In each département where a unit for difficult patients is located, a medical monitoring committee is set up, made up of four members appointed by the director general of the regional health agency:
1° A doctor representing the regional health agency ;
2° Three hospital psychiatrists not working in the unit for difficult patients.
The members of the committee mentioned in 2° are appointed for a renewable three-year term. Alternate members are appointed under the same conditions. The committee elects its chairman from among its members. The chairman has the casting vote in the event of a tie.