Massachusetts weighs letting judges order mental health care

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Massachusetts weighs letting judges order mental health care
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Massachusetts lawmakers are considering a bill that would give judges the authority to order adults with a severe mental illness into mandatory outpatient care.

When Ashoke and Vinita Rampuria’s son returned home after taking a year off from college, to complete his course work, he didn’t seem like himself.

Massachusetts, along with Connecticut and Maryland, are the only states that don’t give courts that authority. Friedman said the legislation relies in part on what she called the “black robe” effect — the idea that a treatment plan ordered by a judge is more likely to be followed through by the patient. She also dismissed criticism that mental health care should only go to those who seek it.

In New York City, Democratic Mayor Eric Adams announced in November that he wanted police and city medics to more aggressively get severely mentally ill individuals off the streets and subways, and into treatment. “You want someone to remain stable a long enough amount of time to realize they do better with treatment and continue that on their own,” she said. “Research shows that it takes six months to stabilize on medication and no one is staying anywhere near that long in a hospital.”

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Massachusetts weighs letting judges order mental health careMassachusetts weighs letting judges order mental health careMassachusetts lawmakers are considering a bill that would give judges the authority to order adults with a severe mental illness into mandatory outpatient care, after being released from a health care facility. Massachusetts, along with Connecticut and Maryland, are the only states that don’t give courts that authority. The court would be allowed to order a personalized treatment plan, including a monthly assessment to see if the person should remain in treatment. Supporters say for the severely mentally ill, mandatory outpatient care can help break a revolving door cycle of hospitalizations. Opponents say forcing anyone into mental health care against their will strips them of their sense of control.
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