Assisted Outpatient Treatment (AOT)

The Terrebonne Assisted Outpatient Treatment (AOT) program is a
court-supervised initiative led by Judge Jason A. Dagate of the 32nd Judicial District Court. The program works closely with mental health providers, hospitals, law enforcement, and families to support lasting recovery. Through regular court reviews and a team-based approach, Terrebonne AOT helps participants stay engaged in care, avoid unnecessary hospitalizations or arrests, and build a path toward stability and independence.
AOT is about support, safety, and second chances — not punishment.
It’s a bridge to a better future, built on accountability, compassion, and hope.

What do we do?

The purpose of AOT is to get individuals who are chronically ill, not participating in treatment, and doing poorly in the community into treatment. Individuals who meet certain criteria are court- ordered to a comprehensive care plan where they’re given the proper support and treatment to get them stable and well.
We assess the person’s needs and provide case management, establish services through local mental health agencies to provide therapy, medications, peer support, and transportation if needed.
Individuals in AOT attend regular court hearings, usually every 30 to 90 days. Individuals can be discharged from the program at 12 months if there is a demonstration of insight, readiness, and willingness to participate in outpatient treatment without a court order.
Frequently Asked Questions
What is a
Serious Mental Illness (SMI)?
A serious mental illness (SMI) is a diagnosable condition that seriously interferes with a person’s ability to function in daily life. Examples include schizophrenia, bipolar disorder, and major depression with psychosis. AOT is designed to support people whose illness makes it hard for them to stay connected to treatment on their own.
Can I be criminally charged or go to jail for not following AOT?
No. AOT is not a criminal proceeding. You will not be arrested or jailed simply for being in the program or for struggling to follow your treatment plan. The focus is on care, not punishment.
Why is the court involved?
The court helps ensure that individuals who meet the criteria receive the care they need before a crisis occurs. A judge oversees the treatment plan to make sure it’s fair, appropriate, and effective — while helping the person stay engaged and supported in the community.
What happens if someone
refuses treatment or
doesn’t follow the plan?
The AOT team will make every effort to
re-engage the person through support, outreach, and adjustments to the plan if needed. If someone continues to refuse treatment and their health or safety is at risk, the treatment provider, with court involvement, may pursue emergency hospitalization.