Maryland 2023 Regular Session

Maryland Senate Bill SB480

Introduced
2/3/23  

Caption

Mental Health Law - Assisted Outpatient Treatment Programs

Impact

This legislation is set to impact current mental health statutes significantly by introducing a legal framework for courts to enforce outpatient treatments. Specifically, failure to follow treatment orders will be relevant in determining whether individuals require more restrictive involuntary treatment. This shift aims to improve overall outcomes for patients by ensuring they receive necessary care while living in the community. Supporters argue it provides a vital mechanism to prevent crises for individuals with serious mental health issues, which could lead to hospitalization or interactions with law enforcement.

Summary

Senate Bill 480 proposes the establishment of Assisted Outpatient Treatment (AOT) Programs in Maryland, allowing counties to create these programs for individuals with severe mental illness who struggle to adhere to necessary outpatient care. The bill defines AOT as a structured outpatient treatment regimen mandated by a court. It aims to enhance the management of individuals with mental health disorders, particularly those that have previously faced hospitalization or arrest due to non-compliance with treatment standards. By implementing these programs, the state seeks to address the needs of individuals who cannot maintain their treatment voluntarily, reducing the overall burden on emergency services and the mental health care system.

Contention

Notably, discussions around SB480 have highlighted concerns regarding the balance of patient autonomy and public safety. Critics suggest that the bill could lead to coercive treatment practices, intensifying apprehension about state intervention in personal health decisions. While supporters emphasize the necessity of these measures for improving safety and mental health outcomes, opponents worry about the potential for misapplication of the law, particularly affecting marginalized or vulnerable populations who may be at risk of being over-represented in involuntary treatment situations. Ensuring proper guidelines and oversight will be essential in addressing these concerns as the bill advances through the legislative process.

Companion Bills

MD HB823

Crossfiled Mental Health Law - Assisted Outpatient Treatment Programs

MD HB1017

Carry Over Frederick County – Mental Health Law – Assisted Outpatient Treatment Pilot Program

Previously Filed As

MD AB1205

Mental health services: assisted outpatient treatment.

MD AB1676

Mental health services: assisted outpatient treatment: involuntary medication.

MD S09185

Establishes further procedures for assisted outpatient treatment and community adherence plans prior to a person being discharged from the plan; requires the office of mental health track data on assisted outpatient treatment orders; requires the commissioner of mental health create standardized forms for assisted outpatient discharge.

MD SB942

Assisted Outpatient Treatment - Surrender or Seizure of Firearms

MD HB1306

Assisted Outpatient Treatment - Surrender or Seizure of Firearms

MD SB0220

Mental health: other; hospital evaluations for assisted outpatient treatment; expand. Amends secs. 206a & 429 of 1974 PA 258 (MCL 330.1206a & 330.1429).

MD HB06551

An Act Concerning Assisted Outpatient Treatment For Persons With Severe Mental Illness.

MD SB0222

Mental health: other; petition for access to assisted outpatient treatment; expand to additional health providers. Amends sec. 473 of 1974 PA 258 (MCL 330.1473).

MD HB424

Mental health; authorize assisted outpatient treatment (AOT) as alternative to impatient commitment for certain persons.

MD HB4413

Mental health: other; hospital evaluations for assisted outpatient treatment; expand. Amends secs. 206a & 429 of 1974 PA 258 (MCL 330.1206a & 330.1429).

Similar Bills

MI HB4412

Mental health: hospitalization; person requiring treatment; revise, and modify certain procedures for treatment. Amends secs. 401, 427, 430, 461, 468, 472a & 475 of 1974 PA 258 (MCL 330.1401 et seq.).

CA AB1779

Alcoholism and drug abuse recovery and treatment programs: inducement of participants.

MI SB0219

Mental health: hospitalization; person requiring treatment; revise, and modify certain procedures for treatment. Amends secs. 401, 427, 430, 461, 468, 472a & 475 of 1974 PA 258 (MCL 330.1401 et seq.).

MI SB0482

Health: patient directives; Michigan medical treatment decisions act; enact. Creates new act.

NM SB33

RIGHT TO TRY INDIVIDUALIZED TREATMENTS ACT

MD SB549

Mental Health - Treatment Plans for Individuals in Facilities - Participation of Family Members or Other Individuals

TX HB975

Relating to the right to try cutting-edge treatments for patients with life-threatening or severely debilitating illnesses.

TX SB984

Relating to access to individualized investigational treatments for patients with life-threatening or severely debilitating illnesses.