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Pennsylvania’s Allegheny County implementing involuntary outpatient mental health care services

Allegheny County will require community treatment for some with serious mental illness using assisted outpatient treatment, monitored by an advisory group through 2026.

  • County leaders told the state in a Tuesday letter that Allegheny County, Pennsylvania, will begin using assisted outpatient treatment starting Jan. 1.
  • Following stakeholder engagement and a Public Source investigation this year, officials said they were motivated by research linking 302 discharges to harm.
  • Under the statute, assisted outpatient treatment allows `any responsible party` to file a petition starting a civil court procedure, where a judge may order community treatment but cannot enforce penalties.
  • The county will create an advisory group to monitor implementation through 2026, and a working group already included the Court of Common Pleas and the Office of the Public Defender, affecting people with serious mental illness and their families.
  • Almost exactly a year ago, county officials consulted jurisdictions in California and New York, referenced Kendra's Law, noted a nationwide shift in recent years, and cited an executive order issued by President Donald Trump in July before missing the Sept. 1 initial planned start.
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PublicSource | News for a better Pittsburgh… broke the news in on Tuesday, December 23, 2025.
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