The Substance Abuse and Mental Health Services Administration

SAMHSA Stakeholder Feedback

What do you think are some of the most noteworthy accomplishments and changes in the behavioral health field over the past several years?

Implementation of Assisted Outpatient Treatment

AOT (Kendra's Law in NY, Laura's Law in CA, etc.) has provided consumers with a less restrictive alternative to inpatient commitment and incarceration. Research shows 81% of consumers in AOT say it helped them get well and stay well. Independent research shows it helps the mentally ill by reducing homelessness (74%); suicide attempts (55%); and substance abuse (48%); Keeps the public safer by reducing physical harm to others (47%) and property destruction (43%) and saves money by reducing hospitalization (77%); arrests (83%); and incarceration (87%). It also has a positive effect on the treatment system, saves money, and delivers care to the most severely ill whom voluntary treatments and peer support have not worked for.

964 votes
Vote
Sign in
Check!
(thinking…)
Reset
or sign in with
  • facebook
  • google
    Password icon
    I agree to the terms of service
    Signed in as (Sign out)
    You have left! (?) (thinking…)
    Mental Illness AdvocateMental Illness Advocate shared this idea  ·   ·  Flag idea as inappropriate…  ·  Admin →

    181 comments

    Sign in
    Check!
    (thinking…)
    Reset
    or sign in with
    • facebook
    • google
      Password icon
      I agree to the terms of service
      Signed in as (Sign out)
      Submitting...
      • AnonymousAnonymous commented  ·   ·  Flag as inappropriate

        After years of watching our son spiral out of control and blaming us, He was conserved. In affect he had a court appointed person of authority who could require him to take medications. He never had to be forced to take medications. Just the thought that someone could legally require him to motivated him to do so. For the first time in 15 years we had our son back as the mild mannered compassionate person he was before the mental Illness set in.
        It is almost impossible for a parent to provide help and guidance to mentally ill children and there is very little help out there. AOT was the one lifeline to help we had.

      • AnonymousAnonymous commented  ·   ·  Flag as inappropriate

        An AOT program is needed for those who lack insight into their illness and consistently refuse service. The "Black Robe" effect of court ordered treatment works to get some of these people into treatment.

      • lydia padillalydia padilla commented  ·   ·  Flag as inappropriate

        I feel that Aot needs to be made stronger as it stands now it is a weak law with no teeth.

        It is a piece of paper with no enforcement mechanism,
        Too many MICA clients fall thru the cracks. when they are non compliant with the AOT Order because the Doctors do not enforce treatment or remand them back to State Hospital which is what is needed!!!!
        So how can we work together to make this law work for the recacitrant client who would benefit from AOT???????

      • lydia padillalydia padilla commented  ·   ·  Flag as inappropriate

        I feel that Aot needs to be made stronger as it stands now it is a weak law with no teeth.

        It is a piece of paper with no enforcement mechanism,
        Too many MICA clients fall thru the cracks. when they are non compliant with the AOT Order because the Doctors do not enforce treatment or remand them back to State Hospital which is what is needed!!!!
        So how can we work together to make this law work for the recacitrant client who would benefit from AOT???????

      • lydia padillalydia padilla commented  ·   ·  Flag as inappropriate

        I personally think that while aot is a good program it does include the mentally ill chemical abuser who really needs aot but aot dismisses that population because aot doctors say that the mentally ill have rights and dont need to paticipatr if they choose not to abide by theer rules.
        So that a mentally ill chemical abuser who is in in Aot and is non compliant with taking medication or not compliant with attending a day treatment program ,he has a right not to participate!!!I find that unconscionable that Aot can drop the client. Aot has no teeth .Aot cannot enforce the law and mandate the person be remanded to treatment and to take medication!!! so therefore the mentally ill person has rights to thier detriment, Lydia Padilla,Esq

      • AnonymousAnonymous commented  ·   ·  Flag as inappropriate

        I work with multiple people who are completely unable to deal effectively with their mental illness (and usually multiple co-morbidities and co-occurring disorders). We have no one or place to assure that they will receive medcations and shelter that they drastically need. This is a program that should be utilized - particularly in states that have no available hospitalization options for most of these individuals. I vote for AOT.

      • Diana HankinsDiana Hankins commented  ·   ·  Flag as inappropriate

        Right this moment I know people who need help and can not get it., Know people MH will not help or 5150 because they say they do not fit the requirements of the law.

      • AnonymousAnonymous commented  ·   ·  Flag as inappropriate

        We are struggling to have our son admitted to Maine's AOT, called PTP, progressive treatment program. The medical and legal community are making this difficult. It boils down to understanding the legislation on the books and putting it into effect. Meanwhile our son is finally in Riverview Hospital, admitted from jail and gaining some insight into his illness with a medication called invega by injection. He needs to be discharged to a PTP to continue to make progress and be on a path of wellness and recovery.

      • Catherine MoneCatherine Mone commented  ·   ·  Flag as inappropriate

        Most people would agree that denying a person medical treatment is barbaric. Yet some people fail to see the similarity in denying care to those who are too ill to ask for it.

      • AnonymousAnonymous commented  ·   ·  Flag as inappropriate

        PLEASE VOTE FOR THIS, THE AOT IS OFTEN THE ONLY RECOURSE FOR FAMILY TO DO ANYTHING AT ALL FOR THEIR MENTALLY ILL FAMILY MEMBERS......MY BROTHER WOULD BE IN JAIL OR DEAD WITHOUT IT.

      • Cecilia ArnoldCecilia Arnold commented  ·   ·  Flag as inappropriate

        AOT is a win-win. It is a more humane, efficient, and appropriate course of action for a person with mental illness. Plus, it saves costs of incarceration and recidivism.

      • AnonymousAnonymous commented  ·   ·  Flag as inappropriate

        AOT is an invaluable help to families and patients alike!

        I want to place all 10 of my votes on AOT but the box will not let me click on more than three. Please correct for me.

        Thank you!

      • AdvocateAdvocate commented  ·   ·  Flag as inappropriate

        Assisted Outpatient Treatment aka Court Ordered Outpatient Treatment saves lives.

      Feedback and Knowledge Base