Massachusetts
Public Psychiatric Beds | Criminalization | Criminal Diversion | Additional Massachusetts Resources | Read Massachusetts’s civil commitment statutes now
Getting your loved one help in Massachusetts: In a psychiatric emergency, the more you know about your state’s laws and treatment options, the better prepared you will be to respond in the most effective way possible. These resources will help:
- Essential information on who may initiate proceedings leading to mandatory treatment
- State standards for emergency hospitalization for a psychiatric evaluation
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Estimated Prevalence of Severe Mental Illness in Massachusetts (2020)
(SOURCE: NIMH and US BUREAU OF THE CENSUS, 2020) |
Mandatory Treatment Laws in Massachusetts
Like every state, Massachusetts has civil commitment laws that establish criteria for determining when involuntary treatment is appropriate for individuals with severe mental illness who cannot seek care voluntarily. Massachusetts is one of only three states that do not authorize involuntary treatment in the community, often called assisted outpatient treatment (AOT)".
You can find the Massachusetts civil commitment law, here.
| GRADING MASSACHUSETTS STATE LAWS | |
| PART ONE: INPATIENT COMMITMENT STATUTE | 33 |
| PART TWO: OUTPATIENT COMMITMENT STATUTE | 0 |
| TOTAL | 33 |
| GRADE | F |
(SOURCE: GRADING THE STATES: AN ANALYSIS OF INVOLUNTARY PSYCHIATRIC TREATMENT LAWS, Treatment Advocacy Center, 2020)
Public Psychiatric Beds in Massachusetts
A minimum of 50 beds per 100,000 people is considered necessary to provide minimally adequate treatment for individuals with severe mental illness. Like every state, Massachusetts fails to meet this minimum standard.
| Beds in 2016 | Beds in 2010 | Beds lost or gained | Beds per 100,000 people | Census of forensic patients | % of all beds occupied forensic | State ranking in beds per capita |
| 608 | 696 | -88 | 8.9 | 70 | 11.5 | 38-39 |
(SOURCE: GOING, GOING, GONE: TRENDS AND CONSEQUENCES OF ELIMINATING STATE PSYCHIATRIC BEDS, Treatment Advocacy Center, 2016)
Criminalization of Mental Illness in Massachusetts
Like every state in the nation, Massachusetts incarcerates more individuals with severe mental illness than it hospitalizes.
| Total inmate population 2005 | Estimated population of SMI inmates | Total psychiatric inpatient population 2004 | Likelihood of incarceration vs. hospitalization |
| 22,778 | 3,644 | 2,979 | 1.2 to 1 |
(SOURCE: MORE MENTALLY ILL PERSONS ARE IN JAILS AND PRISONS THAN HOSPITALS: A Survey of the States, Treatment Advocacy Center, 2010)
Criminal Diversion in Massachusetts
Criminal justice officials are responding to the criminalization of individuals with innovative programs designed to divert individuals with severe mental illness away from the criminal justice system. Two of the most promising programs are: mental health courts and crisis intervention training (CIT).
| Percentage of population served by a mental health court | Percentage of population served by CIT | Combined average | Grade |
| 13% | 3% | 8% | F |
(SOURCE: PREVALENCE OF MENTAL HEALTH DIVERSION PRACTICES: A SURVEY OF THE STATES, Treatment Advocacy Center, 2013)
Policy Recommendations
- Stop eliminating public psychiatric beds
- Restore a sufficient number of beds to create access to inpatient care for qualifying individuals in crisis
- Make active use of the state’s civil commitment laws to provide more timely treatment to individuals in need of treatment for symptoms of psychiatric crisis and reduce the consequences of non-treatment on them, their families and their communities