Bill > HB1154

This bill creates a comprehensive legal framework for court-ordered involuntary outpatient mental health treatment in Missouri for individuals 18 and older with mental disorders who are unable to voluntarily seek or comply with treatment. The legislation allows specific entities like mental health programs, emergency centers, and public health agencies to petition a court to mandate outpatient mental health services for individuals who meet certain criteria, such as being likely to deteriorate without treatment or having a history of treatment non-compliance that has resulted in repeated hospitalizations or violent behavior. The bill establishes detailed procedures for filing petitions, conducting hearings, and protecting respondents' rights, including the right to legal representation, to present evidence, and to have a jury trial. If approved, the court can order assisted outpatient treatment for up to two years, which may include case management, medication management, therapy, substance use treatment, crisis intervention, and assistance with housing and employment. A case manager will be assigned to monitor the individual's compliance, and the court can take actions like mandatory evaluation or short-term hospitalization if the person fails to follow the treatment plan. The bill also requires annual reporting to the state legislature on the program's implementation and impacts, with a focus on treatment compliance and effects on hospitalization and incarceration rates.

https://house.mo.gov/Bill.aspx?bill=HB1154&year=2025&code=R