Editing Outpatient commitment (section)

=====Access to services=====
{{blockquote|"AOT has been instrumental in increasing accountability at all system levels regarding delivery of services to high need individuals. Community awareness of AOT has resulted in increased outreach to individuals who had previously presented engagement challenges to mental health service providers."}}

{{blockquote|"Improved treatment plan development, discharge planning, and coordination of service planning. Processes and structures developed for AOT have resulted in improvements to treatment plans that more appropriately match the needs of individuals who have had difficulties using mental health services in the past."}}

{{blockquote|"Improved collaboration between mental health and court systems. As AOT processes have matured, professionals from the two systems have improved their working relationships, resulting in greater efficiencies, and ultimately, the conservation of judicial, clinical, and administrative resources. There is now an organized process to prioritize and monitor individuals with the greatest need; AOT ensures greater access to services for individuals whom providers have previously been reluctant to serve;  There is now increased collaboration between inpatient and community-based providers."<ref>{{cite report |author=New York State Office of Mental Health |date=2005 |title=Kendra's Law: Final Report on the Status of Assisted Outpatient Treatment |type=Report to Legislature |publisher=New York State |location=Albany |page=60 |url=http://mentalillnesspolicy.org/kendras-law/research/kendras-law-study-2005.pdf |archive-url=https://ghostarchive.org/archive/20221009/http://mentalillnesspolicy.org/kendras-law/research/kendras-law-study-2005.pdf |archive-date=2022-10-09 |url-status=live |access-date=8 February 2015 }}</ref>}}

In New York City net costs declined 50% in the first year after assisted outpatient treatment began and an additional 13% in the second year. In non-NYC counties, costs declined 62% in the first year and an additional 27% in the second year. This was in spite of the fact that psychotropic drug costs increased during the first year after initiation of assisted outpatient treatment, by 40% and 44% in the city and five-county samples, respectively. The increased community-based mental health costs were more than offset by the reduction in inpatient and incarceration costs. Cost declines associated with assisted outpatient treatment were about twice as large as those seen for voluntary services.<ref name=AJP73013/>{{primary source inline|date=October 2017}}

{{blockquote|"In all three regions, for all three groups, the predicted probability of an {{abbr|MPR|Medication Possession Ratio}} ≥80% improved over time (AOT improved by 31–40 percentage points, followed by enhanced services, which improved by 15–22 points, and 'neither treatment,' improving 8–19 points). Some regional differences in MPR trajectories were observed."<ref>{{cite journal |last1=Busch |first1=Alisa B. |last2=Wilder |first2=Christine M. |last3=Van Dorn |first3=Richard A. |last4=Swartz |first4=Marvin S. |last5=Swanson |first5=Jeffrey W. |display-authors=3 |title=Changes in Guideline-Recommended Medication Possession After Implementing Kendra's Law in New York |journal=Psychiatric Services |volume=61 |issue=10 |year=2010 |pages=1000–5 |doi=10.1176/ps.2010.61.10.1000 |pmid=20889638 |pmc=6690587 }}</ref>{{primary source inline|date=October 2017}}}}

{{blockquote|"In tandem with New York's AOT program, enhanced services increased among involuntary recipients, whereas no corresponding increase was initially seen for voluntary recipients. In the long run, however, overall service capacity was increased, and the focus on enhanced services for AOT participants appears to have led to greater access to enhanced services for both voluntary and involuntary recipients."<ref>{{cite journal |last1=Swanson |first1=Jeffrey W. |last2=Van Dorn |first2=Richard A. |last3=Swartz |first3=Marvin S. |last4=Cislo |first4=Andrew M. |last5=Wilder |first5=Christine M. |last6=Moser |first6=Lorna L. |last7=Gilbert |first7=Allison R. |last8=McGuire |first8=Thomas G. |display-authors=3 |title=Robbing Peter to Pay Paul: Did New York State's Outpatient Commitment Program Crowd Out Voluntary Service Recipients? |journal=Psychiatric Services |volume=61 |issue=10 |year=2010 |pages=988–95 |doi=10.1176/ps.2010.61.10.988 |pmid=20889636 |doi-access=free }}</ref>{{primary source inline|date=October 2017}}}}

{{blockquote|"It is also important to recognize that the AOT order exerts a critical effect on service providers stimulating their efforts to prioritize care for AOT recipients."{{cite quote|date=August 2016}}}}