Tag: AOT

Treatment Without Consent and AOT Needed for Those with Lack of Mental Illness Awareness – A True Story

Bipolar Burble blog welcomes Lynn Nanos, a mobile emergency psychiatric social worker from Massachusetts. She writes about one patient’s experience with psychosis and the need for treatment without consent and assisted outpatient treatment (AOT).

I evaluate many patients with serious mental illness who lack awareness of being ill. Those who don’t understand they are ill, those who don’t have insight, are unlikely to initiate outpatient treatment. Here’s a story of one man who needed treatment without consent for his own safety.

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Assisted Outpatient Treatment Upholds Civil Liberties, Doesn’t Deny Them

Assisted outpatient treatment (AOT) is finally coming into its own. After so many people fighting for the rights of the seriously mentally ill for a decade, this lifesaving treatment option is finally available in the vast majority of states. But many people feel that assisted outpatient treatment denies civil liberties. I would argue, however, assisted outpatient treatment actually upholds civil liberties, not to mention upholds societal ethics.

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Laura’s Law – Assisted Outpatient Treatment – Follow-Up

Well now, that was quite the number of impassioned comments. I did realize that by writing about Laura’s Law (Assisted Outpatient Treatment) there would be some contention, but I didn’t realize quite how much. Thanks to everyone who wrote in well clear, thoughtful comments. (For those whose comments weren’t of that ilk, please review the comment policy here at the Bipolar Burble.)

Due to the number of responses, I have been unable to address them each individually, but I would like to point a few things out in general.

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Laura’s Law – Forced Treatment, Saved Lives

Some of you may have heard of Laura’s Law in California or Kendra’s Law (similar) in New York. These laws, and similar laws across 42 states, allow for court-ordered treatment of mental illness as a condition of community living.

In other words, they strong-arm people into treatment and this could be seen as treatment without consent. (It’s hard to argue consent when your ability to live outside a locked facility is in jeopardy.)

And this is a very good thing. It is saving lives (among other things).

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I write a three-time Web Health Award winning column for HealthyPlace called Breaking Bipolar.

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