The mental health industry stands in the way of implementation. They claim AOT increases institutionalization when it decreases it, increases the use of ‘force’ when it prohibits it, drives people from care when those in it support it, increases stigma when it reduces it, is expensive when it saves money, and affects many when it affects few. (Jaffe 2010) They claim voluntary programs work better, but AOT is only used after voluntary programs fail.
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The Helping Families in Mental Health Crisis Act (HR 3717) proposed by Rep. Tim Murphy and 95 cosponsors in both parties would provide states funds for pilot AOT programs. Ask your Representative to co-sponsor HR 3717.