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NEWS

New York State
Office of the Governor


FOR IMMEDIATE RELEASE:
March 7, 2005

GOVERNOR INTRODUCES BILL TO MAKE KENDRA'S LAW PERMANENT

Report Documents the Success of Individuals Receiving Assisted Outpatient Treatment

Governor George E. Pataki today introduced legislation to make New York's Assisted Outpatient Treatment (AOT) law permanent. The measure, known as Kendra's Law, was first enacted in 1999 and is currently scheduled to sunset on June 30, 2005. It is named in memory of Kendra Webdale, who tragically died after being pushed in front of a subway train by a man with a history of mental illness and hospitalizations. Since being enacted Kendra's Law has successfully provided specialized services to more than 6,600 New Yorkers with mental illness.

"For the past five years, Kendra's Law has provided New Yorkers with mental illness access to the treatment they need in an effective manner that ensures their safety, as well as that of the public," Governor Pataki said.

"The vast majority of these individuals are already leading productive and fulfilling lives in their communities, but the results are clear -- Kendra's Law works. That's why I am proposing that this extremely successful program be made permanent."

Kendra's Law established a process for identifying individuals with mental illness who, in view of their treatment history and circumstances, are likely to have difficulty living safely in the community without supervision.

A five-year evaluation of the program was released last week by the Office of Mental Health (OMH) and has shown the program to be a resounding success. The use of mental health services by the population now being served by AOT has gone up by 89 percent over what was utilized prior to the implementation of the program.

Patricia Webdale, Kendra's mother, said, "The Assisted Outpatient Treatment program is having positive results, and I would like to commend OMH for a job well done. On a personal note, it brought tears to my eyes to see Kendra's name on the AOT report's cover. When we began this journey five years ago, my husband Ralph and I were hopeful that we could do something that would help just one person. We are very pleased to see that this program has helped so many."

Sharon E. Carpinello, R.N., Ph.D., OMH Commissioner, said, "Thanks to Governor Pataki's leadership, we have seen improved access to mental health services, improved coordination of service planning, enhanced accountability, and improved collaboration between the mental health and court systems. But when summarizing the results of AOT, it is most important to note the positive impact the program is having on the people who have successfully used it. Individuals with mental illness who participate in AOT are able to make and maintain real gains in their recovery -- the data tells us that, and so do the recipients."

Kendra's Law has created a procedure for obtaining court orders for certain individuals to receive outpatient treatment for mental illness. It also ensures that local mental health systems give these individuals priority access to case management and other services necessary to ensure safe and successful community living.

In addition to assisted outpatient treatment, Kendra's Law also addresses the need to ensure that mentally ill people who are moving from hospitals or correctional facilities to the community receive necessary psychiatric medications without interruption. Fully funded in the Governor's Executive Budget, the law's statewide medication grant program enables counties to provide people who are discharged from psychiatric hospitals, state prisons or county jails with psychiatric medication they may need while they are applying for Medicaid.

In addition, the law clarifies and authorizes the sharing of necessary clinical information of patients with mental illness between psychiatric hospitals as well as between psychiatric hospitals and general hospital emergency rooms. This sharing of information helps to provide clinicians with accurate clinical histories, resulting in better diagnoses and treatment.

The five year report that was recently released reviews the impact and outcomes of various elements of the AOT program from its initial implementation in November 1999 through December 2004. During that time, 10,078 individuals were referred for AOT assessment. Of those, 3,766 individuals received services under an AOT court order, and an additional 2,863 received service enhancements without a court order.

AOT participants show a significantly increased participation in case management, substance abuse, and other treatment services; increased adherence to prescribed medication; improvements in social and family functioning; and improvements in community living. They also demonstrate a reduction of harmful behaviors, including reduced incidence of hospitalization, homelessness, arrest and incarceration.

The Report on the Status of Assisted Outpatient Treatment is available on the OMH website, www.ohm.state.ny.us. ###

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