The picture emerging of Aaron Rey Ybarra is crushingly familiar.
A young man with documented mental health problems (he was twice evaluated for involuntary psychiatric hospitalization) who’d said he “wanted to hurt himself and others“; who hadn’t seen a mental health provider for months and appeared to be taking his medications sporadically; yet was striving for stability, with a new job and sessions at Alcoholics Anonymous.
The picture still needs to be filled out, and the policies to spin out of this tragedy should include a review of state gun laws. But I read Ybarra’s story as a call for an important mental health reform, largely neglected here in Washington.
Ybarra may have been a good candidate for what’s known as Assisted Outpatient Treatment. It involves court-ordered outpatient therapy, with intensive supervision of a treatment plan that can include housing and other help. Patients have to have a serious illness, including hospitalizations, and often have a history of noncompliance with treatment.
New York has a program, known as “Kendra’s Law,” with about 2,500 people, at a cost of $32 million, according to a New York Times story, but it is estimated by Duke University researchers to save about 50 percent per-patient off state Medicaid costs because patients didn’t go to expensive hospitals nearly as often.
From the Duke study, which included New York and surrounding counties:More