Treatment FAQ

how to get discharged of assisted outpatient treatment

by Lillie Schumm Published 2 years ago Updated 2 years ago
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If the admissions person at the rehabilitation facility confirms they can receive your loved one, contact the discharge planner at the hospital, communicate which facility your loved one has chosen, tell the discharge planner that the receiving facility has agreed, and ask the discharge planner to communicate discharge instructions to the facility.

Full Answer

How do I contact the Assisted Outpatient Treatment Program?

To learn more about making an inquiry or referral for an AOT Order please call one of the Assisted Outpatient Treatment Program’s main numbers: Manhattan AOT Team: 347-396-7373 Queens AOT Team: 347-396-7004 Bronx AOT Team: 347-396-7375 Brooklyn/Staten Island AOT Team: 347-396-7374

What is a hospital discharge plan?

Hospital discharge is when you are allowed to leave a hospital after treatment. It involves working with a discharge planner who will help you understand the next steps and how to care for yourself at home. Hospital discharge is when you are allowed to leave a hospital after treatment.

When does a hospital discharge you from the hospital?

A hospital will discharge you when you no longer need to receive inpatient care and can go home. Or, a hospital will discharge you to send you to another type of facility. Many hospitals have a discharge planner.

What is the assisted outpatient treatment process?

The patient is provided with free legal representation and extensive due process protections throughout the assisted outpatient treatment process. In the hearing, the court hears testimony and takes evidence from all the parties, including a doctor who has examined the patient.

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What is AOT in mental health?

“Kendra's Law” (§9.60 of the Mental Hygiene Law) mandates mental health services for a small number of individuals who have difficulty engaging in rehabilitation and can pose a risk to themselves or others in the community. The order is granted in civil court.

What is an AOT in hospital?

Assisted outpatient treatment (AOT) is court-ordered treatment (including medication) for individuals with severe mental illness who meet strict legal criteria, e.g., they have a history of medication noncompliance.

Who qualifies for AOT?

Be eighteen years of age or older; Have a qualifying mental illness; Ne unlikely to survive safely in the community without supervision; Have a condition that is substantially deteriorating; and.

How do I get an AOT?

A person may be ordered to obtain AOT if the court finds that he or she is at least 18 years of age and suffers from a mental illness; and is unlikely to survive in the community without supervision, based on clinical determination; and has a history of non-compliance with treatment for mental illness which has led to ...

What is AOT removal?

The statute permits the temporary removal of an individual subject to an AOT order, if the individual is non-compliant with treatment, efforts to solicit compliance have failed, and a physician determines that as a result the individual may be in need of inpatient care and treatment.

What does AOT status mean?

Assisted outpatient treatment (AOT), also known as outpatient commitment (OPC), is a civil legal procedure whereby a judge can order an individual with a serious mental illness to follow a court-ordered treatment plan in the community.

Who qualifies for Laura's law?

To qualify for Laura's Law, an individual must have a serious mental illness that resulted in a psychiatric hospitalization or incarceration twice in the previous three years or resulted in violent behavior within the past 48 months.

What does Laura's law do?

Laura's Law is California's state law that provides community-based, assisted outpatient treatment (AOT) to a small population of individuals who meet strict legal criteria and who – as a result of their mental illness – are unable to voluntarily access community mental health services.

When was Laura's law passed?

2002The measure passed the California Legislature in 2002 and was signed into law by Governor Gray Davis. The statute can only be used in counties that choose to enact outpatient commitment programs based on the measure. As of 2010, Nevada County has fully implemented the law and Los Angeles County has a pilot project.

How many states have AOT laws?

Community-Based Civil Commitment AOT in some form is authorized by statute in 47 states and the District of Columbia but is unevenly practiced and not available everywhere it is allowed. (In 2019, the states without AOT statutes were Connecticut, Maryland and Massachusetts).

What is an AOT team?

An AOT Program is an organized, systematic effort within a mental health system to ensure that AOT will be made available to those who need it to live safely in the community.

What is AOT in NYC?

The Assisted Outpatient Treatment program (AOT) was created by Kendra's law. Kendra's law states that people with serious mental illness who are a danger to themselves or others can be court-ordered to participate in mental health treatment.

Why is assisted outpatient treatment needed?

Based on treatment history and current behavior, be in need of outpatient treatment to prevent a relapse or deterioration likely to result in serious harm to self or others and. Likely benefit from Assisted Outpatient Treatment.

How long can an AOT be?

A civil court can grant an AOT order of up to one year. Prior to the order expiring, a psychiatrist will conduct an exam to determine if the consumer will still benefit from an AOT order and will make a recommendation to the court. A judge will then decide at another civil court hearing if the order should be renewed.

What is Kendra's law?

“Kendra’s Law” (§9.60 of the Mental Hygiene Law) mandates mental health services for a small number of individuals who have difficulty engaging in rehabilitation and can pose a risk to themselves or others in the community. The order is granted in civil court. The New York City Assisted Outpatient Treatment program is responsible for the implementation of Kendra’s Law in the five boroughs of New York City.

Can a consumer be involuntarily transported to a hospital?

After the service providers have made every attempt to engage the consumer to no avail, and it appears that the consumer may require inpatient hospitalization a provider may request that the individual be involuntarily transported to a hospital’s psychiatric emergency room.

Factors that impact discharge

A lot of components come into play when deciding whether a patient is ready to be discharged from a setting or provider:

What can I do to make the discharge process smooth as a patient?

Make your priorities known – tell your therapist what’s most important to you and remind them early and often. Excited to read stories to your grandchildren? Your therapist will be thrilled to help you work towards that goal!

What can I do to make the discharge process smooth as a provider?

Have the tough talks early – have an honest conversation with your patients early in their treatment about what they would consider a “successful outcome”.

What to do if discharge process does not include some of these?

If your discharge process does not include some of these, make sure to ask. It’s important to get all of your questions and concerns answered. Make sure to ask the hospital when they will communicate to outside healthcare providers about the care you received in the hospital as well as your current care needs.

What to do after discharge?

You may have been given important instructions to follow, such as weighing yourself daily, or doing certain exercises to speed your recovery. Let family members or friends be a part of your recovery after dis charge. They may be able to pick up medications or take you to appointments.

What to do after leaving hospital?

The discharge planner and your healthcare provider will answer your questions. After you leave the hospital, you will need to make sure to take care of yourself as instructed.

What is discharge planner?

Many hospitals have a discharge planner. This person helps coordinate the information and care you’ll need after you leave. You’ll need to understand your injury or illness. You’ll need to know the next steps to take. This may include taking medicine and caring for a bandage.

What is discharge in hospital?

What is hospital discharge? When you leave a hospital after treatment, you go through a process called hospital discharge. A hospital will discharge you when you no longer need to receive inpatient care and can go home. Or, a hospital will discharge you to send you to another type of facility. Many hospitals have a discharge planner.

Why is hospital care so expensive?

Hospital care is for people who need a high level of medical attention. It is also expensive, and often uncomfortable. Being in the hospital also exposes you to the possibility of infection, particularly if you have a weak immune system.

What happens after discharge?

After discharge, you’ll go through a transition of care. That means you will now have a different level of medical care outside of the hospital. For example, you may go to a skilled nursing facility if you need some level of further care and are not yet ready to go home. If you need physical rehabilitation, you will go to a rehab facility.

What is AOT in mental health?

It is a 2-way commitment that requires mental health systems to serve participants at the same time it commits participants to adhere to their treatment plans. It is similar in intent to conditional release, mental health courts, and conservatorship-all of which seek to improve the person’s adherence to a treatment plan and quality of life.

Is AOT a cure all?

AOT is here to stay, not as a cure-all but rather as another tool to help treat selected patients who are otherwise the most difficult to treat. Dr. Darold Treffert summarized the rationale for treatment approaches such as AOT nicely:

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