Generated by All in One SEO Pro v4.9.6.2, this is an llms.txt file, used by LLMs to index the site. # Treatment Advocacy Center ## Sitemaps - [XML Sitemap](https://www.tac.org/sitemap.xml): Contains all public & indexable URLs for this website. ## Posts - [April's AOT Learning Network Bulletin](https://www.tac.org/aot-learning-network-bulletin/) - April Bulletin PDFDownload - [April's AOT Learning Network Bulletin](https://www.tac.org/aotln-bulletin/) - April Bulletin PDFDownload - [Catalyst: Spring 2026](https://www.tac.org/catalyst-spring-2026/) - We are excited to bring you our latest issue of Catalyst, our bi-annual newsletter, with articles and information related to TAC's work. TAC_CatalystNewsletter_Spring26Download - [Criminalization of SMI - Research Digest](https://www.tac.org/criminalization-of-smi-research-digest/) - An overview of recent studies looking into the criminalization of severe mental illnesses such as schizophrenia and bipolar disorder. - [HIPAA Resource One Pager](https://www.tac.org/hipaa-resource-one-pager/) - HIPAA toolkit - Accessible v3Download - [Criminal Legal Resource One Pager](https://www.tac.org/criminal-legal-resource-one-pager/) - Criminal legal toolkit - Accessible v2Download - [Anosognosia Resource One Pager](https://www.tac.org/anosognosia-resource-one-pager/) - Anosognosia - Accessible v3Download - [SMI Research Digest: Treatment for Comorbid Substance Use](https://www.tac.org/smi-research-digest-treatment-for-comorbid-substance-use/) - Here we share highlights from three recent articles about treatment for comorbid substance use disorders among people with schizophrenia. - [My daughter is not dangerous enough to get the help she needs](https://www.tac.org/my-daughter-is-not-dangerous-enough-to-get-the-help-she-needs/) - A mother from Pennsylvania shares the challenges she has faced in trying to get her daughter the medical care she needs for her bipolar disorder. - [SMI Research Digest: Anosognosia](https://www.tac.org/smi-research-digest-jan-26-anosognosia/) - Three recently published articles explore anosognosia and its associated impacts on suicidality and capacity to make informed medical decisions. - [Many flaws of our broken mental health system resulted in the death of my son](https://www.tac.org/many-flaws-of-our-broken-mental-health-system-resulted-in-the-death-of-my-son/) - Allen Nelson shares the story of his son Brandon's death by suicide as a result of systemic failures to support his severe mental illness. - [Holidays, Hope, and Hard Choices: Caring for a Loved One With Severe Mental Illness](https://www.tac.org/holidays-hope-and-hard-choices-caring-for-a-loved-one-with-severe-mental-illness/) - Guide to navigating the holidays with a loved one who has severe mental illness, with compassionate tips for connection, boundaries, and support. - [Safety Planning Resource One Pager](https://www.tac.org/safety-planning-resource-one-pager/) - Safety_Planning_v1_AccessibleDownload - [Assisted Outpatient Treatment (AOT) Resource One Pager](https://www.tac.org/assisted-outpatient-treatment-aot-resource-one-pager/) - AOT toolkit - AccessibleDownload - [Mental Health History One Pager](https://www.tac.org/mental-health-history-one-pager/) - Mental Health History - AccessibleDownload - [SMI Research Digest: Assisted Outpatient Treatment](https://www.tac.org/smi-research-digest-aot/) - SMI Research Digest is a monthly publication from TAC’s Public Education and Research (PER) team that summarizes recently published research on topics related to severe mental illness (SMI). This month we feature three studies published in 2025 that highlight the effectiveness and impact of assisted outpatient treatment (AOT). AOT is outpatient treatment under a civil court - [SMI Research Digest: Psychosis Causes, Risks, and Evidence-Based Care ](https://www.tac.org/smi-research-digest-psychosis-causes-risks-and-evidence-based-care/) - SMI Research Digest is a monthly publication from TAC’s Public Education and Research (PER) team that summarizes recently published research on topics related to severe mental illness (SMI). This month, we examine advances in understanding and treating psychosis including immunotherapy, trauma-focused treatment, and traumatic brain injury. Immunotherapy improves symptoms for people with autoimmune psychosis. Autoimmune diseases - [The life circumstances of U.S. veterans with schizophrenia](https://www.tac.org/research-weekly-the-life-circumstances-of-u-s-veterans-with-schizophrenia/) - October 12, 2022 The prevalence of mental illness, including schizophrenia, is particularly high among U.S veterans compared to the rest of the U.S population. Veterans with schizophrenia are especially vulnerable to many of the negative outcomes associated with having a serious mental illness, such as incarceration, homelessness, hospitalization, unemployment and premature mortality. A recent study - [Understanding SMI Resource One Pager](https://www.tac.org/understanding-smi-2/) - Understanding SMI - Accessible v4Download - [September SMI Research Digest: Suicide Prevention Month   ](https://www.tac.org/september-smi-research-digest-suicide-prevention-month/) - Welcome to the inaugural SMI Research Digest, our new monthly publication that summarizes recently published research on topics related to severe mental illness (SMI). September is National Suicide Prevention Month, a heavy month for our community. As many as 1 in 4 people with SMI attempt suicide at some point in their lives. However, people with - [Catalyst: Summer 2025](https://www.tac.org/catalyst-summer-2025/) - We're excited to bring you our latest issue of Catalyst, our biannual newsletter covering TAC highlights and issues related to severe mental illness. TAC_CatalystNewsletter_Summer2025Download - [My son needed care, the system waited for a crime](https://www.tac.org/my-son-needed-care-the-system-waited-for-a-crime/) - A mother recounts her son's heartbreaking path to treatment—through jail, trauma, and $15,000 in fees—because the system wouldn’t help until it was too late. - [Patient-centered care that fails the patient](https://www.tac.org/patient-centered-care-that-fails-the-patient/) - A doctor's decision to stop medication tore our family apart. My wife, once well, is now lost to psychosis — a tragic, preventable failure of the system. - [Trapped in psychosis, unseen by the system](https://www.tac.org/trapped-in-psychosis-unseen-by-the-system/) - Trapped in psychosis, unseen by the system. One person’s story of anosognosia, hallucinations, and why waiting for crisis is not care. - [Can a family member start an AOT program?](https://www.tac.org/can-a-family-member-start-an-aot-program/) - Learn how family advocacy led to the creation of an assisted outpatient treatment (AOT) program, helping those with serious mental illness get the care they need. - [Youth Mental Health Corps: A Not-So-New, Misguided Idea](https://www.tac.org/youth-mental-health-corps/) - By Carolyn D. Gorman, M.S., Paulson Policy Analyst at Manhattan Institute. A new program, Youth Mental Health Corps, is rolling out in a number of states across the country this year. The program will give hundreds of young people ages 18-24 training to provide youth mental-health support in schools and communities, and it seeks to - [Catalyst: Winter 2025](https://www.tac.org/catalyst-winter-2025/) - The Winter 2025 issue of our digital newsletter Catalyst highlights our new SMI Spotlight podcast in collaboration with Dr. Xavier Amador as well as advocacy presentations that brought TAC’s crucial messaging to inform judicial and mental health policies in states like Texas and Washington. We are also proud to launch SMI Thought Leaders, a periodic - [Unsafe? Yes, but Only if Untreated: Violence and SMI](https://www.tac.org/unsafe-yes-but-only-if-untreated/) - Are people with severe mental illness more violent? Dr. Xavier Amador explores research, personal experience, and the impact of treatment on reducing risk. - [A Journey of Recovery](https://www.tac.org/a-journey-of-recovery/) - A hope-filled story of recovery from severe mental illness and childhood trauma from an anonymous person living outside the United States. - [Personally Speaking: Excerpt from "Words With My Father"](https://www.tac.org/personally-speaking-excerpt-from-words-with-my-father-2/) - By Lukas Klessig This personally speaking blog is an excerpt from "Words With My Father: A Bipolar Journey Through Turbulent Times" My father was a functional manic and a despondent depressive. Each persona took a heavy toll on his life and his psyche. Mania bestowed the ability to contribute and achieve but robbed him of - [A Shifting Perspective on SMI](https://www.tac.org/a-shifting-perspective-on-smi/) - A family tragedy, a broken system—how untreated severe mental illness led to devastation, and what one woman learned about advocacy, compassion, and change. - [Statement on Impact of Medicaid Cuts for those with Severe Mental Illness](https://www.tac.org/statement-on-impact-of-medicaid-cuts-for-those-with-severe-mental-illness/) - Treatment Advocacy Center (TAC) joins the broad, nonpartisan chorus of voices urging Congress to reject radical cuts to Medicaid in the proposed budget resolution. People with severe mental illness are among the most vulnerable in society. Loss of Medicaid benefits for any amount of time will mean the difference between stability and psychosis, being housed - [The Problem with Clozapine REMS ](https://www.tac.org/the-problem-with-clozapine-rems/) - FDA’s Clozapine REMS program creates unnecessary barriers, deterring doctors, pharmacists, and patients from accessing this life-saving schizophrenia treatment. - [Research Briefly: What in the world is anosognosia?](https://www.tac.org/research-briefly-what-in-the-world-is-anosognosia/) - TAC is pleased to premiere Research Briefly, a periodic blog focused on timely research and pertinent information surrounding severe mental illness (SMI), with “What in the World is Anosognosia?” by renowned clinical psychologist, author, speaker, and subject matter expert on anosognosia, Dr. Xavier Amador. As TAC’s new scientific officer, Dr. Amador will also host our - [Family Relationships: Separating the Illness from the Person](https://www.tac.org/family-relationship/) - Family relationships are complicated when a family member has a serious mental illness. Separating the illness from the person can support emotional healing. - [Lights, carols, and shadows: managing SMI at holiday time](https://www.tac.org/managing-smi-at-holiday-time/) - Supporting someone with severe mental illness during the holidays is a delicate dance of love and boundaries. Here are top tips from my lived experience. - [The system wants us to fail](https://www.tac.org/the-system-wants-us-to-fail/) - By D. WoodinAfter sixteen hard years, my beautiful son has mostly recovered from schizophrenia. He still hears voices, but he knows they aren't real. He takes his medications every two hours because he wants to be sane. He has finally stopped self-medicating. He spends his time creating music, writing screenplays, helping me with projects, and - [A long tortuous road to hope: one state hospital experience in California ](https://www.tac.org/one-state-hospital-experience-in-california/) - One parent's experience of her son's state hospital experience in California, being treated for Bipolar 1 after an encounter with the criminal legal system. - [Personally Speaking: Advocacy helped me survive](https://www.tac.org/personally-speaking-advocacy-helped-me-survive/) - by J.W. Asbridge J.W. Asbridge is the creator of Moms Who Care, an organization devoted to encouraging our overburdened, burned out mental healthcare staff. Loss My son was a deep thinker and a writer with two college degrees when he stopped taking medication and became extremely psychotic. Suddenly my husband and I were imposters, witches, - [In memory of Sylvan C. "Chic" Herman (June 19, 1927 – October 21, 2024)](https://www.tac.org/in-memory-of-sylvan-c-chic-herman/) - By Dr. Mike Knable I first met Sylvan “Chic” Herman (pictured left) in 2007 when I was working at the Stanley Medical Research Institute (SMRI), which provided grant funding for research on mental illnesses. Chic called and told me he wanted advice on how he might assist with these efforts, since he had recently formed - [RESEARCH WEEKLY: Clozapine prevents hospitalization](https://www.tac.org/research-weekly-clozapine-prevents-hospitalization/) - By Elizabeth Sinclair Hancq (April 12, 2023) Clozapine is the gold standard treatment for treatment-resistant schizophrenia. However, this lifesaving medication is underutilized and under prescribed by clinicians in the United States. New research published in “Psychiatric Services” provides further evidence for the benefits of this anti-psychotic medication, suggesting that clozapine treatment may prevent hospitalization by promoting - [RESEARCH WEEKLY: The anatomical basis of anosognosia](https://www.tac.org/research-weekly-the-anatomical-basis-of-anosognosia/) - (May 24, 2016) One of the most important, but difficult to understand, aspects of serious mental illness is that approximately half of all people with schizophrenia and bipolar disorder do not realize they are sick - a condition called anosognosia. Individuals with this co-occurring disorder really believe that they are being followed by the CIA or - [Personally Speaking: Farewell but not goodbye](https://www.tac.org/personally-speaking-farewell-but-not-goodbye/) - By Brian StettinThis week I will be leaving my position as policy director for Treatment Advocacy Center. After nearly 13 years in the best job I’ve ever had, the moment calls for reflection on the remarkable path we have taken together and the unfinished business that lies ahead. My connection to Treatment Advocacy Center goes back - [Personally Speaking: Christopher Sharikas Part One](https://www.tac.org/personally-speaking-christopher-sharikas-part-one/) - By Lisa Dailey (Nov. 15, 2017) Judge Paul F. Sheridan of Arlington Circuit Court made this statement when he sentenced sixteen year-old Christopher Sharikas to life plus thirty years for an offense with a recommended sentence of seven to eleven years in 1998. Now nearly twenty years later, Christopher Sharikas is still in prison. If - [I thought it would be different - California CARE (Community Assistance Recovery Empowerment) act experience](https://www.tac.org/i-thought-it-would-be-different-california-care-community-assistance-recovery-empowerment-act-experience/) - Hear from this family's experience with the California CARE Act. - [RESEARCH WEEKLY: Homelessness increases among individuals with serious mental illness](https://www.tac.org/research-weekly-homelessness-increases-among-individuals-with-serious-mental-illness/) - (Jan. 11, 2018) The number of people experiencing homelessness has increased for the first time in seven years, according to the Annual Homeless Assessment Report delivered to Congress in December of 2017.An estimated 553,742 people were experiencing homelessness on a single night in 2017, according to the report, the first time since 2010 in which - [Catalyst: Summer 2024](https://www.tac.org/catalyst-summer-2024/) - We are thrilled to announce the reissue of TAC's newsletter Catalyst, now in a digital format, enabling us to reach an even wider audience and include links to valuable resources and information. The Summer 2024 issue of Catalyst contains important updates about TAC programs, the latest research on the link between cats and schizophrenia, a - [Personally Speaking: Excerpt from "Words With My Father"](https://www.tac.org/personally-speaking-excerpt-from-words-with-my-father/) - By Lukas Klessig This personally speaking blog is an excerpt from "Words With My Father: A Bipolar Journey Through Turbulent Times" My father was a functional manic and a despondent depressive. Each persona took a heavy toll on his life and his psyche. Mania bestowed the ability to contribute and achieve but robbed him of - [Personally Speaking: Keep moving](https://www.tac.org/personally-speaking-keep-moving/) - By Geoffrey Melada A few days before my 17th birthday, my father disappeared. The night of his disappearance, I stood sentry at my mother’s dining room window, noiseless and pale as the splinter of moon that stared back at me through the cold panes of glass. As the hours passed, and the stars brightened against the ever-darkening sky, I - [RESEARCH WEEKLY: Extreme heat and severe mental illness](https://www.tac.org/research-weekly-extreme-heat-and-severe-mental-illness/) - #(November 8, 2023) The summer of 2023 was considered the summer of extreme heat in America, with temperatures reaching the triple digits in many states across the United States. In early August, more than one-third of Americans experienced average temperatures in the 90s or above for three straight weeks. These extreme temperatures have many negative health - [RESEARCH WEEKLY: Medications and the risk of violent reoffending after incarceration](https://www.tac.org/research-weekly-medications-and-the-risk-of-violent-reoffending-after-incarceration/) - (Nov. 22, 2016) Individuals released from prison are known to have high rates of violent reoffending. From 2005 through 2010, more than one-third of released US prisoners were convicted of a new crime within two years of discharge. Mental health conditions are overrepresented in these populations.To assess whether dispensing psychotropic medications to released prisoners could - [RESEARCH WEEKLY: Beyond “released, relapsed, rehospitalized”](https://www.tac.org/research-weekly-beyond-released-relapsed-rehospitalized/) - (Nov. 15, 2016) The dire shortage of beds for individuals in psychiatric crisis is the most obvious byproduct of a half-century of public policy designed to incentivize the closure of psychiatric hospitals. But it is not the only one. Closely related is the shrinkage of psychiatric “length of stay” or LOS - the duration of - [RESEARCH WEEKLY: New studies on the "scourge" of bed shortages](https://www.tac.org/research-weekly-new-studies-on-the-scourge-of-bed-shortages/) - (Nov. 9, 2016) America's dire psychiatric bed shortage is not news - the Treatment Advocacy Center has been reporting on the shrinking bed supply for nearly a decade - but it is increasingly making news. A growing number of researchers, professional and advocacy organizations and others are now detailing the many ways a shortage of beds for - [RESEARCH WEEKLY: Hurdling the clozapine barriers](https://www.tac.org/research-weekly-hurdling-the-clozapine-barriers/) - (Nov. 1, 2016) In the medicine cabinet of serious mental illness drugs, clozapine - trademarked Clozaril - occupies a number of unique positions.* It is the only antipsychotic approved by the Food and Drug Administration for the treatment of psychosis, the only one approved for suicide prevention, the most effective antipsychotic for treatment-resistant patients and the - [RESEARCH WEEKLY: What precision medicine holds for mental illness](https://www.tac.org/research-weekly-what-precision-medicine-holds-for-mental-illness/) - (Oct. 24, 2016) Eric Dishman was diagnosed with a rare form of kidney cancer when he was in college. He was given two to three years to live. That was 23 years ago.Today, Dishman is very much alive and cancer-free, thanks to early access to precision medicine practices that helped identify the most effective cancer - [RESEARCH WEEKLY: Biotypes: an alternate approach to psychiatric disease diagnosis](https://www.tac.org/research-weekly-biotypes-an-alternate-approach-to-psychiatric-disease-diagnosis/) - (Oct. 20, 2016) The Diagnostic and Statistical Manual of Mental Disorders (DSM), now in its fifth edition, has been the bible of mental illness diagnosis since the 1950s. As technologies have emerged that make neurological, genetic and other biological assessments possible, the usefulness of a diagnostic system that relies entirely on observed signs and symptoms to diagnose - [RESEARCH WEEKLY: NIMH briefing: a few words from the new director](https://www.tac.org/research-weekly-nimh-briefing-a-few-words-from-the-new-director/) - (Oct. 11, 2016) "Who am I, and where is the NIMH headed?" With those words, Joshua A. Gordon, an MD and PhD from the Columbia University School of Medicine, introduced himself in September to the Alliance for Research Progress, a panel of advocacy organizations the National Institute of Mental Health (NIMH) convenes regularly.Gordon assumed direction of - [RESEARCH WEEKLY: New research on mental illness behind bars](https://www.tac.org/research-weekly-new-research-on-mental-illness-behind-bars/) - (Sept 29, 2016) The drumbeat of surveys, studies and statistics detailing the plight of individuals with serious mental illness in jails and prisons continued in the summer of 2016 with the publication of new publications from organizations examining the treatment of mentally ill and other disabled inmates. Locked Up and Locked Down, a September 2016 - [RESEARCH WEEKLY: Psychiatric beds: getting from not enough to safe minimum](https://www.tac.org/research-weekly-psychiatric-beds-getting-from-not-enough-to-safe-minimum/) - (Sept 20, 2016) The information deficit around mental illness treatment and policy is especially deep on the subject of psychiatric beds, both public or private.Neither the federal government nor any of the states has identified or established population-based "safe minimum" bed target numbers. No member of the Organization for Economic Cooperation and Development has either, - [RESEARCH WEEKLY: Suicide rates and psychiatric bed populations](https://www.tac.org/research-weekly-suicide-rates-and-psychiatric-bed-populations/) - (Sept. 7, 2016) Suicide risk - "danger to self," as it is often called in governing laws - is one of the universal grounds for involuntary hospitalization in the United States. Both the legal and clinical worlds assume that, when a person is threatening to take his or her own life, hospital care with close - [RESEARCH WEEKLY: Find SMI research faster, easier](https://www.tac.org/research-weekly-find-smi-research-faster-easier/) - (Sept 13, 2016) Evidence about how severe mental illness impacts individuals and communities is systematically under-studied, overlooked or ignored by government agencies and other organizations. Findings often are barely accessible even when they are made. As we noted in a 2015 study, it's easier to learn the average prenatal litter size of a feral cat - [RESEARCH WEEKLY: Clozapine by the numbers](https://www.tac.org/research-weekly-clozapine-by-the-numbers/) - (Aug. 31, 2016) If a "miracle drug" that reliably reduced life-threatening symptoms of heart disease and lowered treatment costs were prescribed to only 4% of the cardiac patients who would benefit from it, the official and public reaction likely would be strong and negative.Yet this continues to be the status of the antipsychotic medication clozapine, - [RESEARCH WEEKLY: The perilous shortage of psychiatrists](https://www.tac.org/research-weekly-the-perilous-shortage-of-psychiatrists/) - (Aug. 23, 2016) Serious mental illness (SMI) is associated with a multitude of consequences that can shorten and reduce the quality of life for those who have it. Arrest, incarceration, homelessness, victimization, violence including suicide, and a host of similarly catastrophic impacts fall disproportionately on the barely 3% of the population with schizophrenia and severe bipolar - [RESEARCH WEEKLY: Antibiotics and mania in bipolar disorder](https://www.tac.org/research-weekly-antibiotics-and-mania-in-bipolar-disorder/) - (Aug. 16, 2016) Common respiratory, urinary tract and other infections may play a role in triggering acute mania in bipolar disorder, according to a newly released study. Based on a sample of 602 individuals hospitalized for symptoms of bipolar disorder and selected other psychiatric conditions, Robert Yolken, MD,* and colleagues found that the patients with - [RESEARCH WEEKLY: The high cost of schizophrenia](https://www.tac.org/research-weekly-the-high-cost-of-schizophrenia/) - (Aug. 9, 2016) New research estimates the direct and indirect cost of schizophrenia to US society in 2013 was $155 billion - $44,773 per individual with the disease. By comparison, major depression affects 6 times as many people but was estimated in 2015 to cost $210.5 billion, only 35% more. The majority of the economic impact - [RESEARCH WEEKLY: Money and mental health](https://www.tac.org/research-weekly-money-and-mental-health/) - (Aug. 2, 2016) Poor mental health can worsen financial health, and people with bipolar disorder are among those at the highest risk for negative impacts."It has long been accepted that financial problems can worsen mental health, but our evidence shows that mental health problems can also have a detrimental effect on personal finances," the Money and - [RESEARCH WEEKLY: Psychological interventions for adults with bipolar disorder: a review](https://www.tac.org/research-weekly-psychological-interventions-for-adults-with-bipolar-disorder-a-review/) - (July 26, 2016) Bipolar disorder is a serious mental illness associated with risk for relapse, hospitalization, unemployment and suicide, among other poor outcomes. Mood-stabilizing medication is the standard of care for the condition, but the possible role of supplementary psychotherapy is of interest to many patients and clinicians. Matthijs Oud and a team of international - [RESEARCH WEEKLY: Mental illness behind bars – we know, what we don't](https://www.tac.org/research-weekly-mental-illness-behind-bars-we-know-what-we-dont/) - (July 19, 2016) Innumerable studies worldwide have found that being mentally ill increases the risk of arrest and incarceration and for death, victimization, violence and other suffering once behind bars. Now, four unrelated reports published within just three days of July shed additional light on the condition and impacts of inmates with serious psychiatric disease. - [RESEARCH WEEKLY: Beyond raising cain: the role of serious mental illness in family homicide](https://www.tac.org/research-weekly-beyond-raising-cain-the-role-of-serious-mental-illness-in-family-homicide/) - (July 12, 2016) The toll of being principle caregiver for a mentally ill loved one, already well-documented, has expanded with the Treatment Advocacy Center's release of Raising Cain: The Role of Serious Mental Illness in Family Homicide. The first study to examine the relationship between psychiatric disease and family violence found that a serious mental illness is - [RESEARCH WEEKLY: Research validates NAMI's family–to–family program](https://www.tac.org/research-weekly-research-validates-namis-family-to-family-program/) - (July 5, 2016) As the National Alliance on Mental Illness (NAMI) is convening its annual national conference in Denver, a new study validating the effectiveness of the organization's signature family education program has been published in Psychiatric Services, a journal of the American Psychiatric Association. The study, "Generalizability of the NAMI Family-to-Family education program: Evidence from an - [RESEARCH WEEKLY: A call for new priorities at the NIMH](https://www.tac.org/research-weekly-a-call-for-new-priorities-at-the-nimh/) - (June 28, 2016) The search for a successor to Dr. Tom Insel as director of the National Institute of Mental Health (NIMH) - the nation's central agency for mental illness research - is nearing its conclusion.With an announcement of the new director expected shortly, the British Journal of Psychiatry has published an editorial from 20 eminent psychiatrists and - [RESEARCH WEEKLY: Antipsychotic medication may save lives](https://www.tac.org/research-weekly-antipsychotic-medication-may-save-lives/) - (June 21, 2016) Often overlooked in debates over the merits and drawbacks of antipsychotic medication is its role in reducing suicide by individuals with schizophrenia, who die approximately 20 years younger than their unaffected peers in the United States. "One way anti-psychiatry groups trivialize psychosis and marginalize psychiatry is by emphasizing the adverse effects of antipsychotic - [RESEARCH WEEKLY: City living and psychosis](https://www.tac.org/research-weekly-city-living-and-psychosis/) - (June 14, 2016) Multiple studies have found that growing up in a city doubles the risk of developing schizophrenia or other psychotic disorders in adulthood. Research also has found that children who experience psychosis are at significantly higher risk for developing schizophrenia and other mental health disorders as adults. Given the personal and economic toll - [RESEARCH WEEKLY: Beyond going, going, gone: beds behind bars](https://www.tac.org/research-weekly-beyond-going-going-gone-beds-behind-bars/) - (June 7, 2016) Going, Going Gone - the Treatment Advocacy Center's newest survey of psychiatric beds in the 50 states and District of Columbia - does not report numbers for one category: beds in psychiatric units on state prison grounds. "Some states have built high- or medium-security forensic hospitals on prison grounds for mentally ill inmates . - [RESEARCH WEEKLY: Lionel penrose, psychiatric beds and mental illness behind bars](https://www.tac.org/research-weekly-lionel-penrose-psychiatric-beds-and-mental-illness-behind-bars/) - (May 31, 2016) In 1939, a psychiatrist and mathematician named Lionel Penrose looked at the relationship between prison and mental health populations in 18 European nations. He arrived at a startling and controversial observation about "mental disease and crime": if mental hospital populations are reduced, prison populations grow. In 2016, we view the "Penrose hypothesis" - [RESEARCH WEEKLY: The disturbing new suicide statistics](https://www.tac.org/research-weekly-the-disturbing-new-suicide-statistics/) - (May 3, 2016) The latest suicide statistics from the Centers for Disease Control (CDC) are disturbing.Disturbing enough is that, at a time of generally declining mortality, suicide rates have risen significantly over the last 15 years, and the growth rate has accelerated. In 2014, 42,773 people in the United States died by suicide, making it - [RESEARCH WEEKLY: How race and ethnicity affect psychiatric outcomes](https://www.tac.org/research-weekly-how-race-and-ethnicity-affect-psychiatric-outcomes/) - (Apr. 26, 2016) Race and ethnicity significantly influence the likelihood of being diagnosed and treated for psychiatric disease, but the reasons why remain to be determined.Karen J. Coleman and colleagues searched for patterns by analyzing rates of diagnoses, medication prescription and psychotherapy sessions for 7.5 million adult patients enrolled in private, not-for-profit health care organizations - [RESEARCH WEEKLY: How many psychiatric beds does America need?](https://www.tac.org/research-weekly-how-many-psychiatric-beds-does-america-need/) - (Apr. 19, 2016) With patients in psychiatric crisis waiting days and even weeks in emergency rooms before being admitted to hospitals, it has never been more urgent to quantify how many mental health beds America needs in order to provide people experiencing acute psychiatric symptoms with the same level of intensive care that people in - [RESEARCH WEEKLY: How to make mental illness worse](https://www.tac.org/research-weekly-how-to-make-mental-illness-worse/) - (Apr. 12, 2016) The first step in helping individuals with mental illness is not to hurt them, says psychiatrist Allen J. Frances. “Unfortunately, the US approach of exclusion and neglect often makes people get much sicker, rather than helping them get well,” he writes in a recent “Saving Normal” column he authors for Psychology Today. “The specific - [RESEARCH WEEKLY: Innovative approaches to improving schizophrenia outcomes](https://www.tac.org/research-weekly-innovative-approaches-to-improving-schizophrenia-outcomes/) - (Apr. 4, 2016) One of the standing criticisms about the treatment of schizophrenia and other psychotic disorders is the heavy reliance on medications, which do not address the full range of symptoms and have side effects, many of them significant. This is not for lack of interest in the alternatives, based on projects and studies - [RESEARCH WEEKLY: What we can learn from Sweden](https://www.tac.org/research-weekly-what-we-can-learn-from-sweden/) - (March 29, 2016) Collecting and reporting national statistics for more than 100 years, Sweden's National Patient Register (NPR) is a virtual mother lode of statistical gold for health researchers.For example, county governments in Sweden have been required to submit statistics on inpatient psychiatric care to the NPR since 1987 and on outpatient psychiatric treatment from - [RESEARCH WEEKLY: Risks, rewards and long–term antipsychotics](https://www.tac.org/research-weekly-risks-rewards-and-long-term-antipsychotics/) - (Mar. 22, 2016) Given the stakes involved with antipsychotic medication - the side effects that can result either from taking or not taking them for psychotic conditions can be life-changing - it should come as no surprise that they are a recurring source of controversy in the mental health community. Two psychiatrists with long careers - [RESEARCH WEEKLY: The role of asylum in treatment](https://www.tac.org/research-weekly-the-role-of-asylum-in-treatment/) - (Mar. 15, 2016) What does "asylum" mean in the context of mental illness treatment?In popular usage, "asylum" has long been linked to state psychiatric hospitals, once known as "insane asylums." What asylum should mean, two authors maintain in a recent publication, is "sanctuary" - a place that provides "protection, safety, security and social support."In "Rediscovering - [RESEARCH WEEKLY: Getting to the science you need and want](https://www.tac.org/research-weekly-getting-to-the-science-you-need-and-want/) - (Mar. 8, 2016) Nobody has a greater stake in progress toward new treatments for severe mental illness than the patients, caregivers and professionals who live and work with psychiatric disease. Yet, as we noted in our February 23 Research Weekly, the end users of mental health science are typically the "last to know" about research findings - [RESEARCH WEEKLY: Mental health caregivers under "high emotional stress"](https://www.tac.org/research-weekly-mental-health-caregivers-under-high-emotional-stress/) - (Mar. 1, 2016) It may not come as news to anyone who cares for a mentally ill loved one that the stress is enormous, but a new survey of 1,600 unpaid caregivers still contains startling - and sobering - findings about the toll such caregiving takes on those of us in this role. Three-quarters of the - [RESEARCH WEEKLY: Transparency on the front lines – part 1](https://www.tac.org/research-weekly-transparency-on-the-front-lines-part-1/) - (Feb. 23, 2016) We who are patients, caregivers and professionals live on the front lines of mental health progress - or lack of it. We are impacted daily by advances in diagnosis, treatment, services and all the other aspects of living or working with chronic psychiatric diseases. Yet we are more often than not the - [RESEARCH WEEKLY: Emergency in the ER](https://www.tac.org/research-weekly-emergency-in-the-er/) - (Feb. 16, 2016) The findings of a recent survey of emergency room physicians will come as no surprise to anyone who has been or accompanied someone in psychiatric crisis to an emergency room.More than 8 in 10 emergency room physicians surveyed by the American College of Emergency Physicians (ACEP) in 2015 said the mental health - [RESEARCH WEEKLY: Putting the news about schizophrenia into context](https://www.tac.org/research-weekly-putting-the-news-about-schizophrenia-into-context/) - (Feb. 9, 2016) News that scientists have "moved closer to understanding schizophrenia's cause" had barely been published when social networks began trending with excitement that a cure for the disease might be on the horizon. Clinician phones at the same time began ringing with calls from eager patients and families.The Thesis of Sekar et al.The - [RESEARCH WEEKLY: Two new antipsychotics: what do we know about them?](https://www.tac.org/research-weekly-two-new-antipsychotics-what-do-we-know-about-them/) - (Feb. 2, 2016) In the second half of 2015, the Food and Drug Administration (FDA) approved two new antipsychotic medications for oral use in the United States. Both are simply "me-too" drugs and do not add anything useful to the list of antipsychotics already available. The first of these is brexpiprazola (trade name: Rexulti). The - [RESEARCH WEEKLY: January digest](https://www.tac.org/research-weekly-january-digest/) - (Jan. 26, 2016) Natural Defense against Bipolar Disorder Naturally occurring neurological resiliency may explain why some individuals at high risk for bipolar disorder do not develop the disease even when other members of their families do. The finding suggests that neuroplasticity could become the basis for developing new interventions.Dima, D., et al. (5 January 2016). Connectomic - [RESEARCH WEEKLY: The 'national bill' for severe mental illness](https://www.tac.org/research-weekly-the-national-bill-for-severe-mental-illness/) - (Jan. 21, 2016) The study of mental health is characterized by what is known as the "evidence-to-practice" or "science-to-treatment" gap. "Chasm" would be more fitting.Around the world, thousands of scientists and academics are at work to explore and define the causes, mechanisms and treatments of psychiatric diseases and to examine the public health, policy, economic - [RESEARCH WEEKLY: The growing focus on inflammation in psychiatric research](https://www.tac.org/research-weekly-the-growing-focus-on-inflammation-in-psychiatric-research/) - (Jan. 12, 2016) Two theories have for decades dominated research on the causes of schizophrenia: genetics and neurotransmitters. Over the past two years, a third theory – the infectious/inflammatory theory—has become the first major new addition to schizophrenia study in the last half-century and, with less evidence, to the study of bipolar disorder and depression.This theory - [RESEARCH WEEKLY: Improving medication adherence](https://www.tac.org/research-weekly-improving-medication-adherence/) - (Jan. 5, 2016) Those who live with psychotic disorders – the individuals, their family members, caregivers and others nearby – inevitably live with the issue of medication adherence. Literature reviews on the subject typically report average rates of adherence in the 40-60% range; the NIMH estimates that approximately half the population with severe bipolar disorder - [RESEARCH WEEKLY: Top 10 mental illness research stories](https://www.tac.org/research-weekly-top-10-mental-illness-research-stories/) - (Dec. 29, 2015) Research Weekly did not begin arriving in mailboxes until the end of 2015, but interesting, illuminating and even hopeful mental illness research was in circulation throughout the year. Among the Treatment Advocacy Center’s staff favorites, in reverse chronological order, are the following. Comprehensive treatment of first-episode psychosis improved outcomes in clinical trials.Nearly - [RESEARCH WEEKLY: Psychiatric hospital beds: a ‘national disconnect’](https://www.tac.org/research-weekly-psychiatric-hospital-beds-a-national-disconnect/) - (Dec. 23, 2015) The Treatment Advocacy Center is a leader in tracking and reporting the declining population of state psychiatric hospital beds, a vanishing breed whose numbers have shrunk by at least 95% in the last half-century. Now a team of North Carolina researchers has created a simulation model to analyze how many non-forensic beds - [RESEARCH WEEKLY: What we don’t know is hurting us](https://www.tac.org/research-weekly-what-we-dont-know-is-hurting-us/) - (Dec. 16, 2015) Two days before the Treatment Advocacy Center released its new study on the role of mental illness in fatal police encounters, an essay by a group of Harvard University researchers was published about the nation’s lack of reliable data on deadly law enforcement incidents.In “Police killings and police deaths are public health - [RESEARCH WEEKLY: How RAISE models work in early psychosis (part 2)](https://www.tac.org/research-weekly-how-raise-models-work-in-early-psychosis-part-2/) - (Dec. 9, 2015) The goal of the NIMH-funded project called RAISE – Recovery After Initial Schizophrenic Episode – was to develop and test a “real world” early-intervention approach that would work in the fragmented US health care system to change the course and prognosis of psychotic disorders. Other countries had been using coordinated first-episode models - [RESEARCH WEEKLY: The why and who of RAISE (Part 1)](https://www.tac.org/research-weekly-the-why-and-who-of-raise-part-1/) - (Dec. 2, 2015) With recent mass media coverage, the NIMH’s seven-year-old Recovery After Initial Schizophrenia Episode project – RAISE, for short – has gone mainstream, not necessarily with all its details intact. In the first of two reports, Research Weekly highlights the more precise reporting in a special section on RAISE and other early-intervention services published - [RESEARCH WEEKLY: Improving police outcomes for people with mental illness](https://www.tac.org/research-weekly-improving-police-outcomes-for-people-with-mental-illness/) - (Jan. 17, 2018) It has been more than two years since the Treatment Advocacy Center published its landmark report on the overlooked and undercounted role of serious mental illness in fatal law enforcement encounters. The report highlights the dearth of official data in law enforcement homicide reporting and the often overlooked role and disproportionate impact of mental - [RESEARCH WEEKLY: Mental health parity law turns 10, but coverage gaps remain](https://www.tac.org/research-weekly-mental-health-parity-law-turns-10-but-coverage-gaps-remain/) - (Jan. 24, 2018) Ten years after the passage of the Mental Health Parity and Addiction Equity Act of 2008, the promise of parity has not been realized, and large gaps still exist between mental health and general medical care, according to a pioneering report commissioned by the Bowman Family Foundation and published by Milliman Inc. Individuals - [RESEARCH WEEKLY: January 2018 research roundup](https://www.tac.org/research-weekly-january-2018-research-roundup/) - (Jan. 31, 2018) Research Roundup is a monthly service of the Office of Research and Public Affairs. Each edition describes a striking new data point about serious mental illness and summarizes recently published research reports or developments. DATAPOINT of the Month27 states in the United States deliver inpatient mental health care for prisoners exclusively behind - [RESEARCH WEEKLY: Our mental health system, hidden behind bars](https://www.tac.org/research-weekly-our-mental-health-system-hidden-behind-bars/) - (Feb. 6, 2018) Jails have inadvertently become our country’s healthcare provider safety-net, especially for people with mental illness, according to a new report published last month by the Pew Charitable Trusts in partnership with Community Oriented Correctional Health Services.Jails are constitutionally required to provide healthcare to individuals behind bars, however, how this care is provided - [RESEARCH WEEKLY: Caring for a loved one with serious mental illness takes its toll](https://www.tac.org/research-weekly-caring-for-a-loved-one-with-serious-mental-illness-takes-its-toll/) - (Feb. 14, 2018) Enormous levels of distress are felt by caregivers of individuals with serious mental illness, the majority of whom are family members of loved ones with the illness.New research published by Debra Lerner, Lisa Dixon, and colleagues corroborates the feelings of many family members with a loved one with a serious psychiatric disease–caring - [RESEARCH WEEKLY: Cigarette smoking among people with serious mental illness continues to increase](https://www.tac.org/research-weekly-cigarette-smoking-among-people-with-serious-mental-illness-continues-to-increase/) - (Feb. 21, 2018) Cigarette smoking among patients with serious mental illness is alarmingly high, and continues to increase in comparison to people without psychiatric disorders, according to new research.Past research has shown that cigarette smoking among individuals with serious mental illness is very common, particularly among individuals with schizophrenia. Smoking is a major factor contributing - [RESEARCH WEEKLY: February 2018 research roundup](https://www.tac.org/research-weekly-february-2018-research-roundup/) - (Feb. 28, 2018) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about serious mental illness and summarizes recently published research reports or developments. DATAPOINT of the MonthOnly 14% of funding for state psychiatric hospitals comes from Medicaid dollars.Due to an - [RESEARCH WEEKLY: Women with serious mental illness are overrepresented but underserved](https://www.tac.org/research-weekly-women-with-serious-mental-illness-are-overrepresented-but-underserved/) - (Mar. 8, 2018) In honor of International Women's Day, this week's research blog focuses on how women with serious mental illness are disproportionately impacted by the United States' failing mental health system. Compared with men with the same psychiatric diseases, women with serious mental illness are more likely to be arrested, victimized and have suicidal - [RESEARCH WEEKLY: What kinds of beds exist, and how do they fit into a broader continuum of care?](https://www.tac.org/research-weekly-what-kinds-of-beds-exist-and-how-do-they-fit-into-a-broader-continuum-of-care/) - (Mar. 14, 2018) Psychiatric care will continue to become increasingly bedless unless policymakers and researchers intervene, argues a new article published today in JAMA Psychiatry, co-authored by the Office of Research and Public Affair’s (ORPA) Elizabeth Sinclair.The article argues that the loss of psychiatric beds in the United States has surpassed a crisis point. This is evidenced by overwhelming - [RESEARCH WEEKLY: Extreme psychiatrist shortage expected for next 30 years](https://www.tac.org/research-weekly-extreme-psychiatrist-shortage-expected-for-next-30-years/) - (Mar. 22, 2018) New research published in Psychiatric Services by Anand Satiani, MD, and authors from Ohio State University anticipates an extreme psychiatrist shortage for the next 30 years. Although there has been much attention focused on physician workforce shortages in recent years, previous estimates of the shortage of psychiatrists have ranged considerably. The authors - [RESEARCH WEEKLY: March 2018 research roundup, Pennsylvania edition](https://www.tac.org/research-weekly-march-2018-research-roundup-pennsylvania-edition/) - (Mar. 28, 2018) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about serious mental illness and summarizes recently published research reports or developments. This week, the blog is focused on research relevant to the Commonwealth Pennsylvania, as legislators consider a - [RESEARCH WEEKLY: Top federal research agency investigates types of crimes committed by individuals with serious mental illness in US prisons](https://www.tac.org/research-weekly-top-federal-research-agency-investigates-types-of-crimes-committed-by-individuals-with-serious-mental-illness-in-us-prisons/) - (Apr. 4, 2018) The top federal research agency, the United States Government Accountability Office (GAO), finds that individuals with serious mental illness who are incarcerated in federal prisons are disproportionately represented in criminal convictions that differ from those of the general inmate population. Below are several of these disparities: Approximately one quarter of individuals with - [RESEARCH WEEKLY: Providers less enthusiastic about interactions with criminal-justice involved individuals with serious mental illness](https://www.tac.org/research-weekly-providers-less-enthusiastic-about-interactions-with-criminal-justice-involved-individuals-with-serious-mental-illness/) - (Apr. 12, 2018) Mental health providers are less enthusiastic about interactions with criminal-justice involved individuals with serious mental illness and have a general lower regard for such individuals than other clients, according to new preliminary research.Because people with serious mental illness interact with the criminal-justice system at much higher rates than other individuals, methods for - [RESEARCH WEEKLY: Peer mentorship for individuals with repeat hospitalizations](https://www.tac.org/research-weekly-peer-mentorship-for-individuals-with-repeat-hospitalizations/) - (Apr. 18, 2018) Peer mentorship for individuals with serious mental illness who have multiple inpatient psychiatric hospitalizations and have a history of treatment non-engagement may be an effective support services tool, according to new research. Since the 2003 President's New Freedom Commission on Mental Health, peer support services for individuals with serious mental illness has - [RESEARCH WEEKLY: April 2018 research roundup](https://www.tac.org/research-weekly-april-2018-research-roundup/) - (April 25, 2018) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about serious mental illness and summarizes recently published research reports or developments. This month, we hone in on research related to suicide. DATAPOINT of the Month9.5 million adults have - [RESEARCH WEEKLY: Mental health awareness month, remission is possible in serious mental illness](https://www.tac.org/research-weekly-mental-health-awareness-month-remission-is-possible-in-serious-mental-illness/) - (May 1, 2018) May was coined Mental Health Awareness Month in 1949 by Mental Health America, a national organization dedicated to addressing the needs of individuals with any mental illness and improving the mental health of all Americans. Picked up by other organizations such as the National Alliance on Mental Illness and the National Council - [RESEARCH WEEKLY: Mental health awareness month, victimization and suffering amongst individuals with serious mental illness](https://www.tac.org/research-weekly-mental-health-awareness-month-victimization-and-suffering-amongst-individuals-with-serious-mental-illness/) - (May 9, 2018) As a continuation of our Mental Health Awareness series, this week's research blog magnifies the violence experienced by people with serious mental illness and how this victimization results in extreme marginalization and significant suffering for these individuals. Violent victimization is the rule rather than exception among individuals with serious mental illnessThe term - [RESEARCH WEEKLY: Mental health awareness month, bed shortages a focus of APA meeting](https://www.tac.org/research-weekly-mental-health-awareness-month-bed-shortages-a-focus-of-apa-meeting/) - As a continuation of our Mental Health Awareness Month series, this week's blog considers research on psychiatric bed shortages that was presented at the 2018 American Psychiatric Association (APA) annual meeting last week in New York City. Presidential symposium on beds For the first time in the 20-year history of the Treatment Advocacy Center, a - [RESEARCH WEEKLY: Probiotic treatment reduces rehospitalization for people with mania](https://www.tac.org/research-weekly-probiotic-treatment-reduces-rehospitalization-for-people-with-mania/) - (May 23, 2018) Individuals who have been hospitalized with acute mania and given probiotic treatments have a reduced risk of rehospitalization, according to new research. People with acute mania, a feature of bipolar disorder that is characterized as an abnormally elevated mood, are at significant risk for rehospitalization after hospital discharge even when receiving outpatient - [RESEARCH WEEKLY: May 2018 research roundup](https://www.tac.org/research-weekly-may-2018-research-roundup/) - (May 30, 2018) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about serious mental illness and summarizes recently published research reports or developments. This roundup marks the last of the series for Mental Health Awareness Month to bring awareness to - [RESEARCH WEEKLY: Violence, victimization and serious mental Illness](https://www.tac.org/research-weekly-violence-victimization-and-serious-mental-illness/) - (June 5, 2018) The connection between violence and mental illness is seen in headlines almost every day in the United States and throughout the world, often when trying to explain inexplicable acts of mass violence.Although a very small proportion of individuals with serious mental illness who are untreated may exhibit violent behaviors or commit violent acts, individuals - [RESEARCH WEEKLY: Serious mental illness and suicide](https://www.tac.org/research-weekly-serious-mental-illness-and-suicide/) - (June 13, 2018) Suicide is the 10th leading cause of death across all age-groups, with suicide rates increasing 30% since 1999 and half of states experiencing an increase in suicide of more than 30% during that time period. There were 44,965 deaths by suicide in the United States in 2016, almost 20% of all injury-related - [RESEARCH WEEKLY: Disparities in early mortality affecting people with serious mental illness](https://www.tac.org/research-weekly-disparities-in-early-mortality-affecting-people-with-serious-mental-illness/) - (June 19, 2018) Individuals with schizophrenia or severe bipolar disorder live much shorter lives than the general population, dying an average of 10 to 25 years younger depending on their country of residence and age at diagnosis. The mortality gap between individuals with serious mental illness and the general population is well-established and as we wrote last - [RESEARCH WEEKLY: June 2018 research roundup](https://www.tac.org/research-weekly-june-2018-research-roundup/) - (June 26, 2018) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about serious mental illness and summarizes recently published research reports or developments. DATAPOINT of the Month46.2% of individuals with serious mental illness who did not receive treatment did not - [RESEARCH WEEKLY: Assisted outpatient treatment versus mental health courts](https://www.tac.org/research-weekly-assisted-outpatient-treatment-versus-mental-health-courts/) - (July 3, 2018) Assisted outpatient treatment (AOT) and mental health courts have many similarities, but also many important differences and distinctions, including the people they serve and their previous engagement with treatment, new research shows. AOT and mental health courts are both legal mechanisms to get individuals with serious mental illness engaged into treatment services. - [RESEARCH WEEKLY: Homelessness among veterans with serious mental illness](https://www.tac.org/research-weekly-homelessness-among-veterans-with-serious-mental-illness/) - (July 10, 2018) Individuals who have psychotic disorders are more likely to be chronically homeless and unsheltered and existing interventions to increase access to housing for these individuals may not be appropriate, according to new research. This is relevant to the estimated 2.7 million veterans that served in Iraq and Afghanistan between 2001 and 2014, - [RESEARCH WEEKLY: Violence in hospitals by people with serious mental illness](https://www.tac.org/research-weekly-violence-in-hospitals-by-people-with-serious-mental-illness/) - (July 17, 2018) Early intervention with the use of antipsychotic medications and the presence of a security officer may prevent needing to resort to seclusion and restraint in inpatient psychiatric hospital settings, according to new research published this month in Psychiatric Services. Violence and aggressive behaviors are common in inpatient psychiatric hospitals, especially during the first - [RESEARCH WEEKLY: Nitrated meats and mania](https://www.tac.org/research-weekly-nitrated-meats-and-mania/) - (July 24, 2018) New research indicates that nitrates — chemicals used to cure meats such as in beef jerky, hot dogs and other processed meats — may contribute to mania, an abnormal mood state common in patients with bipolar disorder. Treatment Advocacy Center Board Member Robert Yolken, MD, and colleagues from Johns Hopkins University found - [RESEARCH WEEKLY: July 2018 research roundup](https://www.tac.org/research-weekly-july-2018-research-roundup/) - (July 31, 2018) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about serious mental illness and summarizes recently published research reports or developments. This month's Weekly honors Minority Mental Health Awareness Month. DATAPOINT of the MonthMinority individuals with serious mental - [RESEARCH WEEKLY: The miracle of clozapine, a personal story](https://www.tac.org/research-weekly-the-miracle-of-clozapine-a-personal-story/) - (Aug. 7, 2018) This week's Research Weekly is written by Bethany Yeiser, author, mental health advocate and founder of Comprehensive Understanding via Research and Education into Schizophrenia (CURESZ) Foundation, an organization dedicated to increasing public education and awareness to schizophrenia and addressing the severe under-utilization of the antipsychotic medication, clozapine. Hers is a valuable first-person perspective with - [RESEARCH WEEKLY: Survey results, improving mental health care with dedicated taxes](https://www.tac.org/research-weekly-survey-results-improving-mental-health-care-with-dedicated-taxes/) - (Aug. 14, 2018) According to new research published in this month's edition of Psychiatric Services, individuals in the United States are willing to pay an annual $50 increase in taxes to improve health care and social services for individuals with serious mental illness. The majority of mental health care is publicly-funded and public support is - [RESEARCH WEEKLY: Managing chronic conditions for individuals with serious mental illness](https://www.tac.org/research-weekly-managing-chronic-conditions-for-individuals-with-serious-mental-illness/) - (Aug. 22, 2018) Individuals with serious mental illness have chronic physical conditions at rates significantly higher than the general population, such as cardiovascular disease and diabetes, and are less likely to receive standard levels of care for these conditions. This disparity contributes to the extreme lower life expectancy of individuals with serious mental illness, causing - [RESEARCH WEEKLY: August 2018 research roundup](https://www.tac.org/research-weekly-august-2018-research-roundup/) - (August 28, 2018) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about serious mental illness and summarizes recently published research reports or developments. DATAPOINT of the Month701,169 sworn law enforcement officers in the United StatesAccording to a new report released - [RESEARCH WEEKLY: Mobile phone health apps for people with serious mental illness](https://www.tac.org/research-weekly-mobile-phone-health-apps-for-people-with-serious-mental-illness/) - (Sept. 4, 2018) Mobile phone-based health interventions, or mHealth apps, are innovative health delivery tools available via an individual's smart phone. Such mobile health applications have been shown to be effective for a wide variety of health conditions and may also be beneficial to individuals with serious mental illness, according to new research published this - [RESEARCH WEEKLY: Two moms on a mission for housing that heals](https://www.tac.org/research-weekly-two-moms-on-a-mission-for-housing-that-heals/) - (July 15, 2020) Beds are more than just a place to sleep or a unit of psychiatric service capacity. Beds provide respite and should be a safe place to sleep and recharge at the end of every day. Today, however, beds and housing for people with severe mental illness are in extreme short supply. The United States has one of the lowest - [RESEARCH WEEKLY: COVID-19 and inpatient psychiatric hospitals ](https://www.tac.org/research-weekly-covid-19-and-inpatient-psychiatric-hospitals/) - (April 21, 2020) As accounts of COVID-19 devastating inpatient psychiatric hospitals throughout the country are reported almost daily, more solutions are needed to prevent further tragedy to this vulnerable population. Inpatient psychiatric care is a vital component to the continuum of care for people with mental illness. This is now especially true with outpatient services having limited operations, medication access is inadequate and clubhouses or other day programs have closed their doors. Yet, the - [RESEARCH WEEKLY: April research roundup](https://www.tac.org/research-weekly-april-research-roundup-4/) - (April 28, 2020) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. DATAPOINT of the month52,459 deaths in the United States due to COVID-19. As of the writing of this blog, more than 50,000 individuals in the United - [RESEARCH WEEKLY: Mandated community treatment benefits for justice-involved individuals with serious mental illness ](https://www.tac.org/research-weekly-mandated-community-treatment-benefits-for-justice-involved-individuals-with-serious-mental-illness/) - (May 5, 2020) Court oversight may be the key for criminal justice-involved people with serious mental illness to stay in community treatment and avoid criminal justice recidivism, according to new research. People with severe mental illness who are arrested and subsequently found not guilty by reason of insanity (NGRI) may need continued support from the court well after their symptoms - [RESEARCH WEEKLY: Promising new medications for schizophrenia  ](https://www.tac.org/research-weekly-promising-new-medications-for-schizophrenia/) - (May 12, 2020) Drug development for treating schizophrenia is entering a promising new era. This week’s research blog is about some of these new developments written by Michael B. Knable, DO, psychiatrist and Treatment Advocacy Center Board President. The newest medication to reach the market for the treatment of schizophrenia is lumateperone1 (also known as Caplyta and produced by Intra-Cellular Therapies). Lumateperone was approved by the FDA in - [RESEARCH WEEKLY: Utilizing video conferencing with people with schizophrenia](https://www.tac.org/research-weekly-utilizing-video-conferencing-with-people-with-schizophrenia/) - Video conferencing interventions may be a promising method of interacting with and treating people with schizophrenia, despite its challenges, according to a review published in the Journal of Telemedicine and Telecare in January of this year. The article, “Telehealth interventions for schizophrenia-spectrum disorders and clinical high risk for psychosis individuals: a scoping review,” describes the successes and challenges of providing psychiatric treatment over video conferencing platforms. The study authors found - [RESEARCH WEEKLY: May research roundup](https://www.tac.org/research-weekly-may-research-roundup-2/) - (May 26, 2020) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. DATAPOINT of the month96% reduction in NIMH support of drug treatment trials for schizophrenia and bipolar disorderWhile the National Institute - [RESEARCH WEEKLY: NIMH largely ignores public comments to 2020-2025 strategic plan ](https://www.tac.org/research-weekly-nimh-largely-ignores-public-comments-to-2020-2025-strategic-plan/) - (June 2, 2020) The National Institute of Mental Health (NIMH) has a recent history of ignoring the most severe mental illnesses. The release of its final 2020-2025 strategic plan last month is confirmation that the federal agency plans to continue disregarding the needs of people suffering from schizophrenia and bipolar disorder. The NIMH is the main federal government agency for research into mental illness. - [RESEARCH WEEKLY: Role of law enforcement in mental illness crisis response](https://www.tac.org/research-weekly-role-of-law-enforcement-in-mental-illness-crisis-response/) - During these unsettling and difficult times, calls for law enforcement reform are echoing throughout the country.Municipalities in the United States and throughout the world are discussing what a public safety system looks like in 2020 and beyond, including the role that law enforcement plays in our society. The Treatment Advocacy Center has been calling attention to - [RESEARCH WEEKLY: No accountability without data ](https://www.tac.org/research-weekly-no-accountability-without-data/) - Accountability means being responsible for one’s actions. This could mean an obligation to justify a decision or the ability to explain an action. We hold politicians accountable for their decisions at the ballot box. Because they are elected officials, we can vote them out of office. In a democratic society, government bodies should likewise be accountable - [RESEARCH WEEKLY: Cognitive adaptation training for people with severe mental illness in long-term care settings](https://www.tac.org/research-weekly-cognitive-adaptation-training-for-people-with-severe-mental-illness-in-long-term-care-settings/) - (April 7, 2020) Cognitive training improves recovery outcomes in people with severe mental illness in long-term care settings, according to new research published this month. This study adds to the growing research available surrounding recovery-oriented care for those with severe mental illness. The results bolster hope for people with severe mental illness and their families, particularly those who may require continuous care. The results - [RESEARCH WEEKLY: Barriers to access to long-acting injectable antipsychotic medications ](https://www.tac.org/research-weekly-barriers-to-access-to-long-acting-injectable-antipsychotic-medications/) - (April 15, 2020) Long-acting injectable (LAI) formulations of medications are effective in increasing medication adherence for all people. Their promise is especially important for people with severe mental illness who may struggle with adhering to daily oral antipsychotic formulations. Adherence to prescribed psychotropic medications is essential to prevent decompensation and promote recovery from symptoms for people with severe mental illness. Despite being available for more than 40 years, LAI antipsychotic medications continue - [RESEARCH WEEKLY: Caregiver burden when caring for people experiencing psychosis](https://www.tac.org/research-weekly-caregiver-burden-when-caring-for-people-experiencing-psychosis/) - (June 23, 2020) The Treatment Advocacy Center knows how challenging caring for someone with a severe mental illness can be. In a recent blog, staff member Sabah Muhammad shares her story of caring for her brother with severe mental illness. The challenges Sabah, her brother and her family face are not unique, and caring for someone with - [RESEARCH WEEKLY: June research roundup](https://www.tac.org/research-weekly-june-research-roundup-3/) - Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. This month’s roundup is focused on new research on how the COVID-19 pandemic has impacted people with serious mental illness. DATAPOINT of the month3.5-fold - [RESEARCH WEEKLY: Recovery barriers for people with serious mental illness post-incarceration](https://www.tac.org/research-weekly-recovery-barriers-for-people-with-serious-mental-illness-post-incarceration/) - (July 8, 2020) Incarceration complicates and sometimes negatively impacts the recovery prospects for individuals with serious mental illness. The common issues faced by anyone involved in the criminal justice system are exacerbated for those with serious mental illness, making their odds of recidivism high and odds of recovering lower. A new study recently released in Psychological Services validates these claims and - [RESEARCH WEEKLY: Treating post-traumatic stress disorder in individuals with severe mental illness](https://www.tac.org/research-weekly-treating-post-traumatic-stress-disorder-in-individuals-with-severe-mental-illness/) - (June 9, 2021) People with severe mental illness are especially vulnerable to being victimized. Such victimization can involve theft of clothing or money, violence, sexual assault or emotional abuse. Women who have severe psychiatric disease are especially vulnerable.Rates of post-traumatic stress disorder (PTSD) are high among people with severe mental illness. New research published in BJPsych Open by researchers from The Netherlands - [RESEARCH WEEKLY: November research roundup](https://www.tac.org/research-weekly-november-research-roundup-3/) - (November 30, 2022) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. DATAPOINT OF THE MONTHPeople with SMI are 11.8x more likely to be a victim of violent crime. One - [RESEARCH WEEKLY: July research roundup](https://www.tac.org/research-weekly-july-research-roundup-2/) - (July 29, 2020) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. DATAPOINT OF THE MONTHSchizophrenia is #7 most costly condition for inpatient stays for Medicaid beneficiaries.The Agency for Healthcare Research and Quality released - [RESEARCH WEEKLY: People with serious mental illness may not receive adequate care in California under current laws ](https://www.tac.org/research-weekly-people-with-serious-mental-illness-may-not-receive-adequate-care-in-california-under-current-laws/) - According to a report released last week by the California State Auditor’s office, California should increase its hospital bed capacity and access to assisted outpatient treatment (AOT) for those suffering from severe mental illness, while also overhauling its data collection practices. The audit reviewed practices from the Lanterman-Petris Short Act (LPS) for three counties: Los Angeles County, San Francisco County and Shasta County. - [RESEARCH WEEKLY: Schizophrenia research more relevant now than ever  ](https://www.tac.org/research-weekly-schizophrenia-research-more-relevant-now-than-ever/) - (August 12, 2020) As the country is preparing for a tumultuous fall, with the novel coronavirus continuing to spread throughout the United States, Americans are trying to adapt to countless, oncoming challenges in their lives. Schools from kindergartens to higher education institutions are grappling with how to educate students while maintaining safety for students, teachers and - [RESEARCH WEEKLY: The path forward for severe mental illness and super-utilization](https://www.tac.org/research-weekly-the-path-forward-for-severe-mental-illness-and-super-utilization/) - (August 19, 2020) Individuals with severe mental illness are often caught in the revolving door of super-utilization, cycling through inpatient hospitals, emergency departments, jail or homeless shelters. Super-utilization refers to the phenomenon where a relatively small number of people make relatively frequent use of high-cost services at enormous public expense. Anecdotes of the role of severe mental illness - [RESEARCH WEEKLY: August research roundup](https://www.tac.org/research-weekly-august-research-roundup-2/) - (August 26, 2020) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments.DATAPOINT OF THE MONTH824,000 individuals with serious mental illness received inpatient psychiatric care in 2018 According to results from the National - [RESEARCH WEEKLY: Federal medicaid inmate exclusion policy harms individuals with severe mental illness](https://www.tac.org/research-weekly-federal-medicaid-inmate-exclusion-policy-harms-individuals-with-severe-mental-illness/) - (September 2, 2020) The Federal Medicaid Inmate Exclusion Policy (MIEP) reduces jailed individuals’ access to mental and physical health care after release from jail and increases the likelihood of recidivism, according to a new report written by American University students for the National Association of Counties last week. The Federal Medicaid Inmate Exclusion Policy “terminates - [RESEARCH WEEKLY: Methadone maintenance treatment for co-occurring severe mental illness and opioid use disorders](https://www.tac.org/research-weekly-methadone-maintenance-treatment-for-co-occurring-severe-mental-illness-and-opioid-use-disorders/) - (September 9, 2020) Methadone maintenance may be an effective treatment for people with co-occurring severe mental illness and opioid use disorder, according to a new study published in Schizophrenia Bulletin Open from researchers at McMaster University. While many with schizophrenia and other psychotic disorders lack access to mental health treatment, even fewer have access to treatment for co-occurring disorders. Opioid use disorder has reached crisis levels in recent years, but - [RESEARCH WEEKLY: Social support among people with mental illness on probation](https://www.tac.org/research-weekly-social-support-among-people-with-mental-illness-on-probation/) - (September 16, 2020) Social isolation can have a damaging effect on anyone’s wellbeing, especially for people with chronic illnesses such as severe mental illness. This effect is exacerbated when social isolation is experienced by justice-involved people with mental illness, resulting in a greater number of probation violations and an increased risk for future offending. The level - [RESEARCH WEEKLY: Beyond ‘grading the states’ and progressing toward decriminalizing severe mental illness  ](https://www.tac.org/research-weekly-beyond-grading-the-states-and-progressing-toward-decriminalizing-severe-mental-illness/) - Yesterday, the Treatment Advocacy Center released a 2020 update to its landmark report, Grading the States: An analysis of involuntary psychiatric treatment laws. The report represents the results of Treatment Advocacy Center staff’s evaluation and grading of the involuntary treatment laws in all 50 states and the District of Columbia, updating state report cards with any changes to - [RESEARCH WEEKLY: 2020 Top 10 list of severe mental illness research ](https://www.tac.org/research-weekly-2020-top-10-list-of-severe-mental-illness-research/) - Reflecting on 2020, we at the Office of Research and Public Affairs (ORPA) have put together our list of top 10 research published this year about severe mental illness. The list includes commentary on our favorite published research from each of the ORPA team members who brought Research Weekly to your inbox every week throughout 2020. Much - [RESEARCH WEEKLY: September research roundup ](https://www.tac.org/research-weekly-september-research-roundup-2/) - (September 30, 2020) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. This month’s edition is in honor of September being National Suicide Prevention Month and the recent passage of the National Suicide Hotline Designation - [RESEARCH WEEKLY: Short intervention can change public attitudes toward schizophrenia](https://www.tac.org/research-weekly-short-intervention-can-change-public-attitudes-toward-schizophrenia/) - (October 7, 2020) When people know more about a subject and have a greater understanding, their beliefs and attitudes regarding that subject are likely to change as well. Understanding the signs and symptoms associated with severe mental illness can help people identify the signs of a first episode of psychosis earlier and be less afraid to seek treatment. Early treatment - [RESEARCH WEEKLY: Sexual violence faced by women with serious mental illness ](https://www.tac.org/research-weekly-sexual-violence-faced-by-women-with-serious-mental-illness/) - Women with serious mental illness are disproportionately affected by sexual violence. The repercussions on the women who experience this type of violence include physical illness and injury, as well as high rates of adverse psychological effects. Experiencing such traumatic events can have profound implications on women’s lives. Numerous research studies suggest that trauma experienced by women - [RESEARCH WEEKLY: Crisis response in California](https://www.tac.org/research-weekly-crisis-response-in-california/) - Alternative models of crisis intervention to responding to individuals in psychiatric crisis are being considered in municipalities throughout the country. Providing a mental health response to someone in a mental health crisis is an obvious solution, while diverting non-violent calls for service away from law enforcement. In Los Angeles in June, the City Council voted to develop an unarmed model - [RESEARCH WEEKLY: October research roundup ](https://www.tac.org/research-weekly-october-research-roundup-3/) - Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. DATAPOINT OF THE MONTH$11.4 billion spent for state psychiatric hospitals in 2019 According to the Substance Abuse and Mental Health Services Administration, more than $11.4 billion was - [RESEARCH WEEKLY: Bridging the mortality gap for people with serious mental illness ](https://www.tac.org/research-weekly-bridging-the-mortality-gap-for-people-with-serious-mental-illness/) - (November 4, 2020) While life expectancy for the general population has broadly increased in the past two centuries, from around 30 years old to about 80 years old, there is a significant mortality gap between the general population and the population of people with serious mental illness. Individuals with a serious mental illness have an average life expectancy 10-25 years - [RESEARCH WEEKLY: Veterans with severe mental illness](https://www.tac.org/research-weekly-veterans-with-severe-mental-illness/) - (November 11, 2020) In honor of Veteran’s Day, this week’s blog highlights research on the high risk of suicidal behavior among Veteran’s with severe mental illness to bring awareness to the importance of suicide prevention and access to mental health treatment for our service members.Suicide is the 10th leading cause of death in the United States, with - [RESEARCH WEEKLY: November research roundup](https://www.tac.org/research-weekly-november-research-roundup-2/) - (November 25, 2020) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. DATAPOINT OF THE MONTHUnknown Unknown is the number of COVID-19 cases among people with mental illness living in congregate care settings, - [RESEARCH WEEKLY: Examining the interconnectedness of schizophrenia and inflammation](https://www.tac.org/research-weekly-examining-the-interconnectedness-of-schizophrenia-and-inflammation/) - (December 2, 2020) The relationship between schizophrenia and inflammation in the body has been the subject of much research in recent decades. A growing body of evidence suggests that inflammation is associated with schizophrenia in a number of ways: from increasing the risk of developing schizophrenia to indicating treatment efficacy in those who already have schizophrenia. Inflammation - [RESEARCH WEEKLY: Medicaid program ineffective in improving hospital readmissions](https://www.tac.org/research-weekly-medicaid-program-ineffective-in-improving-hospital-readmissions/) - (December 9, 2020) People with severe mental illness die up to 25years earlier than people in the general population, in part due to high levels of comorbid physical health conditions such as cancer, diabetes and heart disease. Research has demonstrated that fragmented medical care for people with severe mental illness is a large factor contributing to this incredible - [RESEARCH WEEKLY: Facilitating COVID-19 vaccination for people with serious mental illness](https://www.tac.org/research-weekly-facilitating-covid-19-vaccination-for-people-with-serious-mental-illness/) - (January 6, 2021) Having a serious mental illness poses an increased risk of infection, hospitalization and death from COVID-19. Several factors contribute to this increased risk including the generally poorer physical health of individuals with serious mental illness, lack of access to healthcare, and high rates of smoking and obesity compared to the population at - [RESEARCH WEEKLY: NIMBY-ism and serious mental illness](https://www.tac.org/research-weekly-nimby-ism-and-serious-mental-illness/) - (January 13, 2020) “Not in my back yard,” otherwise known as NIMBY, refers to the phenomenon of residents of a community opposing a new development or a change of occupancy of an existing site. The phrase is most commonly used to reference how new sites for affordable housing, shelters or group homes are unwanted or - [RESEARCH WEEKLY: Developing neuroimaging biomarkers for schizophrenia](https://www.tac.org/research-weekly-developing-neuroimaging-biomarkers-for-schizophrenia/) - (January 20, 2021) Biomarkers are powerful clinical and public health tools. They can be diagnostic, inform treatment decisions, or help determine disease risks if prevention measures are needed. At a population-level, these objective biological measures are extremely useful to researchers who are analyzing groups of people and can also inform public health metrics such as - [Research Weekly: January research roundup ](https://www.tac.org/research-weekly-january-research-roundup-3/) - (January 27, 2020) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments.DATAPOINT OF THE MONTHNine to 13 times higher risk of death in the first five years after diagnosis with - [RESEARCH WEEKLY: Schizophrenia is second largest risk factor in covid-19 mortality](https://www.tac.org/research-weekly-schizophrenia-is-second-largest-risk-factor-in-covid-19-mortality/) - (February 2, 2021) People with schizophrenia are at a substantially elevated risk of dying from COVID-19, according to new research. Published in JAMA Psychiatry this January, the study found that a schizophrenia diagnosis is the second largest predictor of mortality from COVID-19, second only to age. This groundbreaking finding has major implications for the treatment - [RESEARCH WEEKLY: People with SMI disproportionately impacted by suicide](https://www.tac.org/research-weekly-people-with-smi-disproportionately-impacted-by-suicide/) - (February 10, 2021) Research consistently indicates that people with serious mental illness, including schizophrenia and bipolar disorder, are at significantly increased risk of death by suicide compared to the general population. In the United States, suicide is the leading cause of death among individuals with schizophrenia between 15 and 44 years old. Until now, little - [RESEARCH WEEKLY: February research roundup ](https://www.tac.org/research-weekly-february-research-roundup-2/) - (February 24, 2021) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments.DATAPOINT of the month 500,000 deaths from COVID-19 The United States reached a sobering milestone this month, surpassing more than 500,000 - [RESEARCH WEEKLY: New report supports repeal of IMD exclusion](https://www.tac.org/research-weekly-new-report-supports-repeal-of-imd-exclusion/) - “The first and most important step toward public mental health reform to take is to eliminate the IMD Exclusion,” according to a new report released by the Manhattan Institute this month. The Treatment Advocacy Center has been a longtime advocate of repealing the IMD exclusion and this latest report is another example of the growing - [RESEARCH WEEKLY: COVID-19 vaccination and severe mental illness](https://www.tac.org/research-weekly-covid-19-vaccination-and-severe-mental-illness/) - (March 10, 2021) Today, just over 18% of the United States population have received at least one dose of a COVID-19 vaccine and 9.4% are fully vaccinated. While the vaccines will not eliminate COVID-19 entirely, they are very effective in reducing serious illness and death from COVID-19 infection.People with severe mental illness are at significantly - [RESEARCH WEEKLY: A year of living with the COVID-19 pandemic ](https://www.tac.org/research-weekly-a-year-of-living-with-the-covid-19-pandemic/) - (March 17, 2021) Exactly one year ago this week, I published the first of what would turn out to be many Research Weekly blogs on COVID-19 and severe mental illness. In the blog titled “A special edition in this time of uncertainty,” I wrote about how the challenge of maintaining normalcy while worrying about the crisis ahead is not new to many family - [RESEARCH WEEKLY: March research roundup ](https://www.tac.org/research-weekly-march-research-roundup-2/) - (March 31, 2021) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about serious mental illness and summarizes recently published research reports or developments. This month’s Research Roundup is dedicated to selected data and research from our latest evidence brief on serious mental illness and co-occurring substance use disorders. DATAPOINT of the - [RESEARCH WEEKLY: The decline of clinical research on serious mental illness at the NIMH](https://www.tac.org/research-weekly-the-decline-of-clinical-research-on-serious-mental-illness-at-the-nimh/) - (April 7, 2021) Yesterday, Treatment Advocacy Center founder Dr. E. Fuller Torrey, along with co-authors Wendy Simmons, Elizabeth Sinclair Hancq and John Snook, published an article in Psychiatric Services on the continuing decline of clinical research on serious mental illness at the National Institute of Mental Health (NIMH). The authors utilized three different publicly available data sources to examine the shift - [RESEARCH WEEKLY: Suicide risk and prevention in women with serious mental illness ](https://www.tac.org/research-weekly-suicide-risk-and-prevention-in-women-with-serious-mental-illness/) - (April 21, 2021) The U.S. Centers for Disease Control and Prevention (CDC) made headlines last week with newly released data showing that suicide deaths decreased overall in 2020, despite dire predictions of the impact on COVID-19 on suicide due to the increased stress, grief, loneliness and economic difficulties associated with the pandemic. 44,834 individuals died by suicide - [RESEARCH WEEKLY: April research roundup ](https://www.tac.org/research-weekly-april-research-roundup-3/) - (April 28, 2021) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. DATAPOINT of the month Over 229 million doses of the COVID-19 vaccine administered in the United StatesThis month, the United - [RESEARCH WEEKLY: What is the true prevalence of schizophrenia in the United States? ](https://www.tac.org/research-weekly-what-is-the-true-prevalence-of-schizophrenia-in-the-united-states/) - (May 5, 2021) Last week, the United States Census Bureau released its official U.S. population estimate after undertaking a count of every single person living in the United States, a procedure that is conducted once every 10 years. The results indicate that as of April 1, 2020, there were 331,449,281 individuals living in the United States, a - [RESEARCH WEEKLY: College students and severe mental illness ](https://www.tac.org/research-weekly-college-students-and-severe-mental-illness/) - Editor's note: In honor of May being Mental Health Awareness month, we are featuring guest Research Weekly blogs written by members of Active Minds, a non-profit organization focused on young adult mental health with more than 550 chapters at high schools and colleges/universities throughout the US. (May 12, 2021) College can be a stressful time for all - [RESEARCH WEEKLY: Serious mental illness in sexual and gender minorities](https://www.tac.org/research-weekly-serious-mental-illness-in-sexual-and-gender-minorities/) - Editor's note: In honor of May being Mental Health Awareness month, we are featuring guest Research Weekly blogs written by members of Active Minds, a non-profit organization focused on young adult mental health with more than 550 chapters at high schools and colleges/universities throughout the US.(May 19, 2021) Sexual and gender minority (SGMs) individuals are at - [RESEARCH WEEKLY: May research roundup](https://www.tac.org/research-weekly-may-research-roundup/) - (May 26, 2021) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. DATAPOINT OF THE MONTHBy age 66, one in four individuals with schizophrenia will have dementiaAccording to a - [RESEARCH WEEKLY: Smoking intensity increases during covid-19 for people with severe mental illness](https://www.tac.org/research-weekly-smoking-intensity-increases-during-covid-19-for-people-with-severe-mental-illness/) - (June 2, 2021) Inequalities in smoking behaviors between people with severe mental illness and people without continued to increase during the COVID-19 pandemic, according to a new study published in BJ Psych Open. While smoking rates and quantity consumed has historically been unequal between those with severe mental illness and those without, the authors suggest that the - [RESEARCH WEEKLY: Women in rural jails disproportionately impacted by serious mental illness ](https://www.tac.org/research-weekly-women-in-rural-jails-disproportionately-impacted-by-serious-mental-illness/) - Women in rural jails are more likely to screen positive for a serious mental illness compared to men in rural jails and all individuals incarcerated in urban jails, according a study published this month in Criminal Justice and Behavior by researchers from Wayne State University. Although many jails have staff available to assess mental health needs among - [RESEARCH WEEKLY: Integrating mental health treatment into medical care](https://www.tac.org/research-weekly-integrating-mental-health-treatment-into-medical-care/) - (June 24, 2021) People with severe mental illness have high rates of co-morbid serious medical illnesses, such as cancer and heart failure, contributing to the 25-year gap in life expectancy compared to those without severe mental illness. Disparities in access to specialist care and discontinuity of psychiatric services when in treatment for serious medical illness contribute - [RESEARCH WEEKLY: June research roundup](https://www.tac.org/research-weekly-june-research-roundup-2/) - (June 30, 2021) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. DATAPOINT OF THE MONTH536,000 people with serious mental illness identify as Lesbian or GayJune represents Pride Month, a time - [RESEARCH WEEKLY: Women, serious mental illness and family ](https://www.tac.org/research-weekly-women-serious-mental-illness-and-family/) - (July 7, 2021) Women with serious mental illness face unique challenges related to the intersection of their illness and gender. This is true in many aspects of their daily lives, including relationships with family members, according to a study published last week in Family Relations.Qualitative interviews with womenResearchers from Fielding Graduate University conducted interviews with 20 women who have serious mental illness, - [RESEARCH WEEKLY: Barriers to ECT access for major depressive disorder](https://www.tac.org/research-weekly-barriers-to-ect-access-for-major-depressive-disorder/) - (July 14, 2021) Electroconvulsive therapy (ECT) is a safe and effective treatment for individuals with severe psychiatric disorders. In fact, ECT has been shown to produce remission rates in individuals with major depressive disorder at rates of 80-90% if used as a first-line treatment. For individuals with treatment-resistant depression, ECT has been shown to produce remission - [RESEARCH WEEKLY: More evidence that people with severe mental illness are at higher risk of mortality from covid-19 ](https://www.tac.org/research-weekly-more-evidence-that-people-with-severe-mental-illness-are-at-higher-risk-of-mortality-from-covid-19/) - (August 4, 2021) The evidence continues to mount showing that people with severe mental illness are at higher risk of dying from COVID-19. The study, released in JAMA Psychiatry last week, includes data from seven different countries including the United States and confirms that people with mental health diagnoses are a high-risk group as we continue to - [RESEARCH WEEKLY: Hospitalization for serious mental illness among most frequent inpatient stays](https://www.tac.org/research-weekly-hospitalization-for-serious-mental-illness-among-most-frequent-inpatient-stays/) - (August 11, 2021) Inpatient care is a vital component of the full continuum of psychiatric care for individuals with serious mental illness who may need such intensive treatment in order to successfully stabilize. Much of long-term inpatient psychiatric care occurs in the remaining state psychiatric hospitals that exist in dwindling supplies across the United States. - [RESEARCH WEEKLY: Individuals with early episode psychosis may have unique treatment needs](https://www.tac.org/research-weekly-individuals-with-early-episode-psychosis-may-have-unique-treatment-needs/) - (August 18, 2021) There are differences in symptoms and treatment outcomes for those experiencing their first episode of psychosis early in life compared to those experiencing an episode of psychosis later in life. Individuals who experience early episode psychosis (EEP) were more likely to visit the emergency department for mental health related issues and to have an inpatient psychiatric hospital stay than those - [RESEARCH WEEKLY: Psychiatric bed availability and suicide risk ](https://www.tac.org/research-weekly-psychiatric-bed-availability-and-suicide-risk/) - (August 25, 2021) Suicide is a significant public health problem. Suicide deaths per capita in the United States have been steadily increasing in the past 30 years, with almost 45,000 individuals dying by suicide in 2020. Inpatient psychiatric care is an integral component of a full continuum of psychiatric care for individuals with severe mental illness, including those with increased risk - [RESEARCH WEEKLY: August research roundup](https://www.tac.org/research-weekly-august-research-roundup/) - (September 1, 2021) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. DATAPOINT OF THE MONTH51% of Hispanic individuals with co-occurring serious mental illness and substance use disorder received - [RESEARCH WEEKLY: Co-responding police and mental health team reduces likelihood of arrest](https://www.tac.org/research-weekly-co-responding-police-and-mental-health-team-reduces-likelihood-of-arrest/) - (September 8, 2021) Co-response teams involving both police officers and mental health providers are becoming more widely used for response to crisis calls involving people with mental illnesses. As these programs grow in popularity across the United States, there is not yet a large amount of research available proving the efficacy of such crisis response models.A new study published in Psychiatric - [RESEARCH WEEKLY: September research roundup](https://www.tac.org/research-weekly-september-research-roundup/) - (September 29, 2021) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. DATAPOINT OF THE MONTH34–100,000 individuals who have died every year in the United States whose bodies are unclaimedAccording - [RESEARCH WEEKLY: Distributing COVID-19 vaccines at psychiatric hospitals](https://www.tac.org/research-weekly-distributing-covid-19-vaccines-at-psychiatric-hospitals/) - (September 22, 2021) People with severe mental illness have a higher risk for serious illness or death from COVID-19, according to multiple research studies. As the Office of Research and Public Affairs wrote in our newest report, COVID-19 Vaccination for People with Severe Mental Illness, released last week, vaccination is a vital step to protect the health - [RESEARCH WEEKLY: October research roundup](https://www.tac.org/research-weekly-october-research-roundup-2/) - (October 28, 2021) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. DATAPOINT OF THE MONTH90.5% of adults in Alabama that receive state mental health services have serious mental - [RESEARCH WEEKLY: Pregnant women with bipolar disorder face unique challenges ](https://www.tac.org/research-weekly-pregnant-women-with-bipolar-disorder-face-unique-challenges/) - (October 6, 2021) Women with bipolar disorder-I (BD-I) and schizoaffective disorder-bipolar disorder (SA-BD) are at a high risk of postpartum psychosis, according to a recent study published in the Journal of Affective Disorders. Approximately 60% of women with bipolar disorder, independent of subtype, experience a perinatal bipolar illness episode and many women experience symptoms both during - [RESEARCH WEEKLY: National institute of mental health funding priorities for bipolar disorder](https://www.tac.org/research-weekly-national-institute-of-mental-health-funding-priorities-for-bipolar-disorder/) - (October 13, 2021) The grant funding from the National Institute of Mental Health (NIMH) for research into bipolar disorder is lower than funding for other serious mental illness research and focuses heavily on basic science research instead of clinical research, according to a new article published in Journal of Affective Disorders.The article, written by Treatment Advocacy Center Board President - [RESEARCH WEEKLY: Resource groups increase empowerment of people with severe mental illness ](https://www.tac.org/research-weekly-resource-groups-increase-empowerment-of-people-with-severe-mental-illness/) - (October 20, 2021) Recovery-oriented care has been emphasized for the treatment of individuals with severe mental illness and a key principle of this care is establishing social context in treatment by involving family members and friends. According to new research published in JAMA Psychiatry, the use of resource groups as a treatment, which includes family and - [RESEARCH WEEKLY: Schizophrenia linked to higher mortality from cancer](https://www.tac.org/research-weekly-schizophrenia-linked-to-higher-mortality-from-cancer/) - (November 10, 2021) Individuals with schizophrenia are at a 50% increased risk of dying from cancer, according to a recent review published in the Current Opinion in Psychiatry. Findings indicate that a substantial proportion of patients with schizophrenia who die from cancer are less likely to receive effective treatment, are not diagnosed until after death, or are - [RESEARCH WEEKLY: Perceptions of stigma in urban and nonurban environments ](https://www.tac.org/research-weekly-perceptions-of-stigma-in-urban-and-nonurban-environments/) - (November 17, 2021) The gentrification of urban areas in the United States has pushed individuals with serious mental illness toward suburban and rural areas with affordable housing but limited mental health services. Though benefits, such as proximity to nature and social cohesion, exist in these nonurban areas, heightened levels of mental illness stigma may have detrimental - [RESEARCH WEEKLY: November research roundup](https://www.tac.org/research-weekly-november-research-roundup/) - (November 24, 2021) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Tomorrow is Thanksgiving, a time to celebrate the harvest of accomplishments this past year and express gratitude to those around us. In honor of Thanksgiving, this week’s blog includes data points from an analysis of the bounty of - [RESEARCH WEEKLY: Alternative to solitary confinement offers promising results for inmates](https://www.tac.org/research-weekly-alternative-to-solitary-confinement-offers-promising-results-for-inmates/) - (December 1, 2021) Incarcerated individuals with serious mental illness are much more likely to be placed in solitary confinement compared to incarcerated individuals without serious mental illness. There is a wealth of research that shows the deleterious effects that solitary confinement can have on an individual, including increasing rates of depression, anxiety and other psychiatric symptoms, and this concern is even greater - [RESEARCH WEEKLY: Mothers with severe mental illness involved in the criminal justice system share experiences with parenting](https://www.tac.org/research-weekly-mothers-with-severe-mental-illness-involved-in-the-criminal-justice-system-share-experiences-with-parenting/) - (December 15, 2021) Mothers with severe mental illness and involvement in the criminal justice system center their lives and recovery around their identities as mothers. Despite long-term and complex mental health needs, the maternal identities of these women are at the forefront of their experiences, according to a recent study published in Crime & Delinquency, a policy-oriented - [RESEARCH WEEKLY: Clozapine and covid-19](https://www.tac.org/research-weekly-clozapine-and-covid-19/) - (December 22, 2021) Clozapine treatment does not pose as an additional risk for COVID-19 and treatment should be continued during the COVID-19 pandemic, according to new research published earlier this year. Clozapine is the only antipsychotic medication that is evidence-based for treatment-refractory schizophrenia, which occurs in approximately one in three people with the illness. In addition, it is the only antipsychotic medication FDA-approved - [RESEARCH WEEKLY: 2021 top 10 list of severe mental illness research](https://www.tac.org/research-weekly-2021-top-10-list-of-severe-mental-illness-research/) - (December 29, 2021) Reflecting on 2021, we at the Office of Research and Public Affairs (ORPA) have put together our top 10 list of the most important research published this year about severe mental illness. The list includes commentary on our favorite published research from each of the ORPA team members who brought Research Weekly to your inbox every week throughout - [RESEARCH WEEKLY: Interventions in prison show promise for individuals with serious mental illness](https://www.tac.org/research-weekly-interventions-in-prison-show-promise-for-individuals-with-serious-mental-illness/) - (January 5, 2022) Interventions targeting individuals with serious mental illness in the criminal justice system show promising results for improving several criminogenic risk factors, according to new research published in Psychiatric Services. Criminogenic risk factors are traits and situations in an individual’s life that may contribute to their likelihood to become involved in the criminal justice system. The risk factors included in the study - [RESEARCH WEEKLY: COVID-19 mortality and severe mental illness](https://www.tac.org/research-weekly-covid-19-mortality-and-severe-mental-illness/) - (January 12, 2022) It is a new year but COVID-19 is very much still a part of our lives. As emerging variants of SARS-CoV-2, the virus that causes COVID-19, continue to spread throughout the world, it remains of critical importance to advance our knowledge on the effects of the virus on those most vulnerable. The evidence continues to mount showing that individuals - [RESEARCH WEEKLY: Severe mental illness and violence, revisited](https://www.tac.org/research-weekly-severe-mental-illness-and-violence-revisited/) - (January 19, 2022) Violence risk in individuals with severe mental illness can be a divisive topic. On the one hand, advocates and the media respond to violent incidents involving someone with severe mental illness as evidence of the substantial risk for violent acts and need for better treatment access to prevent violence. On the other, advocates proclaim that such associations - [RESEARCH WEEKLY: January research roundup](https://www.tac.org/research-weekly-january-research-roundup-2/) - (January 26, 2022) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. DATAPOINT OF THE MONTHOver 50% of people with both serious mental illness and another disability did not - [RESEARCH WEEKLY: Super utilization and severe mental illness](https://www.tac.org/research-weekly-super-utilization-and-severe-mental-illness/) - (February 2, 2022) Individuals with severe mental illness, especially those who are untreated, are frequently stuck in a revolving door of hospitalization and incarceration. As a result, people with severe mental illness are overrepresented in our health, criminal justice and social safety net systems. Although they make up only 3.4% of the adult population, people with severe mental illness account for a - [RESEARCH WEEKLY: Outreach to veterans with serious mental illness increases COVID-19 vaccine uptake](https://www.tac.org/research-weekly-outreach-to-veterans-with-serious-mental-illness-increases-covid-19-vaccine-uptake/) - (February 16, 2022) Treatment Advocacy Center partnered with Clubhouse International to produce a report, COVID-19 Vaccination for People with Severe Mental Illness: An International Study, to examine COVID-19 vaccination uptake. Clubhouses are community centers for those living with severe mental illness. Results found that estimated vaccination rates of Clubhouse members were on average significantly higher - [RESEARCH WEEKLY: Two new studies on psychiatric bed number targets](https://www.tac.org/research-weekly-two-new-studies-on-psychiatric-bed-number-targets/) - (March 2, 2022) Two research reports on the optimum number of psychiatric beds have been published in the past few months, both of which validate the Treatment Advocacy Center’s recommendation for 40 to 60 beds per 100,000 population. In this week’s Research Weekly blog, I will first review the Treatment Advocacy Center recommendations and then summarize - [RESEARCH WEEKLY: Global burden of severe mental illness](https://www.tac.org/research-weekly-global-burden-of-severe-mental-illness/) - (March 9, 2022) The Global Burden of Disease (GBD) is a comprehensive global research effort to analyze the prevalence and disease burden of 286 causes of death, 369 diseases and injuries, and 87 health risk factors in 204 countries around the world. Incorporated in this research effort is an analysis of mental health disorders, including - [RESEARCH WEEKLY: Early intervention programs are a cost-effective method to treat schizophrenia](https://www.tac.org/research-weekly-early-intervention-programs-are-a-cost-effective-method-to-treat-schizophrenia/) - (March 16, 2022) Early intervention in psychosis programs are a cost-effective option for treating schizophrenia, according to a study recently published in Psychiatric Services. Past research shows that intervening during the first episode of psychosis, typically in someone’s adolescence or early adulthood, is highly beneficial for a person’s health outcomes in the long term. There - [RESEARCH WEEKLY: Availability of walk-in and crisis outpatient treatment services in the united states ](https://www.tac.org/research-weekly-availability-of-walk-in-and-crisis-outpatient-treatment-services-in-the-united-states/) - (March 23, 2022) The U.S. health care system is failing those with serious mental illness due, in part, to the lack of outpatient mental health crisis services available around the country, according to a study recently published in Psychiatric Services. Hospital emergency departments are considered the frontline services when triaging a mental health crisis. These - [RESEARCH WEEKLY: March research roundup for world bipolar day](https://www.tac.org/research-weekly-march-research-roundup-for-world-bipolar-day/) - (March 30, 2022) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. This month’s roundup is in honor of World Bipolar Day.DATAPOINT OF THE MONTH5.9 million individuals with severe - [RESEARCH WEEKLY: Impact of the COVID-19 pandemic on employment and educational outcomes of individuals in a first-episode psychosis clinic](https://www.tac.org/research-weekly-impact-of-the-covid-19-pandemic-on-employment-and-educational-outcomes-of-individuals-in-a-first-episode-psychosis-clinic/) - (April 6, 2022) The COVID-19 pandemic has resulted in significant indirect outcomes, such as limiting employment and educational opportunities. These negative side effects of the pandemic have unique consequences for people experiencing first-episode psychosis (FEP), according to a recent research study published in Psychiatric Services. The initial period after a psychotic episode is critical for - [RESEARCH WEEKLY: Accountable care organizations and referrals for individuals with serious mental illness ](https://www.tac.org/research-weekly-accountable-care-organizations-and-referrals-for-individuals-with-serious-mental-illness/) - (April 13, 2022) Patients with serious mental illness often lack access to specialty mental health support services such as assertive community treatment, supported employment and family psychoeducation, despite ample evidence that exhibits these services’ capacities to reduce hospitalizations and improve health outcomes. Accountable Care Organizations (ACOs) are groups of doctors, hospitals and care providers that - [RESEARCH WEEKLY: Ways to improve asian American caregiver well-being](https://www.tac.org/research-weekly-ways-to-improve-asian-american-caregiver-well-being/) - Discovering ways to enhance wellness for caregivers of individuals with serious mental illness has been an ongoing effort. Yet, Asian Americans have been underrepresented in studies regarding serious mental illness caregiving. A recent study published in the Community Mental Health Journal explores the associations between service utilization, self-efficacy and positive attitudes among Asian American participants in Santa Clara - [RESEARCH WEEKLY: April research roundup](https://www.tac.org/research-weekly-april-research-roundup-2/) - (April 27, 2022) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments.DATAPOINT OF THE MONTH84% COVID-19 vaccination rate among patients with serious mental illness In a new study published - [RESEARCH WEEKLY: Serious mental illness policy](https://www.tac.org/research-weekly-serious-mental-illness-policy/) - Editor’s note: May is Mental Health Awareness month and it is more important than ever to raise awareness about severe mental illness. Each Research Weekly published this month is chosen with this in mind. In this month’s edition of Health Affairs, I published a letter to the editor in response to a controversial article in the December 2021 edition of - [RESEARCH WEEKLY: Stigma and the importance of peer support during first-episode psychosis](https://www.tac.org/research-weekly-stigma-and-the-importance-of-peer-support-during-first-episode-psychosis/) - Editor’s note: May is Mental Health Awareness month and it is more important than ever to raise awareness about severe mental illness. Each Research Weekly published this month is chosen with this in mind.Most young adults’ first-episode psychosis (FEP) coincides with a critical transitional period into the workforce, however, the onset of severe mental illness - [RESEARCH WEEKLY: Erasing racial disparities in early psychosis family psychoeducation](https://www.tac.org/research-weekly-erasing-racial-disparities-in-early-psychosis-family-psychoeducation/) - Editor’s note: May is Mental Health Awareness month and it is more important than ever to raise awareness about severe mental illness. Each Research Weekly published this month is chosen with this in mind. Black families with a family member who has schizophrenia seek family psychoeducation at a lower rate compared to white families, according - [RESEARCH WEEKLY: May research roundup for world schizophrenia day](https://www.tac.org/research-weekly-may-research-roundup-for-world-schizophrenia-day/) - (May 25, 2022) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. This month’s roundup is in honor of World Schizophrenia Day, which was yesterday, May 24. DATAPOINT OF THE - [RESEARCH WEEKLY: Duration of untreated psychosis and genetics](https://www.tac.org/research-weekly-duration-of-untreated-psychosis-and-genetics/) - (June 1, 2022) The duration of untreated psychosis, the time from when psychotic symptoms first manifest to when adequate treatment is achieved, is a clinically meaningful measure and is associated with both the short-term and long-term outcomes of schizophrenia. For example, previous research has suggested that a longer duration of untreated psychosis is associated with - [RESEARCH WEEKLY: Experiences of stigma among latinx individuals at high-risk for psychosis](https://www.tac.org/research-weekly-experiences-of-stigma-among-latinx-individuals-at-high-risk-for-psychosis/) - (June 8, 2022) Clinical high-risk for psychosis (CHR) is a highly stigmatized label in part because of the negative cultural stereotypes about severe mental illness. Stigma and negative stereotypes about this particular diagnostic label tend to be highly anticipated and internalized by CHR patients, which can make them reluctant to seek help and increase their - [RESEARCH WEEKLY: Impact of COVID-19 lockdown on family caregivers](https://www.tac.org/research-weekly-impact-of-covid-19-lockdown-on-family-caregivers/) - (June 15, 2022) Lockdowns associated with the COVID-19 pandemic impacted everyone who experienced them, often leading to more stress and worry about the future. A new study published in BMC Public Health examined the effects of a lockdown from the perspective of family caregivers for individuals with severe mental illness. The study found that family members experienced - [RESEARCH WEEKLY: Sustaining long-term treatment for people with schizophrenia](https://www.tac.org/research-weekly-sustaining-long-term-treatment-for-people-with-schizophrenia/) - (June 22, 2022) Sustaining long-term treatment can be difficult for people with schizophrenia. Side effects of medications, anosognosia, stigma toward mental health treatment and lack of access to treatment due to insurance coverage or costs can all contribute to individuals discontinuing antipsychotic treatment. Antipsychotic treatment interruptions occur at very high rates in individuals with schizophrenia, - [RESEARCH WEEKLY: June research roundup](https://www.tac.org/research-weekly-june-research-roundup/) - (June 29, 2022) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments.DATAPOINT OF THE MONTH2.6 million people with serious mental illness identify as lesbian, gay or bisexual June represents - [RESEARCH WEEKLY: State and local preparedness for 988 rollout found lacking](https://www.tac.org/research-weekly-state-and-local-preparedness-for-988-rollout-found-lacking/) - Editor’s note: Starting July 16, anyone living in the United States will be able to dial 988 to access the National Suicide Prevention Lifeline, a national mental health emergency hotline available for anyone in crisis. Each Research Weekly published in July will focus on some aspect of the 988 implementation. (July 6, 2022) In the same way that - [RESEARCH WEEKLY: Educational public health approach to mental illness: The ineffectiveness of mental health first aid](https://www.tac.org/research-weekly-educational-public-health-approach-to-mental-illness-the-ineffectiveness-of-mental-health-first-aid/) - Editor’s note: Starting July 16, anyone living in the United States will be able to dial 988 to access the National Suicide Prevention Lifeline, a national mental health emergency hotline available for anyone in crisis. Each Research Weekly published in July will focus on some aspect of the 988 implementation. (July 13, 2022) For the last 50 years, - [RESEARCH WEEKLY: Hospitalized patients at the highest risk for death: 988 can help](https://www.tac.org/research-weekly-hospitalized-patients-at-the-highest-risk-for-death-988-can-help/) - Editor’s note: As of July 16, anyone living in the United States is now able to dial 988 to access the National Suicide Prevention Lifeline, a national mental health emergency hotline available for anyone in crisis. Each Research Weekly published in July focuses on some aspect of the 988 implementation. (July 20, 2022) Patients diagnosed with - [RESEARCH WEEKLY: July research roundup](https://www.tac.org/research-weekly-july-research-roundup/) - (July 27, 2022) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments.This month’s roundup is in honor of Minority Mental Health Month. DATAPOINT OF THE MONTH1.5 times more minorities in public - [RESEARCH WEEKLY: Changes in stigma toward serious mental illness over the past 20 years](https://www.tac.org/research-weekly-changes-in-stigma-toward-serious-mental-illness-over-the-past-20-years/) - (August 3, 2022) The prejudice and discrimination toward people with serious mental illness, often referred to as stigma, changes with public perceptions of people with serious mental illness, individual experiences and societal culture. Whereas schizophrenia was thought to be the result of a broken ego due to an ambivalent mother in much of the early - [RESEARCH WEEKLY: Challenging solitary confinement for people with serious mental illness](https://www.tac.org/research-weekly-challenging-solitary-confinement-for-people-with-serious-mental-illness/) - (August 10, 2022) People with serious mental illness have a long history of being highly engaged in the criminal justice system, as at least 40% of individuals with serious mental illness have been in jail or prison during their lifetime, according to a Treatment Advocacy Center report. When people with serious mental illness are incarcerated, - [RESEARCH WEEKLY: Social satisfaction leads to personal recovery for serious mental illness](https://www.tac.org/research-weekly-social-satisfaction-leads-to-personal-recovery-for-serious-mental-illness/) - (August 17, 2022) Increased social satisfaction, along with increased autonomy, can improve the likelihood of recovery for a person with serious mental illness, according to a new study released in Schizophrenia Bulletin Open. While many experts note the importance of socialization and satisfaction for those with serious mental illness, fewer have focused on the importance - [RESEARCH WEEKLY: Biomarkers for SMI require caution](https://www.tac.org/research-weekly-biomarkers-for-smi-require-caution/) - (August 24, 2022) Earlier this summer, there was fanfare in scientific media outlets regarding newly published research about the potential for biomarkers to help diagnose bipolar disorder. This was in part due to the title of the research article that was published in Translational Psychiatry, “A game changer for bipolar disorder diagnosis using RNA editing-based - [RESEARCH WEEKLY: August research roundup, california edition](https://www.tac.org/research-weekly-august-research-roundup-california-edition/) - (August 31, 2022) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments.DATAPOINT OF THE MONTH$45.9 billion spent by State Mental Health Authorities on mental health care in 2020, $7.2 - [RESEARCH WEEKLY: Sleep patterns in people with co-occurring schizophrenia and substance use disorder](https://www.tac.org/research-weekly-sleep-patterns-in-people-with-co-occurring-schizophrenia-and-substance-use-disorder/) - (September 7, 2022) Individuals with schizophrenia and co-occurring substance use disorder (SUD) were found to have different sleep patterns and a lower quality of life than individuals with only SUD, according to a new study published in Progress in Neuro-Psychopharmacology and Biological Psychiatry.Researchers have long emphasized the important role that sleep plays in brain development - [RESEARCH WEEKLY: Underdiagnosed PTSD among african american individuals with serious mental illness](https://www.tac.org/research-weekly-underdiagnosed-ptsd-among-african-american-individuals-with-serious-mental-illness/) - (September 14, 2022) African Americans, in general, are at a high risk of developing posttraumatic stress disorder (PTSD)— a mental health disorder in which a person struggles to recover from a traumatic event that they witnessed or experienced. A 2019 study found than African Americans have the highest lifetime prevalence of PTSD (8.7%) compared to their white - [RESEARCH WEEKLY: Early intervention in psychosis programs in preventing suicide](https://www.tac.org/research-weekly-early-intervention-in-psychosis-programs-in-preventing-suicide/) - (September 21, 2022) Early intervention in psychosis programs aim to support individuals in the early stages of illness, referred to as first-episode psychosis. Research into these prevention programs has shown positive outcomes for individuals in both improving quality of life, including educational attainment and employment, and reducing longer term suffering, such as by decreasing hospitalizations - [RESEARCH WEEKLY: September research roundup, suicide prevention month](https://www.tac.org/research-weekly-september-research-roundup-suicide-prevention-month/) - (September 28, 2022) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. This month’s roundup is in honor of Suicide Prevention Month.DATAPOINT OF THE MONTH988 has resulted in a 45% - [RESEARCH WEEKLY: Cognition and insight in schizophrenia](https://www.tac.org/research-weekly-cognition-and-insight-in-schizophrenia/) - (October 5, 2022) People with schizophrenia often lack insight into having a mental illness. ‘Insight’ refers to a person’s ability to know that they have an illness, acknowledge that their symptoms are not normal, and recognize their need for treatment. People with schizophrenia who have lower levels of insight can have worse treatment outcomes, more severe symptoms - [RESEARCH WEEKLY: Double jeopardy- the intersection of ethnicity and SMI in america](https://www.tac.org/research-weekly-double-jeopardy-the-intersection-of-ethnicity-and-smi-in-america/) - (October 19 , 2022) People from ethnic minority groups who have serious mental illness can face double discrimination due to the combination of their race and their illness. In a recent study from The Journal of Racial and Ethnic Health Disparities, researchers called this intersection of identities “Double Jeopardy,” referring to the idea that racial - [RESEARCH WEEKLY: October research roundup](https://www.tac.org/research-weekly-october-research-roundup/) - (October 26, 2022) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments.DATAPOINT OF THE MONTH5% decrease in state hospital utilization in the United States According to data published by the Substance - [RESEARCH WEEKLY: Inadequate health care in prisons for people with serious mental illness](https://www.tac.org/research-weekly-inadequate-health-care-in-prisons-for-people-with-serious-mental-illness/) - (November 2, 2022) People with mental illness, especially those with serious mental illness, tend to be overrepresented in the U.S. prison population. This is largely due to the overcriminalization and victimization of this population. As such, many people with serious mental illness are reliant on prisons for their health care.Prisons were not designed with the - [RESEARCH WEEKLY: 2022 brain & behavior research foundation symposium ](https://www.tac.org/research-weekly-2022-brain-behavior-research-foundation-symposium/) - (November 9, 2022) On October 28, 2022, the Brain and Behavior Research Foundation held their annual research symposium, spotlighting advances in mental illness research in the past year. The Brain and Behavior Research Foundation was established in 1987 and has awarded over $440 million to fund innovative research in the neuroscience and psychiatry fields.At this year’s - [RESEARCH WEEKLY: November is family caregivers month](https://www.tac.org/research-weekly-november-is-family-caregivers-month/) - (November 23, 2022) November is Family Caregivers Month, a time to honor family caregivers who provide support for their loved ones with disabilities. As readers of this blog know, providing support to loved ones with a severe mental illness is a 24/7 job. Family members have absorbed more and more of the care for their - [RESEARCH WEEKLY: Food insecurity among people with serious mental illness](https://www.tac.org/research-weekly-food-insecurity-among-people-with-serious-mental-illness/) - (December 21, 2022) Food insecurity refers to the condition in which access to nutritional food is limited or uncertain. According to the U.S Department of Agriculture, in 2019, 13.7 million U.S. households experienced food insecurity. Several populations within the U.S experience disproportionately high rates of food insecurity, such as single-parent households, people living at or - [RESEARCH WEEKLY: Beyond 'grading the states'](https://www.tac.org/research-weekly-beyond-grading-the-states/) - (Sept. 26, 2018) On Monday, the Treatment Advocacy Center released its newest report, Grading the States: An Analysis of Involuntary Treatment Laws. The report represents the culmination of a year-long project by Treatment Advocacy Center staff to evaluate the unique involuntary treatment laws in all 50 states and the District of Columbia. Each state's laws were - [RESEARCH WEEKLY: Cannabis and serious mental illness part one, medical marijuana](https://www.tac.org/research-weekly-cannabis-and-serious-mental-illness-part-one-medical-marijuana/) - (Oct. 2, 2018) The association between the use of cannabis, commonly known as marijuana, and serious mental illness is controversial. The controversy transcends multiple related concerns, including marijuana's applicability as a therapeutic drug and the causal link between marijuana use and developing psychosis. This week's research blog is the first in a two-part series regarding - [RESEARCH WEEKLY: Cannabis and serious mental illness part two, causal links](https://www.tac.org/research-weekly-cannabis-and-serious-mental-illness-part-two-causal-links/) - (Oct. 9, 2018) As we wrote last week, the association between cannabis use, commonly known as marijuana, and serious mental illness is controversial. In that post, we examined research concerning marijuana's applicability as a therapeutic drug. This week's research blog is the second in the two-part series and focuses on questions linking cannabis use with - [RESEARCH WEEKLY: Violence in emergency departments and the role of serious mental illness](https://www.tac.org/research-weekly-violence-in-emergency-departments-and-the-role-of-serious-mental-illness/) - (Oct. 17, 2018) Emergency departments are our country’s health care safety-net. They are a place where the lives of the sickest individuals with the most urgent needs are saved, including for individuals with serious mental illness. In 2014, there were more than 2.2 million emergency department visits in the United States for which serious mental - [RESEARCH WEEKLY: NIMH alliance for research progress recap](https://www.tac.org/research-weekly-nimh-alliance-for-research-progress-recap/) - (Oct. 24, 2018) After experiencing the first onset of psychotic symptoms, individuals and their families may feel worried, confused, or alone and wonder, "What's next?" But what if that question had an answer? What if individuals at risk of developing schizophrenia were able to predict their own unique likelihood of entering psychosis?Research presented last Friday - [RESEARCH WEEKLY: October 2018 research roundup](https://www.tac.org/research-weekly-october-2018-research-roundup/) - (October 30, 2018) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about serious mental illness and summarizes recently published research reports or developments. DATAPOINT of the Month12% of patients in state hospitals are voluntary admissions.According to 2015 data from the National - [RESEARCH WEEKLY: Asian American mental health service use and perceived unmet needs](https://www.tac.org/research-weekly-asian-american-mental-health-service-use-and-perceived-unmet-needs/) - (November 6, 2018) Previous federal government studies have reported that 18% of Asian Americans have some form of mental distress and 3% have a serious mental illness. However, new research suggests that these rates are at least two times higher than previously reported.Yuri Jang, Ph.D., and authors used the Asian American Quality of Life (AAQoL) - [RESEARCH WEEKLY: Using stem cell technology for improved schizophrenia drug screenings](https://www.tac.org/research-weekly-using-stem-cell-technology-for-improved-schizophrenia-drug-screenings/) - (November 14, 2018) The genetic terms for schizophrenia are extremely complex and heterogeneous, with hundreds of genes and thousands of variants implicated in disease development. Known environmental components, such as inflammation, also contribute to development, compounding difficulties in determining underlying causation.However, new techniques in molecular biology, which are evolving at a blistering pace, may be - [RESEARCH WEEKLY: Latino caregivers' understanding of psychosis](https://www.tac.org/research-weekly-latino-caregivers-understanding-of-psychosis/) - (November 20, 2018) Latino caregivers of relatives experiencing first-episode psychosis (FEP) have low understanding of symptoms of serious mental illness and mental health literacy, according to new research. This has significant negative consequences on whether they seek treatment for their loved ones at a time when early intervention is crucial.Mental health literacy, originally defined as “knowledge and - [RESEARCH WEEKLY: Hospitalization rates high among homeless](https://www.tac.org/research-weekly-hospitalization-rates-high-among-homeless/) - (December 5, 2018) Over half of hospitalizations for homeless individuals in recent years were due to mental illness or substance use disorders, according to a study of Florida, California, and Massachusetts State Inpatient Databases (SID) data from 2007 to 2013. In addition, hospitalization rates of homeless individuals nearly doubled in all three states during the - [RESEARCH WEEKLY: Childhood infections may increase risk of developing schizophrenia spectrum disorders](https://www.tac.org/research-weekly-childhood-infections-may-increase-risk-of-developing-schizophrenia-spectrum-disorders/) - (December 11, 2018) Infections in childhood may increase the risk of developing schizophrenia spectrum disorders before adulthood, according to new research published this month.The findings come at a time when research about the onset and progression of serious mental illness, including schizophrenia, is at a crossroads. Recent exploration of genetics as a once-promising contributor to - [RESEARCH WEEKLY: Looking back on 2018](https://www.tac.org/research-weekly-looking-back-on-2018/) - It has now been four years since the Treatment Advocacy Center established the Office of Research and Public Affairs (ORPA). Since its inception, ORPA has produced original research on the role and impact of serious mental illness on public service systems, including the role of mental illness in fatal law enforcement encounters and the dwindling - [RESEARCH WEEKLY: Office of research and public affairs end-of-year survey](https://www.tac.org/research-weekly-office-of-research-and-public-affairs-end-of-year-survey/) - As 2018 comes to an end, the Office of Research and Public Affairs (ORPA) is conducting a survey to learn more about your experience with the research we produce.ORPA was established in 2015 as an educational program to answer questions about the role and impact of serious mental illness on individuals and society, collecting and - [RESEARCH WEEKLY: Having a serious mental illness as a Parent](https://www.tac.org/research-weekly-having-a-serious-mental-illness-as-a-parent/) - Parents that suffer from a serious mental illness are significantly more likely to have contact with child protective services and lose custody over their children, according to research published this month. The research does not indicate that parents with a serious mental illness have higher rates of abuse or neglect, nor that custody loss is - [RESEARCH WEEKLY: Telephone monitoring among patients with co-occuring substance use and mental health disorders](https://www.tac.org/research-weekly-telephone-monitoring-among-patients-with-co-occuring-substance-use-and-mental-health-disorders/) - (January 15, 2019) Patients with co-occurring substance use and mental health disorders are disproportionately likely to experience a host of negative outcomes—such as poor management of the psychiatric condition and increased likelihood of using additional costly health services—associated with non-treatment of their diseases. Providing treatment to these patients is particularly important during the period immediately - [RESEARCH WEEKLY: Serious mental illness and rehospitalization, an update](https://www.tac.org/research-weekly-serious-mental-illness-and-rehospitalization-an-update/) - (January 22, 2019) People with serious mental illness are two-times more likely to be readmitted within 30-days of discharge for a hospitalization for medical or surgical reasons compared to individuals without a mental illness, according to new research published earlier this month.As has been previously reported, people suffering from the most severe psychiatric disorders have significantly - [RESEARCH WEEKLY: January 2019 research roundup](https://www.tac.org/research-weekly-january-2019-research-roundup/) - (January 30, 2019) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about serious mental illness and summarizes recently published research reports or developments. DATAPOINT of the Month30% of police officers who died in the line-of-duty are killed by someone with - [RESEARCH WEEKLY: Beyond 'a promising start': behind the muddied glass](https://www.tac.org/research-weekly-beyond-a-promising-start-behind-the-muddied-glass/) - (February 6, 2019) The Treatment Advocacy Center's latest report, A Promising Start: Results From a California Survey Assessing the Use of Laura's Law, assesses the implementation of Laura's Law, California's version of assisted outpatient treatment (AOT). AOT is a tool to engage individuals into treatment who have a history of nonadherence, and who often lack insight into - [RESEARCH WEEKLY: EpsteinBarr and schizophrenia](https://www.tac.org/research-weekly-epsteinbarr-and-schizophrenia/) - (February 12, 2019) The body’s immune response to a form of human herpes virus, known as Epstein-Barr, may be associated with schizophrenia according to research released late last year.In December, this blog covered the role of infections and antibiotics overall in the development of schizophrenia. Researchers at Johns Hopkins Medicine and Shepard Pratt Health System in Maryland, including - [RESEARCH WEEKLY: A crisis in search of data revisited, serious mental illness and high utilization](https://www.tac.org/research-weekly-a-crisis-in-search-of-data-revisited-serious-mental-illness-and-high-utilization/) - (February 19, 2019) In 2017, the Treatment Advocacy Center’s ground-breaking report, A Crisis in Search of Data: The Revolving Door of Serious Mental Illness in Super Utilization highlighted the largely uncharted role of serious mental illness in “super utilization”. The term super utilization, or high utilization, refers to the disproportionate use of high-cost public services such those - [RESEARCH WEEKLY: February 2019 research roundup](https://www.tac.org/research-weekly-february-2019-research-roundup/) - (February 26, 2019) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about serious mental illness and summarizes recently published research reports or developments. DATAPOINT of the MonthIn 84% of states, at least some parts of inpatient psychiatric hospital stays are - [RESEARCH WEEKLY: Psychotic disorders and social anxiety](https://www.tac.org/research-weekly-psychotic-disorders-and-social-anxiety/) - (March 5, 2019) Approximately 21% of individuals with a psychotic disorder may also be living with social anxiety disorder, according to a review and analysis of prior research released in February. Social anxiety disorder can pose a debilitating battle for people living with the condition. Those affected experience significant distress in social situations, worrying that they - [RESEARCH WEEKLY: Expedited medicaid enrollment for incarcerated Individuals with serious mental illness](https://www.tac.org/research-weekly-expedited-medicaid-enrollment-for-incarcerated-individuals-with-serious-mental-illness/) - (March 12, 2019) Programs that assist incarcerated individuals with serious mental illness in expediting their Medicaid enrollment are a promising new method of improving treatment access among released inmates, according to a new study of Washington State prisons from 2002 to 2010. When individuals are incarcerated, Medicaid coverage is typically terminated or suspended by the - [RESEARCH WEEKLY: Beneficial long term effects of clozapine use in individuals with schizophrenia](https://www.tac.org/research-weekly-beneficial-long-term-effects-of-clozapine-use-in-individuals-with-schizophrenia/) - (March 19, 2019) Individuals with severe mental illness die up to 25 years sooner than those without mental illness. This disparity has been worsening in recent years due to lack of improvement in mortality rates for severe mental illness compared to other chronic diseases. Cardiovascular disease, suicide, and self-harm behaviors are the three major contributors to this - [RESEARCH WEEKLY: March 2019 research roundup](https://www.tac.org/research-weekly-march-2019-research-roundup/) - (March 26, 2019) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about serious mental illness and summarizes recently published research reports or developments. DATAPOINT of the Month2.3 million individuals incarcerated in the United States. The United States incarcerates more people - [RESEARCH WEEKLY: Misdiagnosis of schizophrenia in African Americans](https://www.tac.org/research-weekly-misdiagnosis-of-schizophrenia-in-african-americans/) - (April 2, 2019) African-Americans are more likely to be misdiagnosed with schizophrenia, according to research out of Rutgers University released earlier this year.Previous research has suggested that African-Americans are diagnosed with schizophrenia at higher rates, and that physicians tend to overemphasize psychotic symptoms and under-emphasize symptoms of depression, compared to other racial-ethnic groups. A diagnosis of schizophrenia is - [RESEARCH WEEKLY: Overrepresented and underserved: women with co-occurring disorders](https://www.tac.org/research-weekly-overrepresented-and-underserved-women-with-co-occurring-disorders/) - (April 9, 2019) At the end of last month, I had the privilege of presenting to more than 100 treatment providers and clinicians gathered at Gaudenzia Inc.’s 26th Annual Women and Children’s conference in Harrisburg, Pennsylvania, Gaudenzia Inc. is an organization that primarily operates drug and alcohol treatment programs at facilities for men and women - [RESEARCH WEEKLY: How many psychiatric beds do we need?](https://www.tac.org/research-weekly-how-many-psychiatric-beds-do-we-need/) - (April 16, 2019) Every day, communities across the country grapple with the shortage of psychiatric treatment beds. Gaps in treatment options differ place to place, and all psychiatric beds are not created equal. State statutes, local policies, procedures, and financing all dictate who can access what type of bed, when, and for how long. Bed - [RESEARCH WEEKLY: Sunlight and bipolar disorder](https://www.tac.org/research-weekly-sunlight-and-bipolar-disorder/) - (April 23, 2019) For individuals with bipolar I disorder, the more severe form of the illness, a drastic change in sunlight between winter and summer may be associated with increased suicide attempts, according to new international research. Research has long suggested a link between the natural environment and symptoms of mental illness. Seasonal affective disorder, - [RESEARCH WEEKLY: April 2019 research roundup](https://www.tac.org/research-weekly-april-2019-research-roundup/) - (April 30, 2019) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about serious mental illness and summarizes recently published research reports or developments. DATAPOINT of the Month104 genes found to be high-risk for developing schizophrenia.An article in the journal Nature highlights a - [RESEARCH WEEKLY: Beyond road runners: insights from other countries](https://www.tac.org/research-weekly-beyond-road-runners-insights-from-other-countries/) - (May 8, 2019) Yesterday, the Treatment Advocacy Center released its most recent report, Road Runners: The Role and Impact of Law Enforcement in Transporting Individuals with Severe Mental Illness, which presents the results of a 2018 nationwide survey of police departments and sheriffs’ offices. The preliminary survey findings help illustrate how law enforcement agencies across the - [RESEARCH WEEKLY: Promoting caregiver involvement in treatment of people with severe mental illness](https://www.tac.org/research-weekly-promoting-caregiver-involvement-in-treatment-of-people-with-severe-mental-illness/) - (May 14, 2019) Shared decision-making, a clinical care approach where clinicians and patients discuss evidence together and make concerted choices about appropriate treatments, is a principle of quality healthcare that has become more prevalent in clinical guidelines for mental healthcare. However, in practice, caregiver or family member involvement in mental healthcare decision-making is rarely explicitly - [RESEARCH WEEKLY: NYC START: case management and personal contacts to encourage follow-up care after first-episode psychosis](https://www.tac.org/research-weekly-nyc-start-case-management-and-personal-contacts-to-encourage-follow-up-care-after-first-episode-psychosis/) - (May 21, 2019) For serious mental illnesses like schizophrenia, early diagnosis and treatment can be critical to long-term patient health. And while hospitalization for a person experiencing first-episode psychosis may be a necessary starting point, effective treatment also includes a continuity of care so gains from stabilization are not lost. New data from the New - [RESEARCH WEEKLY: May 2019 research roundup](https://www.tac.org/research-weekly-may-2019-research-roundup/) - (May 28, 2019) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about serious mental illness and summarizes recently published research reports or developments. DATAPOINT of the MonthOne-third of individuals with serious mental illness live in remission.Research indicates that approximately one-third - [RESEARCH WEEKLY: Increasing access to cognitive behavioral therapy for psychosis](https://www.tac.org/research-weekly-increasing-access-to-cognitive-behavioral-therapy-for-psychosis/) - (June 4, 2019) After decades of use in populations diagnosed with depression, anxiety, or post-traumatic stress disorder, cognitive behavioral therapy (CBT) is starting to become part of the mainstream treatment landscape for individuals with serious mental illness. CBT is a common form of psychotherapy that helps individuals identify and address negative thought patterns. Practitioners may ask clients - [RESEARCH WEEKLY: Exacerbation of symptoms during hormonal changes in women with psychosis](https://www.tac.org/research-weekly-exacerbation-of-symptoms-during-hormonal-changes-in-women-with-psychosis/) - (June 11, 2019) Estrogen, a hormone that promotes the development of female characteristics, is hypothesized to be protective for psychotic symptoms. Conversely, reductions in estrogen have been shown to worsen or precipitate psychosis. These effects may help explain why women tend to see the onset of psychotic disorders later in life compared to men, due - [RESEARCH WEEKLY: Schizophrenia overestimated as a genetic disease](https://www.tac.org/research-weekly-schizophrenia-overestimated-as-a-genetic-disease/) - (June 18, 2019) Researchers have been significantly over-estimating the involvement of genetics in schizophrenia, according to a provocative new paper written by Treatment Advocacy Center founder Dr. E. Fuller Torrey and board member Dr. Robert Yolken. Combining heritability results from population-based twin studies, excluding those with methodological issues or highly-controlled sampling, Dr. Torrey and Dr. - [RESEARCH WEEKLY: June 2019 research roundup](https://www.tac.org/research-weekly-june-2019-research-roundup/) - (June 25, 2019) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about serious mental illness and summarizes recently published research reports or developments. DATAPOINT of the MonthJust 40.2% of uninsured adults with serious mental illness received mental health care in - [RESEARCH WEEKLY: Efficacy of assisted outpatient treatment with and without intensive case management](https://www.tac.org/research-weekly-efficacy-of-assisted-outpatient-treatment-with-and-without-intensive-case-management/) - (July 2, 2019) Assisted outpatient treatment (AOT), a form of court-ordered community care for individuals with serious mental illness, may be effective even without the use of intensive case management services, according to new research out of Summit County, Ohio. For individuals who lack insight into their mental illness or are too sick to seek - [RESEARCH WEEKLY: Structural brain changes, inflammation and psychosis](https://www.tac.org/research-weekly-structural-brain-changes-inflammation-and-psychosis/) - (July 9, 2019) Abnormalities in the choroid plexus, a brain region vital for neurodevelopment and brain protection, was first implicated in schizophrenia and bipolar disorder in the 1920s. However, the role of this important brain region in psychotic disorders has remained relatively unaddressed since that time. Though new research published online last month in The - [RESEARCH WEEKLY: Academic community partnerships to increase access to mental health treatment](https://www.tac.org/research-weekly-academic-community-partnerships-to-increase-access-to-mental-health-treatment/) - (July 18, 2019) Individuals in rural localities face particular challenges in receiving mental health treatment compared to those in more urban communities. For rural residents, the nearest hospital with a practicing psychiatrist may be hours away, and outpatient services may be scarce. As a result, providers have been experimenting with new technologies and collaborative efforts - [RESEARCH WEEKLY: Importance of family involvement in inpatient care](https://www.tac.org/research-weekly-importance-of-family-involvement-in-inpatient-care/) - (July 23, 2019) There is widespread recognition among clinicians, researchers, individuals with serious mental illness and their families that involving family members in the mental health care of their loved ones is essential to providing quality and effective care. However, little is known about the effects of family involvement on inpatient care and how that - [RESEARCH WEEKLY: July 2019 research roundup](https://www.tac.org/research-weekly-july-2019-research-roundup/) - (July 30, 2019) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about serious mental illness and summarizes recently published research reports or developments. DATAPOINT of the Month37,679 state hospital beds remaining for patients whose treatment is not being, or cannot - [RESEARCH WEEKLY: A case study of Mr. T: suicidal, violent, and treatment resistant schizophrenia](https://www.tac.org/research-weekly-a-case-study-of-mr-t-suicidal-violent-and-treatment-resistant-schizophrenia/) - (August 6, 2019) This edition of Research Weekly highlights a recent case study on the treatment of a man with severe mental illness. Published in this month’s issue of the journal Current Psychiatry, the difficult clinical case of “Mr. T” illustrates how utilizing innovative therapies to reduce inflammation in the brain can help transform the lives of those - [RESEARCH WEEKLY: Community mental health centers and psychiatric emergency department visits](https://www.tac.org/research-weekly-community-mental-health-centers-and-psychiatric-emergency-department-visits/) - (August 13, 2019) Expansion of primary care services provided by community health centers may result in a decrease in psychiatric emergency department visits, according to research released in June.Community health centers (CHCs) represent a federal government effort to increase access to health care for low-income, underserved communities. CHCs provide both primary care and preventive services such as health - [RESEARCH WEEKLY: Algorithm to predict first episode psychosis in a population](https://www.tac.org/research-weekly-algorithm-to-predict-first-episode-psychosis-in-a-population/) - (August 21, 2019) Methods to identify rates of first-episode psychosis in the general population are needed in order to appropriately serve high-risk individuals with an early treatment program. Without such methods, comprehensive systems that conduct outreach, assessment and treatment for individuals with first-episode psychosis, such as coordinated specialty care, cannot adequately be met. A recently - [RESEARCH WEEKLY: August 2019 research roundup](https://www.tac.org/research-weekly-august-2019-research-roundup/) - (August 27, 2019) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about serious mental illness and summarizes recently published research reports or developments. DATAPOINT of the MonthMore than one-third of college students have been diagnosed with a psychiatric condition.Based on - [RESEARCH WEEKLY: Violence and schizophrenia, infrequent but clinically important](https://www.tac.org/research-weekly-violence-and-schizophrenia-infrequent-but-clinically-important/) - (September 3, 2019) Poor medication adherence in people with schizophrenia is a significant factor in predicting future violent behavior, according to new research published in The American Journal of Psychiatry.Dr. Alec Buchanan and colleagues examined factors that correlate with violence among individuals being treated for schizophrenia. The study’s objectives were to better understand risk assessment and - [RESEARCH WEEKLY: Experiences of people with SMI during the COVID-19 pandemic ](https://www.tac.org/research-weekly-experiences-of-people-with-smi-during-the-covid-19-pandemic/) - (November 16, 2022) In early 2020, the COVID-19 pandemic upended day-to-day life and caused widespread anxiety, elevated mortality, and economic insecurity for millions of Americans. Compared to the general population, research has shown people with serious mental illness are more likely to die from COVID-19 and were more likely to experience major job loss during - [RESEARCH WEEKLY: Exploring the elevated risk of chronic physical conditions](https://www.tac.org/research-weekly-exploring-the-elevated-risk-of-chronic-physical-conditions/) - (December 7, 2022) People with severe mental illness suffer from chronic health conditions at a higher rate than the general population. While these health conditions can decrease both the quality of life and the lifespan of people with severe mental illness, reasons for this disparity have remained unclear.One way of exploring the relationship between severe - [RESEARCH WEEKLY: Definitions of personal recovery](https://www.tac.org/research-weekly-definitions-of-personal-recovery/) - (December 14, 2022) Helping people to recover from mental illness is a key component of modern mental health policy. Discussions of recovery often focus on clinical recovery, which is defined and evaluated by clinicians. However, using narrow definitions of recovery for people with severe mental illness can lead to feelings of alienation or abandonment for - [RESEARCH WEEKLY: Factors associated with return to an involuntary treatment system in Washington state](https://www.tac.org/research-weekly-factors-associated-with-return-to-an-involuntary-treatment-system-in-washington-state/) - (September 10, 2019) Collecting and analyzing outcome data for public programs, especially those related to the treatment of severe mental illness, is vital for making evidence-based policy decisions. Having reliable information about a program’s effects allows policymakers to determine whether the program is actually helping who it is supposed to help and takes some of - [RESEARCH WEEKLY: County—level factors associated with increased suicide rates](https://www.tac.org/research-weekly-county-level-factors-associated-with-increased-suicide-rates/) - (September 17, 2019) Suicide rates are rising in the United States, particularly among rural communities. Regional characteristics such as poverty, social fragmentation, and health insurance coverage may help explain the trend, according to new research. The findings are particularly salient for individuals with serious mental illness, who often face even greater challenges with employment, social isolation, - [RESEARCH WEEKLY: September 2019 research roundup](https://www.tac.org/research-weekly-september-2019-research-roundup/) - (September 24, 2019) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about serious mental illness and summarizes recently published research reports or developments. DATAPOINT of the MonthOne in four individuals with serious mental illness live in poverty Twenty-four percent of the 11.3 - [RESEARCH WEEKLY: Serious mental Illness and likelihood of incarceration after arrest](https://www.tac.org/research-weekly-serious-mental-illness-and-likelihood-of-incarceration-after-arrest/) - (October 1, 2019) Individuals with serious mental illness may be treated differently by the criminal justice and legal systems, according to new research, which may contribute to the higher prevalence of this population in jails and prisons. A team of researchers from New York recently analyzed state data to determine the effect of serious mental - [RESEARCH WEEKLY: Volunteering and perceived health of individuals with serious mental illness](https://www.tac.org/research-weekly-volunteering-and-perceived-health-of-individuals-with-serious-mental-illness/) - (October 8, 2019) Individuals with serious mental illness who engage in volunteer activities may have better perceptions of their overall health, according to new research. Volunteering can be an extremely meaningful endeavor, providing individuals with the opportunity to interact with their community and feel like they are having a positive impact on society. Among the - [RESEARCH WEEKLY: Do bed registries improve access to care for people with serious mental illness?](https://www.tac.org/research-weekly-do-bed-registries-improve-access-to-care-for-people-with-serious-mental-illness/) - (October 15, 2019) Psychiatric bed registries have promise when it comes to increasing access to treatment for people with serious mental illness, however much more needs to be done to make them more efficient and useful, according to new research. Due to the limited supply of psychiatric beds throughout the United States, locating available inpatient - [RESEARCH WEEKLY: Infections during pregnancy and risk of child psychotic disorders](https://www.tac.org/research-weekly-infections-during-pregnancy-and-risk-of-child-psychotic-disorders/) - (October 22, 2019) A bacterial infection during pregnancy is associated with an increased risk for development of a psychotic disorder in the child, according to a new analysis of data from a family study conducted in New England in the 1950s. The role of infections in developing psychosis has been written about frequently in these Research - [RESEARCH WEEKLY: October 2019 research roundup](https://www.tac.org/research-weekly-october-2019-research-roundup/) - (October 29, 2019) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about serious mental illness and summarizes recently published research reports or developments. DATAPOINT of the MonthOnly one in four women with serious mental illness receive breast cancer screening.With prevalence - [RESEARCH WEEKLY: An integrated view into treatment resistant schizophrenia](https://www.tac.org/research-weekly-an-integrated-view-into-treatment-resistant-schizophrenia/) - (November 5, 2019) A number of people with schizophrenia do not respond to any antipsychotic medication, a condition known as treatment resistance. The exact percentage is unknown since definitions of treatment resistant schizophrenia (TRS) vary widely and people respond differently to antipsychotic medications. It is estimated that approximately 30% of patients with schizophrenia do not - [RESEARCH WEEKLY: Beyond 'delayed and deteriorating'](https://www.tac.org/research-weekly-beyond-delayed-and-deteriorating/) - (November 13, 2019) Tomorrow, the Office of Research and Public Affairs of the Treatment Advocacy Center will release an evidence brief titled Delayed and Deteriorating: Serious Mental Illness and Psychiatric Boarding in Emergency Departments. The paper represents the findings and synthesis of a comprehensive review of academic and grey literature on the boarding of psychiatric patients in - [RESEARCH WEEKLY: How does adding more beds affect ED visits](https://www.tac.org/research-weekly-how-does-adding-more-beds-affect-ed-visits/) - (November 21, 2019) Emergency department visits for mental health treatment have been steadily increasing in recent years, far outpacing population growth and emergency visits for other health concerns. Solutions differ from one community to the next and have had varied results in helping to reduce demand on emergency departments and improve outcomes for people with - [RESEARCH WEEKLY: Shared data systems to help frequent ED users with mental illness](https://www.tac.org/research-weekly-shared-data-systems-to-help-frequent-ed-users-with-mental-illness/) - (December 4, 2019) Serious mental illness is a major contributor to emergency department crowding, as we highlighted in our latest evidence brief, Delayed and Deteriorating. In addition, frequent emergency department users, often a target of policymakers and hospital systems due to the high healthcare costs associated with their service utilization, often have mental health concerns that - [RESEARCH WEEKLY: When tackling the toughest challenge is the only option](https://www.tac.org/research-weekly-when-tackling-the-toughest-challenge-is-the-only-option/) - (December 11, 2019) Individuals with severe mental illness smoke cigarettes at rates twice as high as the general population, greatly contributing to the 25-year difference in life expectancy for this population. However, smoking cessation programs often exclude these individuals, in part because of the difficulties associated with providing such treatment.Clinicians at a safety-net hospital in - [RESEARCH WEEKLY: Federal agency for research into mental illness ignores the most impairing conditions](https://www.tac.org/research-weekly-federal-agency-for-research-into-mental-illness-ignores-the-most-impairing-conditions/) - (December 18, 2019) The National Institute of Mental Health (NIMH) has a history of failing to prioritize serious mental illness in its research. Unfortunately, their recently-released five-year strategic plan draft signals their intention to continue to ignore those with the most impairing disorders.Despite seeking public comment, the NIMH’s plan, even by the standards of federal reports, is - [RESEARCH WEEKLY: Community & inpatient care as complements](https://www.tac.org/research-weekly-community-inpatient-care-as-complements/) - (January 7, 2020) Often hospital and community-based care options are considered alternatives for each other, with advocates suggesting that an increase of one must be associated with a decrease with the other.However, new international evidence suggests that this dichotomy between hospital and community care does not in fact exist. Published in the new year by - [RESEARCH WEEKLY: January research roundup](https://www.tac.org/research-weekly-january-research-roundup/) - (January 28, 2020) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. DATAPOINT of the month35% decline in inpatient beds and 24% increase in suicide rates.Between 1998 and 2013, there - [RESEARCH WEEKLY: March research roundup ](https://www.tac.org/research-weekly-march-research-roundup/) - (March 31, 2020) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. DATAPOINT of the month 555,000 inmates in correctional institutions in the United States who have not been convicted or sentenced for a crime. According to - [RESEARCH WEEKLY: When negative results in a research study means something more](https://www.tac.org/research-weekly-when-negative-results-in-a-research-study-means-something-more/) - (February 4, 2020) Big news in the research world last month was the publication of the results from a randomized control trial on a care coordination model for people with complex care needs in Camden, New Jersey. The Camden Coalition of Healthcare Providers has frequently appeared in our research reports and blogs. Their cross-sector - [RESEARCH WEEKLY: The risk of criminal convictions in co-occurring substance use and severe mental illness](https://www.tac.org/research-weekly-the-risk-of-criminal-convictions-in-co-occurring-substance-use-and-severe-mental-illness/) - (February 11, 2020) Substance use disorders have a large impact on criminal justice involvement of individuals with severe mental illness, according to a recent Australian study on criminal offending, substance use and mental illnessThe contribution of substance use on criminal offending was the strongest in people with psychotic illnesses, including schizophrenia, severe bipolar disorder, and - [RESEARCH WEEKLY: February research roundup](https://www.tac.org/research-weekly-february-research-roundup/) - (February 25, 2020) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. DATAPOINT of the monthSuicide is the leading cause of death in jail, accounting for 31% of inmate deaths in 2016. - [RESEARCH WEEKLY: Violence, victimization, and people with mental illness – an update](https://www.tac.org/research-weekly-violence-victimization-and-people-with-mental-illness-an-update/) - (February 19, 2020) Two new research studies on the risks of committing violent acts and being targeted by violence in people with mental illness, in the United States and abroad, were published recently.Although the methodological approaches were vastly different, both had similar findings – people with mental illness are more likely to be both perpetrators - [RESEARCH WEEKLY: Employment and economic independence with a severe mental illness](https://www.tac.org/research-weekly-employment-and-economic-independence-with-a-severe-mental-illness/) - (March 3, 2020) People with serious mental illness often have difficulty gaining employment, in part due to disabling symptoms that impair their ability to enter into the workforce. As a result, employment rates among people with severe mental illness are remarkably low, with estimates that as few as 12% of people with schizophrenia in the - [RESEARCH WEEKLY: Special edition in this time of uncertainty](https://www.tac.org/research-weekly-special-edition-in-this-time-of-uncertainty/) - (March 18, 2020) In times of uncertainty, it can be challenging to maintain normalcy while worrying about the potentials of the crisis ahead. With the situation rapidly evolving, vital decisions need to be made constantly as to how to ensure the health and safety of yourself, your loved ones, and those around you. This is not new to many family members with - [RESEARCH WEEKLY: Chronic pain among individuals with serious mental illness ](https://www.tac.org/research-weekly-chronic-pain-among-individuals-with-serious-mental-illness/) - (March 24, 2020) Individuals with serious mental illness are prescribed opioids at rates very different from the general population, even though they are at more risk to have issues with these highly addictive drugs. The prescription of opioids for chronic pain across major depressive disorder, bipolar disorder and schizophrenia differ greatly, according to new research published earlier this year. While major depressive disorder and bipolar disorder lead to higher rates of - [RESEARCH WEEKLY: Black Sexual Minorities More Likely to Delay or Avoid Professional Mental Healthcare](https://www.tac.org/research-weekly-black-sexual-minorities-more-likely-to-delay-or-avoid-professional-mental-healthcare/) - by Hope Parker (February 7, 2024) Black individuals who are a part of the LGBTQ+ community report higher levels of psychological distress than the general population. These higher levels of distress may be due to ‘minority stress’ or stress caused by the prejudice they experience due to their race, sexuality, and the intersection of these - [RESEARCH WEEKLY: Deaths from Suicide in 2022: A Summary of Trends and Policy Implications](https://www.tac.org/research-weekly-deaths-from-suicide-in-2022-a-summary-of-trends-and-policy-implications/) - by Jennifer M. Reingle Gonzalez, PhD, Rebecca Marcolina, MPH, Research, Data, & Analytics Team, and John Snook, JD, Chief Policy Officer, Meadows Mental Health Policy Institute In this guest post, researchers from the Meadows Mental Health Policy Institute share results of their analysis examining trends in death from suicide and associated policy opportunities to more - [Personally Speaking: An advocate's journey](https://www.tac.org/personally-speaking-an-advocates-journey/) - by Mark Gale Our son began experiencing symptoms of mental illness, including psychosis, at the very young age of 13. At the time, we could not comprehend the possibility that our incredible son could be living with severe mental illness (SMI). Along with his doctors, we attempted to rationalize away his extreme behavior as a - [Personally Speaking: How the shortage of state hospital beds led to my son's criminalization](https://www.tac.org/personally-speaking-how-the-shortage-of-state-hospital-beds-led-to-my-sons-criminalization/) - by Marla Knauss In May 2023, I rescinded the restraining order against my son, who has schizophrenia. I didn’t want him to be discharged into homelessness, and the psychiatric hospital wouldn’t keep him long enough to enable recovery. I made the difficult decision to originally file the restraining order because, following his discharge from the - [RESEARCH WEEKLY: Virginia State Hospital System's Challenges](https://www.tac.org/research-weekly-virginia-state-hospital-systems-challenges/) - By Shanti Silver (January 17, 2023) In December 2023, the Virginia Joint Legislative Audit and Review Commission staff released a report on Virginia’s nine state hospitals, including recommendations for the Virgnia Department of Behavioral Health and Developmental Services. In this research weekly, we highlight several key findings from the report including staffing shortages, challenges to - [ARPA-H is our moonshot for schizophrenia: The Biden Administration should recognize this opportunity to find the next breakthrough in schizophrenia research](https://www.tac.org/arpa-h-is-our-moonshot-for-schizophrenia-the-biden-administration-should-recognize-this-opportunity-to-find-the-next-breakthrough-in-schizophrenia-research/) - By Lisa Dailey Speaking last year at the National Education Association Representative Assembly, President Biden said that he can define America with one word: “possibilities.” He’s right. President Kennedy’s 1961 challenge to claim a pioneering role in space travel led to Neil Armstrong’s first steps on the Moon eight years later. When Americans find the will to - [RESEARCH WEEKLY: 2022 Top 5 list of severe mental illness research](https://www.tac.org/research-weekly-2022-top-5-list-of-severe-mental-illness-research/) - By Elizabeth Sinclair Hancq (December 28, 2022) Reflecting on 2022, the Office of Research and Public Affairs has put together our list of the top 5 research articles and reports published this year about severe mental illness. Here is our top 5: 1. Experiences of women with severe mental illness – In September, ORPA released our latest - [RESEARCH WEEKLY: Psychosocial interventions for schizophrenia](https://www.tac.org/research-weekly-psychosocial-interventions-for-schizophrenia/) - By Shanti Silver (January 4, 2023) A new year brings new opportunities to advocate for effective and evidence-based treatment for people with severe mental illness. A recent review of the literature from Psychiatric Services explored the effectiveness of psychosocial interventions on people with schizophrenia through reviewing results from more than 200 studies. While the results show that - [RESEARCH WEEKLY: Varying policy definitions of serious mental illness](https://www.tac.org/research-weekly-varying-policy-definitions-of-serious-mental-illness/) - By Hope Parker (January 18, 2023) There is significant variation among policy definitions of serious mental illness in the United States, according to new research, which indicates that researchers, policymakers and clinicians may have different understandings of what constitutes serious mental illness from one location to another. Researchers at Columbia University and Adelphi University analyzed the - [RESEARCH WEEKLY: Evaluating assisted outpatient treatment participants' satisfaction](https://www.tac.org/research-weekly-evaluating-assisted-outpatient-treatment-participants-satisfaction/) - By Shanti Silver (January 25, 2023) Today, the Office of Research and Public Affairs released our newest report, "Measuring Experiences: An Evaluation of AOT Participant Satisfaction . " This report presents the results of ORPA’s efforts to develop a free and easy to use tool that can be used to evaluate the experiences of participants in assisted outpatient treatment - [RESEARCH WEEKLY: Overrepresentation of Black patients in first episode psychosis programs](https://www.tac.org/research-weekly-overrepresentation-of-black-patients-in-first-episode-psychosis-programs/) - By Shanti Silver By Shanti Silver(February 1, 2023). Studies of racial differences in health care have repeatedly found that Black Americans have decreased access to mental health services compared to the general population. However, few studies have examined racial differences in interventions for early psychosis. A recent study from Psychiatric Services found that Black patients were overrepresented - [RESEARCH WEEKLY: Ending seclusion and restraint in state hospitals](https://www.tac.org/research-weekly-ending-seclusion-and-restraint-in-state-hospitals/) - By Elizabeth Sinclair Hancq (February 8, 2023) Seclusion and restraint are invasive practices used in clinical settings to control and de-escalate patients experiencing extreme agitated behaviors. Once used routinely in inpatient psychiatric settings, clinical care guidelines now state these practices should only be used in emergencies as a last resort for safety and should not be - [RESEARCH WEEKLY: Preventing relapse after first episode psychosis](https://www.tac.org/research-weekly-preventing-relapse-after-first-episode-psychosis/) - By Hope Parker (February 15, 2023) More than half of individuals who experience first episode psychosis will relapse in the following 10 years, meaning after their positive symptoms go away with treatment, symptoms come back to at least the same severity as before. This makes identifying risk and protective factors for relapse a priority among - [RESEARCH WEEKLY: February Research Roundup, Black History Month](https://www.tac.org/research-weekly-february-research-roundup-black-history-month/) - By Shanti Silver (February 22, 2023) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. This month’s roundup is in honor of Black History Month and highlights the experiences of - [RESEARCH WEEKLY: Measuring effectiveness of involuntary hospitalization](https://www.tac.org/research-weekly-measuring-effectiveness-of-involuntary-hospitalization/) - By Shanti Silver (March 1, 2023) Every state in the United States allows some type of involuntary psychiatric hold for people who are a danger to themselves or others. These interventions can be lifesaving and necessary but may also cause distress to those who experience them. A recent article from Psychiatric Services discusses some of the challenges - [RESEARCH WEEKLY: Toward better care for women with schizophrenia](https://www.tac.org/research-weekly-toward-better-care-for-women-with-schizophrenia/) - By Shanti Silver (March 8, 2023) Today is International Women’s Day: a global day that encourages action to create a world free from gender bias and discrimination. In honor of this day, this week’s Research Weekly features a recent article from The Lancet that explores differences in the clinical needs and outcomes of men and women with schizophrenia spectrum - [RESEARCH WEEKLY: Arrests of individuals with co-occurring substance use and mental health disorders](https://www.tac.org/research-weekly-arrests-of-individuals-with-co-occurring-substance-use-and-mental-health-disorders/) - By Hope Parker (March 15, 2023) Individuals with co-occurring substance use and mental health disorders are 12 times more likely to be arrested compared to those without either disorder, according to new research published last month by The Pew Charitable Trusts. Individuals with co-occurring disorders make up only two percent of the U.S. population, but - [RESEARCH WEEKLY: Climate change and serious mental illness](https://www.tac.org/research-weekly-climate-change-and-serious-mental-illness/) - By Elizabeth Sinclair Hancq (March 22, 2023) Climate change refers to long-term shifts in temperature and weather patterns on our planet, either naturally occurring or from unnatural causes. In many parts of the world, climate change has resulted in more extreme weather and hotter-than-average temperatures. In early summer 2021, Vancouver, British Columbia experienced an unprecedented heat - [RESEARCH WEEKLY: March Research Roundup, Women's History Month](https://www.tac.org/research-weekly-march-research-roundup-womens-history-month/) - By Hope Parker (March 29, 2023) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. This month’s roundup is in honor of Women’s History Month and highlights the experiences of - [RESEARCH WEEKLY: Early treatment engagement and self-harm](https://www.tac.org/research-weekly-early-treatment-engagement-and-self-harm/) - By Shanti Silver (April 5, 2023) People with psychotic disorders are 13 times more likely to die from suicide than the general population. According to some studies, nearly one-third of early deaths among people with psychosis are caused by self-inflicted injury or poisoning. The greatest risk for self-harm is in the first three to six months after receiving a diagnosis. Therefore, - [RESEARCH WEEKLY: Lack of consensus on definition of "SMI" within research](https://www.tac.org/research-weekly-lack-of-consensus-on-definition-of-smi-within-research/) - By Hope Parker (April 19, 2023) There is no consistent definition of “SMI,” despite being widely used in scientific, clinical, and policy settings. As “SMI” is not an official diagnostic term, its meaning and characteristics are left to individual researchers and organizations to define. “SMI” can be used to refer to both serious and severe - [RESEARCH WEEKLY: April Research Roundup](https://www.tac.org/research-weekly-april-research-roundup/) - By Elizabeth Sinclair Hancq (April 24, 2023) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. DATAPOINT OF THE MONTH Half of homeless individuals with serious mental illness are unsheltered According - [RESEARCH WEEKLY: Barriers to community treatment for people with SMI and criminal involvement](https://www.tac.org/research-weekly-barriers-to-community-treatment-for-people-with-smi-and-criminal-involvement/) - By Shanti Silver (May 3, 2023) People with serious mental illness are vastly overrepresented in America’s prisons. After being released from prison, it is common for people with serious mental illness to be required to participate in community-based mental health treatment as part of their parole or probation. However, studies have found that people who - [RESEARCH WEEKLY: Intensive outpatient program reduces symptoms of psychosis](https://www.tac.org/research-weekly-intensive-outpatient-program-reduces-symptoms-of-psychosis/) - By Hope Parker (May 17, 2023) Every year, up to two million people with severe mental illness end up in jail. In order to solve the overrepresentation of people with severe mental illness in the criminal legal system, it is necessary to understand the most common charges against people with severe mental illness. In a - [RESEARCH WEEKLY: Reasons for arrest among people with severe mental illness](https://www.tac.org/research-weekly-reasons-for-arrest-among-people-with-severe-mental-illness/) - By Shanti Silver (May 17, 2023) Every year, up to two million people with severe mental illness end up in jail. In order to solve the overrepresentation of people with severe mental illness in the criminal legal system, it is necessary to understand the most common charges against people with severe mental illness. In a - [RESEARCH WEEKLY: May Research Roundup, AAPI Heritage Month](https://www.tac.org/research-weekly-may-research-roundup-aapi-heritage-month/) - By Shanti Silver (May 31, 2023) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. This month’s roundup is in honor of Asian American and Pacific Islander Heritage Month - [RESEARCH WEEKLY: Rural hospitals' quality of care higher than in urban facilities](https://www.tac.org/research-weekly-rural-hospitals-quality-of-care-higher-than-in-urban-facilities/) - By Hope Parker (June 7, 2023) Rural psychiatric facilities have a higher quality of care compared to facilities in urban areas, according to a nationwide study using data from 2015-2019. This study, published in “Psychiatric Services” in November 2022, also found that while many measures in care improved over this time period, rates of follow-up - [RESEARCH WEEKLY: Marijuana and schizophrenia](https://www.tac.org/research-weekly-marijuana-and-schizophrenia/) - By Elizabeth Sinclair Hancq (June 13, 2023) Avid readers of this blog would know that we have written frequently on the potential connection between cannabis use, commonly known as marijuana, and severe mental illness. Past topics include medical marijuana, cannabis use’s impact on early treatment for individuals with first-episode psychosis, and the mounting evidence of a causal relationship between heavy - [RESEARCH WEEKLY: More people with schizophrenia in the U.S. than previously reported](https://www.tac.org/research-weekly-more-people-with-schizophrenia-in-the-u-s-than-previously-reported/) - By Elizabeth Sinclair Hancq (June 28, 2023) Groundbreaking new data released this week suggests there are 3.7 million adults living with schizophrenia spectrum disorders, including schizophrenia, schizoaffective disorder, and schizophreniform disorder. These results suggest that the number of individuals with schizophrenia spectrum disorders is two to three times higher than previously reported. The new data is - [RESEARCH WEEKLY: Black patients less likely to receive follow-up care after psychiatric hospitalization](https://www.tac.org/research-weekly-black-patients-less-likely-to-receive-follow-up-care-after-psychiatric-hospitalization/) - By Elizabeth Sinclair Hancq (July 12, 2023) Timely follow-up care after a psychiatric hospitalization is crucial to ensure successful reintegration into the community. Lack of timely follow-up care has been connected to a host of negative outcomes, including relapse and readmission, violence, homelessness, criminal legal system involvement, and suicidal behaviors. Black patients are less likely to - [RESEARCH WEEKLY: Mental health workforce shortages in Oregon](https://www.tac.org/research-weekly-mental-health-workforce-shortages-in-oregon/) - By Hope Parker (July 19, 2023) As demand for mental health and substance use services rises, mental health staff shortages continue to increase. This is especially evident in Oregon’s public mental health and substance use treatment system, which ranks 49th out of the 50 states and the District of Columbia for unmet mental health and - [RESEARCH WEEKLY: July Research Roundup for Minority Mental Health Month](https://www.tac.org/research-weekly-july-research-roundup-for-minority-mental-health-month/) - By Elizabeth Sinclair Hancq (July 26, 2023) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. This month’s roundup is in honor of Minority Mental Health Month. Datapoint of the - [RESEARCH WEEKLY: Promoting a continuum of care for people with SMI who experience homelessness](https://www.tac.org/research-weekly-promoting-a-continuum-of-care-for-people-with-smi-who-experience-homelessness/) - By Shanti Silver (July 5, 2023) The level of abuse, neglect, and incarceration among people with severe mental illness who are experiencing homelessness in the United States is “an unacceptable humanitarian crisis,” according to the authors of a recent article in the “Journal of the American Medical Association.” In this article, researchers from Harvard Medical - [RESEARCH WEEKLY: June Research Roundup, LGBTQIA+ Pride Month](https://www.tac.org/research-weekly-june-research-roundup-lgbtqia-pride-month/) - by Hope Parker (June 30, 2023) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. This month’s roundup is in honor of LGBTQIA+ Pride Month and highlights the experiences of - [RESEARCH WEEKLY: ACT programs decrease substance use for people with SMI](https://www.tac.org/research-weekly-act-programs-decrease-substance-use-for-people-with-smi/) - By Shanti Silver (June 21, 2023) Substance use disorders are estimated to be present in 45% of people with serious mental illness. People with serious mental illness who use substances such as tobacco, alcohol, or drugs are more likely to have more frequent hospitalizations, more severe symptoms, poorer medication adherence, and a higher death rate. Decreasing the - [Spring 2015](https://www.tac.org/spring-2015/) - catalyst_spring_2015Download - [Spring 2016](https://www.tac.org/spring-2016/) - tacatalyst-spr-2016-finalDownload - [Fall 2020](https://www.tac.org/fall-2020/) - [RESEARCH WEEKLY: The Clozapine REMS](https://www.tac.org/clozapine/) - By Shanti Silver(August 2, 2023) Clozapine is the only FDA-approved medication for treatment-resistant schizophrenia but remains underutilized in the United States and around the world. In this week’s “Research Weekly,” two articles are summarized that discuss the Clozapine Risk Evaluation and Mitigation Strategy (REMS).What is the Clozapine REMS?A REMS is a program that the U.S. - [RESEARCH WEEKLY: Racial disparities in psychiatric building assignment](https://www.tac.org/research-weekly-racial-disparities-in-psychiatric-building-assignment/) - By Hope Parker (January 3, 2024) A new year brings new opportunities to advocate for effective, evidence-based care for people with severe mental illness. This January, Research Weekly will highlight recent studies that focus on the quality and availability of inpatient psychiatric care in the United States. The United States is currently facing a shortage - [Personally Speaking: My Schizoaffective Story](https://www.tac.org/personally-speaking-my-schizoaffective-story/) - By Bradley Tarr My name is Bradley Nuimano Tarr. I have been diagnosed with mental illness since I was 11 years old. Growing up, I was in and out of hospitals due to my symptoms. I experienced suicidal depression, insomnia, brain hypertension, paranoia and severe manic symptoms, sometimes back-to-back. During this time, my psychiatrist changed - [Personally Speaking: My Daughter Needed Help, Not Handcuffs](https://www.tac.org/personally-speaking-my-daughter-needed-help-not-handcuffs/) - By Martha Stringer No one should ever have to call a news reporter to ask them to cover their child’s mental health crisis in a desperate bid to get them help. Yet, that is exactly what our broken mental health care system forced me to do two years ago. In June of 2019, I emailed - [Personally Speaking: I Didn’t Understand Mental Illness Until it Gripped my Son](https://www.tac.org/personally-speaking-i-didnt-understand-mental-illness-until-it-gripped-my-son/) - By Moryt Milo My son reached a milestone in his life on May 27, 2021. He graduated from college. He had hoped to achieve this goal in 2014, but his mind had other plans. His dream of becoming a video game writer plunged into chaos when his concentration betrayed him and invisible voices overpowered him.His - [The Severe Mental Illness Starter Pack](https://www.tac.org/the-severe-mental-illness-starter-pack/) - Advice and resources for family members from a mother who’s been there By: Laura Pogliano Sometimes I imagine it’s 10 years ago, when I was new to the world of severe psychiatric illness. I can hear myself crying over my son’s diagnosis of schizophrenia; I can feel the initial terror at not knowing what to - [Personally Speaking: It's About the Beds](https://www.tac.org/personally-speaking-its-about-the-beds/) - Leslie Carpenter, Iowa Family Advocate Reading Delayed and Deteriorating: Serious Mental Illness and Psychiatric Boarding in Emergency Departments, I am reminded of the immense stress our family experienced every time we had to take our son to the hospital during times of crisis to seek admission. The waiting, the hoping, the sheer tension of not - [Personally Speaking: Taking Mental Health Seriously](https://www.tac.org/personally-speaking-taking-mental-health-seriously/) - By Olachi Tiffany EtohThe first thing that appears when you Google my name is a picture of my mugshot from when I was arrested and charged with aggravated kidnapping in 2014.To me, the mugshot represents an image of instability—as I was struggling to control my bipolar disorder during that time. The picture will follow me - [Personally Speaking: My Son Finally Has a Chance to Get His Life Back After Nine Years](https://www.tac.org/personally-speaking-my-son-finally-has-a-chance-to-get-his-life-back-after-nine-years/) - By Anthony Hernandez My son, Aaron Hernandez, violently attacked his mother, Cynthia, and me early in the morning while suffering a psychotic breakdown in September 2014. Prior to the attack, Aaron had been hospitalized eight times in two years. Aaron was found not guilty by reason of insanity for the attack on his mother and me and has been committed to a - [Personally Speaking: Saving grace](https://www.tac.org/personally-speaking-saving-grace/) - By Kristy Crill There is a sign that hangs in the day center in the office at my church that says, “Today’s Mania, Tomorrow’s Brilliance.” Those who know me from a distance and those that have only known me as the person I am today likely take that sign as a generic slogan for mental - [Personally Speaking: For my son – and yours](https://www.tac.org/personally-speaking-for-my-son-and-yours/) - By Betsy JohnsonI remember exactly when I officially became a “family member.” The date was April 4, 1993, at approximately 10:00 p.m. I had just finished tucking in my three newly adopted children, ages 8, 9 and 10, and my husband and I were lying in bed talking about our day. Their caseworker dropped off - [Personally Speaking - Behind the muddied glass: a doctor's look at untreated mental illness](https://www.tac.org/personally-speaking-behind-the-muddied-glass-a-doctors-look-at-untreated-mental-illness/) - By Dr. Susan Partovi The following op-ed appeared in the California News Press on July 24, 2019. I met “Carrie” while making rounds at the Los Angeles County women’s jail with a group of mental health professionals. A woman in her mid-50s, she had no clue what day it was. Naked and thin, Carrie ambled over, peering - [Personally Speaking: Remembering GG Burns](https://www.tac.org/personally-speaking-i-want-to-be-one-of-the-helpers/) - By Lisa Dailey The advocacy community lost a treasured champion for people with severe mental illness last week and our hearts are broken. Gina Burns (GG) passed away on November 6th surrounded by friends and family in Alabama. GG was one of the first family member advocates I spoke with when I started my work - [Personally Speaking: The author of my own story](https://www.tac.org/personally-speaking-the-author-of-my-own-story/) - By Elsie Ramsey Photo by Kristian BradleyIt has been three years since I started talking and writing openly about my Depression and life with a Bipolar 1 family member. Being transparent about my struggle has changed the rules of engagement in my conflict with mental illness. I discovered that by talking only to therapists and an inner - [Personally Speaking: Ruby's story](https://www.tac.org/personally-speaking-rubys-story/) - By Lisa Dailey My grandmother Daphne Thompson died on New Year’s Day of 2001, less than a year after my younger sister was diagnosed with schizoaffective disorder at the age of 20. During my uncle’s eulogy for her, he spoke of the hardship of her youth during the Great Depression and her grief at 10 - [Personally Speaking: Living my childhood dream](https://www.tac.org/personally-speaking-living-my-childhood-dream/) - By Kelli South When I was a child and people asked me what I wanted to be when I grew up, I used to answer, “I want to help people.” I was always an empathetic kid, a trait that has carried over into adulthood. Now that I am an adult, I still stand by that answer – which is how I ended up working for the Treatment Advocacy Center. I - [Personally Speaking: Making space for Black SMI advocates](https://www.tac.org/personally-speaking-making-space-for-black-smi-advocates/) - #By Sabah Muhammad I conducted an impromptu survey some five or six years ago in one of the popular Facebook groups for severe mental illness (SMI) advocates. I asked denizens of the group “what is your ideal structure for crisis response?” The answer surprised me. All the advocates mentioned a police presence in their answers. - [Personally Speaking: Joy will lead the way](https://www.tac.org/personally-speaking-joy-will-lead-the-way/) - By Sabah Muhammad My mother has always pondered my nose. She never could place it. “Whose smallish, button nose do you have? It’s not mine. It’s not your dad’s.” Growing up in a big family, you share everything. I couldn’t even have my own nose. When my brother was diagnosed with paranoid schizophrenia, my family blamed everything from “big pharma” to DNA. We couldn’t know, but wonder: Does having one sibling with SMI mean it runs in the family? When my brother first started showing symptoms of psychosis, - [Personally Speaking: The law is personal](https://www.tac.org/personally-speaking-the-law-is-personal/) - By Brian Stettin A young woman named Kendra Webdale was standing alone on a Manhattan subway platform on the evening of January 5, 1999, waiting to catch a train home after visiting her sister downtown. Without warning or provocation, she was pushed to her death into the path of an oncoming train by Andrew Goldstein, who was off his medication for schizophrenia and had a long history of cycling in and out of psychiatric hospitals and - [Personally Speaking: There is more to the mind than the brain](https://www.tac.org/personally-speaking-there-is-more-to-the-mind-than-the-brain/) - By Elizabeth Hancq I remember the first time I saw a brain. Resembling a large pink walnut, it was slimy, squishy, and much bigger than I expected. But, how can something as small as two-clenched fists create the complexity of a human brain? I thought to myself. Weighing just-over three pounds, our brain produces every thought, action, sense, feeling and experience we have in the world. Is our mind, our consciousness, thinking and - [Personally Speaking: Time for a transparent look at psychiatric treatments](https://www.tac.org/personally-speaking-time-for-a-transparent-look-at-psychiatric-treatments/) - By Mary Rossell Fourteen hundred days. That is how many days it has been since my son Kevin died. I remember when I counted the number of days after his birth, then transitioned to months and then to years. Now, when asked by others about his death, I give the socially appropriate answer of ‘nearly four - [Personally Speaking: Holding onto hope](https://www.tac.org/personally-speaking-holding-onto-hope/) - By Rebecca Lyn Phillips I grew up in a happy, middle class home. My father was a communications professor and part-time pastor. My mother was a stay-at-home mom with a home medical transcription business. I also have a younger sister and we have always been very close. I functioned well until my teen years. I attended - [Personally Speaking: Speak up!](https://www.tac.org/personally-speaking-speak-up/) - How to share your SMI story and be the change you want to see in the worldBy Eric Smith I was diagnosed with bipolar disorder in my teens and schizoaffective disorder when I was hospitalized as a psychiatric inpatient in my mid-20s. For more than a decade since then, I have shared my journey through severe - [Personally Speaking: Caregivers can experience PTSD](https://www.tac.org/personally-speaking-caregivers-can-experience-ptsd/) - By Moryt MiloFor a long time I thought Post Traumatic Stress Syndrome (PTSD) only happened to individuals who served in the military. I never suspected I suffered from it too. I knew soldiers returned haunted by combat and that triggers were real. My grandfather suffered from this mental health condition. But I am not a vet. I - [RESEARCH WEEKLY: Experiences of Black adults in a locked emergency psychiatric unit](https://www.tac.org/research-weekly-experiences-of-black-adults-in-a-locked-emergency-psychiatric-unit/) - By Hope Parker(October 16, 2023) Black adults have greater barriers to accessing psychiatric care, such as a higher prevalence of intergenerational poverty and underinsurance, than their white counterparts. However, Black adults simultaneously remain overrepresented in acute inpatient care. The authors of a study published this month in “Psychiatric Services” sought to better understand the lived experiences of Black adults who received psychiatric evaluations on - [Personally Speaking: From torture to treatment](https://www.tac.org/personally-speaking-from-torture-to-treatment/) - By Kathy Day I am the caregiver for my adult family member. He had his first psychotic episode more than eleven years ago. When he was diagnosed with schizophrenia, I knew nothing about this disorder. Well, almost nothing. I knew it would be a lifelong illness. I vowed to take care of him and stay with - [Personally Speaking: Fighting for other sons](https://www.tac.org/personally-speaking-fight-for-other-sons/) - By Maryanne Murphy My son, Scott, was born on November 12, 1992, and when he was growing up there were no signs that he had any kind of issue with mental illness until 23 years later. He was living with his brother Chris and his grandparents in New York, and had just graduated from college with - [Best Practices for Family Caregivers of People with Schizophrenia](https://www.tac.org/best-practices-for-family-caregivers-of-people-with-schizophrenia/) - By Kathy Day For the past eleven years, my close family member has had a very misunderstood illness: schizophrenia. In the early days of my family member’s illness, I chose to educate myself and then others about what schizophrenia really is. I searched the internet for information, read every book I could find on the - [Personally Speaking - The mother of California's Proposition 63: Remembering Rose King](https://www.tac.org/personally-speaking-the-mother-of-californias-proposition-63-remembering-rose-king/) - By Kathy Day California severe mental illness advocates lost a tireless advocate last week when we learned of Rose King’s unexpected death following emergency surgery. Rose was known as the Mother of Prop 63, the legislation also known as the Mental Health Services Act (MHSA). The law, passed in 2004, enacts a 1% sales tax on personal annual income over one - [Personally Speaking: Everyone deserves to recover](https://www.tac.org/personally-speaking-everyone-deserves-to-recover/) - By Eric Dias “You don’t look schizophrenic.” People say that sometimes when I open up about having schizoaffective disorder. I don’t know what someone with schizophrenia is supposed to look like, but I assume they mean someone who is not college educated and has a full-time job. I always knew something was wrong from a young age. - [Personally Speaking: How I finally found help for my co-occurring disorders with assisted outpatient treatment](https://www.tac.org/personally-speaking-how-i-finally-found-help-for-my-co-occurring-disorders-with-assisted-outpatient-treatment/) - Desplácese hacia abajo para leer su historia en español. By Isaac Pino I have severe mental illness and am a recovering drug addict. Currently, I am getting help by participating in an assisted outpatient treatment (AOT) program in El Paso, Texas. When I was 19 years old, I started experimenting with cocaine, meth and other substances. At first, for a few years, I - [Personally Speaking: How my ORPA internship helped me on the path to a career in mental health policy research](https://www.tac.org/personally-speaking-how-my-orpa-internship-helped-me-on-the-path-to-a-career-in-mental-health-policy-research/) - By Nina Robertson Like many people, I want to help others. But initially I did not know exactly how.Much of my childhood was devoted to volunteering, a trait I picked up from my parents who are two of the most selfless individuals I know. Whether it was serving food at the local homeless shelter in - [Personally Speaking: A mother's story of surviving schizophrenia](https://www.tac.org/personally-speaking-a-mothers-story-of-surviving-schizophrenia/) - By Deborah Geesling My husband Matthew and I have four adult sons. Our third son has battled schizoaffective disorder for the past 12 years. He has all of the symptoms of schizophrenia and bipolar disorder. For almost a decade, he lacked insight into the extent of his illness, a condition called anosognosia. Our son needed the compassionate use of assisted - [Personally Speaking: Applying for SSDI for family members with SMI](https://www.tac.org/personally-speaking-applying-for-ssdi-for-family-members-with-smi/) - By Nancy Smith During our son’s first hospitalization, for schizoaffective and bipolar disorders, a hospital social worker suggested we apply for Social Security Disability Insurance (SSDI) for him. We were given the name of an attorney that specialized in SSDI applications. After a brief conversation with the attorney and being made aware of the cost of her services, we decided to begin the application process ourselves. The first - [Personally Speaking: My son finally has a chance to get his life back after nine years](https://www.tac.org/personally-speaking-my-son-finally-has-a-chance-to-get-his-life-back-after-nine-years-2/) - By Anthony Hernandez My son, Aaron Hernandez, violently attacked his mother, Cynthia, and me early in the morning while suffering a psychotic breakdown in September 2014. Prior to the attack, Aaron had been hospitalized eight times in two years. Aaron was found not guilty by reason of insanity for the attack on his mother and me and has been committed to a - [Personally Speaking - The power of the pen: Writing and recovery](https://www.tac.org/personally-speaking-the-power-of-the-pen-writing-and-recovery/) - By Steven Pryce Writing is therapy to me, a way to figure out my life. After many years spent reaching this conclusion, I now submit my published articles and poems about work and recovery to my psychiatrist. It helps us connect. Schizophrenia is complex and it helps me to use different methods to explain what - [Personally Speaking: Fall seven times, get up eight](https://www.tac.org/personally-speaking-fall-seven-times-get-up-eight/) - By Douglas Meron As a kid, I had severe asthma and depression and felt like a total outcast. People would always tell me I was in my own world. I had a very active imagination where I would throw an imaginary ball up and down. I was extremely shy and had trouble communicating with my - [Personally Speaking: I've seen the power of assisted outpatient treatment firsthand](https://www.tac.org/personally-speaking-ive-seen-the-power-of-assisted-outpatient-treatment-firsthand/) - By Vianney Lopez I am a licensed chemical dependency counselor and I started working as part of an assisted outpatient treatment (AOT) team two years ago in El Paso, Texas. My caseload is small, which allows me to have a more personalized relationship with every client. I’ve picked up clients and taken them to job - [Personally Speaking: A family journey through severe mental illness](https://www.tac.org/personally-speaking-a-family-journey-through-severe-mental-illness/) - By Regina Toffolo Mental illness has been present in my family all my life. My grandfather died by suicide. My mother had narcissistic personality disorder, a rare mental illness that made my mother think she was the always the most important person. She also had difficulty empathizing with others. I have bipolar disorder and am - [Personally Speaking: Breaking a family tradition](https://www.tac.org/personally-speaking-breaking-a-family-tradition/) - By Lily Barnstone Wells Like many families, mine has its traditions. Some families’ traditions include who cuts the turkey on Thanksgiving, lighting Chanukah candles or opening presents on Christmas Eve. My family’s tradition, sadly, is suicide. My father called it the family curse. The Bible says that the sins of the fathers fall on the - [Personally Speaking: The criminalization of mental illness](https://www.tac.org/personally-speaking-the-criminalization-of-mental-illness/) - By Karla Jones* I’ve had two severe psychotic breaks, both lasting months. They destroyed my life: I lost my house, job, car, and even friends and family. I also had several encounters with police, some of which resulted in incarceration. My first psychotic break happened in 2014 after the sudden death of my father. During - [Personally Speaking: Keeping a promise to myself](https://www.tac.org/personally-speaking-keeping-a-promise-to-myself/) - I used to have it all, at least that is what I thought. Like everyone else I was living day to day to chase the trappings American society tells you, you need to feel like a success – youth, a college degree, a six-figure hustle, a swanky high-rise penthouse. Those status details were a weak stand-in - [Personally Speaking: Having a family member with mental illness](https://www.tac.org/personally-speaking-having-a-family-member-with-mental-illness/) - This story originally appeared on July 27, 2022 in The Mountaineer. Reprinted with permission. By Marty Knight Have you ever wondered what it would be like to be mentally ill? Or to be a family member of someone who suffers from the effects of mental illness? Every family is different but this is my story. My youngest - [Personally Speaking: An older sister's story, from hurt to hope](https://www.tac.org/personally-speaking-an-older-sisters-story-from-hurt-to-hope/) - By Brooke Gentry I am the first to admit that I had a wonderful childhood — more privileged than some, and full of the love, joy, support, and education that any parent hopes to provide their child. And yet, as my younger sister and I moved into the complex realm of pre-adolescence, signs of mental - [Personally Speaking: Christopher Sharikas (Part Three)](https://www.tac.org/personally-speaking-christopher-sharikas-part-three/) - By Lisa Dailey (Nov. 17, 2017) Treatment Advocacy Center was founded by Dr. E. Fuller Torrey in 1998 to change laws and policies preventing individuals with serious mental illness from getting timely treatment. It is a disgrace that during literally the entire tenure of this organization, Christopher Sharikas has languished in prison and remains there, - [Personally Speaking: Christopher Sharikas (Part Two)](https://www.tac.org/personally-speaking-christopher-sharikas-part-two/) - By Lisa Dailey (Nov. 16, 2017) In my first blog post about Christopher Sharikas, I described his history of mental illness and his crime. In this post I’ll describe how people with serious mental illness are treated by the court system. The fact is that a person who commits a crime but is suffering from a serious - [Personally Speaking: Surviving my son's mental illness](https://www.tac.org/personally-speaking-surviving-my-sons-mental-illness/) - By Dotti McKeeIt was a mother's nightmare. I received a terrifying call from a hospital in 1991, telling me that Mike, our 22-year-old son, a senior at Radford University, had been found running down the center of a major highway, 18-wheelers swerving around him as he kept up with the voices telling him to run faster. The police - [RESEARCH WEEKLY: Upcoming evaluation of New York assisted outpatient treatment](https://www.tac.org/research-weekly-upcoming-evaluation-of-new-york-assisted-outpatient-treatment/) - By Elizabeth Sinclair Hancq (August 16, 2023) New York’s 2009 evaluation of their assisted outpatient treatment program (AOT) is the cornerstone of the existing research literature on AOT. Much of what we know about AOT is from that evaluation, including how AOT programs can be cost-effective through the significant reductions in inpatient hospitalizations seen among - [RESEARCH WEEKLY: August Research Roundup, National Grief Awareness Day](https://www.tac.org/research-weekly-august-research-roundup-national-grief-awareness-day/) - By Shanti Silver (August 30, 2023) Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness and summarizes recently published research reports or developments. This month’s roundup is in honor of National Grief Awareness Day and highlights experiences of grief among people with SMI and - [RESEARCH WEEKLY: Early detection for psychosis on college campus](https://www.tac.org/research-weekly-early-detection-for-psychosis-on-college-campus/) - By Hope Parker (September 6, 2023) Reducing the duration of untreated psychosis is vital to improving quality of life and long-term outcomes. Early detection programs that identify and refer individuals with early psychosis to coordinated specialty care programs are one way to reduce DUP. A study published last month in “Psychiatric Services” evaluated a community-based early detection program - [RESEARCH WEEKLY: Trade-offs between civil commitment and competency restoration](https://www.tac.org/research-weekly-trade-offs-between-civil-commitment-and-competency-restoration/) - By Elizabeth Sinclair Hancq(September 13, 2023) Across the United States, there has been an increase in the number of individuals with serious mental illness found incompetent to stand trial and court-ordered to a state hospital for competency restoration. This trend is coupled with a decrease of individuals admitted to state hospitals for civil commitment. A new study by - [RESEARCH WEEKLY: The challenges of parenting with SMI](https://www.tac.org/research-weekly-the-challenges-of-parenting-with-smi/) - By Shanti Silver (September 20, 2023) Approximately 4% of parents in the United States live with a serious mental illness. While there has been a growing awareness of the unique challenges of parental SMI, research into these challenges has mostly centered around the experiences of children and other family members impacted by a parent’s SMI. However, research into the needs - [RESEARCH WEEKLY: September Research Roundup, Hispanic Heritage Month](https://www.tac.org/research-weekly-september-research-roundup-hispanic-heritage-month/) - This month’s roundup is in honor of Hispanic and Latino Heritage Month and highlights the experiences of Latino people whose lives are impacted by severe mental illness. This month’s roundup is in honor of Hispanic and Latino Heritage Month and highlights the experiences of Latino people whose lives are impacted by severe mental illness. Datapoint of - [RESEARCH WEEKLY: Increasing use of psychiatric advanced directives among people with SMI](https://www.tac.org/research-weekly-increasing-use-of-psychiatric-advanced-directives-among-people-with-smi/) - By Shanti Silver (October 4, 2023) A psychiatric advanced directive (PAD) is a way for people with severe mental illness to document their preferences for treatment in advance of an acute episode of mania or psychosis when their ability to consent to or make sound treatment decisions may be compromised. A recent article from “Voices - [RESEARCH WEEKLY: Grandiose delusions and treatment engagement](https://www.tac.org/research-weekly-grandiose-delusions-and-treatment-engagement/) - By Elizabeth Sinclair Hancq(October 11, 2023) Grandiose delusions are false impressions of one’s own importance and can present in different ways. For example, an individual experiencing grandiose delusions may believe they have special powers or abilities or that they are chosen by God. Other examples include feeling superior to other people or feeling invincible. Also, - [Research Weekly: October Research Roundup for Halloween](https://www.tac.org/research-weekly-october-research-roundup-for-halloween/) - By Elizabeth Sinclair Hancq Research Roundup is a monthly public service of the Office of Research and Public Affairs. Each edition describes a striking new data point about severe mental illness (SMI) and summarizes recently published research reports or developments. This month’s roundup is about stigma, in recognition of the often-harmful stereotypes of people with SMI depicted in Halloween films - [RESEARCH WEEKLY: Life expectancy in bipolar disorder](https://www.tac.org/research-weekly-life-expectancy-in-bipolar-disorder/) - By Shanti Silver(November 1, 2023) Bipolar disorder is a mental illness characterized by alternating periods of depression and mania or hypomania. The disorder is estimated to impact more than eight million people in the United States. People with bipolar disorder have a life expectancy that is 12 to 13 years shorter than that of the general - [Spring 2020](https://www.tac.org/spring-2020/) - Spring-2020Download - [Spring 2012](https://www.tac.org/spring-2012/) - spring-2012-catalystDownload - [Fall 2012](https://www.tac.org/fall-2012/) - fall-2012-catalystDownload - [Spring 2011](https://www.tac.org/spring-2011/) - 2011_Spring-_Summer_CatalystDownload - [2013 15th Anniversary edition](https://www.tac.org/2013-15th-anniversary-edition/) - spring-2013-catalystDownload - [Spring 2013 Mini-edition](https://www.tac.org/spring-2013-mini-edition/) - minitacatalyst-spr-13Download - [Fall 2013](https://www.tac.org/fall-2013/) - fall-2013-catalystDownload - [Spring 2014](https://www.tac.org/spring-2014/) - spring-2014-catalystDownload - [Fall 2014](https://www.tac.org/fall-2014/) - Catalyst_Fall2014Download - [Fall 2016](https://www.tac.org/fall-2016/) - fall-2016-catalystDownload - [Fall 2018](https://www.tac.org/fall-2018/) - fall-2018-catalystDownload - [Fall 2017](https://www.tac.org/fall-2017/) - fall-2017-catalystDownload - [Fall 2019](https://www.tac.org/spring-2019-2/) - TACatalyst_FALL_2019Download - [Spring 2019](https://www.tac.org/spring-2019/) - P5_TACatalyst_SPRING_2019_003Download - [Spring 2022](https://www.tac.org/spring-2022/) - TAC_Catalyst_Spring_2022_FINAL_1Download - [Fall 2021](https://www.tac.org/sample-post-i/) - 2021FallCatalystDownload - [Spring 2018](https://www.tac.org/sample-post-ii/) - spring-2018-catalystDownload - [Spring 2017](https://www.tac.org/sample-post-iii/) - spring-2017-catalystDownload - [Spring 2021](https://www.tac.org/spring-2021/) - [Fall 2022](https://www.tac.org/fall-2022/) - fall-2022-catalystDownload - [Wrapping up 2022 and Looking Ahead to 2023](https://www.tac.org/wrapping-up-2022-and-looking-ahead-to-2023/) - As we reflect on 2022, we have many legislative accomplishments to celebrate and significant momentum to carry forward into 2023. Thank you to all our advocacy partners – these successes would not have been possible without your help! We are celebrating key wins that reduced barriers to timely treatment. Treatment Advocacy Center helped pass bills - [NIMH funding priorities still failing people with SMI](https://www.tac.org/nimh-funding-priorities-still-failing-people-with-smi/) - By Shanti Silver (August 23, 2023) Schizophrenia and bipolar disorder are two of the most difficult mental illnesses to treat. Accordingly, funding for research into treatments that improve quality of life and decrease symptoms for people living with these severe mental illnesses (SMI) is essential.In a recent article, Treatment Advocacy Center Founder Dr. E. Fuller ## Pages - [Homepage](https://www.tac.org/) - At Treatment Advocacy Center, we fight for the lives of people with severe mental illness in a system stacked against them - [Financial Statements & Annual Reports](https://www.tac.org/financial-statements-annual-reports/) - [](https://www.tac.org/smi-spotlight/) - Episode 2: Anosognosia: what TV gets wrong about schizophrenia Episode 3: Ask Dr Amador, navigating severe mental illness - [Homelessness](https://www.tac.org/homelessness/) - [Preventable Tragedies](https://www.tac.org/preventable-tragedies/) - [Untreated SMI](https://www.tac.org/untreated-smi/) - When people with severe mental illness (SMI) are unable to access or receive quality treatment, it can have profound consequences. - [Anosognosia - Definition, Videos, and Stats](https://www.tac.org/anosognosia/) - Anosognosia is a biological condition that prevents some people with severe mental illness from knowing that they are experiencing symptoms of a brain disorder. - [Criminalization](https://www.tac.org/criminalization/) - [Schizophrenia and Psychosis Resource Center](https://www.tac.org/community-resource-center/) - Find reliable information, tools, and support on schizophrenia, psychosis, and severe mental illness. TAC provides guidance for improving care and recovery. - [Helpline for Severe Mental Illness](https://www.tac.org/helpline-for-severe-mental-illness/) - TAC Helpline provides individualized support for individuals and caregivers navigating the complex SMI system. Our staff will respond within 1-3 business days. - [SMI One-Pagers](https://www.tac.org/smi-one-pagers/) - In the documents shared on this page, we provide our top information, links, and resources to help with some of the most common challenges in understanding and navigating treatment for severe mental illness (SMI). Click on any of the images to open the full pdf document. - [Victimization](https://www.tac.org/victimization/) - People with severe or serious mental illness (SMI) are more likely to be victims of violence and crime than the general population. Learn more about this here! - [Our Team](https://www.tac.org/our-team/) - [Deterioration](https://www.tac.org/deterioration/) - [Media Center](https://www.tac.org/media-center/) - Welcome to the Media Center. Find SMI in the news, access TAC newsletters and blogs, track media mentions, find quick resources, or request an interview. - [History & Values](https://www.tac.org/history/) - Our mission is to prevent the suffering & harm caused by failing to treat severe mental illness and give those affected by it the chance to thrive. - [What is SMI?](https://www.tac.org/what-is-smi/) - Treatment Advocacy Center (TAC) uses “SMI” to stand for severe mental illness, an umbrella term that includes the most serious of psychiatric disorders. - [Our Approach to SMI](https://www.tac.org/our-approach-to-smi/) - Treatment Advocacy Center is the only national nonprofit dedicated to eliminating barriers to the timely & effective treatment of severe mental illness (SMI). - [My AOT Portal](https://www.tac.org/my-portal/) - [AOT](https://www.tac.org/aot/) - Assisted outpatient treatment is the practice of providing outpatient treatment under civil court order to individuals with severe mental illness (SMI). - [Maximize Results in AOT](https://www.tac.org/maximize-results-in-aot/) - [Start AOT in Your Community](https://www.tac.org/start-aot-in-your-community/) - [Mobilize Support for AOT](https://www.tac.org/mobilize-support-for-aot/) - [What is AOT?](https://www.tac.org/what-is-aot/) - [Bill Tracker](https://www.tac.org/bill-tracker/) - [SMI Advocate](https://www.tac.org/smi-advocate/) - [Get Connected](https://www.tac.org/get-connected/) - [2025 Legislation](https://www.tac.org/2025-legislation/) - [Ways to Advocate for the Severe Mental Illness Community](https://www.tac.org/ways-to-advocate-for-the-severe-mental-illness-community/) - Here we share overviews of four of our top advocacy resource pages with links to each. - [Connect with the severe mental illness (SMI) community](https://www.tac.org/connect-with-the-severe-mental-illness-community/) - [Ways to give and support the severe mental illness community](https://www.tac.org/ways-to-give-and-support-the-severe-mental-illness-community/) - Honoring a loved one When you create a tribute page in memory of your loved one, you keep their legacy alive by sharing their journey with others. You receive a personal webpage and link on TAC’s website, which you can customize with your own story and photos. Donations made to your page in memory of - [AOT Programs By State](https://www.tac.org/aot-programs-by-state/) - Click on the state on the map below or use the search tool under the map to find AOT program contacts. If you notice a program is missing or have questions, please email aot@tac.org. Thank you. - [Personally Speaking](https://www.tac.org/share-your-story/) - Consider sharing your story in a Personally Speaking blog on the website. We’re looking for personal, motivational & informative blogs based on your experience. - [Board of Directors](https://www.tac.org/board-of-directors/) - [Careers](https://www.tac.org/employment/) - For general inquiries or questions about career and volunteering opportunities at TAC, feel free to contact us at jobs@tac.org - [TAC Action Center](https://www.tac.org/tac-action-center/) - [Join Our Newsletters](https://www.tac.org/join-our-newsletters/) - [Become a Grassroots Advocate](https://www.tac.org/become-a-grassroots-advocate/) - [Donate](https://www.tac.org/donate/) - [SMI Research & Funding](https://www.tac.org/smi-research-funding/) - [Quality of Care](https://www.tac.org/quality-of-care/) - [Bed Shortages](https://www.tac.org/bed-shortages/) - [Access to Care](https://www.tac.org/access-to-care/) - [About Us](https://www.tac.org/about-tac/) - Treatment Advocacy Center was founded in 1998 by Dr. Torrey. After working for 15 years at a clinic serving unhoused people with severe mental illness. - [Contact Us](https://www.tac.org/contact-us/) - By submitting this form, you consent to receive informational messages and support messages from Treatment Advocacy Center via SMS at the number provided. Msg & data rates may apply. Msg frequency varies. Reply HELP for help or STOP to unsubscribe at any time. We do not share your phone number with third parties. Read our - [Text Messaging Terms of Use](https://www.tac.org/sms-terms-of-use/) - [Privacy Policy](https://www.tac.org/privacy-policy/) - [Accessibility Policy](https://www.tac.org/accessibility-policy/) - [Terms of Use](https://www.tac.org/terms-of-use/) - [Look Up Your State's Severe Mental Illness Resources](https://www.tac.org/look-up-your-state/) - Click on your state to find local resources for severe mental illnesses such as schizophrenia and bipolar disorder. - [Medicaid provisions in HR1 chart](https://www.tac.org/medicaid-provisions-in-hr1-chart/) - [Family Engagement Handout](https://www.tac.org/family-engagement-handout/) - [Sample Page Blocks](https://www.tac.org/sample-page-blocks/) - [Our Impact](https://www.tac.org/our-impact/) - [AOT Forum](https://www.tac.org/aot-forum/) - [Suicide](https://www.tac.org/suicide/) - [New Banner Homepage](https://www.tac.org/new-banner-homepage/) - [2024 Legislation](https://www.tac.org/2024-legislation/) - [New Banner Page](https://www.tac.org/new-banner-page/) - [TAC Original Podcasts](https://www.tac.org/make-them-hear-you-podcast/) - [TAC Podcasts on Severe Mental Illness](https://www.tac.org/tac-podcasts/) - [SAMHSA Assisted outpatient treatment grant program evaluation](https://www.tac.org/aot-grant-evaluation/) - This PDF is a one-page summary of findings from an evaluation of the assisted outpatient treatment (AOT) grant program for people with serious mental illness. - [Resource Library](https://www.tac.org/resource-library/) - [Helpline Form Confirmation](https://www.tac.org/helpline-form-confirmation/) - [New Release: Dismiss Upon Civil Commitment with AOT Video & Handbook](https://www.tac.org/dismiss-upon-civil-commitment-handbook/) - Nationwide, people with severe mental illness wait months in jails in a process known as competency restoration. Find our handbook and video on an effective alternative: Dismiss upon civil commitment with assisted outpatient treatment. - [List of Alabama AOT Programs and how to Contact Them](https://www.tac.org/aot-alabama/) - A list of local Assisted Outpatient Treatment resources for severe mental illness in Alabama. - [Welcome to TAC!](https://www.tac.org/404-2/) - A linked page may have moved. Search to find it here on our new site or connect to our most popular pages. - [Our Positions Directory](https://www.tac.org/our-stances/) - [Our Work](https://www.tac.org/our-work/) - [TAC Podcasts](https://www.tac.org/podcasts/) - “Make Them Hear You", uplifts the voices of some of our most vulnerable members of society – individuals of color with a diagnosis of severe mental illness. - [Registration Confirmation](https://www.tac.org/membership-account/registration-confirmation/) - [pmpro_confirmation] - [Register to join the AOT Learning Network](https://www.tac.org/membership-account/aot-portal-registration/) - [pmpro_checkout] - [Reports & Publications](https://www.tac.org/reports-publications/) - We produce policy & health services reports & publications focused on SMI. Topics include the declining availability of psychiatric beds & the criminalization. - [Media Mentions](https://www.tac.org/media-mentions/) - [Redirect to beds page](https://www.tac.org/beds/) - [More Ways to Give](https://www.tac.org/more-ways-to-give/) - Find more ways to give and make a lasting impact for the 8.8 million Americans suffering from severe mental illness and their loved ones. - [Reform Priorities](https://www.tac.org/reform-priorities/) - Our mission is to prevent the suffering & harm caused by failing to treat severe mental illness and give those affected by it the chance to thrive. - [Contact Form Confirmation](https://www.tac.org/contact-form-confirmation/) - [Memorials](https://www.tac.org/memorials/) - [](https://www.tac.org/11311-2/) - [Violence](https://www.tac.org/violence/) - [Register](https://www.tac.org/register/) - [pmpro_checkout] - [Directory Post](https://www.tac.org/directory-post/) - [AOT Learning Network Resources](https://www.tac.org/aot-learning-network-resources/) - [Test Form](https://www.tac.org/test-form/) - [Sample Page](https://www.tac.org/sample-page/) - [Log In](https://www.tac.org/login/) - [Contact](https://www.tac.org/contact/) - [Member Portal](https://www.tac.org/member-portal/) - [Membership Account](https://www.tac.org/membership-account/) - [Membership Billing](https://www.tac.org/membership-account/membership-billing/) - [pmpro_billing] - [Membership Cancel](https://www.tac.org/membership-account/membership-cancel/) - [pmpro_cancel] - [Membership Invoice](https://www.tac.org/membership-account/membership-invoice/) - [pmpro_invoice] - [Your Profile](https://www.tac.org/membership-account/your-profile/) - [Catalyst Archive](https://www.tac.org/catalyst-archive/) - [Contact AOT Team](https://www.tac.org/contact-aot-team/) - [State Grading System](https://www.tac.org/state-grading-system/) - [Tickets Checkout](https://www.tac.org/tickets-checkout/) - [Order Completed](https://www.tac.org/tickets-order/) - [Require Terms of Service on Signups Form](https://www.tac.org/require-terms-of-service-on-signups/) - You understand and agree to the Privacy Policy, Terms of Service, and Acceptable Use Policy. - [Your Profile](https://www.tac.org/your-profile/) ## Forums - [AOT Forum](https://www.tac.org/forums/forum/discussion-example/) ## Topics - [Forensic Assertive Community Treatment](https://www.tac.org/forums/topic/forensic-assertive-community-treatment/) - Does TAC support this emerging best practice model? I cannot find any mention of it on the TAC website or other TAC resources - [AOT application submitted by hospital 🏥](https://www.tac.org/forums/topic/aot-application-submitted-by-hospital-🏥/) - Will the hospital complete and submit the AOT application? - [Test topic](https://www.tac.org/forums/topic/test-topic/) - Test topic - [SAMHSA AOT Grant Support](https://www.tac.org/forums/topic/samhsa-aot-grant-support/) - Hi everyone -- on a whim I applied for the AOT grant for our health authority and maybe also on a whim SAMHSA awarded it! That being said, this whole process is new to me and some of the things they ask for are a bit nebulous. Secondarily, the responsiveness to support to SAMHSA has - [Voluntary](https://www.tac.org/forums/topic/voluntary/) - Does anyone have information on Voluntary AOT? I only find information on Involuntary. - [Provision of involuntary medication administration](https://www.tac.org/forums/topic/provision-of-involuntary-medication-administration/) - Good afternoon, I am interested in which states have AOTs with the ability to provide involuntary medication administrations, or have a process for a panel for something like that under the AOT legislation. thank you! - [Sample Treatment Plans](https://www.tac.org/forums/topic/sample-treatment-plans/) - Does anyone have any sample treatment plans for AOT? - [AOT Training](https://www.tac.org/forums/topic/aot-training/) - Does anyone know of any AOT trainings available just to educate more about implementation, filing, etc.? - [Welcome to the AOT Forum!](https://www.tac.org/forums/topic/welcome-to-the-aot-forum/) - Candid discussion and sharing expertise is a cornerstone of how the AOTLN functions and helps its members succeed - this forum will provide opportunities for this community to share, brainstorm, celebrate successes and troubleshoot problems. Welcome! ## Replies - [](https://www.tac.org/forums/reply/25984/) - Hi Ed! Thank you for your forum post and question. TAC does not take a formal position on Forensic Assertive Community Treatment (FACT). Our focus is on improving access to effective, evidence-based care for people with severe mental illness. We do recognize FACT as a variation of Assertive Community Treatment designed for individuals involved in - [](https://www.tac.org/forums/reply/19977/) - Hi Joe, Thanks for your question. It depends on your specific state law. Hospitals, mental health professionals, and other treatment providers can serve as petitioners for AOT in most states, initiating the involuntary outpatient commitment process. In some states, family members can also petition for AOT. Where are you located? If you email aot@tac.org we - [](https://www.tac.org/forums/reply/18930/) - This webpage includes all of the documents used in New York and an explanation of how AOT programs operate there. https://my.omh.ny.gov/analytics/saw.dll?dashboard - [](https://www.tac.org/forums/reply/13965/) - Hi Merave, have you checked out our AOT modules on the SMI Advisor website? There are nine different on-line modules for which you can receive CLEs. https://education.smiadviser.org/Listing/a67fe09e-392a-49fb-8a04-7aca83ee0412 (If this link doesn't work for you, just google "assisted outpatient treatment basic concepts and principles" and it will take you to the first module.) Also, there are - [](https://www.tac.org/forums/reply/19063/) - Hi Jedone! I apologize for the super delayed response. Our forum wasn't functioning correctly so your post got lost in the archive. In all cases, AOT is an involuntary program due to the nature of the civil court order. There are some alternate high support outpatient voluntary programs, but these usually rely on participants to - [](https://www.tac.org/forums/reply/19065/) - Hi Zach, I apologize for the delayed response! Because of a technical issue, all forum post requests were getting archived and lost. I will follow up with you over email. I do think it could be valuable to encourage information/resource sharing amongst grantees. Best, Brooke - [](https://www.tac.org/forums/reply/13981/) - Hi Christine! Yes - we do, and I can email you what we have as I'm unable to attach anything through the forum. If you could please send me an email to gentryb@treatmentadvocacycenter.org so I have your email address to email the forms to, that would be great. Thanks :) - [](https://www.tac.org/forums/reply/13980/) - New York does as well. - [](https://www.tac.org/forums/reply/13979/) - I am aware that both the Colorado and Indiana Statutes allow for this. - [](https://www.tac.org/forums/reply/13966/) - There are states that do have the ability to administer involuntary medication based on the outpatient order. The typical process for that is to issue a pick-up order to bring the AOT participant to a crisis center or other secure facility where they have the proper staff to administer the injection. - [](https://www.tac.org/forums/reply/13712/) - Thank you so much Amanda. I understand that COPM is possible from an inpatient setting. I am wondering if any state has this ability to do a COPM while outpatient under an AOT - [](https://www.tac.org/forums/reply/13586/) - Hello from New York! We do have the ability to provide involuntary medication administration and regarding AOT, while inpatient and non compliant the client will be brought to court inpatient for medication over objection. ## Venues - [Belmont Shore 1](https://www.tac.org/venue/belmont-shore-1/) - [AFI Silver Theatre](https://www.tac.org/venue/afi-silver-theatre/) ## Organizers - [AOTLN](https://www.tac.org/organizer/aotln/) - [Organizer Name:](https://www.tac.org/organizer/organizer-name/) ## Events - ["No One Cares About Crazy People" Screening and Panel](https://www.tac.org/event/no-one-cares/) - Link to register and secure tickets here! TAC invites you to join us for a screening of the powerful new documentary film, "No One Cares About Crazy People," on May 20, from 7-10 p.m. at the AFI Silver Theatre and Cultural Center in Silver Spring, Maryland. An immersive deep dive into the crisis of severe mental - [AOT Program Staff Web Chat](https://www.tac.org/event/aot-program-staff-web-chat-2/) - The second quarterly AOT program staff web chat is happening this month on Thursday, April 23 at 3 p.m. ET, and will be facilitated by Janet Hays. This informal, engaging discussion is open to all AOT program staff, regardless of role, including, but not limited to, peers, case managers, clinicians, monitors, program leads, and evaluators. Feel - [AOT Implementation Team Office Hour](https://www.tac.org/event/aot-implementation-team-office-hour/) - We are excited to invite you to our very first AOT office hour session! Join our team on Thursday, April 16 from 3 - 4 p.m. ET for an open, informal office hour via Zoom. No registration is required — feel welcome to drop in at any point during the hour with your AOT-related questions. This session is open to all roles and all questions, regardless of where - [AOT Evaluation Highlights: What Providers, Communities, and Data Evaluation Professionals Should Know](https://www.tac.org/event/aot-evaluation-highlights-what-providers-communities-and-data-evaluation-professionals-should-know/) - Join us Thursday, March 19 at 3 p.m. ET for AOT Evaluation Highlights: What Providers, Communities, and Data Evaluation Professionals Should Know, presented by Dr. Kiersten Jeske of RTI International and Dr. Marvin Swartz of Duke University. Drs. Jeske and Swartz will present findings from the March 2024 AOT evaluation report, Evaluation of the Assisted Outpatient Treatment Grant Program for - [Invitation for AOT graduates: Alumni interest group](https://www.tac.org/event/invitation-for-aot-graduates-alumni-interest-group-2/) - TAC is excited to explore the possibility of creating an AOT alumni group where former AOT participants can connect and share their experiences. We are hosting the second informal interest meeting over Zoom on Wednesday, February 18 at 3 p.m. Eastern Time. We need your help to spread the word and share this opportunity with - [AOT Evaluator Web Chat](https://www.tac.org/event/aot-evaluator-web-chat/) - We will be holding our first bi-annual meeting for AOT evaluators next month on March 24 at 3 p.m. ET. This meeting provides a space for AOT evaluators and other data collection professionals to share knowledge, resources, and strategies for conducting evaluations of AOT programs. Register here today. - [AOT Program Staff Web Chat](https://www.tac.org/event/aot-program-staff-web-chat/) - Join this month’s inaugural AOT program staff web chat, scheduled for Thursday, February 26 at 3 p.m. ET. This informal, engaging discussion is open to all AOT program staff, regardless of role, including, but not limited to, peers, case managers, clinicians, monitors, program leads, and evaluators. This is a shared space to discuss best practices, network with peers, and troubleshoot - [AOT Judges Web Chat](https://www.tac.org/event/aot-judges-web-chat/) - The AOT Judges web chat will take place Wednesday, February 25 at 3 p.m. ET. This chat is a closed group specifically for judges, magistrates, and hearing officers. We ask that those who do not fit into this group refrain from registering. A recording may be available to all at a later date. The chat, led by - [January Webinar: Clubhouses & the Importance of Shared Community for People with SMI](https://www.tac.org/event/january-webinar-clubhouses-the-importance-of-shared-community-for-people-with-smi/) - Join us Thursday, January 15 at 3 p.m. ET for Clubhouses & the Importance of Shared Community for People with SMI, presented by Jack Yatsko of Clubhouse International. Register here today. This session will explore how clubhouses support and empower people living with mental illness by offering a collaborative, restorative space where members can socialize, learn, develop skills, gain access - [November Webinar: Examining the Impact of Demographics on AOT Program Outcomes in Alabama](https://www.tac.org/event/november-webinar-examining-the-impact-of-demographics-on-aot-program-outcomes-in-alabama/) - After receiving overwhelming praise at the National AOT Symposium & Learning Collaborative last March, Dr. Cindy Gipson’s presentation, A Tale of Two Cities: Examining the Impact of Demographics on AOT Program Outcomes in Alabama, is returning for an encore session this November. Feedback from the event highlighted Dr. Gipson’s presentation as a standout session, mentioning the - [December AOT Case Managers & Clinicians Web Chat](https://www.tac.org/event/december-aot-case-managers-clinicians-web-chat/) - Due to upcoming holidays, the next web chat for AOT Case Managers & Clinicians will occur off schedule on Thursday, December 4 at 3 p.m. ET. This will be the last AOTLN event of 2025, so please join us! The chat is an informal discussion on clinical issues such as treatment non-adherence and co-occurring substance use. Feel - [Invitation for AOT graduates: Alumni interest group](https://www.tac.org/event/invitation-for-aot-graduates-alumni-interest-group/) - TAC is excited to explore the possibility of creating an AOT alumni group where former AOT participants can connect and share their experiences. To get started, we’re hosting an informal interest meeting over Zoom on Tuesday, November 11 at 3 p.m. ET. We need your help to spread the word and share this opportunity with graduates - [October AOT Judges Web Chat](https://www.tac.org/event/october-aot-judges-web-chat/) - The AOT judges web chat is scheduled for Thursday, October 23, at 12 p.m. ET. This web chat is specifically for judges, magistrates, hearing officers, and other judicial leaders. All judges are welcome, regardless of AOT program status. Registration is for judicial officers only — thank you for your understanding. Please spread the word! Click here to register. - [October AOT Peers Web Chat](https://www.tac.org/event/october-aot-peers-web-chat/) - The peer support specialist web chat is scheduled for Thursday, October 16, at 3 p.m. ET. This session offers a valuable opportunity for peer support specialists to discuss best practices, share engagement strategies, and connect with colleagues in the field. Whether you are an experienced peer support specialist in AOT or relatively new to the role, this - [September Webinar: Closing the Gaps in Mental Health Care for Criminal-Legal Involved Individuals](https://www.tac.org/event/september-webinar-closing-the-gaps-in-mental-health-care-for-criminal-legal-involved-individuals/) - Join us Thursday, September 18 at 3 p.m. ET to learn about evidence-based practices that improve mental health care for people with severe mental illness who encounter police, courts, jails, probation, and parole. This session will cover effective interventions, suicide prevention strategies, and solutions to address critical service gaps, drawing on the most comprehensive national - [September AOT Monitors Web Chat](https://www.tac.org/event/september-aot-monitors-web-chat/) - The AOT monitors web chat is scheduled for Thursday, September 25 at 3 p.m. ET. This role may have a different label in your program, but we use “monitor" to mean anyone who serves as a liaison between the court and treatment team, monitoring both patient adherence and delivery of services. The discussion will focus on - [July AOT Champions Web Chat](https://www.tac.org/event/july-aot-champions-web-chat/) - The AOT Champions web chat is scheduled for Thursday, July 24, at 3 p.m. ET. An “AOT champion” is anyone working on the grassroots level, from inside or outside the system, to convince stakeholders in their community to come together to establish a quality AOT program or make an existing program better. AOT champions recruit, assemble, educate, and - [July AOT Case Managers & Clinicians Web Chat](https://www.tac.org/event/july-aot-case-managers-clinicians-web-chat/) - The AOT case managers and clinician's webchat is scheduled for Thursday, July 17 at 3 p.m. ET. This is an informal discussion on clinical issues such as treatment non-adherence and co-occurring substance use. Feel free to bring a difficult case to share. No PHI, please. Register here today! - [June AOT Peers Web Chat](https://www.tac.org/event/june-aot-peers-web-chat/) - The Peer Support Specialist Web Chat is scheduled for Thursday, June 26, at 3 p.m. ET. This session offers a valuable opportunity for peer support specialists to discuss best practices, share engagement strategies, and connect with colleagues in the field. Whether you are an experienced peer support specialist in AOT or relatively new to the - [AOTLN June Webinar: Bridging the Gap: Housing Strategies for AOT Participants](https://www.tac.org/event/aotln-june-webinar-bridging-the-gap/) - June’s AOT Learning Network webinar, Bridging the Gap: Housing Strategies for AOT Participants, will feature a panel of dedicated experts from diverse jurisdictions discussing housing challenges and solutions within their communities. Securing and maintaining stable housing is a significant challenge for individuals diagnosed with SMI, and housing instability often exacerbates mental health conditions. The ongoing - [May AOT Judges Web Chat](https://www.tac.org/event/may-aot-judges-web-chat/) - The AOT judges web chat is scheduled for Thursday, May 22 at 3 p.m. ET and is specifically for judges, magistrates, hearing officers, and other judicial leaders. Whether you’re actively overseeing an AOT docket or just AOT-curious, this chat is for you. We ask that all who do not fit into this group refrain from - [May AOT Monitors Web Chat](https://www.tac.org/event/may-aot-monitors-web-chat/) - The AOT monitors web chat is scheduled for Thursday, May 15 at 3 p.m. ET. This role may have a different label in your program, but we use “monitor" to mean anyone who serves as a liaison between the court and treatment team, monitoring both patient adherence and delivery of services. The discussion will focus on - [AOTLN April Webinar: Cognitive Enhancement Therapy for Promoting Cognitive and Functional Recovery from Schizophrenia](https://www.tac.org/event/aotln-april-webinar-cet/) - Join us for an insightful webinar presented by Dr. Shaun Eack, a leading expert in cognitive enhancement therapy (CET). In this session, Dr. Eack will explore how CET impacts the treatment of schizophrenia and other psychotic disorders by improving cognitive functioning and enhancing everyday skills. He will discuss the latest research, clinical applications, and practical strategies for implementing - [AOTLN April Web Chat: AOT Champions](https://www.tac.org/event/aotln-april-web-chat-aot-champions-2/) - This month's web chat, scheduled for Thursday, April 24 at 3 p.m. ET, is specifically for AOT champions. An “AOT champion” is anyone working on the grassroots level, from inside or outside the system, to convince stakeholders in their community to come together to establish a quality AOT program or make an existing program better. AOT - [AOTLN February Webinar: Attorneys in AOT: A View from Both Sides of the Aisle](https://www.tac.org/event/aotln-february-webinar-attorneys-in-aot-a-view-from-both-sides-of-the-aisle/) - Attorneys play a crucial role in the success of AOT programs, as AOT orders cannot be issued without legal representation for the petitioner and respondent. The attorney for the petitioner represents the individual or entity seeking AOT, ensuring all legal standards are met, while the respondent's attorney defends the rights and interests of the individual - [AOTLN February Web Chat: AOT Clinicians](https://www.tac.org/event/aotln-february-web-chat-aot-clinicians/) - The AOT clinician's webchat is scheduled for Thursday, February 27 at 3 p.m. ET. This is an informal discussion on clinical issues such as treatment non-adherence and co-occurring substance use. Feel free to bring a difficult case to share. No PHI, please. Register here. - [AOTLN January Web Chat: AOT Peers](https://www.tac.org/event/aotln-january-web-chat-aot-peers/) - We are thrilled to announce the launch of a new and valuable resource now available through the AOTLN — the Peer Support Web Chat! This addition to our collaborator-specific web chats will provide a space for peer support specialists working in AOT programs to discuss best practices, exchange engagement strategies, and network with other peers. - [AOTLN November Webinar: Spirituality, Recovery, and SMI](https://www.tac.org/event/aotln-november-webinar-spirituality-recovery-smi/) - Join us Thursday November 21 at 3 p.m. ET for Spirituality, Recovery, and SMI, presented by Jared Wyma-Bradley, who holds a master’s in divinity. This presentation will highlight the role of spirituality in recovery, explore how to support clients’ spirituality, and provide a framework for understanding and supporting someone in AOT who is experiencing religious - [AOTLN November Web Chat: AOT Clinicians](https://www.tac.org/event/aotln-november-web-chat-aot-clinicians/) - *Please note that November’s web chat will take place off-schedule on Thursday, December 5 at 3 p.m. ET due to the Thanksgiving holiday* November’s specialized web chat for AOT clinicians will take place Thursday, December 5 at 3 p.m. ET. This is an informal discussion on clinical issues such as treatment non-adherence and co-occurring substance - [AOTLN October Web Chat: AOT Judges](https://www.tac.org/event/aotln-web-chat-10/) - This month’s specialized web chat is scheduled for Thursday, October 24 at 3 p.m. ET and is specifically for judges, magistrates, hearing officers, and other judicial leaders. We kindly request that those not in this group refrain from registering, but we assure you that the recording will be made available to everyone. Please encourage your judge to - [AOTLN October Webinar: AOT in NYC](https://www.tac.org/event/aotln-webinar-9/) - Join us Thursday, October 17 at 3 p.m. ET for AOT in NYC, presented by William Fisher, M.D. The webinar will focus on how AOT is implemented in New York City and review findings from recent outcomes data collection. This presentation will highlight a program that does not rely on an active judge since AOT programs in New York - [September AOTLN Web Chat: AOT Monitors](https://www.tac.org/event/aotln-web-chat-9/) - This month’s web chat, exclusively for assisted outpatient treatment (AOT) monitors, is scheduled for Thursday, September 26 at 3 p.m. EDT. This role may go by a different name in your program, but we use “monitor” to mean anyone who acts as a liaison between the court and treatment team, monitoring both patient adherence and delivery - [September AOTLN Webinar: Foundations of E-IMR](https://www.tac.org/event/aotln-webinar-8/) - Join us Thursday, September 19 at 3 p.m. EDT for Foundations of E-IMR. Illness Management and Recovery (IMR) is an evidence-based practice that helps people with severe mental illness (SMI) learn to manage their illness and achieve their recovery goals. Enhanced Illness Management and Recovery (E-IMR) is an augmented version of IMR that incorporates Integrated - [AOTLN July Webinar: Recognizing and Reducing Stigma in AOT](https://www.tac.org/event/aotln-webinar-7/) - We know language matters in mental health, but to what extent? Would you be surprised to hear that a 2018 study found that over 60% of Americans would be unwilling to work closely with a person diagnosed with schizophrenia or have someone experiencing schizophrenia marry into their family? Would you believe that 67% of Americans think that people - [AOTLN July Web Chat: AOT Champions](https://www.tac.org/event/aotln-web-chat-8/) - This month's web chat, scheduled for Thursday, July 25 at 3 p.m. ET, is specifically for AOT champions. An “AOT champion” is anyone working on the grassroots level, from inside or outside the system, to convince stakeholders in their community to come together to establish a quality AOT program or make an existing program better. If you are - [AOTLN June Webinar: Judge as "Life Coach" in AOT](https://www.tac.org/event/aotln-webinar-6/) - We know that assisted outpatient treatment programs are not one-size fits all - and with good reason. Many communities, including the entirety of New York, sustain successful AOT without "active" AOT judges. In these programs, the judge may not have involvement with participants beyond issuing the initial AOT order and any needed continuations. However, we - [AOTLN June Web Chat: AOT Clinicians](https://www.tac.org/event/aotln-web-chat-7/) - This month’s specialized web chat is scheduled for Thursday, June 27 at 3 p.m. Eastern and is specifically for AOT clinicians. This is an informal discussion on clinical issues such as treatment non-adherence and co-occurring substance use. Feel free to bring a difficult case to share. No protected health information, please. Register here today. - [AOTLN May Webinar: Supported Employment in AOT](https://www.tac.org/event/aotln-may-webinar-supported-employment-in-aot/) - When asked about their recovery goals, many AOT participants mention wanting to work. Employment can play a significant role in recovery. In addition to confidence, relationship-building, and increased independence, some AOT participants make a connection between gaining and maintaining employment and treatment adherence. May's webinar will focus on the importance of advancing AOT participants' employment goals - [AOTLN May Web Chat: AOT Judges](https://www.tac.org/event/aotln-may-web-chat-aot-judges/) - This month’s specialized web chat is scheduled for Thursday, May 23 at 3 p.m. Eastern and is specifically for judges, magistrates, hearing officers, and other judicial leaders. We ask that all who do not fit into this group refrain from registering, with the promise that we will make the recording available to all. Please encourage your judge - [AOTLN April Web Chat: AOT Monitors](https://www.tac.org/event/aotln-web-chat-5/) - This month’s web chat is scheduled for Thursday, April 25 at 3 p.m. Eastern and is specifically for AOT monitors. This role may have a different label in your program, but we use “monitor" to mean anyone who serves as a liaison between the court and treatment team, monitoring both patient adherence and delivery of services. The discussion - [AOTLN April Webinar: Dismiss Upon Civil Commitment with AOT](https://www.tac.org/event/aotln-webinar-4/) - In recent years, there has been a dramatic increase in the number of nonviolent offenders found to require competency restoration. This has led to more and more state psychiatric beds being set aside to serve this population and fewer and fewer beds available for those in psychiatric crisis who are not criminally involved. In fact, in - [Treatment Advocacy Center 2025 National AOT Symposium and Learning Collaborative](https://www.tac.org/event/treatment-advocacy-center-2024-national-aot-symposium-and-learning-collaborative/) - [AOTLN Webinar: Working with local advocacy groups to implement, expand, and enhance AOT](https://www.tac.org/event/aotln-webinar-3/) - Join us this Thursday, March 21 at 3 p.m. ET for Working with local advocacy groups to implement, expand, and enhance AOT.​​​ This panel presentation will feature representatives from three different NAMI affiliates discussing how they collaborate with and provide support to AOT. Leslie Powlette Stoyer, J.D., serves as Executive Director of NAMI Summit County Ohio where - [AOTLN Web Chat: AOT Champions](https://www.tac.org/event/aotln-web-chat-4/) - This month's web chat, scheduled for Thursday, March 28 at 3 p.m. ET, is specifically for AOT champions. An “AOT champion” is anyone working on the grassroots level, from inside or outside the system, to convince stakeholders in their community to come together to establish a quality AOT program or make an existing program better. Discuss - [AOTLN February Web Chat: AOT Clinicians](https://www.tac.org/event/aotln-web-chat-3/) - The AOT clinician's webchat is scheduled for Thursday, February 22 at 3 p.m. ET. This is an informal discussion on clinical issues such as treatment non-adherence and co-occurring substance use. Feel free to bring a difficult case to share. No PHI, please. Please join us! Register here. - [AOTLN February Webinar: AOT Portal & Website Demo](https://www.tac.org/event/aotln-webinar-2/) - We're thrilled to debut a new logo, a fresh look, and a whole new platform for AOT Learning Network members -- designed with you in mind. With better resource navigation, new features, and even a forum, it's now easier than ever to access all things AOT at your fingertips. Join us as AOT Implementation Coordinator - [AOTLN Webinar](https://www.tac.org/event/aotln-webinar/) - Join us Thursday, January 18 at 3 p.m. ET for a webinar on Stages of Change in AOT, presented by Melissa A. Maxey, MSSA, LISW-S of the Center for Evidence-Based Practices (CEBP) at Case Western Reserve University.Maxey served as the Team Leader for an AOT/ACT team in Cleveland Ohio for 4 years. She has been in the mental health - [Ambiguous Loss Family Training 2](https://www.tac.org/event/ambiguous-loss-family-training-2/) - [Ambiguous Loss Cohort 1 Week 8](https://www.tac.org/event/ambiguous-loss-cohort-1-week-8/) - [Ambiguous Loss Cohort 1 Week 7](https://www.tac.org/event/ambiguous-loss-cohort-1-week-7/) - [Ambiguous Loss Cohort 1 Week 6](https://www.tac.org/event/ambiguous-loss-cohort-1-week-6/) - [Ambiguous Loss Cohort 1 Week 5](https://www.tac.org/event/ambiguous-loss-cohort-1-week-5/) - [Ambiguous Loss Cohort 1 Week 4](https://www.tac.org/event/ambiguous-loss-cohort-1-week-4/) - [Ambiguous Loss Cohort 1 Week 3](https://www.tac.org/event/ambiguous-loss-cohort-1-week-3/) - [Ambiguous Loss Cohort 1 Week 2](https://www.tac.org/event/ambiguous-loss-cohort-1-week-2/) - [Ambiguous Loss Cohort 1 Week 1](https://www.tac.org/event/ambiguous-loss-cohort-1-week-1/) - [AOTLN Web Chat](https://www.tac.org/event/aotln-web-chat/) ## Resources - [Psychoeducation](https://www.tac.org/resources/psychoeducation/) - Find SMI resources to learn what you most need to know and places to connect with othersfor support related to specific needs and diagnoses. - [Psychosis](https://www.tac.org/resources/psychosis/) - Learn about signs and symptoms, standards for treatment, linkages to cannabis use, and risks related to untreated psychosis. - [Psychiatric Decompensation](https://www.tac.org/resources/psychiatric-decompensation/) - Learn signs to watch for and actions to consider when severe mental illness (SMI) symptoms may be worsening. - [Criminal Legal](https://www.tac.org/resources/criminal-legal/) - Learn questions to ask and how to help when an SMI outcome is arrest, incarceration, or a court process that may include a competency assessment. - [FAQ](https://www.tac.org/resources/faq/) - Peruse frequently asked questions and quick tips for managing SMI, treatment access, and system navigation. - [Ambiguous Loss](https://www.tac.org/resources/ambiguous-loss/) - This article and video offer coping strategies for living with losses connected to SMI—losses that lack clarity or resolution. - [Multimedia Resources](https://www.tac.org/resources/multimedia-resources/) - Find books, videos, podcasts, and films to support your learning about severe mental illness, systemic barriers to care, and more. - [Violence and Safety Plans](https://www.tac.org/resources/violence-and-safety-plans/) - Learn to make a home safer for someone experiencing suicidal ideation or psychosis and options to consider for the safety and well-being of the whole household. - [Social Security](https://www.tac.org/resources/social-security/) - It’s never too soon to plan benefits for someone with a persistent and disabling mental health condition: Here’s a place to begin learning. - [Severe Mental Illness (SMI)](https://www.tac.org/resources/what-is-smi/) - Learn how to describe the most complex psychiatric conditions that often come with psychosis. SMI treatment access is TAC’s focus. - [Psychiatric Advance Directive (PAD)](https://www.tac.org/resources/pad/) - Learn how a PAD might give a person with severe mental illness more voice and choice if the illness worsens and interferes with decision-making. - [Older Adults with SMI](https://www.tac.org/resources/older-adults-with-smi/) - Appropriate care for adults aging with SMI is a nationwide struggle. This article defines terms and offers some resource options. - [Discharge Planning](https://www.tac.org/resources/discharge-planning/) - Consider ways to support aftercare for someone hospitalized for a mental health emergency, including what to do if they might be suicidal. - [Continuum of Care](https://www.tac.org/resources/continuum-of-care/) - Learn terminology to help you understand a range of inpatient and outpatient options for treating SMI. - [Clozapine](https://www.tac.org/resources/clozapine/) - Learn about clozapine, the only FDA-approved medication for treatment-resistant schizophrenia, and ways to access this anti-psychotic medication. - [Challenges with Insurance](https://www.tac.org/resources/insurance/) - Federal parity laws require mental and physical health coverages to match, but there are loopholes. This resource provides options to sort through confusion. - [Communication Tips](https://www.tac.org/resources/communication-tips/) - Communicating with someone with SMI often requires skill and patience. Here are key tips and places to go for further training. - [Assisted Outpatient Treatment](https://www.tac.org/resources/assisted-outpatient-treatment/) - Learn about court-ordered outpatient treatment designed for people with a history of non-adherence to SMI treatment. - [Substance Use Disorder](https://www.tac.org/resources/substance-use-disorder/) - Find key terminology and best practice supports when someone has an SMI and also abuses marijuana, alcohol, or other substances. - [Emergencies](https://www.tac.org/resources/emergencies/) - Plan for a crisis by learning when to call 911 versus 988 and what to know about state laws andlocal protocols if a loved one who needs treatment might be unwilling to go. - [Advocacy](https://www.tac.org/resources/advocacy/) - Learn about personal versus system advocacy and how to fight for change without compromising self-care. - [TBI and Veterans ](https://www.tac.org/resources/veterans/) - Here are places to begin seeking services for individuals and family members navigating SMI and crisis situations connected to military service. - [Complaints and Grievances](https://www.tac.org/resources/complaints-and-grievences/) - Find places to file complaints related to poor care, denial of services or insurance reimbursement, abuse and neglect, and civil rights violations. - [HIPAA](https://www.tac.org/resources/hipaa/) - Learn about HIPAA and how to approach patient confidentiality when trying to support a loved one with SMI. - [School Age Onset](https://www.tac.org/resources/school-age-onset/) - Find information to support a young person experiencing SMI before graduating from high school. - [Employment](https://www.tac.org/resources/employment/) - Learn about disability rights related to work, accommodations to consider, and where to go for employment support. - [Medication for SMI](https://www.tac.org/resources/medication-for-smi/) - Learn about medications to treat SMI conditions, including key vocabulary and an approach for supporting someone unable to manage medication independently. - [Anosognosia](https://www.tac.org/resources/anosognosia-resources/) - Find out about anosognosia, a common symptom of SMI, and why it keeps people from seeking and adhering to treatment. - [Seeking Commitment](https://www.tac.org/resources/seeking-commtiment/) - This article offers help for SMI advocates seeking involuntary treatment for loved ones and includes a sample letter that can be adapted for use in any state. - [Mental Health History](https://www.tac.org/resources/mental-health-history/) - Learn to organize key facts to advocate for better care and outcomes. A downloadable template helps you get started. - [Moving States](https://www.tac.org/resources/moving-states-smi-care-in-a-new-place/) - This checklist can help you organize a move to a new state when mental health treatment stability is a priority. - [Homeless or Missing](https://www.tac.org/resources/homeless-or-missing/) - Find resources for homeless outreach and ways you might look for a missing loved one with SMI. - [Housing](https://www.tac.org/resources/housing/) - Learn about options for those with SMI who needs a safe and supportive place to live. - [Guardianship](https://www.tac.org/resources/guardianship/) - Learn about guardianship and alternatives, such as supported decision-making, power of attorney, and assisted outpatient treatment. - [Legal Resources](https://www.tac.org/resources/legal-resources/) - Here’s a place to start looking for attorney support for SMI. Note that TAC doesn’t provide legal advice on individual circumstances. - [First Episode Psychosis](https://www.tac.org/resources/first-episode-psychosis/) - Learn signs and symptoms of psychosis and what to know about early intervention services for the best chance at a positive recovery outcome. ## Map Directory - [Utah Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/utah/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Iowa Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/iowa/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [California Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/california/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Kansas Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/kansas/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Kentucky Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/kentucky/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [New Mexico Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/new-mexico/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Montana Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/montana/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Oregon Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/oregon/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Washington Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/washington/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Louisiana Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/louisiana/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [North Carolina Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/north-carolina/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Oklahoma Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/oklahoma/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Puerto Rico Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/puerto-rico-severe-mental-illness-resources-helpful-info/) - [Wyoming Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/wyoming/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [West Virginia Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/west-virginia/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Wisconsin Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/wisconsin/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Vermont Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/vermont/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Virginia Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/virginia/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [South Dakota Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/south-dakota/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Tennessee Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/tennessee/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Texas Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/texas/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [South Carolina Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/south-carolina/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Rhode Island Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/rhode-island/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Ohio Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/ohio/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Pennsylvania Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/pennsylvania/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [New York Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/new-york/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [North Dakota Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/north-dakota/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [New Hampshire Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/new-hampshire/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [New Jersey Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/new-jersey/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Nebraska Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/nebraska/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Nevada Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/nevada/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Michigan Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/michigan/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Minnesota Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/minnesota/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Mississippi Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/mississippi/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Missouri Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/missouri/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Maryland Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/maryland/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Massachusetts Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/massachusetts/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Maine Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/maine/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Indiana Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/indiana/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Hawaii Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/hawaii/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Idaho Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/idaho/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Illinois Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/illinois/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [District of Columbia](https://www.tac.org/map_directory/district-of-columbia/) - Every state has different laws and policies around accessing treatment for severe mental illness (SMI) and some states have more resources and treatment options than others. Here you will find district-specific resources for navigating the SMI treatment system, civil commitment laws and an evaluation of those laws, and data and research about SMI in the - [Florida Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/florida/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Georgia Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/georgia/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Delaware Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/delaware/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Colorado Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/colorado/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Connecticut Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/connecticut/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Arkansas Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/arkansas/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Arizona Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/arizona/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Alaska Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/alaska/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. - [Alabama Severe Mental Illness Resources & Helpful Info](https://www.tac.org/map_directory/alabama/) - State-specific resources for severe mental illnesses such as schizophrenia and bipolar disorder. Local SMI treatment laws, policy recommendations, and research. ## Reports Publications Directory - [5 Tips for Helping Individuals Living with Severe Mental Illness to Receive the COVID-19 Vaccine](https://www.tac.org/reports_publications/5-tips-for-helping-individuals-living-with-severe-mental-illness-to-receive-the-covid-19-vaccine/) - Here we share a PDF with advice for how to educate, simplify, meet, support, and follow-up when helping someone with SMI get vaccinated for COVID-19. covid_5tips_flyer_final-printDownload - [Schizophrenia Fact Sheet](https://www.tac.org/reports_publications/schizophrenia-fact-sheet/) - Learn about key symptoms and treatments for schizophrenia. - [Bipolar Disorder Fact Sheet](https://www.tac.org/reports_publications/bipolar-disorder-fact-sheet/) - (April 2025) Bipolar disorder is a psychiatric disease that may also be called manic-depressive illness or manic depression. It causes unusual shifts in mood, energy, and activity levels, making it difficult for the person affected to manage daily activities. Severe bipolar disorder was estimated affect 2.8 percent of the population aged 18 or older and 2.9 - [Duration of Untreated Psychosis](https://www.tac.org/reports_publications/duration-of-untreated-psychosis/) - The average duration of untreated psychosis is 74 weeks in the U.S. This long period of untreated psychosis has many negative effects, including the following: Treatment response worsens Insight is lower Severity of symptoms increases Neurotoxicity occurs in the brain Early detection and treatment can reduce these adverse effects and give individuals with psychosis a - [Evaluating Assisted Outpatient Treatment Programs: Getting Started](https://www.tac.org/reports_publications/aot-evaluators/) - Learn how to start as an AOT evaluator, a key member of the AOT team who helps determine AOT's impact on participants and ensure the program's sustainability. - [Serious Mental Illness and Homelessness](https://www.tac.org/reports_publications/serious-mental-illness-and-homelessness/) - Read TAC's research summary to learn more about the causes, prevalence, and impact of homelessness among people with SMI. - [Serious Mental Illness: By the Numbers](https://www.tac.org/reports_publications/serious-mental-illness-by-the-numbers/) - TAC addresses the crisis of the 8.8 million people who suffer from severe mental illness and who are too often abandoned by our nation’s mental health system. Our work helps end the decades of failed policies whose consequences touch every part of our daily lives. TAC_SMI_2022_Final.pdfDownload - [The Overrepresentation of Black Americans in AOT](https://www.tac.org/reports_publications/the-overrepresentation-of-black-americans-in-aot/) - This paper seeks to explore systemic factors that can lead to disproportionate rates of involuntary treatment and AOT among Black Americans. - [Our Stories Matter: Experiences with the State Hospital System](https://www.tac.org/reports_publications/our-stories-matter/) - In this paper, we share the stories of eight family members and one person with lived SMI experience in the state hospital system. - [Critical Gaps in AOT Research in the United States](https://www.tac.org/reports_publications/critical-gaps-in-aot-research/) - In this published paper, TAC and researchers from Northeast Ohio Medical University call on research institutions, funders and publishers to further study AOT. - [Victimization and Serious Mental Illness](https://www.tac.org/reports_publications/victimization-and-serious-mental-illness/) - People diagnosed with severe mental illnesses like schizophrenia are more likely than the general population to be victims of crime. Victimization of people with SMI often takes the form of non-violent crimes such as theft but can also include violent crimes such as assault and murder. Women with serious mental illness experience a heightened risk - [Overview of State Hospital Systems across the States, 2023: A Prevention Over Punishment Supplement](https://www.tac.org/reports_publications/state-beds-data/) - Explore an overview of state psychiatric hospitals and bed availability rankings. Gain insights into mental health resources across the U.S. - [Prevention Over Punishment: Finding the Right Balance of Civil and Forensic State Psychiatric Hospital Beds](https://www.tac.org/reports_publications/state-psychiatric-hospital-beds/) - Explore trends in state psychiatric hospital beds for every state. Data, analysis, and an animated video on the shortage's impact. - [Anosognosia](https://www.tac.org/reports_publications/anosognosia/) - When someone with severe mental illness refuses to accept treatment and insists that there is nothing wrong with them, it can be frustrating to caregivers and treatment providers who just want to see their loved one or patient get well. However, an individual’s refusal to accept treatment can be due to anosognosia, which is a - [Serious Mental Illness and Homicide](https://www.tac.org/reports_publications/serious-mental-illness-and-homicide/) - US and international to date research suggests that individuals with schizophrenia and bipolar disorder are responsible for approximately 10% of all homicides in the United States. For mass killings, the percentage is approximately 33%. One study reported that homicide rates are higher in states with stricter commitment laws, thus making it more difficult to treat - [Risk Factors for Violence in Serious Mental Illness](https://www.tac.org/reports_publications/risk-factors-for-violence-in-serious-mental-illness/) - Most individuals with serious mental illness are not dangerous. Most acts of violence are committed by individuals who are not mentally ill. Individuals with serious mental illness are victimized by violent acts more often than they commit violent acts. Being a young male or a substance abuser (alcohol or drugs) is a greater risk factor - [Psychiatric Bed Supply Need Per Capita](https://www.tac.org/reports_publications/psychiatric-bed-supply-need-per-capita/) - The United States is in the midst of a psychiatric bed shortage that worsens every year. By early 2016, the practice of closing state mental hospitals, often called “deinstitutionalization,” had eliminated more than 96% of the last-resort beds that existed in the mid-1950s; after a brief period of expansion in the 1990s, private hospitals, too, - [Serious Mental Illness Prevalence in Jails and Prisons](https://www.tac.org/reports_publications/serious-mental-illness-prevalence-in-jails-and-prisons/) - Serious mental illness has become so prevalent in the US corrections system that jails and prisons are now commonly called “the new asylums.” In point of fact, the Los Angeles County Jail, Chicago’s Cook County Jail, or the New York’s Riker’s Island Jail Complex each hold more mentally ill inmates than any remaining psychiatric hospital - [Schizophrenia, Bipolar Disorder and Suicide](https://www.tac.org/reports_publications/schizophrenia-bipolar-disorder-and-suicide/) - The Centers for Disease Control reported in 2016 that suicide rates rose significantly from 2009 to 2014 and that the rise in suicide rates accelerated beginning in 2006. In 2014, 42,773 people in the United States died by suicide, making it the 10th leading cause of death in the nation and the 2nd leading cause - [Antipsychotic Medications and the Brain](https://www.tac.org/reports_publications/antipsychotic-medications-and-the-brain/) - Changes in brain structure are caused both by the disease process of schizophrenia and bipolar disorder and by the antipsychotic drugs used to treat these diseases. Different antipsychotic drugs may have different effects. The structural brain changes caused by antipsychotic drugs used to treat schizophrenia and bipolar disorder are similar in kind to structural brain - [Assisted Outpatient Treatment: Improving Outcomes and Saving Money](https://www.tac.org/reports_publications/assisted-outpatient-treatment-improving-outcomes-and-saving-money/) - Assisted outpatient treatment (AOT) is a tool in the toolbox for civil courts and mental health systems to work collaboratively to help individuals with serious mental illness caught in a cycle of repeat hospitalizations, homelessness and incarcerations. Individuals who benefit from AOT have a history of inconsistent engagement with treatment often due to diminished awareness - [What is AOT?](https://www.tac.org/reports_publications/what-is-aot/) - Assisted outpatient treatment (AOT) is the practice of delivering outpatient treatment under court order to adults with severe mental illness who meet specific criteria, such as a prior history of repeated hospitalizations or arrest. It is a tool for assisting those individuals most at risk for the negative consequences of not receiving treatment. aot-one-pager.pdfDownload - [COVID-19 Vaccination: Myths vs. Facts](https://www.tac.org/reports_publications/covid-19-vaccination-myths-vs-facts/) - covidmyths-final_print.pdfDownload - [Racial Disparities in Individuals With Co-occurring Serious Mental Illness and Substance Use Disorders](https://www.tac.org/reports_publications/racial-disparities-in-individuals-with-co-occurring-serious-mental-illness-and-substance-use-disorders/) - One in four people with serious mental illness also struggle with a substance use disorder. Millions more struggle with misuse of one or more substances without meeting the high criteria for a substance use disorder. Marginalized populations, such as racial and ethnic minorities, are disproportionately impacted by the negative effects of co-occurring disorders. These same - [Our Impact: By the Numbers](https://www.tac.org/reports_publications/our-impact-by-the-numbers/) - Treatment Advocacy Center addresses the crisis of the 8.8 million people who suffer from severe mental illness and who are too often abandoned by our nation’s mental health system. Our work helps end the decades of failed policies whose consequences touch every part of our daily lives. tac_impact-factsheet_2023Download - [Disparidades raciales en personas con enfermedad mental grave y trastornos de consumo de sustancias](https://www.tac.org/reports_publications/disparidades-raciales-en-personas-con-enfermedad-mental-grave-y-trastornos-de-consumo-de-sustancias/) - Una de cada cuatro personas con enfermedad mental grave también sufre de trastorno de consumo de sustancias. Millones más luchan contra el uso indebido de una o más sustancias, sin cumplir los criterios estrictos para el trastorno de consumo de sustancias. Las poblaciones marginalizadas, como las minorías raciales y étnicas, se ven desproporcionadamente afectadas por - [Considerations for Demonstrating the Cost Effectiveness of AOT Services](https://www.tac.org/reports_publications/considerations-for-demonstrating-the-cost-effectiveness-of-aot-services/) - AOT-Cost-Study.pdfDownload - [Clozapine for Treating Schizophrenia: A Comparison of the States](https://www.tac.org/reports_publications/clozapine-for-treating-schizophrenia-a-comparison-of-the-states/) - Clozapine-for-Treating-Schizophrenia.pdfDownload - [Overlooked in the Undercounted: The Role of Mental Illness in Fatal Law Enforcement Encounters](https://www.tac.org/reports_publications/overlooked-in-the-undercounted-the-role-of-mental-illness-in-fatal-law-enforcement-encounters/) - Enormous attention has been focused in recent years on the lack of complete and accurate official statistics reporting fatal law enforcement encounters. Barely noted in the uproar has been the role played by serious mental illness, a medical condition that, when treated, demonstrably reduces the likelihood of interacting with police or being arrested, much less - [Raising Cain: The Role of Serious Mental Illness in Family Homicides](https://www.tac.org/reports_publications/raising-cain-the-role-of-serious-mental-illness-in-family-homicides/) - Most individuals with serious mental illness are not dangerous. However, a small number may become dangerous to themselves or to others, particularly when untreated or abusing alcohol or other substances. Some of these individuals may assault or even kill family members. Raising Cain: The Role of Serious Mental Illness in Family Homicides was undertaken to - [Going, Going, Gone: Trends and Consequences of Eliminating State Psychiatric Beds](https://www.tac.org/reports_publications/going-going-gone-trends-and-consequences-of-eliminating-state-psychiatric-beds/) - The number of last-resort psychiatric hospital beds that remain in state hospitals for patients whose treatment is not being, or cannot be, adequately addressed in a community setting has fallen to fewer than 12 beds per 100,000 population in the United States, the lowest level on record. This shortage has set off a domino effect - [Individuals with Serious Mental Illness in County Jails: A Survey of Jail Staff's Perspectives](https://www.tac.org/reports_publications/individuals-with-serious-mental-illness-in-county-jails-a-survey-of-jail-staffs-perspectives/) - Individuals-with-SMI-in-County-Jails.pdfDownload - [Released, Relapsed, Rehospitalized: Length of Stay and Readmission Rates in State Hospitals, A Comparitive State Survey](https://www.tac.org/reports_publications/released-relapsed-rehospitalized-length-of-stay-and-readmission-rates-in-state-hospitals-a-comparitive-state-survey/) - After a half-century of eliminating beds for patients with severe mental illness, the United States is in the midst of an unparalleledpsychiatric bed shortage. Driven by the shortage, the length of stay (LOS) for those patients who are admitted has been shrinking for decades, and rehospitalization rates have been rising. For Released, Relapsed, Rehospitalized, Treatment - [Emptying the 'New Asylums': A Beds Capacity Model to Reduce Mental Illness Behind Bars](https://www.tac.org/reports_publications/emptying-the-new-asylums-a-beds-capacity-model-to-reduce-mental-illness-behind-bars/) - In 2016, an estimated 90,000 US jail inmates were pretrial defendants with serious mental illness who had been found incompetent to stand trial (IST). IST services most commonly take place in state hospitals. Most state hospitals maintain waitlists of IST inmates because they do not have enough beds to meet demand. Waits are typically around - [A Crisis in Search of Data: The Revolving Door of Serious Mental Illness in Super Utilization](https://www.tac.org/reports_publications/a-crisis-in-search-of-data-the-revolving-door-of-serious-mental-illness-in-super-utilization/) - Individuals with serious mental illness are well known to be grossly overrepresented in the nation’s criminal justice and social safety-net systems. Making up barely 3% of the adult population, those with diagnoses of schizophrenia or severe bipolar disorder account for far greater proportions of the people served by law enforcement, housed in correctional facilities, presenting - [The Treatment of Persons with Mental Ilnnes in Prisons and Jails: A State Survey](https://www.tac.org/reports_publications/the-treatment-of-persons-with-mental-ilnnes-in-prisons-and-jails-a-state-survey/) - Treatment-Behind-Bars.pdfDownload - [Mental Health Commitment Laws: A Survey of the States](https://www.tac.org/reports_publications/mental-health-commitment-laws-a-survey-of-the-states/) - Mental-Health-Commitment-Laws-2014.pdfDownload - [Treat or Repeat: A State Survey of Serious Mental Illness, Major Crimes and Community Treatment](https://www.tac.org/reports_publications/treat-or-repeat-a-state-survey-of-serious-mental-illness-major-crimes-and-community-treatment/) - Individuals with serious mental illness who have committed major crimes represent 2% of the estimated 8.2 million individuals with asevere psychiatric disease in the United States. Although this is a small segment of the total population, research shows that, without treatment, these individuals are at heightened risk of being re-arrested after their release from jail - [Beyond Beds: The Vital Role of a Full Continuum of Psychiatric Care](https://www.tac.org/reports_publications/beyond-beds-the-vital-role-of-a-full-continuum-of-psychiatric-care/) - Beyond Beds is a joint report with the National Association of State Mental Health Program Directors and represents the introductorypaper in a 10-part series on the inpatient psychiatric treatment capacity in the United States. SummaryNearly 10 million individuals in the United States are estimated to live with a diagnosable psychiatric condition sufficiently serious to - [Grading the States: An Analysis of Involuntary Psychiatric Treatment Laws 2018](https://www.tac.org/reports_publications/grading-the-states-an-analysis-of-involuntary-psychiatric-treatment-laws-2018/) - Grading-the-States-2018.pdfDownload - [A Promising Start: Results from a California Survey Assessing the Use of Laura's Law](https://www.tac.org/reports_publications/a-promising-start-results-from-a-california-survey-assessing-the-use-of-lauras-law/) - This report shows the much improved outcomes of people with severe mental illness who are identified and targeted through outreach for robust, comprehensive community services and support. The enrollment successes of Laura’s Law underscore the importance and effectiveness of ACT and programs like it. But the current partial implementation of Laura’s Law continues to underserve—and - [Road Runners: The Role and Impact of Law Enforcement in Transporting Individuals with Severe Mental illness](https://www.tac.org/reports_publications/road-runners-the-role-and-impact-of-law-enforcement-in-transporting-individuals-with-severe-mental-illness/) - Faced with limited community treatment options and a dire shortage of psychiatric inpatient beds, those in need of mental health treatment may not receive it until a crisis occurs and law enforcement intervenes. Approximately one-third of individuals with severe mental illness have their first contact with mental health treatment through a law enforcement encounter. Law - [COVID-19 Vaccination for People with Severe Mental Illness: An International Survey](https://www.tac.org/reports_publications/covid-19-vaccination-for-people-with-severe-mental-illness-an-international-survey/) - People with serious mental illness are often on the outskirts of society, hidden from view of the public and policymakers. As a result, individuals with the most severe psychiatric disorders, including schizophrenia and severe bipolar disorder, are often overlooked or ignored by governmental policy. This invisibility was never more apparent than in response to the - [Listen to Us: The Unique Experience of Women with Severe Mental Illness](https://www.tac.org/reports_publications/listen-to-us-the-unique-experience-of-women-with-severe-mental-illness/) - Women with severe mental illness face unique experiences and obstacles compared with men with severe mental illness and other women without schizophrenia, bipolar disorder or major depression. Severe mental illness also puts women at higher risk for the negative outcomes that all women are already at heightened risk for, such as sexual assault. While - [Measuring Experiences: An Evaluation of AOT Participant Satisfaction](https://www.tac.org/reports_publications/measuring-experiences-an-evaluation-of-aot-participant-satisfaction/) - Assisted outpatient treatment is a community outpatient treatment program for people with severe mental illness who have a history of difficulty with treatment engagement. Under a court order, an individual with severe mental illness is required to adhere to their treatment plan. While there is a wealth of evidence supporting the effectiveness of AOT programs - [Grading the States: An Analysis of Involuntary Psychiatric Treatment Laws 2020](https://www.tac.org/reports_publications/grading-the-states-an-analysis-of-involuntary-psychiatric-treatment-laws-2020/) - Grading the States: An Analysis of U.S. Psychiatric Treatment Laws examines the laws that provide for involuntary treatment for psychiatric illness in each state. To do so, we asked a crucial question: Does the state law allow an individual in need of involuntary evaluation or treatment to receive timely care, for sufficient duration, in a manner - [Dual Diagnosis: Serious Mental Illness and Co-Occurring Substance Use Disorders](https://www.tac.org/reports_publications/dual-diagnosis-serious-mental-illness-and-co-occurring-substance-use-disorders/) - Dual-DiagnosisDownload People living with serious mental illness face numerous barriers to living a life unencumbered by their disorder. Many have the added challenge of a dual diagnosis – experiencing co-occurring serious mental illness and a substance use disorder. A dual diagnosis can have a multitude of consequences on an individual’s life: People with co-occurring disorders are - [10 Ways Women with SMI Are Overrepresented and Underserved](https://www.tac.org/reports_publications/10-ways-women-with-smi-are-overrepresented-and-underserved/) - Compared with men with the same psychiatric diseases and with women in the general population, women with conditions such as schizophrenia, schizoaffective disorder, bipolar disorder and major depression are: More likely to be arrested, incarcerated, victimized, suicidal, and to suffer from multiple medical conditions or substance abuse Less likely to be employed, housed or to - [Delayed and Deteriorating: Serious Mental Illness and Psychiatric Boarding in Emergency Departments](https://www.tac.org/reports_publications/delayed-and-deteriorating-serious-mental-illness-and-psychiatric-boarding-in-emergency-departments/) - delayed_and_deterioratingDownload People with serious mental illness are disproportionately impacted by long wait times in emergency departments, a phenomenon known as “boarding.” These individuals experience longer waits than non-psychiatric patients and have more serious consequences, including making recovery less achievable and their treatment more costly to the health care system. The disparity in boarding is especially ## Our Stances Directory - [Coming Soon!](https://www.tac.org/our_stances/sample-resource-i-2/) - [Coming Soon!](https://www.tac.org/our_stances/sample-resource-i/) ## AOT Resources Directory - [AOT Research Summary One Pager](https://www.tac.org/aot_resources/aot-improving-outcomes-saving-money/) - TAC-produced one pager on AOT outcomes. For extended version, see AOT Research Summary. - [AOT Research Summary](https://www.tac.org/aot_resources/tac-aot-research-summary/) - TAC-produced AOT research summary with info graphic. Meets ADA compliance accessibility standards. Last revised December of 2025. - [Recommendations for Care Transitions in AOT](https://www.tac.org/aot_resources/recommendations-for-care-transitions-in-aot/) - TAC-produced guide with practical strategies for AOT team members to support participants during care transitions. Last revised January of 2026. - [Mental Health Court vs. AOT](https://www.tac.org/aot_resources/mental-health-court-vs-aot/) - A TAC-produced one-page document comparing criminal diversion courts to assisted outpatient treatment. Last revised January of 2026. - [Dismiss Upon Civil Commitment with AOT Handbook](https://www.tac.org/aot_resources/dismiss-upon-civil-commitment-with-aot-handbook/) - More and more counties are looking to assisted outpatient treatment (AOT) as an alternative to competency restoration for the ever-growing number of offenders who are unlikely to be restored and who do not pose a risk to the community. TAC has developed a handbook to help communities move quickly from the discussion phase of this process - [AOT 12-Month Participant Background Investigation Colquitt County GA](https://www.tac.org/aot_resources/aot-12-month-participant-background-investigation-colquitt-county-ga/) - A document detailing background information on AOT participants, such as history of arrests and hospitalizations, for the 12 months prior to entering AOT. - [AOT Criminal Legal History Release Colquitt County GA](https://www.tac.org/aot_resources/aot-criminal-legal-history-release-colquitt-county-ga/) - A release authorizing the sheriff's department to provide criminal history record information on AOT participants from Colquitt County, GA. - [AOT Hearing Waiver Colquitt County GA](https://www.tac.org/aot_resources/aot-hearing-waiver-colquitt-county-ga/) - A court form waiving the right to representation and hearing for AOT from Colquitt County, GA. - [AOT Motion to Dismiss Order Colquitt County GA](https://www.tac.org/aot_resources/aot-motion-to-dismiss-order-colquitt-county-ga/) - A motion to dismiss an AOT order from Colquitt County, GA. - [AOT Operations Handbook Colquitt County GA](https://www.tac.org/aot_resources/aot-operations-handbook-colquitt-county-ga/) - The full program operations handbook for the Georgia Pines AOT program in Colquitt County, GA. - [AOT Order Motion to Modify Colquitt County GA](https://www.tac.org/aot_resources/aot-order-motion-to-modify-colquitt-county-ga/) - A court motion to modify an AOT order in Colquitt County, GA. - [AOT Participant Handbook Colquitt County GA](https://www.tac.org/aot_resources/aot-participant-handbook-colquitt-county-ga/) - The participant handbook provided to AOT participants in the Georgia Pines AOT program in Colquitt County, GA. - [AOT Petition to Continue Order Colquitt County GA](https://www.tac.org/aot_resources/aot-petition-to-continue-order-colquitt-county-ga/) - A petition to continue an existing AOT order from Colquitt County, GA. - [AOT Physicians Certificate Colquitt County GA](https://www.tac.org/aot_resources/aot-physicians-certificate-colquitt-county-ga/) - A copy of the physicians certificate provided to the court as part of the AOT commitment process in Colquitt County, GA. - [AOT Pick-Up Order Colquitt County GA](https://www.tac.org/aot_resources/aot-pick-up-order-colquitt-county-ga/) - A copy of the order used to pick up and evaluate a non-adherent AOT participant in Colquitt County, GA. - [AOT Procedures Colquitt County GA](https://www.tac.org/aot_resources/aot-procedures-colquitt-county-ga/) - The AOT procedures used by staff at the Georgia Pines AOT program in Colquitt County, GA. - [AOT ROI Colquitt County GA](https://www.tac.org/aot_resources/aot-roi-colquitt-county-ga/) - A copy of the release of information form from the Georgia Pines AOT program in Colquitt County, GA. - [AOT Petition Colquitt County GA](https://www.tac.org/aot_resources/aot-petition-colquitt-county-ga/) - A copy of the petition for AOT utilized by Georgia Pines CSB in Colquitt County, GA. - [AOT Recovery-Focused Activity Log Colquitt County GA](https://www.tac.org/aot_resources/aot-recovery-focused-activity-log-colquitt-county-ga/) - A copy of the activity log used to track recovery-focused activities of AOT participants in the Georgia Pines AOT program in Colquitt County, GA. - [Georgia AOT Behavioral Health Provider Manual](https://www.tac.org/aot_resources/georgia-aot-behavioral-health-provider-manual/) - The manual outlining service provisions for ACT and AOT by community mental health providers in the state of Georgia. - [GA Pines CSB AOT Referral Form](https://www.tac.org/aot_resources/ga-pines-csb-aot-referral-form/) - GA Pines CSB AOT referral form. - [GA Pines AOT Brochure](https://www.tac.org/aot_resources/ga-pines-aot-brochure/) - AOT brochure from GA Pines CSB (Colquitt & Thomas Counties). - [White Paper: Implementing AOT: Essential Elements, Building Blocks and Tips for Maximizing Results](https://www.tac.org/aot_resources/white-paper-implementing-aot-essential-elements-building-blocks-and-tips-for-maximizing-results/) - TAC-produced AOT White Paper. - [Comparing AOT to Other Tools](https://www.tac.org/aot_resources/comparing-aot-to-other-tools/) - Resource developed in tandem with the American Psychiatric Association for SMI Adviser, an online open-access serious mental illness resource. Compares AOT to other tools such as mental health court. - [AOT Myths & Facts](https://www.tac.org/aot_resources/aot-myths-facts/) - Resource developed in tandem with the American Psychiatric Association for SMI Adviser, an online open-access serious mental illness resource. Covers common misconceptions around the practice of AOT. - [What is AOT?](https://www.tac.org/aot_resources/what-is-aot/) - Short resource developed in tandem with the American Psychiatric Association for SMI Adviser, an online open-access serious mental illness resource. Provides introductory information on the practice of Assisted Outpatient Treatment (AOT). - [The AOT Judge](https://www.tac.org/aot_resources/the-aot-judge/) - Outline of the role and responsibility of the judge in AOT. - [Unpacking the Black Robe Effect in AOT](https://www.tac.org/aot_resources/unpacking-the-black-robe-effect-in-aot/) - A TAC-developed brief discussing and defining the black robe effect, and its role in AOT. - [Burnout Among AOT Clinicians](https://www.tac.org/aot_resources/burnout-among-aot-clinicians/) - A TAC-developed fact sheet regarding burnout and strategies to address it in AOT programs. - [Background Paper: Serious Mental Illness and Anosognosia](https://www.tac.org/aot_resources/background-paper-serious-mental-illness-and-anosognosia/) - 2016 background paper on serious mental illness and anosognosia. - [Judicial Bench Card for AOT State of KY](https://www.tac.org/aot_resources/judicial-bench-card-for-aot-state-of-ky/) - A bench card to serve as a quick reference guide regarding the laws around court-ordered outpatient treatment/AOT in the state of KY. - [Judicial Bench Card for AOT State of OH](https://www.tac.org/aot_resources/judicial-bench-card-for-aot-state-of-oh/) - A bench card to serve as a quick reference guide regarding the laws around court-ordered outpatient treatment/AOT in the state of OH. - [AOT Data Collection Tool](https://www.tac.org/aot_resources/aot-data-collection-tool/) - Excel-based tool for AOT participant data collection featuring entry forms and an interactive dashboard. Users can customize the tool to meet their needs, including adding data points beyond those included. - [Mentoring Neighboring Communities to Start AOT Programs](https://www.tac.org/aot_resources/mentoring-neighboring-communities-to-start-aot-programs/) - TAC-produced guidance on how to support and mentor neighboring communities seeking to implement AOT. - [Pathways to AOT](https://www.tac.org/aot_resources/pathways-to-aot/) - TAC-produced guidance on the various pathways participants take to enter AOT. - [Engagement Strategies for Non-Adherence](https://www.tac.org/aot_resources/engagement-strategies-for-non-adherence/) - TAC-produced guidance detailing methods to engage AOT participants struggling with treatment non-adherence. - [Inclusive Data Collection Guide](https://www.tac.org/aot_resources/inclusive-data-collection-guide/) - A guide of recommended questions published by the Omni Institute for collecting data inclusively and with respect and attention to individual's disability status and accessibility needs. As per the guide (page 2), Omni should be credited with a citation for all instances where their questions are being used. - [How Hospitals Can Improve Patient Outcomes Using AOT](https://www.tac.org/aot_resources/how-hospitals-can-improve-patient-outcomes-using-aot/) - TAC-developed overview of AOT and its benefits specifically tailored to hospitals. - [AOT Continuing Petition State of MI](https://www.tac.org/aot_resources/aot-continuing-petition-state-of-mi/) - Copy of the petition to continue AOT for a participant in the state of Michigan. - [AOT Petition State of MI](https://www.tac.org/aot_resources/aot-petition-state-of-mi/) - Copy of the initial petition for AOT from the state of Michigan. - [AOT Order Clinical Examination Report State of MI](https://www.tac.org/aot_resources/aot-order-clinical-examination-report-state-of-mi/) - Copy of the AOT petition that includes the clinical examination certificate from the state of Michigan. - [AOT Petition Second Order State of MI](https://www.tac.org/aot_resources/aot-petition-second-order-state-of-mi/) - Copy of the second AOT order for participants in the state of Michigan. - [AOT Local Meeting Flyer Template](https://www.tac.org/aot_resources/aot-local-meeting-flyer-template/) - TAC-produced flyer template to be edited and used as an invitation to a community collaborator meeting to explore AOT. Please feel welcome to download and edit the flyer for use in your community. - [Email Invitation from Judge](https://www.tac.org/aot_resources/email-invitation-from-judge/) - TAC-produced email invitation template to be edited and used as an email invitation to a community collaborator meeting to explore AOT. Please feel welcome to download and edit the email for use in your community. Designed to come from a judge. - [Treatment Provider Scope of Work NM AOC](https://www.tac.org/aot_resources/treatment-provider-scope-of-work-nm-aoc/) - Copy of the scope of work for treatment providers in AOT from the Administrative Office of the Courts in the state of New Mexico. - [Treatment Provider Agreement NM AOC](https://www.tac.org/aot_resources/treatment-provider-agreement-nm-aoc/) - Copy of the agreement for treatment providers in AOT from the Administrative Office of the Courts in the state of New Mexico. - [Role of the State AOT Program Coordinator](https://www.tac.org/aot_resources/role-of-the-state-aot-program-coordinator/) - TAC-developed guidance on the role of the state AOT coordinator, or person responsible for overseeing AOT programs at the state-level. - [AOT Brochure Albuquerque NM](https://www.tac.org/aot_resources/aot-brochure-albuquerque-nm/) - AOT brochure from second judicial district court in Albuquerque, NM. - [AOT Treatment Plan Template Bernalillo County NM](https://www.tac.org/aot_resources/aot-treatment-plan-template-bernalillo-county-nm/) - AOT treatment plan template from Bernalillo County, NM. - [Qualified Professional Contract Scope of Services NM](https://www.tac.org/aot_resources/qualified-professional-contract-scope-of-services-nm/) - Scope of work for qualified professional in AOT program Albuquerque, NM. - [Certificate of Examination 2 Wayne County OH](https://www.tac.org/aot_resources/certificate-of-examination-2-wayne-county-oh/) - Alternate version of certificate of examination from Wayne County, OH probate court. - [Certificate of Examination Wayne County OH](https://www.tac.org/aot_resources/certificate-of-examination-wayne-county-oh/) - Certificate of examination from Wayne County, OH probate court. - [Outpatient Commitment Supplement Wayne County OH](https://www.tac.org/aot_resources/outpatient-commitment-supplement-wayne-county-oh/) - Outpatient commitment supplement form from Wayne County, OH. - [Certificate of Examination Wayne County OH Probate Court](https://www.tac.org/aot_resources/certificate-of-examination-wayne-county-oh-probate-court/) - A certificate of examination form from the Wayne County, OH Probate Court under Judge Latecia E. Wiles. - [Outpatient Commitment Criteria Checklist Wayne County OH](https://www.tac.org/aot_resources/outpatient-commitment-criteria-checklist-wayne-county-oh/) - Copy of the checklist assessing an individual's eligibility for AOT under Ohio statute. - [Wayne County OH AOT Participant Handbook](https://www.tac.org/aot_resources/wayne-county-oh-aot-participant-handbook/) - AOT participant handbook from Wayne County, OH. - [Affidavit of Refusal of Evaluation Wayne County OH](https://www.tac.org/aot_resources/affidavit-of-refusal-of-evaluation-wayne-county-oh/) - Affidavit of refusal of doctor's evaluation from Wayne County, OH probate court. - [Case History of Mental Illness Wayne County OH](https://www.tac.org/aot_resources/case-history-of-mental-illness-wayne-county-oh/) - Case history of mental illness form from Wayne County, OH probate court. - [AOT Compliance Summary Report Wayne County OH Probate Court](https://www.tac.org/aot_resources/aot-compliance-summary-report-wayne-county-oh-probate-court/) - Blank report assessing AOT participant compliance in Wayne County, OH. - [AOT Procedures Wayne County OH Probate Court](https://www.tac.org/aot_resources/aot-procedures-wayne-county-oh-probate-court/) - Copy of the policies and procedures for outpatient commitment in Wayne County, OH. - [AOT Treatment Agreement Wayne County OH](https://www.tac.org/aot_resources/aot-treatment-agreement-wayne-county-oh/) - Copy of the treatment agreement for AOT participants in Wayne County, OH. This is an agreement of understanding the requirements of the court order. AOT participants are not required to agree to treatment. - [AOT Order from Washoe County, NV](https://www.tac.org/aot_resources/aot-order-from-washoe-county-nv/) - Copy of the AOT order court form from Washoe County, NV. - [Provider Expectations Trumbull County OH](https://www.tac.org/aot_resources/provider-expectations-trumbull-county-oh/) - Outpatient provider expectations from Trumbull county, OH. - [Admin Order for Disclosure of PHI Travis County TX](https://www.tac.org/aot_resources/admin-order-for-disclosure-of-phi-travis-county-tx/) - Administrative order granting release of protected health information in mental health cases from Travis County, TX. - [Modified Order for AOT by Recommendation Travis County TX](https://www.tac.org/aot_resources/modified-order-for-aot-by-recommendation-travis-county-tx/) - Order modifying current order for inpatient mental health services from Travis County, TX probate court. - [AOT Treatment Plan Sample Tarrant County TX](https://www.tac.org/aot_resources/aot-treatment-plan-sample-tarrant-county-tx/) - Sample AOT treatment plan from MHMR Tarrant County (TX). - [Lead Peer Support Specialist Job Description Tarrant County TX](https://www.tac.org/aot_resources/lead-peer-support-specialist-job-description-tarrant-county-tx/) - Job description for lead mental health peer support specialist from MHMR Tarrant County (TX). - [Mental Health Peer Specialist Job Description Tarrant County TX](https://www.tac.org/aot_resources/mental-health-peer-specialist-job-description-tarrant-county-tx/) - Peer specialist job description from Tarrant County, TX. - [Peer Support Specialist Job Description Tarrant County TX](https://www.tac.org/aot_resources/peer-support-specialist-job-description-tarrant-county-tx/) - Peer support specialist job description from MHMR Tarrant County, TX. - [AOT Application for Continued Commitment Summit County OH](https://www.tac.org/aot_resources/aot-application-for-continued-commitment-summit-county-oh/) - Summit County OH AOT Application for Continued Commitment. - [Case Manager's Monthly Report Summit County OH](https://www.tac.org/aot_resources/case-managers-monthly-report-summit-county-oh/) - Summit County OH Case Manager's Monthly Report. - [Outpatient Commitment Notice of Expiration Summit County OH](https://www.tac.org/aot_resources/outpatient-commitment-notice-of-expiration-summit-county-oh/) - Summit County OH Outpatient Commitment Notice of Expiration. - [Outpatient Commitment Policies and Procedures Summit County OH](https://www.tac.org/aot_resources/outpatient-commitment-policies-and-procedures-summit-county-oh/) - Outpatient commitment policies and procedures from Summit County, OH. - [Request for Emergency Evaluation Summit County OH](https://www.tac.org/aot_resources/request-for-emergency-evaluation-summit-county-oh/) - Summit County OH Request for Emergency Evaluation. - [AOT Brochure Summit County OH](https://www.tac.org/aot_resources/aot-brochure-summit-county-oh/) - AOT brochure from Summit County, OH Probate Court (New Day Court). - [New Day Court Participant Handbook](https://www.tac.org/aot_resources/new-day-court-participant-handbook/) - AOT participant handbook from New Day Court in Summit County, OH. - [Civil Commitment Procedure Outline Stark County OH](https://www.tac.org/aot_resources/civil-commitment-procedure-outline-stark-county-oh/) - Civil committment procedure outline from Stark County, OH. - [AOT Brochure Seminole County FL](https://www.tac.org/aot_resources/aot-brochure-seminole-county-fl/) - Seminole County FL AOT Brochure. - [AOT Coordinator Position Description Seminole County FL](https://www.tac.org/aot_resources/aot-coordinator-position-description-seminole-county-fl/) - Position description for AOT program coordinator. - [Order Modifying Inpatient to Outpatient Sedgwick County KS](https://www.tac.org/aot_resources/order-modifying-inpatient-to-outpatient-sedgwick-county-ks/) - Order modifying inpatient treatment to outpatient treatment and participation in AOT program from Sedgwick County, KS. - [Recommendation for AOT Sedgwick County KS](https://www.tac.org/aot_resources/recommendation-for-aot-sedgwick-county-ks/) - Recommendation for AOT from Sedgwick County, KS. - [AOT Brochure San Luis Obispo CA](https://www.tac.org/aot_resources/aot-brochure-san-luis-obispo-ca/) - Copy of the AOT brochure from San Luis Obispo, CA. - [Affidavit of Mental Illness Richland County OH](https://www.tac.org/aot_resources/affidavit-of-mental-illness-richland-county-oh/) - Affidavit of mental illness from Richland County, OH probate court. - [AOT Court Procedure Richland County OH](https://www.tac.org/aot_resources/aot-court-procedure-richland-county-oh/) - AOT court procedure document from Richland County, OH. - [AOT Program Manual Richland County OH](https://www.tac.org/aot_resources/aot-program-manual-richland-county-oh/) - AOT program manual from Richland County, OH. - [AOT Participant Handbook Porter County IN](https://www.tac.org/aot_resources/aot-participant-handbook-porter-county-in/) - Copy of handbook for AOT participants from Porter County, IN. - [Letter from AOT Judge Porter County, IN](https://www.tac.org/aot_resources/letter-from-aot-judge-porter-county-in/) - Copy of the introductory letter to AOT participants from the Judge in Porter County, IN. - [Non-Adherence Policies & Procedures Pawnee County KS](https://www.tac.org/aot_resources/non-adherence-policies-procedures-pawnee-county-ks/) - Non-adherence policies and procedures from Pawnee County, KS. - [AOT Patients Rights and Responsibilities Orleans Parish LA](https://www.tac.org/aot_resources/aot-patients-rights-and-responsibilities-orleans-parish-la/) - Manual for AOT participants in New Orleans, LA, produced by Orleans Civil District court. - [Petition for Involuntary Outpatient Civil Commitment Orleans Parish LA](https://www.tac.org/aot_resources/petition-for-involuntary-outpatient-civil-commitment-orleans-parish-la/) - Petition for civil involuntary outpatient treatment pursuant to LSA R.S. 28:66 et seq and request for psychiatric evaluation from Orleans Parish, LA. - [AOT Brochure Ozark Center MO](https://www.tac.org/aot_resources/aot-brochure-ozark-center-mo/) - AOT brochure from Ozark Center in Joplin, MO. - [AOT Treatment Plan Nevada County CA](https://www.tac.org/aot_resources/aot-treatment-plan-nevada-county-ca/) - Nevada County Behavioral Health AOT Treatment Plan. - [AOT Referral Form Nevada County CA](https://www.tac.org/aot_resources/aot-referral-form-nevada-county-ca/) - Nevada County CA AOT Referral Form. - [AOT Compliance and Monitoring Milwaukee County WI](https://www.tac.org/aot_resources/aot-compliance-and-monitoring-milwaukee-county-wi/) - Compiance and monitoring policy for Milwaukee County AOT; produced by Milwaukee County Community Access to Recovery Services (CARS), Milwaukee County Behavioral Health Division. - [AOT Evaluation Plan Policy Milwaukee County WI](https://www.tac.org/aot_resources/aot-evaluation-plan-policy-milwaukee-county-wi/) - Evaluation plan for Milwaukee County AOT; produced by Milwaukee County Community Access to Recovery Services (CARS), Milwaukee County Behavioral Health Division. - [AOT Implementation Committee Policy Milwaukee County WI](https://www.tac.org/aot_resources/aot-implementation-committee-policy-milwaukee-county-wi/) - Scope of work for CARS AOT Implementation Committee for Milwaukee County AOT; produced by Milwaukee County Community Access to Recovery Services (CARS), Milwaukee County Behavioral Health Division. - [AOT Non-Adherence Policy Milwaukee County WI](https://www.tac.org/aot_resources/aot-non-adherence-policy-milwaukee-county-wi/) - Non-adherence policy for Milwaukee County AOT; produced by Milwaukee County Community Access to Recovery Services (CARS), Milwaukee County Behavioral Health Division. - [AOT Program Administration Policy Milwaukee County WI](https://www.tac.org/aot_resources/aot-program-administration-policy-milwaukee-county-wi/) - AOT program administration policy for Milwaukee County AOT; produced by Milwaukee County Community Access to Recovery Services (CARS), Milwaukee County Behavioral Health Division. - [AOT Program Enrollment Policy Milwaukee County WI](https://www.tac.org/aot_resources/aot-program-enrollment-policy-milwaukee-county-wi/) - AOT program enrollment policy for Milwaukee County AOT; produced by Milwaukee County Community Access to Recovery Services (CARS), Milwaukee County Behavioral Health Division. - [AOT Program Extension Discharge Policy Milwaukee County WI](https://www.tac.org/aot_resources/aot-program-extension-discharge-policy-milwaukee-county-wi/) - AOT program extension discharge policy for Milwaukee County AOT; produced by Milwaukee County Community Access to Recovery Services (CARS), Milwaukee County Behavioral Health Division. - [Peer Specialist Job Evaluation Questionnaire Milwaukee County WI](https://www.tac.org/aot_resources/peer-specialist-job-evaluation-questionnaire-milwaukee-county-wi/) - Milwaukee County job evaluation questionnaire for peer support specialists. - [AOT Brochure LA County CA](https://www.tac.org/aot_resources/aot-brochure-la-county-ca/) - LA County CA AOT Brochure. - [AOT Referral Form LA County CA](https://www.tac.org/aot_resources/aot-referral-form-la-county-ca/) - AOT referral form from LA County, CA. - [AOT Referral Form Johnson County IA](https://www.tac.org/aot_resources/aot-referral-form-johnson-county-ia/) - AOT referral form from Johnson County, IA. - [AOT Manual Johnson County KS](https://www.tac.org/aot_resources/aot-manual-johnson-county-ks/) - AOT Manual for Johnson County, KS. - [Mental Health Peer Services Staff Expectations Harris County TX](https://www.tac.org/aot_resources/mental-health-peer-services-staff-expectations-harris-county-tx/) - Staff expectations document for MH peer services in Harris County, TX. - [Mental Health Peer Specialist Job Description Harris County TX](https://www.tac.org/aot_resources/mental-health-peer-specialist-job-description-harris-county-tx/) - Peer specialist job description from Harris County, TX. - [Evolution of the AOT Program Through A Social Work Lens](https://www.tac.org/aot_resources/evolution-of-the-aot-program-through-a-social-work-lens/) - 2024 journal article highlighting the Houston AOT model by Robin E. Gearing. - [AOT Monthly Committee Meeting Harris County TX](https://www.tac.org/aot_resources/aot-monthly-committee-meeting-harris-county-tx/) - Copy of the agenda from Harris County, TX's monthly AOT meetings. - [Application for Voluntary Treatment Post-AOT Hamilton County OH](https://www.tac.org/aot_resources/application-for-voluntary-treatment-post-aot-hamilton-county-oh/) - Post-AOT application for voluntary treatment from Hamilton County, OH. - [Case Manager's Report Hamilton County OH](https://www.tac.org/aot_resources/case-managers-report-hamilton-county-oh/) - AOT case manager's report from Hamilton County, OH. - [Physician Evaluation Hamilton County OH](https://www.tac.org/aot_resources/physician-evaluation-hamilton-county-oh/) - Hamilton County, OH AOT petition evaluation. - [Request for AOT Dismissal Hamilton County OH](https://www.tac.org/aot_resources/request-for-aot-dismissal-hamilton-county-oh/) - Request for dismissal from AOT program from Hamilton County, OH. - [Request for Continuance Hamilton County OH](https://www.tac.org/aot_resources/request-for-continuance-hamilton-county-oh/) - Request for continuation in AOT program from Hamilton County, OH. - [Treatment Plan Hamilton County OH](https://www.tac.org/aot_resources/treatment-plan-hamilton-county-oh/) - AOT treatment plan form from Hamilton County, OH. - [Affidavit Filing Instructions Hamilton County OH](https://www.tac.org/aot_resources/affidavit-filing-instructions-hamilton-county-oh/) - Guidelines for filing affidavits related to the civil commitment process of mentally ill and intellectually disabled individuals in Hamilton County, OH. - [Franklin County Care Conference Script](https://www.tac.org/aot_resources/franklin-county-care-conference-script/) - Copy of a guiding script for AOT judges. From Franklin County, OH. - [AOT MOU Four County, KS](https://www.tac.org/aot_resources/aot-mou-four-county-ks/) - Copy of the MOU (memorandum of understanding) between Four County Mental Health and a grant partner for their AOT program. - [Case Manager Position Description Essex County NJ](https://www.tac.org/aot_resources/case-manager-position-description-essex-county-nj/) - Position description for AOT program case manager. - [Program Director Position Description Essex County NJ](https://www.tac.org/aot_resources/program-director-position-description-essex-county-nj/) - Position description for AOT program director. - [Psychiatrist Position Description Essex County NJ](https://www.tac.org/aot_resources/psychiatrist-position-description-essex-county-nj/) - Position description for AOT program psychiatrist. - [AOT Case Manager Job Description Essex County NJ](https://www.tac.org/aot_resources/aot-case-manager-job-description-essex-county-nj/) - Case manager job description for AOT in Essex County, NJ. - [Video for AOT Stakeholders Doña Ana County NM](https://www.tac.org/aot_resources/video-for-aot-stakeholders-dona-ana-county-nm/) - A video from Doña Ana County, NM introducing stakeholders to AOT. - [Video for New AOT Participants Doña Ana County NM](https://www.tac.org/aot_resources/video-for-new-aot-participants-dona-ana-county-nm/) - A video from Doña Ana County, NM introducing new participants to AOT. - [Background Information for Order to Convey](https://www.tac.org/aot_resources/background-information-for-order-to-convey/) - Background Information for Order to Convey from Cuyahoga County, OH. - [Probate Court OPC One Pager Cuyahoga County OH](https://www.tac.org/aot_resources/probate-court-opc-one-pager-cuyahoga-county-oh/) - AOT one-pager from Cuyahoga County, OH probate court. - [Probate Court Participant Expectations Cuyahoga County OH](https://www.tac.org/aot_resources/probate-court-participant-expectations-cuyahoga-county-oh/) - Outpatient civil commitment participant expectations for Cuyahoga County, OH probate court. - [AOT Certificate of Evaluation Butler County OH](https://www.tac.org/aot_resources/aot-certificate-of-evaluation-butler-county-oh/) - Butler County OH AOT Certificate of Evaluation. - [AOT Monitor Position Description Butler County OH](https://www.tac.org/aot_resources/aot-monitor-position-description-butler-county-oh/) - Position description for AOT monitor. - [AOT Monitor's Report to the Court Butler County OH](https://www.tac.org/aot_resources/aot-monitors-report-to-the-court-butler-county-oh/) - Butler County OH AOT Monitor's Report to the Court. - [AOT Patient Monitoring Goal Butler County OH](https://www.tac.org/aot_resources/aot-patient-monitoring-goal-butler-county-oh/) - Goals for patient monitoring in Butler County, OH. - [Psychiatric Evaluation for Continued Commitment Butler County OH](https://www.tac.org/aot_resources/psychiatric-evaluation-for-continued-commitment-butler-county-oh/) - Sample form for psychiatric evaluation to support continued commitment from Butler County, OH. - [AOT Petition Bexar County TX](https://www.tac.org/aot_resources/aot-petition-bexar-county-tx/) - Application four Court-Ordered Outpatient Mental Health Services. - [Application for Temporary Detention Bexar County TX](https://www.tac.org/aot_resources/application-for-temporary-detention-bexar-county-tx/) - Application for temporary detention from Bexar County Probate Court in TX. - [Bexar County Physician Certification](https://www.tac.org/aot_resources/bexar-county-physician-certification/) - Physician's Certification of Medical Examination for Court Ordered Mental Illness. - [Bexar County, TX AOT Daily Operational Flow](https://www.tac.org/aot_resources/bexar-county-tx-aot-daily-operational-flow/) - Bexar County, TX AOT Daily Operational Flow. - [Bexar County, TX AOT Referral Instructions](https://www.tac.org/aot_resources/bexar-county-tx-aot-referral-instructions/) - Bexar County, TX AOT Referral Instructions. - [Court Order Modification to Inpatient Commitment Bexar County TX](https://www.tac.org/aot_resources/court-order-modification-to-inpatient-commitment-bexar-county-tx/) - Bexar County Motion to Modify Order for Temporary Outpatient to Temporary Inpatient Commitment for Mental Illness. - [Hearing Notification Bexar County TX](https://www.tac.org/aot_resources/hearing-notification-bexar-county-tx/) - Notice of Hearing on Application for Court-Ordered Out-Patient Mental Health Services. - [Motion to Modify order for Extended Inpatient Commitment to Outpatient Commitment](https://www.tac.org/aot_resources/motion-to-modify-order-for-extended-inpatient-commitment-to-outpatient-commitment/) - This is a Motion to Modify order for Extended Inpatient Commitment to Outpatient Commitment from Bexar County, TX. - [Motion to Modify order for Temporary Inpatient Commitment to Outpatient Commitment](https://www.tac.org/aot_resources/motion-to-modify-order-for-temporary-inpatient-commitment-to-outpatient-commitment/) - This is a Motion to Modify order for Temporary Inpatient Commitment to Outpatient Commitment from Bexar County, TX. - [Motion to Modify order from Extended Outpatient to Inpatient Bexar County TX](https://www.tac.org/aot_resources/motion-to-modify-order-from-extended-outpatient-to-inpatient-bexar-county-tx/) - Motion to Modify Order for Extended Outpatient to Inpatient Commitment for Mental Illness. - [Notification of Discharge Bexar County TX](https://www.tac.org/aot_resources/notification-of-discharge-bexar-county-tx/) - Request by Court to hospital for notification of patient's discharge within a week, but no later than 48 hours of patient's actual discharge from the hospital. - [Order for Extended Outpatient Mental Health Services Bexar County TX](https://www.tac.org/aot_resources/order-for-extended-outpatient-mental-health-services-bexar-county-tx/) - Copy of Order for Extended Outpatient Mental Health Services from Bexar County TX. - [Request Notice of Discharge from Hospital Bexar County TX](https://www.tac.org/aot_resources/request-notice-of-discharge-from-hospital-bexar-county-tx/) - Bexar County TX Request Notice of Discharge from Hospital. - [AOT Order Upon Application and Related Documents Bexar County TX](https://www.tac.org/aot_resources/aot-order-upon-application-and-related-documents-bexar-county-tx/) - AOT order for temporary outpatient services from Bexar County (TX) Probate Court. - [AOT Order Upon Application Bexar County TX](https://www.tac.org/aot_resources/aot-order-upon-application-bexar-county-tx/) - AOT order of judgement for outpatient mental health services from Bexar County (TX) Probate Court. - [Order for Temporary Detention Bexar County TX](https://www.tac.org/aot_resources/order-for-temporary-detention-bexar-county-tx/) - Order for temporary detention from Bexar County, TX. - [AOT Screening Checklist Bernalillo County NM](https://www.tac.org/aot_resources/aot-screening-checklist-bernalillo-county-nm/) - Screening checklist for AOT; produced by AOT Bernalillo County, NM. - [QP Affidavit for AOT Bernalillo County NM](https://www.tac.org/aot_resources/qp-affidavit-for-aot-bernalillo-county-nm/) - Affidavit of qualified professional for AOT in Bernalillo County, NM. - [MOU Bernalillo County, NM](https://www.tac.org/aot_resources/mou-albuquerque-nm/) - Copy of the MOU (memorandum of understanding) between the city of Albuquerque and the New Mexico Second Judicial District Court for the establishment of an AOT pilot program. - [Notification of Important Concern Bernalillo County, NM](https://www.tac.org/aot_resources/notification-of-important-concern-bernalillo-county-nm/) - Court form from Bernalillo County, NM that formally notifies court of an important concern regarding an AOT participant. - [Case Manager Report to Court Bernalillo County, NM](https://www.tac.org/aot_resources/case-manager-report-to-court-bernalillo-county-nm/) - Copy of the case manager's report to the court from Bernalillo County, NM. - [QP Scope of Services Bernalillo County, NM](https://www.tac.org/aot_resources/qp-scope-of-services-bernalillo-county-nm/) - Details the scope of services in the purview of the qualified professional in AOT from Bernalillo County, NM. - [Quarterly Adherence Summary Bernalillo County, NM](https://www.tac.org/aot_resources/quarterly-adherence-summary-bernalillo-county-nm/) - A court form detailing an AOT participant's adherence to treatment from Bernalillo County, NM. - [AOT Brochure Bergen County NJ](https://www.tac.org/aot_resources/aot-brochure-bergen-county-nj/) - Bergen County NJ AOT Brochure. - [AOT Process Outline Bergen County NJ](https://www.tac.org/aot_resources/aot-process-outline-bergen-county-nj/) - Outline of AOT process from Bergen County, NJ mental health care provider CarePlus New Jersey. - [AOT Referral Form Bergen County NJ](https://www.tac.org/aot_resources/aot-referral-form-bergen-county-nj/) - Bergen County NJ AOT Referral Form. - [AOT Brochure Baldwin County AL](https://www.tac.org/aot_resources/aot-brochure-baldwin-county-al/) - Baldwin County AL AOT Brochure. - [AOT Brochure AltaPointe Health Baldwin County AL](https://www.tac.org/aot_resources/aot-brochure-altapointe-health-baldwin-county-al/) - AOT brochure from AltaPointe Health Systems in Baldwin County, AL. - [Treatment of Co-occurring Substance Use in AOT](https://www.tac.org/aot_resources/treatment-of-co-occurring-substance-use-in-aot/) - TAC-developed brief on the treatment of co-occurring substance use disorders in AOT. - [AOT Participant Handbook in Spanish Laredo TX](https://www.tac.org/aot_resources/aot-participant-handbook-in-spanish-laredo-tx/) - Copy of the Spanish version of the AOT participant handbook from the AOT program in Laredo, TX. - [Benefits of AOT Flyer in Spanish Laredo TX](https://www.tac.org/aot_resources/benefits-of-aot-flyer-in-spanish-laredo-tx/) - Copy of the Spanish version of a flyer explaining the benefits of AOT from the Laredo, Texas AOT program. - [AOT Brochure in Spanish Laredo TX](https://www.tac.org/aot_resources/aot-brochure-in-spanish-laredo-tx/) - Copy of the Spanish version of the AOT brochure from the AOT program in Laredo, TX. - [AOT Welcome Card in Spanish Laredo TX](https://www.tac.org/aot_resources/aot-welcome-card-in-spanish-laredo-tx/) - Copy of the Spanish version of a welcome card for new participants from the Laredo, Texas AOT program. - [2025 AOT Brochure from Kentucky](https://www.tac.org/aot_resources/2025-aot-brochure-from-kentucky/) - Copy of 2025 AOT brochure from the state of Kentucky. - [AOT Glossary](https://www.tac.org/aot_resources/aot-glossary/) - TAC-developed resource providing definitions for terms frequently used in the practice of AOT. - [Sample Quarterly AOT Stakeholder Meeting Agenda](https://www.tac.org/aot_resources/sample-quarterly-aot-stakeholder-meeting-agenda/) - TAC-produced sample quarterly AOT stakeholder meeting agenda. - [Typical Roles and Responsibilities for AOT Collaborators](https://www.tac.org/aot_resources/typical-roles-and-responsibilities-for-aot-collaborators/) - TAC-produced guide to the typical roles and responsibilities of AOT team members and collaborators. While programs vary greatly in structure, these core team members are typically essential to program success. - [AOT Participant Handbook Template](https://www.tac.org/aot_resources/aot-participant-handbook-template/) - AOT Participant Handbook Template created by Treatment Advocacy Center. - [AOT Referral Form Template](https://www.tac.org/aot_resources/sample-aot-referral-form/) - Blank form that serves as a customizable template for an AOT referral form. - [Housing Operators Resource](https://www.tac.org/aot_resources/housing-operators-resource/) - This TAC-developed resource educates housing operators on how AOT can help them feel confident about housing people with SMI. - [Evaluating AOT Programs: Getting Started](https://www.tac.org/aot_resources/evaluating-aot-programs-getting-started/) - This paper is a guide for assisted outpatient treatment (AOT) evaluators written by Treatment Advocacy Center (TAC) in collaboration with several experienced AOT evaluators across the United States. It covers several essential topics for AOT evaluation including identifying data sources, collaborating with key stakeholders, and process evaluations. - [Flow Chart for AOT Participants](https://www.tac.org/aot_resources/flow-chart-for-aot-participants/) - Resource developed in tandem with the American Psychiatric Association for SMI Adviser, an online open-access serious mental illness resource. Provides general example of a flow chart showing the movement of AOT participants through the program. - [State AOT Coordinator PD MD](https://www.tac.org/aot_resources/state-aot-coordinator-pd-baltimore-md/) - A position description for the State AOT Coordinator posted by the city of Baltimore, MD. - [Dismissal Criteria from AOT](https://www.tac.org/aot_resources/dismissal-criteria-from-aot/) - TAC-produced document advising AOT programs on when it is appropriate to dismiss the AOT order. - [AOT Manual Carelon Behavioral Health State of WA](https://www.tac.org/aot_resources/aot-manual-carelon-behavioral-health-state-of-wa/) - Copy of the AOT manual developed for the state of WA by Carelon Behavioral Health. - [AOT Assessment Form Northern NV Adult Mental Health](https://www.tac.org/aot_resources/aot-assessment-form-northern-nv-adult-mental-health/) - Copy of the assessment form used for AOT by Northern Nevada Adult Mental Health Services. - [Treatment Plan Northern NV Adult Mental Health](https://www.tac.org/aot_resources/treatment-plan-northern-nv-adult-mental-health/) - Copy of the treatment plan used for AOT by Northern Nevada Adult Mental Health Services. - [KY AOT Brochure](https://www.tac.org/aot_resources/ky-aot-brochure/) - State of KY AOT brochure. - [AOT Participant Interview Guide](https://www.tac.org/aot_resources/aot-participant-interview-guide/) - Treatment Advocacy Center's guide to interviewing participants in AOT programs, including example interview questions. - [RTI AOT Client Interview Instrument](https://www.tac.org/aot_resources/aot-participant-interview-resource/) - This Client Interview Instrument was developed by researchers from RTI International to ask AOT participants about a range of experiences that may be useful for evaluating the effectiveness of the AOT program. - [TAC AOT Data Collection Guide](https://www.tac.org/aot_resources/tac-aot-data-collection-guide/) - TAC-produced guide to data collection & evaluation for AOT. - [AOT Family Satisfaction Survey](https://www.tac.org/aot_resources/aot-family-satisfaction-survey/) - Treatment Advocacy Center's satisfaction survey for family members of participants in AOT programs. - [TAC Texas AOT Guide](https://www.tac.org/aot_resources/tac-texas-aot-guide/) - 2022 edition of the Texas AOT Pracitioner's Guide. Developed by Treatment Advocacy Center in tandem with NAMI Texas and Texas Tech University's School of Law. - [Supported Employment Extended Assessment GA DBHDD](https://www.tac.org/aot_resources/supported-employment-extended-assessment-ga-dbhdd/) - Copy of the extended version of the assessment given to AOT clients referred to supported employment. - [Sample Initial AOT Meeting Agenda](https://www.tac.org/aot_resources/sample-initial-aot-meeting-agenda-2/) - TAC-produced sample initial AOT stakeholder meeting agenda. - [Georgia AOT Participant Handbook](https://www.tac.org/aot_resources/georgia-aot-participant-handbook/) - Copy of the AOT participant handbook from the state of GA. - [Essential Elements Worksheet](https://www.tac.org/aot_resources/essential-elements-worksheet/) - TAC-produced Essential Elements worksheet. Used to assess your AOT program's incorporation of the Essential Elements. - [Vocational Assessment for Supported Employment Georgia DBHDD](https://www.tac.org/aot_resources/vocational-assessment-for-supported-employment-georgia-dbhdd/) - Copy of the assessment given to AOT participants being referred to supported employment services in the state of GA. - [Building Blocks Worksheet](https://www.tac.org/aot_resources/building-blocks-worksheet/) - TAC-produced Building Blocks worksheet. Provides a step-by-step guide to implementing AOT in the community. - [Eligibility Criteria for AOT Checklist](https://www.tac.org/aot_resources/eligibility-criteria-for-aot-checklist/) - TAC-produced eligibility criteria considerations for AOT. - [Georgia AOT Framework](https://www.tac.org/aot_resources/georgia-aot-framework/) - Copy of the framework outlining AOT implementation in the state of Georgia. - [AOT Policies and Procedures Worksheet](https://www.tac.org/aot_resources/aot-policies-and-procedures-worksheet/) - Worksheet for developing AOT policies and procedures, developed by TAC. - [AOT Implementation White Paper Summary](https://www.tac.org/aot_resources/aot-implementation-white-paper-summary/) - Executive Summary of AOT Implementation White Paper. - [AOT Guide for Families](https://www.tac.org/aot_resources/aot-guide-for-families/) - AOT Guide for Families by Treatment Advocacy Center. - [Critical Gaps in Assisted Outpatient Treatment Research in the United States](https://www.tac.org/aot_resources/critical-gaps-in-assisted-outpatient-treatment-research-in-the-united-states/) - Academic point of view article calling for more research on Assisted Outpatient Treatment. Published by TAC staff in tandem with other authors in April of 2024. - [HIPAA and AOT FAQs](https://www.tac.org/aot_resources/hipaa-and-aot-faqs/) - Answers frequently asked questions regarding AOT and HIPAA. - [Civil Commitment for Opioid and Other Substance Use Disorders: Does it Work?](https://www.tac.org/aot_resources/civil-commitment-for-opioid-and-other-substance-use-disorders-does-it-work/) - Article published in 2018 by APA on the effectiveness of civil commitment for SUD. - [Client Outcomes on Involuntary Treatment for Substance Abuse in WA](https://www.tac.org/aot_resources/client-outcomes-on-involuntary-treatment-for-substance-abuse-in-wa/) - Article published in 2023 by the WA State Institute for Public Policy on client oucomes for those in involuntary treatment for substance abuse. - [TAC AOT Treatment Plan Template](https://www.tac.org/aot_resources/tac-aot-treatment-plan-template/) - TAC-produced AOT treatment plan template. - [TAC Co-occuring Disorders Evidence Brief](https://www.tac.org/aot_resources/tac-co-occuring-disorders-evidence-brief/) - TAC-produced evidence brief on SMI & Co-occurring SUD. - [Texas AOT Treatment Plan](https://www.tac.org/aot_resources/texas-aot-treatment-plan/) - AOT treatment plan form from state of TX. - [Transport Order State of KY](https://www.tac.org/aot_resources/transport-order-state-of-ky/) - Transport order for AOT participants in the state of KY. - [What Families Need You to Know Open Letter](https://www.tac.org/aot_resources/what-families-need-you-to-know-open-letter/) - Open letter to AOT judges, providers, and others with jobs that serve people with SMI. - [Sample Certificate of Completion](https://www.tac.org/aot_resources/sample-certificate-of-completion/) - Sample AOT graduation certificate. - [Psychiatric Evaluation for Continued AOT Template](https://www.tac.org/aot_resources/psychiatric-evaluation-for-continued-aot-template/) - Psychiatric evaluation for continuation on community probate (AOT). - [Petition for AOT State of KY](https://www.tac.org/aot_resources/petition-for-aot-state-of-ky/) - Petition for court-ordered AOT from the state of KY. - [Motion for Modification of Order for Inpatient Services State of TX](https://www.tac.org/aot_resources/motion-for-modification-of-order-for-inpatient-services-state-of-tx/) - Motion for modification of order for inpatient mental health services (AOT program) for state of TX. - [Georgia Behavioral Health Provider Manual](https://www.tac.org/aot_resources/georgia-behavioral-health-provider-manual/) - Provider manual for community behavioral health providers for the GA department of behavioral health & developmental disabilities. - [Guide to Working with Involuntary Clients](https://www.tac.org/aot_resources/guide-to-working-with-involuntary-clients/) - A guide to working with involuntary and mandated clients. - [Judgement & Order Court Form for AOT State of KY](https://www.tac.org/aot_resources/judgement-order-court-form-for-aot-state-of-ky/) - State of KY: Judgment and order for court-ordered AOT. - [Louisiana AOT Law Statute (Nicola's Law)](https://www.tac.org/aot_resources/louisiana-aot-law-statute-nicolas-law/) - AOT statute from LA (Nicola's Law). - [Medication List Template](https://www.tac.org/aot_resources/medication-list-template/) - Medication list template. - [Evaluation for AOT Court Form State of KY](https://www.tac.org/aot_resources/evaluation-for-aot-court-form-state-of-ky/) - Evaluation certification for court-ordered AOT from State of KY. - [Findings of Probable Cause for AOT Court Form State of KY](https://www.tac.org/aot_resources/findings-of-probable-cause-for-aot-court-form-state-of-ky/) - Court-ordered AOT in KY: Findings of probable cause and order setting, evaluation, appointing counsel, and setting hearing. - [GA AOT FAQs](https://www.tac.org/aot_resources/ga-aot-faqs/) - AOT FAQs from the state of GA. - [General AOT Brochure Template State of KS](https://www.tac.org/aot_resources/general-aot-brochure-template-state-of-ks/) - State of KS AOT brochure. - [AOT Semi-Annual SAMSHA Report Northern Nevada Adult Mental Health Services](https://www.tac.org/aot_resources/aot-semi-annual-samsha-report-northern-nevada-adult-mental-health-services/) - AOT Report for SAMSHA Nevada. - [AOT Summons State of KY](https://www.tac.org/aot_resources/aot-summons-state-of-ky/) - Court-ordered assisted outpatient treatment summons for the state of KY. - [Application for Emergency Admission State of OH](https://www.tac.org/aot_resources/application-for-emergency-admission-state-of-oh/) - State of Ohio application for emergency hospital admission under court order. - [AOT Referral Form Northern Nevada Adult Mental Health](https://www.tac.org/aot_resources/aot-referral-form-northern-nevada-adult-mental-health/) - AOT referral form from Northern Nevada Adult Mental Health Services. - [AOT Research Summary for Int'l Association of Chiefs of Police](https://www.tac.org/aot_resources/aot-research-summary-for-intl-association-of-chiefs-of-police/) - AOT research summary for the International Association of Chiefs of Police. - [AOT Research Summary Info Graphic](https://www.tac.org/aot_resources/aot-research-summary-info-graphic/) - Info graphic with AOT research highlights, produced by TAC. - [AOT Outcomes Summary](https://www.tac.org/aot_resources/aot-outcomes-summary/) - TAC's research summary for AOT outcomes. - [AOT Participant Manual State of KY](https://www.tac.org/aot_resources/aot-participant-manual-state-of-ky/) - Manual for AOT participants from state of KY. - [AOT for CIT Officers](https://www.tac.org/aot_resources/aot-for-cit-officers/) - Powerpoint presentation on the collaboration of AOT & CIT; presented by TAC & Ohio Criminal Justice Coordinating Center of Excellence. - [AOT Guidance for Program Operation New York State](https://www.tac.org/aot_resources/aot-guidance-for-program-operation-new-york-state/) - Guidance on AOT program operation from the New York Office of Mental health; issued May 2004. - [AOT Brochure Northern Nevada Adult Mental Health Services](https://www.tac.org/aot_resources/aot-brochure-northern-nevada-adult-mental-health-services/) - AOT brochure from Northern Nevada Adult Mental Health Services. - [AOT Brochure State of KS](https://www.tac.org/aot_resources/aot-brochure-state-of-ks/) - AOT brochure for the state of KS. - [AOT Application Template State of TX](https://www.tac.org/aot_resources/aot-application-template-state-of-tx/) - Application for temporary outpatient mental health services Texas state template. - [Why do psychiatric patients stop antipsychotic medication? A systematic review of reasons for nonadherence to medication in patients with serious mental illness.](https://www.tac.org/aot_resources/why-do-psychiatric-patients-stop-antipsychotic-medication-a-systematic-review-of-reasons-for-nonadherence-to-medication-in-patients-with-serious-mental-illness/) - 2017 review on reasons for nonadherence to medication in patients with serious mental illness. - [Seven Habits of Highly Effective Judges Webinar Video](https://www.tac.org/aot_resources/seven-habits-of-highly-effective-judges-webinar-video/) - Seven Habits of Highly Effective Judges Webinar Video presented by SAMSHA GAINS Center. - [State and Community Considerations for Demonstrating the Cost Effectiveness of AOT Services](https://www.tac.org/aot_resources/state-and-community-considerations-for-demonstrating-the-cost-effectiveness-of-aot-services/) - 2015 report on State and Community Considerations for Demonstrating the Cost Effectiveness of AOT Services. - [Stopping the Revolving Door Video](https://www.tac.org/aot_resources/stopping-the-revolving-door-video/) - Stopping the Revolving Door: A Civil Approach to Treating Severe Mental Illness. - [The Effectiveness of Outpatient Civil Commitment](https://www.tac.org/aot_resources/the-effectiveness-of-outpatient-civil-commitment/) - 1996 research article on the effectiveness of outpatient civil commitment. - [Trajectories of response to treatment with atypical antipsychotic medication in patients with schizophrenia pooled from six double-blind, randomized clinical trials](https://www.tac.org/aot_resources/trajectories-of-response-to-treatment-with-atypical-antipsychotic-medication-in-patients-with-schizophrenia-pooled-from-six-double-blind-randomized-clinical-trials/) - 2012 study on the trajectories of response to treatment with atypical antipsychotic medication in patients with schizophrenia pooled from six double-blind, randomized clinical trials. - [Typical AOT Program Costs](https://www.tac.org/aot_resources/typical-aot-program-costs/) - Info sheet of typical AOT program costs presented by Treatment Advocacy Center in tandem with SMI Advisor. - [Resource Document on Involuntary Outpatient Commitment and Related Programs of Assisted Outpatient Treatment](https://www.tac.org/aot_resources/resource-document-on-involuntary-outpatient-commitment-and-related-programs-of-assisted-outpatient-treatment/) - 2015 resource document on involuntary outpatient commitment and related programs of assisted outpatient treatment. - [SAMHSA Required National Outcomes Measures](https://www.tac.org/aot_resources/samhsa-required-national-outcomes-measures/) - SAMSHA National Outcome Measures (NOMs) Client-Level Measures for Discretionary Programs Providing Direct Services - question by question instruction guide for Adult Programs. - [Outpatient Commitment: A therapeutic jurisprudence analysis](https://www.tac.org/aot_resources/outpatient-commitment-a-therapeutic-jurisprudence-analysis/) - 2003 analysis on the therapeutic jurisprudence of outpatient commitment. - [Overcoming Dataphobia: The Power of Information in the Practice of AOT Webinar Video](https://www.tac.org/aot_resources/overcoming-dataphobia-the-power-of-information-in-the-practice-of-aot-webinar-video/) - Overcoming Dataphobia: The Power of Information in the Practice of AOT Webinar Video. - [NY AOT Guidance for Program Operation](https://www.tac.org/aot_resources/ny-aot-guidance-for-program-operation/) - NY State Office of Mental Health AOT Program Guidelines. - [Ohio AOT Data Collection Portal Test Site](https://www.tac.org/aot_resources/ohio-aot-data-collection-portal-test-site/) - Portal test site for OH AOT data collection. - [Ohio AOT Data Collection Portal User Guide](https://www.tac.org/aot_resources/ohio-aot-data-collection-portal-user-guide/) - Data entry user guide for OH AOT program. - [Ohio AOT Data Collection Portal Webinar Video](https://www.tac.org/aot_resources/ohio-aot-data-collection-portal-webinar-video/) - Ohio AOT Data Collection Portal Webinar Video. - [NAMI Ohio's Understanding Ohio's Court Ordered Outpatient Treatment Law](https://www.tac.org/aot_resources/nami-ohios-understanding-ohios-court-ordered-outpatient-treatment-law/) - NAMI guide on Ohio's court ordered outpatient treatment law. - [New Jersey Judges' Guide Involuntary Commitment](https://www.tac.org/aot_resources/new-jersey-judges-guide-involuntary-commitment/) - New Jersey Judges' Guide to Involuntary Commitment Code and Related Rule of the Court. - [New York State Assisted Outpatient Treatment Program Evaluation](https://www.tac.org/aot_resources/new-york-state-assisted-outpatient-treatment-program-evaluation/) - NY State AOT Program Evaluation from 2009. - [Implementation Status of Assisted Outpatient Treatment Programs: A National Survey](https://www.tac.org/aot_resources/implementation-status-of-assisted-outpatient-treatment-programs-a-national-survey/) - 2006 national survey on the status of AOT implementation across the country. - [Inpatient Stays Before and After Outpatient Commitment](https://www.tac.org/aot_resources/inpatient-stays-before-and-after-outpatient-commitment/) - 2006 article on inpatient stays before and after outpatient commitment. - [Iowa- Court Psychiatric Evaluation Form](https://www.tac.org/aot_resources/iowa-court-psychiatric-evaluation-form/) - Court ordered psychiatric evaluation form from Iowa. - [Judges Quick Reference Guide to Ohio Law on Civil Commitment](https://www.tac.org/aot_resources/judges-quick-reference-guide-to-ohio-law-on-civil-commitment/) - Quick reference guide for OH judges on Ohio's civil commitment law. - [Mental health court and assisted outpatient treatment: perceived coercion, procedural justice, and program impact](https://www.tac.org/aot_resources/mental-health-court-and-assisted-outpatient-treatment-perceived-coercion-procedural-justice-and-program-impact/) - 2014 article on perceived coercion, procedural justice, and program impact in mental health court and assisted outpatient treatment. - [Court Staffing Report TX](https://www.tac.org/aot_resources/court-staffing-report-tx/) - Report for court, completed by treatment provider, on progress of AOT participant. - [COVID-19 & AOT Discussion Video](https://www.tac.org/aot_resources/covid-19-aot-discussion-video/) - AOT & COVID-19 Discussion led by Brian Stettin. - [Florida Clinical Certificate to Accompany Petition](https://www.tac.org/aot_resources/florida-clinical-certificate-to-accompany-petition/) - A clinical certificate to accompany the AOT petition in court produced by the state of Florida. - [Guide to Laura's Law (AOT in CA)](https://www.tac.org/aot_resources/guide-to-lauras-law-aot-in-ca/) - Treatment Advocacy Center's guide to AOT, or Laura's Law, in California. - [Civil Commitment and the Mental Health Care Continuum: Historical Trends and Principles for Law and Practice by the Substance Abuse and Mental Health Services Administration](https://www.tac.org/aot_resources/civil-commitment-and-the-mental-health-care-continuum-historical-trends-and-principles-for-law-and-practice-by-the-substance-abuse-and-mental-health-services-administration/) - 2019 report on historical trends and principles for law and practice of civil commitment and where it fits on the mental health care continuum published by SAMSHA. - [Competency Restoration and AOT](https://www.tac.org/aot_resources/competency-restoration-and-aot/) - TAC-produced informational document on competency restoration and AOT. - [Cost of AOT: Can it Save States Money?](https://www.tac.org/aot_resources/cost-of-aot-can-it-save-states-money/) - 2013 research article on AOT cost savings in NY. - [AOT Release of Information State of OH](https://www.tac.org/aot_resources/aot-release-of-information-state-of-oh/) - Release of Information Form from OH State Department of Medicaid. - [AOT Treatment Plan Queens NY](https://www.tac.org/aot_resources/aot-treatment-plan-queens-ny/) - Queens NY AOT Treatment Plan. - [Assessing the New York City Involuntary Outpatient Commitment Pilot Program](https://www.tac.org/aot_resources/assessing-the-new-york-city-involuntary-outpatient-commitment-pilot-program/) - 2001 assessment of NYC involuntary outpatient commitment pilot program. - [Association Between Hospitalization and Delivery of Assisted Outpatient Treatment With and Without Assertive Community Treatment](https://www.tac.org/aot_resources/association-between-hospitalization-and-delivery-of-assisted-outpatient-treatment-with-and-without-assertive-community-treatment/) - 2019 report on the association between hospitalization and delivery of assisted outpatient treatment with and without assertive community treatment. - [AOT Release of Information State of NY](https://www.tac.org/aot_resources/aot-release-of-information-state-of-ny/) - Release of Information Form from NY State Office of Mental Health. - [AOT Monitors Discussion Group Video 6/30/2020](https://www.tac.org/aot_resources/aot-monitors-discussion-group-video-6-30-2020/) - AOT Monitors Web Chat from 6/30/20. - [AOT Implementation Manual - Ohio](https://www.tac.org/aot_resources/aot-implementation-manual-ohio/) - AOT Implementation Manual from Ohio. - [AOT Judge's Discussion Group Video 7/30/2020](https://www.tac.org/aot_resources/aot-judges-discussion-group-video-7-30-2020/) - AOT Judges Web Chat from 7/30/20. - [AOT Judges Kazen, Lu and Stormer Video](https://www.tac.org/aot_resources/aot-judges-kazen-lu-and-stormer-video/) - Interviews with three AOT judges video. - [AOT Modules Flyer](https://www.tac.org/aot_resources/aot-modules-flyer/) - Treatment Advocacy Center's flyer for the AOT Learning Modules developed in tandem with APA and accessible through SMI Advisor. - [AOT Brochure New York State](https://www.tac.org/aot_resources/aot-brochure-new-york-state/) - New York State AOT Brochure. - [A Comparison of Participants in Two Community-Based Programs: Assisted Outpatient Treatment and a Mental Health Court](https://www.tac.org/aot_resources/a-comparison-of-participants-in-two-community-based-programs-assisted-outpatient-treatment-and-a-mental-health-court/) - 2018 article comparing assisted outpatient treatment and mental health court. - [A Promising Start: Results from a California Survey Assessing the Use of Laura's Law](https://www.tac.org/aot_resources/a-promising-start-results-from-a-california-survey-assessing-the-use-of-lauras-law/) - 2019 report on the results from a California survey assessing the use of Laura's law across the state. - [A Randomized Controlled Trial of Outpatient Commitment in North Carolina](https://www.tac.org/aot_resources/a-randomized-controlled-trial-of-outpatient-commitment-in-north-carolina/) - 2001 report of controlled trial of outpatient commitment in NC. - [Adherence to antipsychotic therapy: Association with hospitalization and Medicare spending among Part D enrollees with schizophrenia.](https://www.tac.org/aot_resources/adherence-to-antipsychotic-therapy-association-with-hospitalization-and-medicare-spending-among-part-d-enrollees-with-schizophrenia/) - 2017 report on adherence on antipsychotic therapy and its association with hospitalization and medicare spending among Part D enrollees with schizophrenia. ## Categories - [Uncategorized](https://www.tac.org/category/uncategorized/) - [Latest News](https://www.tac.org/category/latest-news/) - [Personally Speaking](https://www.tac.org/category/personally-speaking/) - [Schizoaffective](https://www.tac.org/category/personally-speaking/schizoaffective/) - [Jail](https://www.tac.org/category/personally-speaking/jail/) - [AOT](https://www.tac.org/category/personally-speaking/aot/) - [Involuntary Commitment](https://www.tac.org/category/personally-speaking/involuntary-commitment/) - [Outpatient Commitment](https://www.tac.org/category/personally-speaking/outpatient-commitment/) - [Bipolar Disorder](https://www.tac.org/category/personally-speaking/bipolar-disorder/) - [Schizophrenia](https://www.tac.org/category/personally-speaking/schizophrenia/) - [SMI](https://www.tac.org/category/smi/) - [E. 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[early detection](https://www.tac.org/tag/early-detection/) - [National Grief Awareness Day](https://www.tac.org/tag/national-grief-awareness-day/) - [ambiguous loss](https://www.tac.org/tag/ambiguous-loss/) - [complex grief](https://www.tac.org/tag/complex-grief/) - [Kendra's Law](https://www.tac.org/tag/kendras-law/) - [sibling](https://www.tac.org/tag/sibling/) - [sister](https://www.tac.org/tag/sister/) - [criminalization](https://www.tac.org/tag/criminalization/) - [anosognosia](https://www.tac.org/tag/anosognosia/) - [Brian Stettin](https://www.tac.org/tag/brian-stettin/) - [Mayor Adams](https://www.tac.org/tag/mayor-adams/) - [generational](https://www.tac.org/tag/generational/) - [family member](https://www.tac.org/tag/family-member/) - [writing](https://www.tac.org/tag/writing/) - [parents](https://www.tac.org/tag/parents/) - [family](https://www.tac.org/tag/family/) - [SSDI](https://www.tac.org/tag/ssdi/) - [Medicare](https://www.tac.org/tag/medicare/) - [family advocacy](https://www.tac.org/tag/family-advocacy/) - [mother](https://www.tac.org/tag/mother/) - [COVID](https://www.tac.org/tag/covid/) - [mental health policy](https://www.tac.org/tag/mental-health-policy/) - [policy research](https://www.tac.org/tag/policy-research/) - [co-occurring disorder](https://www.tac.org/tag/co-occurring-disorder/) - [espanol](https://www.tac.org/tag/espanol/) - [recovery](https://www.tac.org/tag/recovery/) - [caregiver](https://www.tac.org/tag/caregiver/) - [conservatorship](https://www.tac.org/tag/conservatorship/) - [PTSD](https://www.tac.org/tag/ptsd/) - [medication](https://www.tac.org/tag/medication/) - [clinical research](https://www.tac.org/tag/clinical-research/) - [research](https://www.tac.org/tag/research/) - [Kendra Webdale](https://www.tac.org/tag/kendra-webdale/) - [survivor](https://www.tac.org/tag/survivor/) - [Jamycheal Mitchell](https://www.tac.org/tag/jamycheal-mitchell/) - [street medicine](https://www.tac.org/tag/street-medicine/) - [homelessness](https://www.tac.org/tag/homelessness/) - [Los Angeles](https://www.tac.org/tag/los-angeles/) - [clozapine](https://www.tac.org/tag/clozapine/) - [racial disparities](https://www.tac.org/tag/racial-disparities/) - [hospitals](https://www.tac.org/tag/hospitals/) - [SMI Research](https://www.tac.org/tag/smi-research/) - [Right2Research](https://www.tac.org/tag/right2research/) - [substance use](https://www.tac.org/tag/substance-use/) - [SUD](https://www.tac.org/tag/sud/) - [ACT](https://www.tac.org/tag/act/) - [Minority Mental Health Month](https://www.tac.org/tag/minority-mental-health-month/) - [workforce](https://www.tac.org/tag/workforce/) - [Oregon](https://www.tac.org/tag/oregon/) - [hospitalization](https://www.tac.org/tag/hospitalization/) - [MDPS](https://www.tac.org/tag/mdps/) - [prevalence](https://www.tac.org/tag/prevalence/) - [schizophrenia](https://www.tac.org/tag/schizophrenia/) - [marijuana](https://www.tac.org/tag/marijuana/) - [rural](https://www.tac.org/tag/rural/) - [AAPI](https://www.tac.org/tag/aapi/) - [arrest](https://www.tac.org/tag/arrest/) - [psychosis](https://www.tac.org/tag/psychosis/) - [self-harm](https://www.tac.org/tag/self-harm/) - [co-occurring](https://www.tac.org/tag/co-occurring/) - [women](https://www.tac.org/tag/women/) - [first episode psychosis](https://www.tac.org/tag/first-episode-psychosis/) - [ARPA-H](https://www.tac.org/tag/arpa-h/) - [#right2research](https://www.tac.org/tag/right2research-2/) - [moonshot](https://www.tac.org/tag/moonshot/) - [Virginia Joint Legislative Audit and Review Commission](https://www.tac.org/tag/virginia-joint-legislative-audit-and-review-commission/) - [Virginia](https://www.tac.org/tag/virginia/) - [Virginia Department of Behavioral Health and Developmental Services](https://www.tac.org/tag/virginia-department-of-behavioral-health-and-developmental-services/) - [bipolar](https://www.tac.org/tag/bipolar/) - [research weekly](https://www.tac.org/tag/research-weekly/) - [suicide](https://www.tac.org/tag/suicide/) - [LGBTQ+](https://www.tac.org/tag/lgbtq/) - [sexual minorities](https://www.tac.org/tag/sexual-minorities/) - [BIPOC](https://www.tac.org/tag/bipoc/) - [long-term treatment](https://www.tac.org/tag/long-term-treatment/) - [severe mental illness](https://www.tac.org/tag/severe-mental-illness/) - [mortality](https://www.tac.org/tag/mortality/) - [Lukas Klessig](https://www.tac.org/tag/lukas-klessig/) - [mental illness](https://www.tac.org/tag/mental-illness/) - [violence](https://www.tac.org/tag/violence/) - [january research](https://www.tac.org/tag/january-research/) - [veterans](https://www.tac.org/tag/veterans/) - [covid-19](https://www.tac.org/tag/covid-19/) - [psychiatric bed](https://www.tac.org/tag/psychiatric-bed/) - [early intervention](https://www.tac.org/tag/early-intervention/) - [outpatient services](https://www.tac.org/tag/outpatient-services/) - [hypomania](https://www.tac.org/tag/hypomania/) - [pandemic](https://www.tac.org/tag/pandemic/) - [employment](https://www.tac.org/tag/employment/) - [education](https://www.tac.org/tag/education/) - [serious mental illness](https://www.tac.org/tag/serious-mental-illness/) - [mental health](https://www.tac.org/tag/mental-health/) - [aerobic exercise](https://www.tac.org/tag/aerobic-exercise/) - [covid-19 vaccine](https://www.tac.org/tag/covid-19-vaccine/) - [mental health awareness](https://www.tac.org/tag/mental-health-awareness/) - [peer support](https://www.tac.org/tag/peer-support/) - [young adults](https://www.tac.org/tag/young-adults/) - [self stigma](https://www.tac.org/tag/self-stigma/) - [psychoeducation](https://www.tac.org/tag/psychoeducation/) - [schizophrenia day](https://www.tac.org/tag/schizophrenia-day/) - [genetics](https://www.tac.org/tag/genetics/) - [CHR](https://www.tac.org/tag/chr/) - [latinx](https://www.tac.org/tag/latinx/) - [lockdown effect](https://www.tac.org/tag/lockdown-effect/) - [caregivers](https://www.tac.org/tag/caregivers/) - [PeerTECH](https://www.tac.org/tag/peertech/) - [Lifeline](https://www.tac.org/tag/lifeline/) - [suicide lifeline](https://www.tac.org/tag/suicide-lifeline/) - [mental health first aid](https://www.tac.org/tag/mental-health-first-aid/) - [MHFA](https://www.tac.org/tag/mhfa/) - [psychiatric](https://www.tac.org/tag/psychiatric/) - [July research](https://www.tac.org/tag/july-research/) - [research of the month](https://www.tac.org/tag/research-of-the-month/) - [stigma](https://www.tac.org/tag/stigma/) - [prison journal](https://www.tac.org/tag/prison-journal/) - [solitary confinement](https://www.tac.org/tag/solitary-confinement/) - [bipolar disorder](https://www.tac.org/tag/bipolar-disorder/) - [SMI](https://www.tac.org/tag/smi/) - [DATAPOINT OF THE MONTH](https://www.tac.org/tag/datapoint-of-the-month/) - [california](https://www.tac.org/tag/california/) - [sleep patterns](https://www.tac.org/tag/sleep-patterns/) - [substance use disorder](https://www.tac.org/tag/substance-use-disorder/) - [suicide prevention](https://www.tac.org/tag/suicide-prevention/) - [suicide prevention month](https://www.tac.org/tag/suicide-prevention-month/) - [cognitive insight](https://www.tac.org/tag/cognitive-insight/) - [vaccine](https://www.tac.org/tag/vaccine/) - [Delphi Method](https://www.tac.org/tag/delphi-method/) - [bed capacity](https://www.tac.org/tag/bed-capacity/) - [Global burden of disease](https://www.tac.org/tag/global-burden-of-disease/) - [Psychiatric services](https://www.tac.org/tag/psychiatric-services/) - [criminogenic risk factors](https://www.tac.org/tag/criminogenic-risk-factors/) - [modeling study](https://www.tac.org/tag/modeling-study/) - [Research roundup](https://www.tac.org/tag/research-roundup/) - [March](https://www.tac.org/tag/march/) - [world bipolar day](https://www.tac.org/tag/world-bipolar-day/) - [first-episode psychosis](https://www.tac.org/tag/first-episode-psychosis-2/) - [Accountable Care Organizations](https://www.tac.org/tag/accountable-care-organizations/) - [survey](https://www.tac.org/tag/survey/) - [Asian American](https://www.tac.org/tag/asian-american/) - [Family Caregivers](https://www.tac.org/tag/family-caregivers/) - [Treatment Advocacy Center](https://www.tac.org/tag/treatment-advocacy-center/) - [Coordinated Specialty Care](https://www.tac.org/tag/coordinated-specialty-care/) - [Racial inequities](https://www.tac.org/tag/racial-inequities/) - [schizophrenia spectrum disorders](https://www.tac.org/tag/schizophrenia-spectrum-disorders/) - [Emotions Recognition Test](https://www.tac.org/tag/emotions-recognition-test/) - [Analysis of COVID-19 infection](https://www.tac.org/tag/analysis-of-covid-19-infection/) - [Double discrimination](https://www.tac.org/tag/double-discrimination/) - [Ethnic minorities](https://www.tac.org/tag/ethnic-minorities/) - [State hospital utilization](https://www.tac.org/tag/state-hospital-utilization/) - [Medication adherance](https://www.tac.org/tag/medication-adherance/) - [prison](https://www.tac.org/tag/prison/) - [Psychiatric treatment](https://www.tac.org/tag/psychiatric-treatment/) - [state prison](https://www.tac.org/tag/state-prison/) - [incarcerated individuals](https://www.tac.org/tag/incarcerated-individuals/) - [Health care services](https://www.tac.org/tag/health-care-services/) - [preventative medicine](https://www.tac.org/tag/preventative-medicine/) - [Brain and Behavior Research Foundation](https://www.tac.org/tag/brain-and-behavior-research-foundation/) - [amino acids](https://www.tac.org/tag/amino-acids/) - [kynurenic acid](https://www.tac.org/tag/kynurenic-acid/) - [COVID-19 impacts](https://www.tac.org/tag/covid-19-impacts/) - [Family caregivers month](https://www.tac.org/tag/family-caregivers-month/) - [Victimization](https://www.tac.org/tag/victimization/) - [Psychotic disorder](https://www.tac.org/tag/psychotic-disorder/) - [Food insecurity](https://www.tac.org/tag/food-insecurity/) - [Top 10](https://www.tac.org/tag/top-10/) - [research findings](https://www.tac.org/tag/research-findings/) - [Research Weeklly](https://www.tac.org/tag/research-weeklly/) - [criminal involvement](https://www.tac.org/tag/criminal-involvement/) - [Mothering](https://www.tac.org/tag/mothering/) - [Data points](https://www.tac.org/tag/data-points/) - [Urbanicity](https://www.tac.org/tag/urbanicity/) - [perceived stigma](https://www.tac.org/tag/perceived-stigma/) - [Cancer](https://www.tac.org/tag/cancer/) - [personal recovery](https://www.tac.org/tag/personal-recovery/) - [elevated risk](https://www.tac.org/tag/elevated-risk/) - [chronic physical conditions](https://www.tac.org/tag/chronic-physical-conditions/) - [health care in prisons](https://www.tac.org/tag/health-care-in-prisons/) - [October research roundup](https://www.tac.org/tag/october-research-roundup/) - [resource group](https://www.tac.org/tag/resource-group/) - [NIMH](https://www.tac.org/tag/nimh/) - [Pregnant](https://www.tac.org/tag/pregnant/) - [antipsychotic medication](https://www.tac.org/tag/antipsychotic-medication/) - [menopause](https://www.tac.org/tag/menopause/) - [Unclaimed bodies](https://www.tac.org/tag/unclaimed-bodies/) - [Suicide rates](https://www.tac.org/tag/suicide-rates/) - [Racial discrimination](https://www.tac.org/tag/racial-discrimination/) - [Suicide risk](https://www.tac.org/tag/suicide-risk/) - [Veteran suicide risk](https://www.tac.org/tag/veteran-suicide-risk/) - [psychiatric hospital](https://www.tac.org/tag/psychiatric-hospital/) - [early psychosis](https://www.tac.org/tag/early-psychosis/) - [african american](https://www.tac.org/tag/african-american/) - [inpatient psychiatric care](https://www.tac.org/tag/inpatient-psychiatric-care/) - [988](https://www.tac.org/tag/988/) - [untreated psychosis](https://www.tac.org/tag/untreated-psychosis/) - [co-response team](https://www.tac.org/tag/co-response-team/) - [inpatient stay](https://www.tac.org/tag/inpatient-stay/) - [ECT](https://www.tac.org/tag/ect/) - [family relations](https://www.tac.org/tag/family-relations/) - [Pride month](https://www.tac.org/tag/pride-month/) - [autoimmune disorder](https://www.tac.org/tag/autoimmune-disorder/) - [metabolic monitoring](https://www.tac.org/tag/metabolic-monitoring/) - [LGBT](https://www.tac.org/tag/lgbt/) - [behavioral health](https://www.tac.org/tag/behavioral-health/) - [mental health care](https://www.tac.org/tag/mental-health-care/) - [rural jails](https://www.tac.org/tag/rural-jails/) - [child abuse](https://www.tac.org/tag/child-abuse/) - [smoking](https://www.tac.org/tag/smoking/) - [Dementia](https://www.tac.org/tag/dementia/) - [parental support](https://www.tac.org/tag/parental-support/) - [neurocognition](https://www.tac.org/tag/neurocognition/) - [Asian Americans](https://www.tac.org/tag/asian-americans/) - [LGBTQ](https://www.tac.org/tag/lgbtq-2/) - [transgender](https://www.tac.org/tag/transgender/) - [SGM](https://www.tac.org/tag/sgm/) - [College students](https://www.tac.org/tag/college-students/) - [community scholar program](https://www.tac.org/tag/community-scholar-program/) - [prevalence estimate](https://www.tac.org/tag/prevalence-estimate/) - [mood disorder](https://www.tac.org/tag/mood-disorder/) - [Funding](https://www.tac.org/tag/funding/) - [nonadherance](https://www.tac.org/tag/nonadherance/) - [suicide deaths](https://www.tac.org/tag/suicide-deaths/) - [self harm in women](https://www.tac.org/tag/self-harm-in-women/) - [Dual diagnosis](https://www.tac.org/tag/dual-diagnosis/) - [co-occuring substance](https://www.tac.org/tag/co-occuring-substance/) - [COVID-19 Pandemic](https://www.tac.org/tag/covid-19-pandemic/) - [vaccination barriers](https://www.tac.org/tag/vaccination-barriers/) - [vaccination program](https://www.tac.org/tag/vaccination-program/) - [IMD](https://www.tac.org/tag/imd/) - [COVID-19 Deaths](https://www.tac.org/tag/covid-19-deaths/) - [virtual visits](https://www.tac.org/tag/virtual-visits/) - [suicide prevention policy](https://www.tac.org/tag/suicide-prevention-policy/) - [telehealth](https://www.tac.org/tag/telehealth/) - [neuroimaging](https://www.tac.org/tag/neuroimaging/) - [NIMBY](https://www.tac.org/tag/nimby/) - [medicaid](https://www.tac.org/tag/medicaid/) - [inflammation](https://www.tac.org/tag/inflammation/) - [Medicaid fund](https://www.tac.org/tag/medicaid-fund/) - [mortality gap](https://www.tac.org/tag/mortality-gap/) - [crisis response](https://www.tac.org/tag/crisis-response/) - [law enforcement](https://www.tac.org/tag/law-enforcement/) - [sexual violence](https://www.tac.org/tag/sexual-violence/) - [mental illness awareness week](https://www.tac.org/tag/mental-illness-awareness-week/) - [short intervention](https://www.tac.org/tag/short-intervention/) - [Suicide Hotline](https://www.tac.org/tag/suicide-hotline/) - [criminal justice](https://www.tac.org/tag/criminal-justice/) - [Criminal justice system](https://www.tac.org/tag/criminal-justice-system/) - [Treatment Law](https://www.tac.org/tag/treatment-law/) - [Grading the states](https://www.tac.org/tag/grading-the-states/) - [social support](https://www.tac.org/tag/social-support/) - [methadone](https://www.tac.org/tag/methadone/) - [maintenance treatment](https://www.tac.org/tag/maintenance-treatment/) - [opioid](https://www.tac.org/tag/opioid/) - [NACo](https://www.tac.org/tag/naco/) - [MIEP](https://www.tac.org/tag/miep/) - [Forensic hospital](https://www.tac.org/tag/forensic-hospital/) - [Housing](https://www.tac.org/tag/housing/) - [Super-utilization](https://www.tac.org/tag/super-utilization/) - [mental health services act](https://www.tac.org/tag/mental-health-services-act/) - [Cannabis](https://www.tac.org/tag/cannabis/) - [police and criminal psychology](https://www.tac.org/tag/police-and-criminal-psychology/) - [advocates](https://www.tac.org/tag/advocates/) - [post-incarceration](https://www.tac.org/tag/post-incarceration/) - [recovery barriers](https://www.tac.org/tag/recovery-barriers/) - [psychological distress](https://www.tac.org/tag/psychological-distress/) - [accountability](https://www.tac.org/tag/accountability/) - [five-year strategic plan](https://www.tac.org/tag/five-year-strategic-plan/) - [drug treatment reduction](https://www.tac.org/tag/drug-treatment-reduction/) - [video conference](https://www.tac.org/tag/video-conference/) - [telemedicine](https://www.tac.org/tag/telemedicine/) - [new medications](https://www.tac.org/tag/new-medications/) - [community treatment](https://www.tac.org/tag/community-treatment/) - [jail population](https://www.tac.org/tag/jail-population/) - [psychiatric care](https://www.tac.org/tag/psychiatric-care/) - [LAI](https://www.tac.org/tag/lai/) - [Long acting injectable](https://www.tac.org/tag/long-acting-injectable/) - [cognitive adaptation training](https://www.tac.org/tag/cognitive-adaptation-training/) - [telepsychiatry](https://www.tac.org/tag/telepsychiatry/) - [mobile intervention](https://www.tac.org/tag/mobile-intervention/) - [non-cancer pain](https://www.tac.org/tag/non-cancer-pain/) - [public health crisis](https://www.tac.org/tag/public-health-crisis/) - [IPS](https://www.tac.org/tag/ips/) - [gut microbiome](https://www.tac.org/tag/gut-microbiome/) - [HCV](https://www.tac.org/tag/hcv/) - [camden coalition](https://www.tac.org/tag/camden-coalition/) - [Lumateperone](https://www.tac.org/tag/lumateperone/) - [strategic planning](https://www.tac.org/tag/strategic-planning/) - [smoking cessation](https://www.tac.org/tag/smoking-cessation/) - [superutilizers](https://www.tac.org/tag/superutilizers/) - [acute mental health](https://www.tac.org/tag/acute-mental-health/) - [psychiatric boarding](https://www.tac.org/tag/psychiatric-boarding/) - [treatment resistance](https://www.tac.org/tag/treatment-resistance/) - [TRRIP](https://www.tac.org/tag/trrip/) - [TRS](https://www.tac.org/tag/trs/) - [Poverty](https://www.tac.org/tag/poverty/) - [breast cancer](https://www.tac.org/tag/breast-cancer/) - [earmarked taxes](https://www.tac.org/tag/earmarked-taxes/) - [pregnancy](https://www.tac.org/tag/pregnancy/) - [Maternal bacterial infection](https://www.tac.org/tag/maternal-bacterial-infection/) - [bed registry](https://www.tac.org/tag/bed-registry/) - [volunteering](https://www.tac.org/tag/volunteering/) - [incarceration](https://www.tac.org/tag/incarceration/) - [antipsychotic medications](https://www.tac.org/tag/antipsychotic-medications/) - [socioeconomic factors](https://www.tac.org/tag/socioeconomic-factors/) - [ITA](https://www.tac.org/tag/ita/) - [revolving door phenomenon](https://www.tac.org/tag/revolving-door-phenomenon/) - [violent behavior](https://www.tac.org/tag/violent-behavior/) - [BJMHS](https://www.tac.org/tag/bjmhs/) - [Community health centers](https://www.tac.org/tag/community-health-centers/) - [schizoaffective disorder](https://www.tac.org/tag/schizoaffective-disorder/) - [Mr. T](https://www.tac.org/tag/mr-t/) - [catatonic](https://www.tac.org/tag/catatonic/) - [treatment resistant](https://www.tac.org/tag/treatment-resistant/) - [social media](https://www.tac.org/tag/social-media/) - [Cognitive impairments](https://www.tac.org/tag/cognitive-impairments/) - [academic medical center](https://www.tac.org/tag/academic-medical-center/) - [access hospitals](https://www.tac.org/tag/access-hospitals/) - [Choroid plexus](https://www.tac.org/tag/choroid-plexus/) - [cost-effective method](https://www.tac.org/tag/cost-effective-method/) - [outpatient treatment](https://www.tac.org/tag/outpatient-treatment/) - [AOT](https://www.tac.org/tag/aot/) - [psychiatric bed number](https://www.tac.org/tag/psychiatric-bed-number/) - [Super utilization](https://www.tac.org/tag/super-utilization-2/) - [Pseudo-genetic](https://www.tac.org/tag/pseudo-genetic/) - [Estrogen](https://www.tac.org/tag/estrogen/) - [perimenstrual phase](https://www.tac.org/tag/perimenstrual-phase/) - [psychotherapy](https://www.tac.org/tag/psychotherapy/) - [CBT](https://www.tac.org/tag/cbt/) - [smartphone app intervention](https://www.tac.org/tag/smartphone-app-intervention/) - [polypharmacy](https://www.tac.org/tag/polypharmacy/) - [psychotropic medications](https://www.tac.org/tag/psychotropic-medications/) - [follow-up care](https://www.tac.org/tag/follow-up-care/) - [NYC START](https://www.tac.org/tag/nyc-start/) - [Mobile Crisis Intervention Teams](https://www.tac.org/tag/mobile-crisis-intervention-teams/) - [CATT](https://www.tac.org/tag/catt/) - [Psychiatric Emergency Response](https://www.tac.org/tag/psychiatric-emergency-response/) - [REHABase](https://www.tac.org/tag/rehabase/) - [Affordable Care Act](https://www.tac.org/tag/affordable-care-act/) - [cognitive therapy](https://www.tac.org/tag/cognitive-therapy/) - [solar insolation](https://www.tac.org/tag/solar-insolation/) - [Seasonal affective disorder](https://www.tac.org/tag/seasonal-affective-disorder/) - [paradoxical relationship](https://www.tac.org/tag/paradoxical-relationship/) - [rapid cycling](https://www.tac.org/tag/rapid-cycling/) - [November research roundup](https://www.tac.org/tag/november-research-roundup/) - [misdiagnosis](https://www.tac.org/tag/misdiagnosis/) - [Cariprazine](https://www.tac.org/tag/cariprazine/) - [Mass Incarceration](https://www.tac.org/tag/mass-incarceration/) - [social anxiety disorder](https://www.tac.org/tag/social-anxiety-disorder/) - [post-traumatic stress disorder](https://www.tac.org/tag/post-traumatic-stress-disorder/) - [Smoking intensity](https://www.tac.org/tag/smoking-intensity/) - [hospital readmissions](https://www.tac.org/tag/hospital-readmissions/) - [antidepressant](https://www.tac.org/tag/antidepressant/) - [MRI](https://www.tac.org/tag/mri/) - [Dopamine](https://www.tac.org/tag/dopamine/) - [high utilization](https://www.tac.org/tag/high-utilization/) - [EpsteinBarr](https://www.tac.org/tag/epsteinbarr/) - [lupus](https://www.tac.org/tag/lupus/) - [EBV](https://www.tac.org/tag/ebv/) - [cognitive training](https://www.tac.org/tag/cognitive-training/) - [Readmissions](https://www.tac.org/tag/readmissions/) - [Rehospitalized](https://www.tac.org/tag/rehospitalized/) - [telephone monitoring](https://www.tac.org/tag/telephone-monitoring/) - [biopsychosocial](https://www.tac.org/tag/biopsychosocial/) - [ORPA](https://www.tac.org/tag/orpa/) - [2018 highlights](https://www.tac.org/tag/2018-highlights/) - [homeless](https://www.tac.org/tag/homeless/) - [stem cell](https://www.tac.org/tag/stem-cell/) - [CRISPR technology](https://www.tac.org/tag/crispr-technology/) - [Policy makers](https://www.tac.org/tag/policy-makers/) - [Prodromal Psychosis](https://www.tac.org/tag/prodromal-psychosis/) - [therapeutic drug](https://www.tac.org/tag/therapeutic-drug/) - [medical cannabis](https://www.tac.org/tag/medical-cannabis/) - [evaluation](https://www.tac.org/tag/evaluation/) - [FOCUS](https://www.tac.org/tag/focus/) - [health apps](https://www.tac.org/tag/health-apps/) - [smartphone](https://www.tac.org/tag/smartphone/) - [mobile health](https://www.tac.org/tag/mobile-health/) - [infections](https://www.tac.org/tag/infections/) - [anti-infective medication](https://www.tac.org/tag/anti-infective-medication/) - [Kitsap Mental Health](https://www.tac.org/tag/kitsap-mental-health/) - [chronic conditions](https://www.tac.org/tag/chronic-conditions/) - [Taxes](https://www.tac.org/tag/taxes/) - [health services](https://www.tac.org/tag/health-services/) - [CURESZ Foundation](https://www.tac.org/tag/curesz-foundation/) - [Neuroanatomical maturity](https://www.tac.org/tag/neuroanatomical-maturity/) - [nitrate-cured meats](https://www.tac.org/tag/nitrate-cured-meats/) - [mania](https://www.tac.org/tag/mania/) - [Housing First](https://www.tac.org/tag/housing-first/) - [health courts](https://www.tac.org/tag/health-courts/) - [firearm suicides](https://www.tac.org/tag/firearm-suicides/) - [disparities](https://www.tac.org/tag/disparities/) - [state suicide rates](https://www.tac.org/tag/state-suicide-rates/) - [CDC](https://www.tac.org/tag/cdc/) - [mass violence](https://www.tac.org/tag/mass-violence/) - [watchdog](https://www.tac.org/tag/watchdog/) - [GAO](https://www.tac.org/tag/gao/) - [superutilization](https://www.tac.org/tag/superutilization/) - [probiotic microorganisms](https://www.tac.org/tag/probiotic-microorganisms/) - [acute mania](https://www.tac.org/tag/acute-mania/) - [recovery remission](https://www.tac.org/tag/recovery-remission/) - [social skills](https://www.tac.org/tag/social-skills/) - [peer mentorship](https://www.tac.org/tag/peer-mentorship/) - [criminal-justice system](https://www.tac.org/tag/criminal-justice-system-2/) - [BOP](https://www.tac.org/tag/bop/) - [Pennsylvania](https://www.tac.org/tag/pennsylvania/) - [Behavioral Health Homes](https://www.tac.org/tag/behavioral-health-homes/) - [economic burden](https://www.tac.org/tag/economic-burden/) - [psychiatrist shortage](https://www.tac.org/tag/psychiatrist-shortage/) - [psychiatric beds](https://www.tac.org/tag/psychiatric-beds/) - [International Women's Day](https://www.tac.org/tag/international-womens-day/) - [CIT program](https://www.tac.org/tag/cit-program/) - [molecular abnormalities](https://www.tac.org/tag/molecular-abnormalities/) - [hippocampus](https://www.tac.org/tag/hippocampus/) - [Cigarette smoking](https://www.tac.org/tag/cigarette-smoking/) - [NAMI](https://www.tac.org/tag/nami/) - [SARDAA](https://www.tac.org/tag/sardaa/) - [US corrections system](https://www.tac.org/tag/us-corrections-system/) - [injectable antipsychotics](https://www.tac.org/tag/injectable-antipsychotics/) - [blood plasma](https://www.tac.org/tag/blood-plasma/) - [Milliman report](https://www.tac.org/tag/milliman-report/) - [parity law](https://www.tac.org/tag/parity-law/) - [violent reoffending](https://www.tac.org/tag/violent-reoffending/) - [scourge](https://www.tac.org/tag/scourge/) - [ACEP](https://www.tac.org/tag/acep/) - [DSM](https://www.tac.org/tag/dsm/) - [Eric Dishman](https://www.tac.org/tag/eric-dishman/) - [biotype](https://www.tac.org/tag/biotype/) - [New director](https://www.tac.org/tag/new-director/) - [AVID](https://www.tac.org/tag/avid/) - [Locked Up and Locked Down](https://www.tac.org/tag/locked-up-and-locked-down/) - [Suicide Trends](https://www.tac.org/tag/suicide-trends/) - [miracle drug](https://www.tac.org/tag/miracle-drug/) - [psychiatrists](https://www.tac.org/tag/psychiatrists/) - [inpatient psychiatric hospitals](https://www.tac.org/tag/inpatient-psychiatric-hospitals/) - [long-acting injectable antipsychotic medications](https://www.tac.org/tag/long-acting-injectable-antipsychotic-medications/) - [Chronic pain](https://www.tac.org/tag/chronic-pain/) - [time of uncertainty](https://www.tac.org/tag/time-of-uncertainty/) - [Money on Your Mind](https://www.tac.org/tag/money-on-your-mind/) - [financial](https://www.tac.org/tag/financial/) - [Jail](https://www.tac.org/tag/jail/) - [homicide](https://www.tac.org/tag/homicide/) - [Family program](https://www.tac.org/tag/family-program/) - [FTF](https://www.tac.org/tag/ftf/) - [criminal convictions](https://www.tac.org/tag/criminal-convictions/) - [Ronald Pies](https://www.tac.org/tag/ronald-pies/) - [ED users](https://www.tac.org/tag/ed-users/) - [inpatient beds](https://www.tac.org/tag/inpatient-beds/) - [treatment resistant schizophrenia](https://www.tac.org/tag/treatment-resistant-schizophrenia/) - [Algorithm](https://www.tac.org/tag/algorithm/) - [psychiatric emergency department](https://www.tac.org/tag/psychiatric-emergency-department/) - [Structural brain changes](https://www.tac.org/tag/structural-brain-changes/) - [hormonal changes](https://www.tac.org/tag/hormonal-changes/) - [women with psychosis](https://www.tac.org/tag/women-with-psychosis/) - [cognitive behavioral therapy](https://www.tac.org/tag/cognitive-behavioral-therapy/) - [Sunlight](https://www.tac.org/tag/sunlight/) - [african americans](https://www.tac.org/tag/african-americans/) - [Psychotic disorders](https://www.tac.org/tag/psychotic-disorders/) - [Childhood infections](https://www.tac.org/tag/childhood-infections/) - [Latino caregivers](https://www.tac.org/tag/latino-caregivers/) - [stem cell technology](https://www.tac.org/tag/stem-cell-technology/) - [Violence in emergency departments](https://www.tac.org/tag/violence-in-emergency-departments/) - [Penrose hypothesis](https://www.tac.org/tag/penrose-hypothesis/) - [deinstitutionalization](https://www.tac.org/tag/deinstitutionalization/) - [Brain Differences](https://www.tac.org/tag/brain-differences/) - [ethnicity](https://www.tac.org/tag/ethnicity/) - [racial-ethnic](https://www.tac.org/tag/racial-ethnic/) - [Antipsychotics](https://www.tac.org/tag/antipsychotics/) - [NPR](https://www.tac.org/tag/npr/) - [asylum](https://www.tac.org/tag/asylum/) - [RAISE](https://www.tac.org/tag/raise/) - [high emotional stress](https://www.tac.org/tag/high-emotional-stress/) - [clinical trial](https://www.tac.org/tag/clinical-trial/) - [emergency room](https://www.tac.org/tag/emergency-room/) - [Synaptic pruning](https://www.tac.org/tag/synaptic-pruning/) - [C4 protein](https://www.tac.org/tag/c4-protein/) - [brexpiprazole](https://www.tac.org/tag/brexpiprazole/) - [aripiprazole](https://www.tac.org/tag/aripiprazole/) - [national bill](https://www.tac.org/tag/national-bill/) - [Experimental Medicine](https://www.tac.org/tag/experimental-medicine/) - [psychiatric research](https://www.tac.org/tag/psychiatric-research/) - [medication adherence](https://www.tac.org/tag/medication-adherence/) - [catalyst](https://www.tac.org/tag/catalyst/) - [research briefly](https://www.tac.org/tag/research-briefly/) - [youth mental health corp](https://www.tac.org/tag/youth-mental-health-corp/) - [assisted outpatient treatment](https://www.tac.org/tag/assisted-outpatient-treatment/) - [mental healthcare reform](https://www.tac.org/tag/mental-healthcare-reform/) - [research digest](https://www.tac.org/tag/research-digest/) ## Topic Tags - [welcome](https://www.tac.org/forums/topic-tag/welcome/) - [sample](https://www.tac.org/forums/topic-tag/sample/) - [treatment plan](https://www.tac.org/forums/topic-tag/treatment-plan/) - [AOT](https://www.tac.org/forums/topic-tag/aot/) - [AOT GRANT](https://www.tac.org/forums/topic-tag/aot-grant/) - [SAMHSA](https://www.tac.org/forums/topic-tag/samhsa/) - [GRANT](https://www.tac.org/forums/topic-tag/grant/) - [AOT application](https://www.tac.org/forums/topic-tag/aot-application/) - [FACT](https://www.tac.org/forums/topic-tag/fact/) ## Categories - [Community Playbook](https://www.tac.org/resources/category/community-playbook/) - Learn about advocacy and find tools and resources so you can deepen your understanding of SMI to help yourself or a loved one. - [Family Care](https://www.tac.org/resources/category/family-care/) - Learn skills to improve family communication and dynamics. Find resources to support your safety and self-care. - [System Navigation](https://www.tac.org/resources/category/system-navigation/) - Find information on SMI and the criminal-legal system, benefits, housing, jobs, co-occurring conditions, complaints, guardianship, youth and elder care, and veterans. - [Essentials](https://www.tac.org/resources/category/essentials/) - Find information for a new diagnosis, access to care, and emergency planning. Key information on the continuum of care for psychiatric treatment. - [FAQ](https://www.tac.org/resources/category/faq/) - Answers to the most common questions, such as how to get a loved one into treatment. ## States - [Alabama](https://www.tac.org/map_directory/states/al/) - [Alaska](https://www.tac.org/map_directory/states/ak/) - [Arizona](https://www.tac.org/map_directory/states/az/) - [Arkansas](https://www.tac.org/map_directory/states/ar/) - [California](https://www.tac.org/map_directory/states/ca/) - [Colorado](https://www.tac.org/map_directory/states/co/) - [Connecticut](https://www.tac.org/map_directory/states/ct/) - [Delaware](https://www.tac.org/map_directory/states/de/) - [District of Columbia](https://www.tac.org/map_directory/states/dc/) - [Florida](https://www.tac.org/map_directory/states/fl/) - [Georgia](https://www.tac.org/map_directory/states/ga/) - [Hawaii](https://www.tac.org/map_directory/states/hi/) - [Idaho](https://www.tac.org/map_directory/states/id/) - [Illinois](https://www.tac.org/map_directory/states/il/) - [Indiana](https://www.tac.org/map_directory/states/in/) - [Iowa](https://www.tac.org/map_directory/states/ia/) - [Kansas](https://www.tac.org/map_directory/states/ks/) - [Kentucky](https://www.tac.org/map_directory/states/ky/) - [Louisiana](https://www.tac.org/map_directory/states/la/) - [Maine](https://www.tac.org/map_directory/states/me/) - [Maryland](https://www.tac.org/map_directory/states/md/) - [Massachusetts](https://www.tac.org/map_directory/states/ma/) - [Michigan](https://www.tac.org/map_directory/states/mi/) - [Minnesota](https://www.tac.org/map_directory/states/mn/) - [Mississippi](https://www.tac.org/map_directory/states/ms/) - [Missouri](https://www.tac.org/map_directory/states/mo/) - [Montana](https://www.tac.org/map_directory/states/mt/) - [Nebraska](https://www.tac.org/map_directory/states/ne/) - [Nevada](https://www.tac.org/map_directory/states/nv/) - [New Hampshire](https://www.tac.org/map_directory/states/nh/) - [New Jersey](https://www.tac.org/map_directory/states/nj/) - [New Mexico](https://www.tac.org/map_directory/states/nm/) - [New York](https://www.tac.org/map_directory/states/ny/) - [North Carolina](https://www.tac.org/map_directory/states/nc/) - [North Dakota](https://www.tac.org/map_directory/states/nd/) - [Ohio](https://www.tac.org/map_directory/states/oh/) - [Oklahoma](https://www.tac.org/map_directory/states/ok/) - [Oregon](https://www.tac.org/map_directory/states/or/) - [Pennsylvania](https://www.tac.org/map_directory/states/pa/) - [Rhode Island](https://www.tac.org/map_directory/states/ri/) - [South Carolina](https://www.tac.org/map_directory/states/sc/) - [South Dakota](https://www.tac.org/map_directory/states/sd/) - [Tennessee](https://www.tac.org/map_directory/states/tn/) - [Texas](https://www.tac.org/map_directory/states/tx/) - [Utah](https://www.tac.org/map_directory/states/ut/) - [Vermont](https://www.tac.org/map_directory/states/vt/) - [Virginia](https://www.tac.org/map_directory/states/va/) - [Washington](https://www.tac.org/map_directory/states/wa/) - [West Virginia](https://www.tac.org/map_directory/states/wv/) - [Wisconsin](https://www.tac.org/map_directory/states/wi/) - [Wyoming](https://www.tac.org/map_directory/states/wy/) - [Puerto Rico](https://www.tac.org/map_directory/states/pr/) ## Grades - [A+](https://www.tac.org/map_directory/grades/a/) - [D](https://www.tac.org/map_directory/grades/d/) - [B](https://www.tac.org/map_directory/grades/b/) - [F](https://www.tac.org/map_directory/grades/f/) - [C-](https://www.tac.org/map_directory/grades/c/) - [C](https://www.tac.org/map_directory/grades/c-2/) - [A](https://www.tac.org/map_directory/grades/a-2/) - [A-](https://www.tac.org/map_directory/grades/a-3/) - [B+](https://www.tac.org/map_directory/grades/b-2/) - [B-](https://www.tac.org/map_directory/grades/b-3/) - [C+](https://www.tac.org/map_directory/grades/c-3/) ## Topics - [Assisted Outpatient Treatment](https://www.tac.org/reports_publications/topic/assisted-outpatient-treatment/) - [Health Disparities](https://www.tac.org/reports_publications/topic/health-disparities/) - [Public Health](https://www.tac.org/reports_publications/topic/public-health/) - [Treatment Interventions](https://www.tac.org/reports_publications/topic/treatment-interventions/) - [Involuntary Treatment](https://www.tac.org/reports_publications/topic/involuntary-treatment/) - [Crisis Care](https://www.tac.org/reports_publications/topic/crisis-care/) - [Criminal Justice](https://www.tac.org/reports_publications/topic/criminal-justice/) - [Hospitalization](https://www.tac.org/reports_publications/topic/hospitalization/) - [Violence](https://www.tac.org/reports_publications/topic/violence/) - [SMI Research](https://www.tac.org/reports_publications/topic/smi-research/) - [Homelessness](https://www.tac.org/reports_publications/topic/homelessness/) - [Anosognosia](https://www.tac.org/reports_publications/topic/anosognosia/) - [Suicide](https://www.tac.org/reports_publications/topic/suicide/) - [Substance Use](https://www.tac.org/reports_publications/topic/substance-use/) - [Psychiatric Hospital Beds](https://www.tac.org/reports_publications/topic/psychiatric-hospital-beds/) - [Science](https://www.tac.org/reports_publications/topic/science/) - [First Episode Psychosis](https://www.tac.org/reports_publications/topic/first-episode-psychosis/) ## Content Type - [TAC Report](https://www.tac.org/reports_publications/content-type/tac-report/) - [Evidence Brief](https://www.tac.org/reports_publications/content-type/evidence-brief/) - [Fact Sheet](https://www.tac.org/reports_publications/content-type/fact-sheet/) - [Research Summary](https://www.tac.org/reports_publications/content-type/research-summary/) ## Years - [2023](https://www.tac.org/reports_publications/year/2023/) - [2022](https://www.tac.org/reports_publications/year/2022/) - [2020](https://www.tac.org/reports_publications/year/2020/) - [2019](https://www.tac.org/reports_publications/year/2019/) - [2018](https://www.tac.org/reports_publications/year/2018/) - [2017](https://www.tac.org/reports_publications/year/2017/) - [2016](https://www.tac.org/reports_publications/year/2016/) - [2015](https://www.tac.org/reports_publications/year/2015/) - [2014](https://www.tac.org/reports_publications/year/2014/) - [2021](https://www.tac.org/reports_publications/year/2021/) - [2024](https://www.tac.org/reports_publications/year/2024/) ## Topics - [Topic I](https://www.tac.org/our_stances/topic/topic-i/) - [Topic V](https://www.tac.org/our_stances/topic/topic-v/) ## Resource Types - [AOT Research, Reports and Analyses](https://www.tac.org/aot_resources/resources-type/aot-research-reports-and-analyses/) - [Example Policies, Procedures, and Forms](https://www.tac.org/aot_resources/resources-type/example-policies-procedures-and-forms/) - [Data Collection Tools](https://www.tac.org/aot_resources/resources-type/data-collection-tools/) - [Community Education Resources](https://www.tac.org/aot_resources/resources-type/community-education-resources/) - [AOT Knowledge Base](https://www.tac.org/aot_resources/resources-type/aot-knowledge-base/) - [Implementation Worksheets](https://www.tac.org/aot_resources/resources-type/implementation-worksheets/) - [Related Topic Research, Reports and Analyses](https://www.tac.org/aot_resources/resources-type/related-topic-research-reports-and-analyses/) ## States / Counties - [CA](https://www.tac.org/aot_resources/state/ca/) - [NC](https://www.tac.org/aot_resources/state/nc/) - [OH](https://www.tac.org/aot_resources/state/oh/) - [AL](https://www.tac.org/aot_resources/state/al/) - [NJ](https://www.tac.org/aot_resources/state/nj/) - [NY](https://www.tac.org/aot_resources/state/ny/) - [FL](https://www.tac.org/aot_resources/state/fl/) - [TX](https://www.tac.org/aot_resources/state/tx/) - [IA](https://www.tac.org/aot_resources/state/ia/) - [NM](https://www.tac.org/aot_resources/state/nm/) - [NV](https://www.tac.org/aot_resources/state/nv/) - [MO](https://www.tac.org/aot_resources/state/mo/) - [KS](https://www.tac.org/aot_resources/state/ks/) - [WI](https://www.tac.org/aot_resources/state/wi/) - [KY](https://www.tac.org/aot_resources/state/ky/) - [LA](https://www.tac.org/aot_resources/state/la/) - [GA](https://www.tac.org/aot_resources/state/ga/) - [WA](https://www.tac.org/aot_resources/state/wa/) - [IN](https://www.tac.org/aot_resources/state/in/) - [MD](https://www.tac.org/aot_resources/state/md/) - [Baldwin](https://www.tac.org/aot_resources/state/baldwin/) - [Los Angeles](https://www.tac.org/aot_resources/state/los-angeles/) - [Nevada](https://www.tac.org/aot_resources/state/nevada/) - [Seminole](https://www.tac.org/aot_resources/state/seminole/) - [Thomas & Colquitt](https://www.tac.org/aot_resources/state/thomas-colquitt/) - [Johnson](https://www.tac.org/aot_resources/state/johnson/) - [Porter](https://www.tac.org/aot_resources/state/porter/) - [Johnson](https://www.tac.org/aot_resources/state/johnson-ks/) - [Pawnee](https://www.tac.org/aot_resources/state/pawnee/) - [Sedgwick](https://www.tac.org/aot_resources/state/sedgwick/) - [Four](https://www.tac.org/aot_resources/state/four/) - [Orleans](https://www.tac.org/aot_resources/state/orleans/) - [Newton](https://www.tac.org/aot_resources/state/newton/) - [Bergen](https://www.tac.org/aot_resources/state/bergen/) - [Essex](https://www.tac.org/aot_resources/state/essex/) - [Albuquerque](https://www.tac.org/aot_resources/state/albuquerque/) - [Bernalillo](https://www.tac.org/aot_resources/state/bernalillo/) - [Doña Ana](https://www.tac.org/aot_resources/state/dona-ana/) - [Washoe](https://www.tac.org/aot_resources/state/washoe/) - [Travis](https://www.tac.org/aot_resources/state/travis/) - [Bexar](https://www.tac.org/aot_resources/state/bexar/) - [Tarrant](https://www.tac.org/aot_resources/state/tarrant/) - [Harris](https://www.tac.org/aot_resources/state/harris/) - [Milwaukee](https://www.tac.org/aot_resources/state/milwaukee/) - [Richland](https://www.tac.org/aot_resources/state/richland/) - [Wayne](https://www.tac.org/aot_resources/state/wayne/) - [Summit](https://www.tac.org/aot_resources/state/summit/) - [Butler](https://www.tac.org/aot_resources/state/butler/) - [Hamilton](https://www.tac.org/aot_resources/state/hamilton/) - [Cuyahoga](https://www.tac.org/aot_resources/state/cuyahoga/) - [Stark](https://www.tac.org/aot_resources/state/stark/) - [Trumbull](https://www.tac.org/aot_resources/state/trumbull/) - [Franklin](https://www.tac.org/aot_resources/state/franklin/) - [Webb](https://www.tac.org/aot_resources/state/webb/) - [San Luis Obispo](https://www.tac.org/aot_resources/state/san-luis-obispo/) - [MI](https://www.tac.org/aot_resources/state/mi/) ## Event Categories - [Category](https://www.tac.org/events/category/category/)