Perez Hilton allowed supervised visits with his children...but he must have 'psychiatric clearance' as his mother is granted custody

Perez Hilton will need 'psychiatric clearance' before he can see his three children again, the Daily Mail can exclusively reveal. 

The blogger's mom Teresita Lavandeira filed for temporary legal custody of Mario, 13, Mia, 11, and Mayte, eight, after their troubled dad slashed himself with a knife during an August 4 livestream. 

A Miami court agreed this week that paternal grandma Teresita, 72, should have sweeping authority over their schooling, healthcare and 'all things necessary for the care of the children.' 

Judge Laura Cruz didn't bar Hilton, 48, from spending time with the kids but he can only do so after seeking psychiatric help, according to her order, obtained exclusively by the Daily Mail. 

'Any visitation with Respondent shall be supervised either with an agreed upon family member or a therapist until further order of the Court or agreement of the parties, so long as Respondent has obtained psychiatric clearance,' the order states. 

Hilton, still recovering from his wounds in the hospital, consented to the arrangement, entered as a confidential final judgment on August 18. 

But the ruling does not permanently terminate his parental rights over Mario, Mia and Mayte, who were all born via surrogacy. 

Instead, Judge Cruz expressly retained jurisdiction over the case and said the court could issue further orders, including a 'transition plan' to transfer custody back to Hilton when he gets better. 

The Hollywood columnist was treated for 'significant' blood loss and undisclosed injuries after self-harming during a TikTok stream. 

His sister Barbara Giarraffa, 42, discovered Hilton naked and covered in blood in the bathroom of the Miami home he shares with Teresita. 

She ushered the children into her car and drove away as Hilton chased them into the street and banged on the windows, according to a police report. 

The gossip then locked himself inside the house and cut himself with a knife before first responders were able to coax him out and treat him for lacerations and an overdose. 

Hilton was hospitalized under Florida's Baker Act, which allows for the temporary involuntary detention of individuals in mental health crisis. 

The act's provisions will kick in when he's medically discharged from the hospital, giving doctors a 72-hour window to transfer him to a psychiatric facility and evaluate him. 

Hilton could walk free when the clock runs down if they decide he's not a risk to himself or others. 

But that's a 'long shot' according to Mark Astor, a veteran Florida attorney specializing in Baker Act cases. 

'You don't just get to walk out of there after 72 hours,' Astor previously told the Daily Mail. There are three possibilities, according to Astor, a former prosecutor, defense attorney and partner at Astor Simovitch Law.

'Number one, they could release him. Number two, they get him to agree to stay on a voluntary basis. 

'Or number three, they could file what's known as a petition for involuntary placement,' Astor explained. 

The latter would involve a Miami-Dade judge holding a hearing within five days to decide whether Hilton should remain locked up. The case would be confidential – with media barred from attending or hearing any of the details. 

'Most of the time these things take place inside the actual facility,' said Astor. 'There's going to be a prosecutor from the state attorney's office, and either a private defense lawyer or a court-appointed public defender. 

'There'll probably be a doctor there from the facility saying this is why we need more time.' 

Patients can be held for a maximum of six months at a time. But a 30-day order is more realistic in Hilton's case, Astor predicted. 

He says the media personality's family has a crucial role in what happens next. 

It's possible Teresita and Barbara could persuade authorities to release Hilton to a private facility, which would cost between $15,000 and $30,000 per month. 

The pair could also apply to become his legal guardians, taking responsibility for Hilton's healthcare decisions away from the State of Florida. 

'If he's willing to get help, great. It's possible they come to an agreement with the state for what's known as a bed-to-bed transfer,' Astor explained. 'They could potentially file for a guardianship. In effect, they would be saying to the judge, listen, we want to get the state out of the picture here. 

'He's got a family that loves him and we want to be the decision makers for him.' Hilton moved from Las Vegas to Miami earlier this summer to focus on his family after suffering a devastating bout of sepsis requiring 21 days in the hospital and two surgeries. 

In a subsequent interview with the Daily Mail, Hilton revealed the near-death experience had prompted him to become a born-again Christian. 

A statement posted to the Perez Hilton website Monday said: 'At this time, Perez remains hospitalized and is receiving the medical care he needs. 'His treatment is continuing in an inpatient setting under the care of a dedicated team of medical and mental health professionals.' 

If you or someone you know needs help in the US, please call or text the confidential 24/7 Suicide & Crisis Lifeline at 988. If you are in the UK, call Samaritans at 116 123 for free. If you are in Australia, call Lifeline 13 11 14 or Kids Helpline at 1800 55 1800.