New York health officials expand ACT teams and discuss involuntary hospitalization policies

The Committees on Finance, Health, and Mental Health convened on May 26, 2025, to discuss the Fiscal Year 2026 Executive Budget for the City of New York, focusing on mental health initiatives and involuntary hospitalizations.

The meeting began with a discussion on the collaboration between the city and state health departments, particularly regarding the expansion of Assertive Community Treatment (ACT) teams. Officials announced that at least three additional ACT teams would be established in FY26 as part of the Office of Mental Health's initiative to enhance mental health services. The city’s Department of Health and Mental Hygiene (DOHMH) emphasized the strong communication and partnership with state officials, noting that coordination occurs frequently to ensure seamless service delivery.

A significant portion of the meeting addressed the sensitive topic of involuntary hospitalizations. Officials outlined the DOHMH's role in the process, which involves triage and assessment under various mental hygiene laws. They explained that community psychiatrists and mobile crisis teams are integral to evaluating individuals for potential involuntary commitments. The discussion highlighted the importance of thoughtful decision-making by professionals, ensuring that the rights and needs of individuals are considered.

Concerns were raised about the impact of involuntary removals on both patients and healthcare workers. Officials acknowledged the complexity of these situations and reiterated the importance of prioritizing treatment and supportive housing over involuntary measures. They emphasized that while involuntary removals are a necessary tool in certain circumstances, they should be used judiciously and as a last resort.

The conversation also touched on the critical need for supportive housing for individuals with severe mental illness. Officials reported that over 12,000 supportive housing units are currently in operation, but acknowledged that demand still exceeds supply. They discussed the challenges faced by individuals seeking housing, including wait times and the percentage of those still awaiting placement.

In conclusion, the meeting underscored the city's commitment to enhancing mental health services through collaboration with state agencies, while also addressing the complexities surrounding involuntary hospitalizations and the urgent need for more supportive housing options. The discussions will inform future budgetary decisions and initiatives aimed at improving mental health care in New York City.