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In better times, he lived in a mental hospital, where he and his family say he thrived because of the structured environment and monitoring of his mood and medications.Homeless Monroe County man falls through the cracks | PoconoRecord.com
Louisiana’s Law for Assistive Outpatient Treatment (Louisiana ACT 407) allows the director of a hospital, emergency receiving center or Regional / District Mental Health Director to petition the local court for involuntary outpatient treatment of certain individuals meeting the criteria established in law. This court-ordered treatment is called assisted outpatient treatment. This Assistive Outpatient Treatment Law is an important treatment tool that allows individuals, who due to the debilitating effects of their mental illness have a history of non-compliance with treatment, to be court ordered into outpatient treatment without ordering them into more restrictive inpatient care.
Who is eligible for Assistive Outpatient Treatment ?An individual may be placed in assistive outpatient treatment only if, after a hearing, the court finds that all of the following have been met. The individual must:
1. be eighteen years of age or older,
2. suffer from a mental illness,
3. be unlikely to survive safely in the community without supervision, based on a clinical determination,
4. have a history of lack of compliance with treatment from mental illness that has resulted in either of the following;
a. at least twice within the last thirty-six months, the lack of compliance with mental health treatment has been a significant factor resulting in an emergency certificate for hospitalization or receipt of services in a forensic or other mental health unit within a correctional setting, not including any period during which the person was hospitalized or incarcerated immediately preceding the filing of the petition OR
b. one or more acts of serious violent behavior toward self or others or threats of, or attempts at, serious physical harm to self or others within the last thirty-six months as a result of mental illness , not including any period during which the person was hospitalized or incarcerated immediately preceding the filing of the petition
5. As a result of his or her mental illness, is unlikely to voluntarily participate in the recommended treatment documented in the treatment plan.
6. In view of the individual’s treatment history and current behavior, there is a need for assistive outpatient treatment to prevent a relapse or deterioration which would likely result in the individual becoming dangerous to self or others,
7. It is likely that the individual will benefit from assistive outpatient treatment.
What can you do if you have concerns about someone’s eligibility for Assistive Outpatient Treatment?Contact the Department of Health and Hospitals, Office of Behavioral Health designated Assistive Outpatient Treatment Coordinator in the region / district in which the individual resides for assistance.
|Paul Schmidt's death revealed gaps in the system.|
Congressman Danny Davis says fewer people would wind up returning to the jail, as they do, if they had better access to mental health treatment.
He says, “I don’t think we’re talking about a lot of additional use of money. We’re just talking about…if you keep looking at it…you squeeze it….dice it…slice it….you do everything you can to get the most mileage out of it.”Read the article, listen to the podcast here: Group Wants Referendum Asking State For More Money To Treat Mentally Ill « CBS Chicago
The presence of severely mentally ill persons in jails and prisons is an urgent problem. This review examines this problem and makes recommendations for preventing and alleviating it.
CONCLUSIONS: Clinical studies suggest that 6 to 15 percent of persons in city and county jails and 10 to 15 percent of persons in state prisons have severe mental illness. Offenders with severe mental illness generally have acute and chronic mental illness and poor functioning. A large proportion are homeless. It appears that a greater proportion of mentally ill persons are arrested compared with the general population. Factors cited as causes of mentally ill persons' being placed in the criminal justice system are deinstitutionalization, more rigid criteria for civil commitment, lack of adequate community support for persons with mental illness, mentally ill offenders' difficulty gaining access to community treatment, and the attitudes of police officers and society. Recommendations include mental health consultation to police in the field; formal training of police officers; careful screening of incoming jail detainees; diversion to the mental health system of mentally ill persons who have committed minor offenses; assertive case management and various social control interventions, such as outpatient commitment, court-ordered treatment, psychiatric conservatorship, and 24-hour structured care; involvement of and support for families; and provision of appropriate mental health treatment.
Read the entire article here: PsychiatryOnline | Psychiatric Services | Persons With Severe Mental Illness in Jails and Prisons: A Review