Assisted Outpatient Treatment (AOT) in Los Angeles Department of Mental Health
Learn about Assisted Outpatient Treatment (AOT) in the County of Los Angeles Department of Mental Health, including its background, overview, referral process, and who can refer individuals for services. AOT helps serve seriously mentally ill persons at risk of deterioration or detention under WIC 5150 through outreach and linkage to outpatient treatment services.
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Presentation Transcript
COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH A S S I S T E D O U T P A T I E N T T R E A T M E N T ( A O T A S S I S T E D O U T P A T I E N T T R E A T M E N T ( A O T - - L A ) O U T R E A C H A N D E N G A G E M E N T O U T R E A C H A N D E N G A G E M E N T L A )
BACKGROUND BACKGROUND What is Assisted Outpatient Treatment (AOT)? What is Assisted Outpatient Treatment (AOT)? Assisted Outpatient Treatment, also known as Laura s Law, was initiated following the 2001 killing of Laura Wilcox by an individual suffering from severe mental illness. Former Assemblywoman Helen Thomson authored Assembly Bill 1421 establishing the Assisted Outpatient Treatment (AOT) Demonstration Project Act of 2002, known as Laura s Law. Assisted Outpatient Treatment (AOT) Demonstration Project Act of 2001, known Laura s Law (WIC 5346 et seq) identifies persons with serious mental illness and history of treatment non-compliance, assess if there is substantial risk for deterioration and/or detention under WIC 5150 which could be mitigated by provision of appropriate services or mandated participation in such services. 2
OVERVIEW OVERVIEW Allows LAC DMH to serve seriously mentally ill persons at substantial risk of deterioration and/or detention under WIC 5150 as a direct result from poor psychiatric treatment compliance. AOT eligible individuals are outreached in an effort to voluntarily engage them in receiving mental health services. If they refuse services, AOT-LA may elect to petition the individual into psychiatric outpatient treatment. 3
OVERVIEW CONT. OVERVIEW CONT. AOT eligible individuals are linked to outpatient treatment services through an expansion in existing Adult Mental Health Services Act (MHSA) Community Services and Support (CSS) programs that includes specifically selected contracted agencies to provide either Full Service Partnership (FSP) services or Enriched Residential Services. AOT-LA expands inter-agency collaboration among courts, County Counsel, Public Defender, Patient s Rights and local law enforcement. 4
WHO CAN REFER? WHO CAN REFER? In order to refer someone for AOT-LA services, the referring party must be: Co-habitant aged 18 or older Close relative-parent, sibling, spouse, child over age of 18 Director of client s residential care facility Hospital director Licensed mental health treatment provider Peace/parole/Probation Officer assigned to supervisor the referred party Judge of Superior Court 5
ELIGIBILITY CRITERIA FOR AOT ELIGIBILITY CRITERIA FOR AOT- -LA SERVICES LA SERVICES 18 years of age or older Seriously mentally ill (documented diagnosis) History of lack of compliance with treatment for the individual's mental illness demonstrated through at least one of the following: -Mental illness has, at least twice within the last 36 months been a factor in necessitating hospitalizations, or receipt of services in a forensic or other mental health unit of a state or local correctional facility -Mental illness had resulted in one or more acts of serious and violent behavior toward self or another or threats, or attempts to cause serious physical harm to self or another within the last 48 months -Excluding any hospitalization or incarcerations immediately preceding the referral 6
ELIGIBILITY CRITERIA FOR AOT ELIGIBILITY CRITERIA FOR AOT- -LA SERVICES CONT. LA SERVICES CONT. The individual has been offered an opportunity to participate in a treatment plan and fails to engage in treatment AOT-LA would be the least restrictive placement to support recovery and stability It is likely the individual will benefit from AOT-LA services There has been clinical determination that, in view of the person s treatment history and current behavior, at least one of the following is true: The individual is unlikely to survive safely in the community without supervision and the person s condition is substantially deteriorating or The individual is in need of AOT in order to prevent a relapse or deterioration that would be likely to result in grave disability or serious harm to the person or to others, as defined in Section 5150 7
AOT AOT- -LA CAPACITY AND SERVICES LA CAPACITY AND SERVICES Extensive outreach and engagement for a minimum of 30 days Screening and assessment Linkage to outpatient psychiatric treatment May petition for court-ordered outpatient psychiatric treatment Participation in court hearing and follow-up on court mandate 8
REFERRAL INFORMATION REFERRAL INFORMATION If you would like to refer someone for AOT-LA services, please complete referral and send to: AOTLAOE@dmh.lacounty.gov or Fax to 213-380-3680 Referral Form http://file.lacounty.gov/SDSInter/dmh/1017016_UPDATED_AOT_REFERRAL_FORM.PDF For more information call 213-738-2440 9
COUNTYWIDE ENGAGEMENT SERVICES DIVISION CONTACT INFORMATION AOTLAOE@dmh.lacounty.gov (213) 738-2440 ACCESS Center 24/7 Helpline 800-854-7771 10
