of capacity it opens the gate really wide open i'm not saying people who want to lucian or very paranoid or have no reason quirt says that the respondent should be advised of the appropriate alternative treatments and i will go into what the appropriate alternatives and the fact that if a treatment is not appropriate you know is consenting and has made a valid consent to make one medication doesn't mean that they lack of passing the consent to other treatments or medications the other court i believe has addressed that they have always found that the phrase with the particular doctor's name and his designees was appropriate and that is exactly what this order says it says d community treatment in which case it is that's a program for people who have a history of difficulty complying with their treatment management and so in this case the record shows that the respondent it has people coming to his place twice a week for a face to face meeting with him to ensure that he's managing his illness there's no indication that he is in fact  period treatments which is e c t or the medication in the course of the hearing it was the city was partially discussed and the doctor said that he had been involved in conversations with the responder in their son its mother doctrine and that's the person that the trial or designated as appropriate to administer the medication there is in fact someone who is responsible and familiar with the keep a response case who is authorized to do th qualifications were stipulated to the beginning of the trial so i don't see any problem with the written order in that respect sufficient are ordinary critics problem so what would be the use of advising him about various treatments that are appropriate for him as i said in this case we know that he's on a c t which is a sort of community treatment and that they're coming to his house twice a week to have a face to face meetings with him there's no indication that he is going in for executive here be at any of a mental health centers or that anyone is coming to visit capacity and the doctor finally said the profit in it is also based you have to consider the defendant's statements in court which on the surface would indicate that with his history  doctor is correct in allowing him to consent to accept the inventor what he doesn't have the capacity to do and the doctor or the trial judge finally honed in on this is his refusal to accept the medication in the shots one which is a former attorney medication and there is a lack of capacity at this point because he won't consent to it at this point of the hearing he won't consent to it in the future  doesn't want the shots because he feels he's reliable enough to take the medications daily on his own and there is a credibility issue nation for this trial judge to make he says the respondent testified he hears the doctor testimony the whole history shows that in fact the defendant cannot reliably take this medication he also says that he is not taken the shots she says that her refutes reason for not wanting  for not wanting time on acting is that he took the risk are gone and he choked on it so in fact getting the shot medication ready for all medication would seem to be a much more logical choice if he's having trouble taking the oral anything in the record about this a c t t coming up with an alternative where he would or his mother would take him someplace to pick up the world medication every day him but now he moved out and within a week used to be compensated because he hasn't taken this medication there is evidence in the record that he needs to have faults in taking the medication so  takes no more range medication shots which the doctor is requesting then he's not faced with that daily battle to take the medication and he's proven history of not following through on that so he is cycling information they can see why psychotherapy would not be appropriate for their mental condition or mental health treatment the ending could be a factor in deciding to take only to take the i'm also do you know if the one dress this concern of outpatient treatment there is you know you don't have to be hospitalized to actually have a momentary medication work or you can be ou