General Contact Number: (530) 621-5567

Behavioral Health

​What is Assisted Outpatient Treatment (AOT) / Laura's Law?

Assisted Outpatient Treatment (AOT), sometimes called "Laura's Law," is for people with severe and persistent mental illness who need treatment to prevent substantial deterioration of their condition, and who may pose a risk to themselves or others.

AOT services provide for limited term, court-supervised outpatient mental health treatment for individuals who meet strict criteria as defined by State law.  

Referrals may be made by family, household members, medical and mental health providers, community based organizations, hospitals, law enforcement, or judges. 

Individuals referred to services via AOT are provided initially with Intensive Case Management (ICM)-level services, with the level of service adjusted over time as needed to provide necessary treatment to the participants. 

AOT cannot require medications to be taken or involuntary hospitalizations. 

Please call (530) 621-6290 for questions about services. 

AOT Eligibility Criteria

The basic AOT eligibility criteria are: 

  1. The referral to AOT is made by a qualified party.

  2. The person is 18 years of age or older.

  3. The person is in the county or reasonably believed to be in the county;

  4. The person is suffering from a severe mental illness as defined in Welfare and Institutions Code section 5600.3 (excludes dementia and organic brain damage).

  5. There has been a clinical determination that the person is unlikely to survive safely in the community without supervision.

  6. The person has a history of lack of compliance with mental health treatment, in that at least one of the following is true:

    1. The person’s mental illness has, at least twice within the last 36 months, been a substantial factor in necessitating hospitalization, or receipt of services in a forensic or other mental health unit of a state correctional facility or local correctional facility, not including any period during which the person was hospitalized or incarcerated immediately preceding the filing of the petition.

    2. The person’s mental illness has resulted in one or more acts of serious and violent behavior toward themselves or another, or threats, or attempts to cause serious physical harm to themselves or another within the last 48 months, not including any period in which the person was hospitalized or incarcerated immediately preceding the filing of the petition.

  7. The person has been offered an opportunity to participate in treatment and the person continues to refuse or fails to engage in treatment.

  8. The person’s condition is substantially deteriorating.

  9. Participation in the assisted outpatient treatment program would be the least restrictive placement necessary to ensure the person’s recovery and stability.

  10. In view of the person’s treatment history and current behavior, the person is in need of assisted outpatient treatment in order to prevent a relapse or deterioration that would be likely to result in grave disability or serious harm to the person or to others.

  11. It is likely that the person will benefit from AOT services.

How to Make an AOT Referral

The AOT Referral Form can be submitted to the Health and Human Services Agency Behavioral Health Division via email at, via fax to (530) 303-1526, or via mail to EDC HHSA, ATTN: Utilization Review, 768 Pleasant Valley Road, Suite 201, Diamond Springs, CA 95619.