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Assisted outpatient treatment and competency reforms split families, clinicians and advocates

Joint Committee on the Judiciary (Massachusetts Legislature) · November 18, 2025
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Summary

Bills to create assisted outpatient treatment (S1115/H1801) and to reform competency-to-stand-trial processes drew intense, divided testimony: families and some clinicians argued AOT fills gaps for people with anosognosia, while peers, civil-rights and disability advocates warned forced outpatient orders risk coercion and racialized enforcement.

The committee heard sustained, contesting testimony on H1801/S1115 (assisted outpatient treatment, AOT) and H1652 (competency reform). Family members of people with severe mental illness offered moving accounts of repeated hospitalizations, anosognosia (lack of insight) and despair. "My son has been hospitalized roughly…

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