Avoid willful misconduct or gross negligence in the treatment of mental health patients, and imposes civil liability for a breach of that duty. Plaintiff seeks monetary relief for the alleged intentional torts, negligence and constitutional violations.We believe that the parties who cause such accidents through their actions or negligence should be held fully responsible. In many jurisdictions, this rule is known as the "impact rule" and it requires some physical injury before negligence liability may attach. Mental health commitments in the Commonwealth are divided into two types —voluntary and involuntary. The following slide describes each type and level. In Pennsylvania, liability generally falls on the party whose negligence caused the accident, usually the driver.