門診輔助治療
2002 年議會第 1421 號法案設立了《輔助門診治療 (AOT) 示範計畫法案》(又稱勞拉法案),該法案規定,對於有反覆住院或監禁史,或有自殘或傷害他人暴力行為史的個人,法院可強制其接受社區治療。AOT 允許California各縣利用法院、緩刑和心理健康系統來滿足那些在沒有監督的情況下無法參與社區心理健康治療Program個人的需求。如需閱讀 AB 1421 法案全文,請造訪California立法資訊網頁。
DHCS is annually required to report measured program outcomes to the Legislature on or before May 1. The Legislative Report evaluates the effectiveness of the strategies employed by programs in reducing homelessness, hospitalizations, and involvement with local law enforcement by persons in the program.
參與AOT
以下縣已選擇實施 AOT 服務:
Alameda | Contra Costa | El Dorado | Fresno | Kern | Kings | Los Angeles | Marin | Mariposa | Mendocino | Napa | Nevada | Orange | Placer | Riverside | Sacramento | San Diego | San Francisco | San Luis Obispo | San Mateo | Santa Barbara | San Bernardino | Santa Clara | Shasta | Siskiyou | Solano | Stanislaus | Tehama | Tulare | Ventura | Yolo
其餘縣府透過監事會決議選擇退出:
Alpine | Amador | Butte | Calaveras | Colusa | Del Norte | Glenn | Humboldt | Imperial | Inyo | Lake | Lassen | Madera | Merced | Modoc | Mono | Monterey | Plumas | San Benito | San Joaquin| Santa Cruz | Sierra | Sonoma | Sutter/Yuba | Trinity | Tuolumne
立法
SB-507
On September 30, 2021, Senate Bill (SB) 507 amended the current legislation associated with the Assisted Outpatient Treatment (AOT) program, to expand the criteria for when AOT services may be court-ordered to include the requirement that AOT is needed to prevent a relapse or deterioration that would be likely to result in grave disability or serious harm to the person or to others, without also requiring that a person’s condition be substantially deteriorating.
該法案還要求進行精神健康檢查的專業人員確定 AOT 申請的對像是否有能力在向法院提交的宣誓書中就精神藥物做出知情同意,並允許申請對像或進行精神健康檢查的專業人員透過視訊會議出庭作證。此外,該法案授權按照現有的申請程序,為「符合條件的監護人」(定義見 SB 507)提交申請以獲得 AOT。
Counties should consult their Board of Supervisors and local stakeholders for integration of the SB 507 requirements and should have an implementation plan in place. Please note: The implementation plan does not need to be submitted to Department of Health Care Services (DHCS).
要完整閱讀 SB 507,請造訪加州立法資訊網頁。
1976年
1976 年議會法案 (AB) 要求California所有縣從 7 月1 、 2021開始提供輔助門診治療。 各縣可以獨立提供 AOT 服務,也可以選擇與鄰近縣合作。各縣可以透過監事會通過的決議選擇退出參與,該決議應說明退出的理由,以及做出該決定所依據的任何事實或情況。各縣無需提交有關 AOT 參與情況的年度通知。此外,該法案廢除了勞拉法案的終止日期,無限期地延長了該Program ,並禁止任何縣因實施該法案而減少現有的自願性心理健康Program 。
To read AB 1976 in full, please visit the California Legislative Information webpage.
培訓和技術援助
如需 AOT 實施和報告要求的協助,請聯絡DHCSAOT@dhcs.ca.gov 。
DHCS 資源
- Laura’s Law: Legislative Reports
- 結果評估網路研討會演示
- AB 1976:輔助門診治療專案網路研討會的實施和報告要求 – PowerPoint 演示
- AOT: Frequently Asked Questions
- Behavioral Health Information Notice 22-035
- AOT 數據字典
- DHCS 公開報告指南
任何與 AOT 專案相關的問題可直接聯繫 DHCSAOT@dhcs.ca.gov