Supportive Interventions Act and Mental Health Care Reform: New York State

Legislation Overview

The Supportive Interventions Act (2025) amends New York State’s Mental Hygiene Law to improve care coordination, hospitalization procedures, and assisted outpatient treatment (AOT) for individuals with severe mental illness. The act aims to enhance long-term recovery outcomes, reduce criminalization, and improve community safety.

  • Expanded criteria for involuntary commitment to include inability to meet essential needs due to mental illness, aligning NY statute with 43 other states.
  • Allows timely re-petitioning for AOT within 6 months upon treatment disengagement or crisis, improving continuity of care.
  • Empowers Directors of Community Services (DCS) to coordinate hospital admissions and care oversight.
  • Supports comprehensive psychiatric emergency program (CPEP) evaluations for timely crisis intervention.

Sources: New York Governor’s budget 2025, NY State Senate Bill S1080, NY State Assembly Bill A137, 2025.

Funding and Programmatic Support

$16.5M
Allocated to Enhanced AOT Program Implementation
$2M
Added OMH Staff for AOT Monitoring and Training
100
New Forensic Inpatient Psychiatric Beds Funded
5
New Clubhouses and Youth Safe Spaces Supported
$1.4M
Funding for Street Medicine and Street Psychiatry SOS Teams
$1.5M
Teen Mental Health First Aid Program Expansion

Innovative Service Models and Community Impact

  • Assisted Outpatient Treatment (AOT): Strengthened under “Kendra’s Law” with enhanced filing timelines and monitoring to ensure treatment adherence.
  • Clubhouses: Member-driven centers offering social, employment, and life skills supports to people with serious mental illness.
  • Youth Safe Spaces: Behavioral health wellness centers for adolescents focused on peer support and positive relationships.
  • Street Medicine and Psychiatry SOS Teams: Provide immediate medical and psychiatric care for homeless individuals, achieving housing placements for 1,000+ persons statewide.
  • Peer Support and Bridger Programs: Hospital-based peer-led programs improve transitions from inpatient care to community integration and support.

Data from NY Office of Mental Health and NYC agencies, 2025.

Expected Outcomes and Public Safety

Measure2023 BaselineProjected by 2027Notes
Individuals Receiving AOT3,2004,500+Enhanced outreach and re-petition authority
Emergency Psychiatric Hospitalizations14,100Reduction by 10%Early interventions and community treatment
Criminal Justice Involvement of SMI IndividualsN/AReduction by 15%Reduced criminalization via supportive programs
Housing Placements via SOS Teams1,000+1,500+Permanent supportive housing for homeless with mental illness
Peer Support EngagementINSET and Bridger programs serving 2,000+3,500+Expanded hospital and community service capacity

Community and Family Support

The Supportive Interventions Act emphasizes family education, involvement in care planning, and access to preventive interventions for youth and those at risk of co-occurring disorders.

  • Families receive training and support to help navigate mental health systems and foster recovery.
  • Prevention efforts focus on early identification of co-occurring mental health and substance use disorders in youth.
  • Peer advocacy provides vital empowerment, advocacy, and navigation assistance.
  • Accountability mechanisms ensure transparent service systems with consumer and family input.