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Understanding AOT: Assisted Outpatient Treatment When someone with a severe mental illness (SMI) is involved with the courts, distinguishing between whether it is a criminal or civil process is essential. If there are no criminal charges, involuntary treatment occurs through the civil court system. Civil court processes—like Assisted Outpatient Treatment (AOT)—can improve treatment adherence, reduces hospitalizations, and lowers criminalization. AOT is legal in every state except Massachusetts a
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