Assisted Outpatient Treatment

Do you know someone with serious mental illness who is not getting the care they need? Have you been told there is nothing you can do if your loved one does not agree to accept services?

What is AOT?
Assisted Outpatient Treatment (AOT) is a new program being implemented in Alameda County. AOT is a civil (not criminal) legal procedure that can be requested by concerned family members, caregivers, and other qualified referral sources (see below) for people who are too ill to recognize the need for services. Under AOT, eligible individuals can receive court ordered intensive treatment in the community. The goal of AOT is to improve access and ad-herence to services in order to halt the deterioration that results from untreated serious mental illness, and to prevent relapse, hospitalization, arrest, incarceration, suicide, property destruction, and violent behavior. What services does AOT provide?

  • 24/7 case management team that provides mental health treatment, medication monitoring, access to primary health care, and substance abuse counseling
  • Assistance in applying for and obtaining benefits such as SSI and food stamps
  • Help finding supportive housing
  • Vocational rehabilitation
  • Peer mentoring and support
  • Collaboration with and support for families
  • Oversight by a Judge to encourage compliance
  • No forced medication

Who can request AOT? (per W&I Code 5345-5349.5):

  • Immediate family member
  • Adults residing with the individual
  • Director of treating agency, organization, facility, or hospital
  • Treating licensed mental health professional
  • Peace officer, parole or probation officer supervising the individual

Who qualifies for AOT? (must meet all, per W&I Code 5345-5349.5):

  • Alameda County resident, minimum of 18 years of age
  • Clinical determination that the person is unlikely to survive safely in the community without supervision
  • Person’s condition is substantially deteriorating
  • Person has been offered chance to participate in development of their treatment plan for services and continues to fail to become involved
  • Person has a history of lack of participation in a mental health program that have resulted in either 2 or more hospitalizations in the last 36 months, or have one attempt to cause harm in the last 48 months
  • Person is likely to benefit from AOT services