Form AOC-737.5 "Judgment and Order for Court-Ordered Assisted Outpatient Treatment" - Kentucky

What Is Form AOC-737.5?

This is a legal form that was released by the Kentucky Court of Justice - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2020;
  • The latest edition provided by the Kentucky Court of Justice;
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  • Fill out the form in our online filing application.

Download a printable version of Form AOC-737.5 by clicking the link below or browse more documents and templates provided by the Kentucky Court of Justice.

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Download Form AOC-737.5 "Judgment and Order for Court-Ordered Assisted Outpatient Treatment" - Kentucky

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AOC-737.5
Doc. Code: CEAOT
Case No. ____________________
Rev. 7-20
ODAOT
Page 1 of 2
l e x
Court ________________________
District
e t
Commonwealth of Kentucky
j u s t i t i a
Court of Justice
www.kycourts.gov
County ______________________
KRS 202A.031; 202A.051(11); 202A.0811;
JUDGMENT AND ORDER
202A.0815; 202A.0817; 202A.0819;
Division ______________________
202A.0821; 202A.0823; 202A.0825
FOR COURT-ORDERED ASSISTED OUTPATIENT TREATMENT
)
IN THE INTEREST OF:
)
)
_________________________________________________________
)
Respondent
* * * * * * * * * * * *
WHEREAS, a Petition requesting court-ordered assisted outpatient treatment having been fi led and THE COURT HAVING
HELD a hearing to determine if a judgment should be rendered in the above-styled case, the Court fi nds as follows:
1. (check one)  Respondent was present throughout the hearing OR  Respondent was not present but appropriate
attempts to elicit the Respondent’s appearance were made.
2. (check if applicable)  Respondent requested and was accompanied by a peer support specialist or other person in
a support relationship.
3. Respondent was aff orded an opportunity to present evidence, call witnesses on his or her behalf, and cross-exam
adverse witnesses.
4. In accordance with KRS 202A.0817:
a. The Qualifi ed Mental Health Professional who examined the Respondent pursuant to KRS 202A.0811 provided to
this Court and the Respondent, at or prior to the hearing, a proposed written treatment plan for court-ordered assisted
outpatient treatment; and
b. The Qualifi ed Mental Health Professional provided reasonable opportunities for the Respondent to actively
participate in the development of the proposed treatment plan, and if applicable, followed the Respondent’s advanced
directive for mental health treatment.
5. The Court has reviewed the proposed treatment plan and FINDS that, pursuant to KRS 202A.0817(3), it includes a
proactive crisis plan and evidence-based practices.
6. Pursuant to KRS 202A.0819(3), the Qualifi ed Mental Health Professional testifi ed at the hearing in person or via
electronic means in support of his or her belief that the proposed treatment is essential to the maintenance of the
Respondent's health or safety.
AND FURTHER, that the case having been submitted to the Court, (check one)
 and the Court having heard the testimony of _________________________________________ which established
by clear and convincing evidence that the Respondent meets the criteria of KRS 202A.0815, as follows: he or she
has been involuntarily hospitalized pursuant to KRS 202A.051 at least two (2) times in the past twenty-four (24) months;
has been diagnosed with a serious mental illness; is unlikely to adequately adhere to outpatient treatment on a voluntary
basis; and is in need of court-ordered assisted outpatient treatment as the least restrictive alternative mode of treatment
presently available and appropriate; OR
 and the Court having heard evidence that did not establish by clear and convincing evidence that the Respondent
meets the criteria of KRS 202A.0815;
AOC-737.5
Doc. Code: CEAOT
Case No. ____________________
Rev. 7-20
ODAOT
Page 1 of 2
l e x
Court ________________________
District
e t
Commonwealth of Kentucky
j u s t i t i a
Court of Justice
www.kycourts.gov
County ______________________
KRS 202A.031; 202A.051(11); 202A.0811;
JUDGMENT AND ORDER
202A.0815; 202A.0817; 202A.0819;
Division ______________________
202A.0821; 202A.0823; 202A.0825
FOR COURT-ORDERED ASSISTED OUTPATIENT TREATMENT
)
IN THE INTEREST OF:
)
)
_________________________________________________________
)
Respondent
* * * * * * * * * * * *
WHEREAS, a Petition requesting court-ordered assisted outpatient treatment having been fi led and THE COURT HAVING
HELD a hearing to determine if a judgment should be rendered in the above-styled case, the Court fi nds as follows:
1. (check one)  Respondent was present throughout the hearing OR  Respondent was not present but appropriate
attempts to elicit the Respondent’s appearance were made.
2. (check if applicable)  Respondent requested and was accompanied by a peer support specialist or other person in
a support relationship.
3. Respondent was aff orded an opportunity to present evidence, call witnesses on his or her behalf, and cross-exam
adverse witnesses.
4. In accordance with KRS 202A.0817:
a. The Qualifi ed Mental Health Professional who examined the Respondent pursuant to KRS 202A.0811 provided to
this Court and the Respondent, at or prior to the hearing, a proposed written treatment plan for court-ordered assisted
outpatient treatment; and
b. The Qualifi ed Mental Health Professional provided reasonable opportunities for the Respondent to actively
participate in the development of the proposed treatment plan, and if applicable, followed the Respondent’s advanced
directive for mental health treatment.
5. The Court has reviewed the proposed treatment plan and FINDS that, pursuant to KRS 202A.0817(3), it includes a
proactive crisis plan and evidence-based practices.
6. Pursuant to KRS 202A.0819(3), the Qualifi ed Mental Health Professional testifi ed at the hearing in person or via
electronic means in support of his or her belief that the proposed treatment is essential to the maintenance of the
Respondent's health or safety.
AND FURTHER, that the case having been submitted to the Court, (check one)
 and the Court having heard the testimony of _________________________________________ which established
by clear and convincing evidence that the Respondent meets the criteria of KRS 202A.0815, as follows: he or she
has been involuntarily hospitalized pursuant to KRS 202A.051 at least two (2) times in the past twenty-four (24) months;
has been diagnosed with a serious mental illness; is unlikely to adequately adhere to outpatient treatment on a voluntary
basis; and is in need of court-ordered assisted outpatient treatment as the least restrictive alternative mode of treatment
presently available and appropriate; OR
 and the Court having heard evidence that did not establish by clear and convincing evidence that the Respondent
meets the criteria of KRS 202A.0815;
AOC-737.5
Rev. 7-20
Page 2 of 2
THEREFORE, IT IS ORDERED that: (check one)
 The Respondent receive assisted outpatient treatment from _____________________________________________
(outpatient provider agency recognized by the Cabinet for Health and Family Services) located at ________________
_______________________________________, Kentucky, for a period not to exceed 360 days from the date of
this order. The recommendations included in the treatment plan provided by the qualifi ed mental health professional
pursuant to KRS 202A.0817 shall be and hereby are incorporated into this Order. The above-named Agency shall
assemble a multi-disciplinary team. The multi-disciplinary team shall regularly monitor Respondent’s adherence to the
conditions and provide regular reports to the Court.
Tim’s Law funding is available, provided by or through
____________________________________________________. (Doc Code: OAOT)
(Name of Funding Source)
OR
 Said Petition against the Respondent be DISMISSED.
(Doc Code: ODAOT)
THIS IS A FINAL ORDER AND THERE IS NO JUST REASON FOR DELAY.
_____________________________, 2______
____________________________________________
Date
Judge's Signature
Please print or type name of Judge in the space provided below:
______________________________________________
Note:
Your substantial failure to comply with this Order may result in 72-hour emergency hospitalization by an authorized staff physician pursuant to KRS 202A.031.
At any time during the period of this Order, you may move the Court to stay, vacate, or modify the Order. (Use form AOC-737.6, "Motion to Stay, Vacate, or Modify Order")
COPY DISTRIBUTION:
Outpatient Provider Agency
County Attorney
Cabinet for Health and Family Services
Respondent/Respondent’s Attorney
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