MA S1115

Creates court-ordered "critical community mental health service treatment plans" for adults 18+ with severe mental illness who are gravely disabled, have a history of treatment non-adherence resulting in at least two involuntary hospitalizations or violent behavior within 36 months, and are unlikely to voluntarily participate in outpatient treatment

Allows physicians, the Department of Mental Health, facility superintendents, family members, legal guardians, parole/probation officers, and other responsible adults to petition district court for these community-based treatment orders

Limits initial orders to 180 days maximum, with subsequent orders capped at 365 days; requires court to find by clear and convincing evidence that community services are the least restrictive alternative available

Mandates supervising mental health professionals review each individual's condition at least every 30 days and establishes a non-adherence hearing process scheduled within 7-14 days if treatment plan conditions are violated

Provides individuals the right to counsel at all hearings, allows petitions for plan amendments or termination by either the individual or supervising professional, and preserves authority for emergency involuntary commitment when necessary