Arkansas Severe Mental Illness Information, Laws, & Helpful Resources

The term severe mental illness (SMI) includes schizophrenia spectrum disorders, severe bipolar disorder, and major depression with psychotic features. These disorders put an individual at high risk for criminalization and preventable tragedies such as victimization and suicide. Every state has different laws and policies around accessing treatment for SMI and some states have more resources and treatment options than others. Here you will find state-specific resources for navigating the SMI treatment system, an evaluation of local laws, as well as state SMI data and research.

State of Arkansas next to Treatment Advocacy Center text, symbolizing local severe mental illness data, laws, and resources

Family Resources in Resources in Arkansas

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How many people in Arkansas have SMI?

79842

individuals with severe mental illness.

33122

individuals with SMI who receive treatment in a given year.

3.42 %

of the adult population is estimated living with a SMI in the United States.

State psychiatric hospital beds in Arkansas

2023 total beds: 186
  • Civil beds: 0
  • Forensic beds: 186
2023 beds per 100,000 people: 6.1

Click here for more information about state psychiatric hospital beds in Arkansas.

A minimum of 50 beds per 100,000 people is considered necessary to provide minimally adequate treatment for individuals with severe mental illness. Arkansas fails to meet this minimum standard.

For Additional Information

Data is a powerful tool to advocate for change. Curious about a specific data point in your state? Reach out to us at ORPA@treatmentadvocacycenter.org

Fast Facts on SMI in Arkansas

Deinstitutionalization, outdated treatment laws, discriminatory Medicaid funding practices, and the prolonged failure by states to fund their mental health systems drive those in need of care into the criminal justice and corrections systems.

Prevalence of SMI in jails and prisons
18%
Estimated number of inmates with SMI in 2021
4,843
State psychiatric inpatient beds 2023
186
Likelihood of incarceration versus hospitalization
26 to 1

2021 Arkansas State Mental Health Agency's expenditures

Every state receives block grant funding from the federal government to provide mental health services to their community. Below is some information about how these dollars are spent and compares to other state spending.

SMHA expenditures
$105,286,583
Percentage of expenditures for state hospitals
44%
Expenditures per person served by the public mental health system
$1,411
Percentage of SMHA expenditures of total state budget
0.3%

Arkansas Treatment Laws

ARK. CODE ANN. § 20-47-210(a). Whenever it appears that a person [meets the criteria for emergency evaluation]: (1) An interested citizen may take the person to a hospital or to a receiving facility or program. If no other safe means of transporting the individual is available, it shall be the responsibility of the law enforcement agency that exercises jurisdiction at the site where the individual is physically located and requiring transportation, or unless otherwise ordered by the judge[;] or (2) Any person filing a petition for involuntary admission may append to the petition a request for immediate confinement which shall state with particularity facts personally known to the affiant which establish reasonable cause to believe that the person sought to be involuntarily admitted is in imminent danger of death or serious bodily harm or that the lives of others are in imminent danger of death or serious bodily harm due to the mental state of the person sought to be involuntarily admitted.

ARK. CODE ANN. § 20-47-207(a). Any person having reason to believe that a person meets the criteria for involuntary admission … may file a verified petition with the probate clerk of the county in which the person alleged to have mental illness resides or is detained. ARK. CODE ANN. § 20-47-207(c)(1). A person shall be eligible for involuntary admission if he or she is in such a mental condition as a result of mental illness, disease, or disorder that he or she poses a clear and present danger to himself or herself or others; ARK. CODE ANN. § 20-47-207(c)(2). As used in this subsection, "a clear and present danger to himself or herself" is established by demonstrating that: (A) The person has inflicted serious bodily injury on himself or herself or has attempted suicide or serious self-injury, and there is a reasonable probability that the conduct will be repeated if admission is not ordered; (B) The person has threatened to inflict serious bodily injury on himself or herself, and there is a reasonable probability that the conduct will occur if admission is not ordered; (C) The person's recent behavior or behavior history demonstrates that he or she so lacks the capacity to care for his or her own welfare that there is a reasonable probability of death, serious bodily injury, or serious physical or mental debilitation if admission is not ordered; or (D) (i) The person's understanding of the need for treatment is impaired to the point that he or she is unlikely to participate in treatment voluntarily; (ii) The person needs mental health treatment on a continuing basis to prevent a relapse or harmful deterioration of his or her condition; and (iii) The person's noncompliance with treatment has been a factor in the individual's placement in a psychiatric hospital, prison, or jail at least two times within the last forty- eight months or has been a factor in the individual's committing one or more acts, attempts, or threats of serious violent behavior within the last forty-eight months. ARK. CODE ANN. § 20-47-207(c)(3). As used in this subsection, "a clear and present danger to others" is established by demonstrating that the person has inflicted, attempted to inflict, or threatened to inflict serious bodily harm on another, and there is a reasonable probability that such conduct will occur if admission is not ordered.

Recommended updates to treatment laws

  1. 1

    Amend Ark. Code Ann. § 20-47-207(c)(2)(D)(iii) to remove requirement for history of noncompliance

  2. 2

    Amend Ark. Code Ann. § 20-47-214 to extend duration of original order beyond 90 days

  3. 3

    Amend Ark. Code Ann. § 20-47-215 to extend duration of continued order beyond 180 days

  4. 4

    Adopt express procedures for the court to monitor uncontested AOT orders entered into voluntarily to give the benefit of the black robe effect to all enrollees