MO HB3313

Establishes assisted outpatient treatment (AOT) as court-ordered involuntary outpatient mental health services for adults 18+ with mental disorders who will not voluntarily seek treatment and are unable to make informed decisions about care

Allows petitions to be filed by mental health program directors, emergency receiving center staff, guardians, or state/local health agencies when a person's treatment noncompliance has twice resulted in civil detention within 36 months or resulted in serious violent behavior

Requires hearings within two judicial days of petition filing, with clear and convincing evidence standard, appointed counsel for respondents, and right to jury trial upon request

Court orders for AOT may last up to two years, with assigned case managers from certified community behavioral health clinics reporting to the court at least every 90 days on compliance

Noncompliant respondents may be hospitalized without a hearing for up to 10 days (or up to 90 days with community mental health center recommendation), with the right to object and receive a hearing on the hospitalization