The Maine Department of Health and Human Services is updating its involuntary commitment process following a state supreme court ruling that psychiatric patients may not be held for extended periods in emergency rooms without a judge getting involved.Details are still being worked out by the Office of Behavioral Health on new rules to reflect the new precedent in the ruling late last month, said Jackie Farwell, a Maine DHHS spokesperson. The Maine Supreme Judicial Court’s decision enforces a limit of five days, with a judge’s approval, for someone to be held in an emergency room against their will.