Health and Human Services Agency




(Placerville, CA) - Mental illness can affect any person or family. For individuals in El Dorado County with the most severe forms of mental illness, the Assisted Outpatient Treatment (AOT) program (also known as the "Laura's Law" program) is available. The program, coordinated through the El Dorado County Behavioral Health Division of the Health and Human Services Agency (HHSA), gives additional tools to families, agencies and individuals to help people who need mental health treatment receive those services.

"The Assisted Outpatient Treatment program is important because it recognizes that some people with the most severe forms of mental illness may need help in understanding they need treatment," said Katy Eckert, Assistant Director of HHSA. "Sometimes the person with acute mental illness doesn't recognize they have a problem. In extreme cases, their behaviors can result in harm to themselves or others. The AOT program seeks to improve the safety and well-being of individuals and our community by helping those with severe mental illness get the help they need."

The AOT program uses a community-based, case management model to assist the seriously mentally ill with placement into mental health treatment. The program works with clients to seek voluntary participation whenever possible, but can use the court system if needed to leverage treatment. "Our team of mental health professionals works with the individual to assess their needs and come up with an individualized treatment plan," said Eckert. "Most treatment services are provided in an outpatient setting and include supportive services."

To be eligible for the AOT program, an individual must be evaluated to see if they could benefit from treatment and if they meet specific criteria. At a minimum, the individual must meet all of the following criteria:

  • 18 years of age or older;
  • Diagnosed with a serious mental illness as defined by California law;
  • Clinically assessed as being unlikely to survive safely in the community without supervision; and
  • Have a history of failing to comply with treatment for his or her mental illness as demonstrated by at least one of the following: 1) The person's mental illness has resulted in them being hospitalized or receiving services in a mental health unit of a state or local correctional facility at least twice in the past 36 months; or 2) The person's mental illness has resulted in one or more serious or violent acts, threats or attempts to cause physical harm toward themselves or others within the past 48 months. 

Referrals to the AOT program can be made by concerned household members, immediate family members, a residential mental health facility director, a hospital where the individual is inpatient, the individual's current mental health provider and/or a supervising law enforcement officer. The AOT Referral Form is available at

Signed into California law in 2002 as Assembly Bill 1421, Laura's Law is named after Laura Wilcox, a woman in California who was killed by a man with severe mental illness that refused treatment. Laura's Law allows HHSA Behavioral Health to petition the courts in California to order assisted outpatient treatment for the seriously mentally ill who don't understand the gravity of their condition. Counties in California have the option of implementing the program. El Dorado County authorized the program in 2015.

"The AOT program enhances our continuum of care for seriously mentally ill residents through earlier intervention and community-based treatment focused on decreasing dangerous behaviors, hospitalization and incarceration," said Eckert. "The program helps people gain control of their lives and gives families support to help their loved ones."

For questions about the AOT program, please call Behavioral Health staff at (530) 621-6290 on the West Slope of El Dorado County or (530) 573-7970 in South Lake Tahoe. For information about other behavioral health services in El Dorado County, please visit


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