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

Family Resources in Resources in Arizona

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How many people in Arizona have SMI?

195270

individuals with severe mental illness.

81007

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 Arizona

2023 total beds: 259
  • Civil beds: 116
  • Forensic beds: 143
2023 beds per 100,000 people: 3.5

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

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

Deinstitutionalization, outdated treatment laws, discriminatory Medicaid funding practices, and the prolonged failure by states to fund their mental health systems drive those in need of care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
17%
Estimated number of inmates with SMI in 2021
8,274
State psychiatric inpatient beds 2023
259
Likelihood of incarceration versus hospitalization
32 to 1

2021 Arizona 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
$97,194,679
Percentage of expenditures for state hospitals
79%
Expenditures per person served by the public mental health system
$240
Percentage of SMHA expenditures of total state budget
0.1%

Arizona's Treatment Laws

Both emergency and non-emergent applications for evaluation are filed with a screening agency (aka behavioral health agency). It is the behavioral health agency that files a petition for evaluation with the court for a court-ordered evaluation. Application for Non-Emergent Evaluation: ARIZ. REV. STAT. § 36-520(A). Any responsible individual may apply for a court-ordered evaluation of a person who is alleged to be, as a result of a mental disorder, a danger to self or to others or a person with a persistent or acute disability or a grave disability and who is unwilling or unable to undergo a voluntary evaluation. The application shall be made in the prescribed form and manner as adopted by the director. ARIZ. REV. STAT. § 36-520(B). The application for evaluation shall include the following data: 1. The name, and address if known, of the proposed patient for whom evaluation is applied. 2. The age, date of birth, sex, race, marital status, occupation, social security number, present location, dates and places of previous hospitalizations, names and addresses of the guardian, spouse, next of kin and significant other persons and other data that the director may require on the form to whatever extent that this data is known and is applicable to the proposed patient. 3. The name, address and relationship of the person who is applying for the evaluation. 4. A statement that the proposed patient is believed to be, as a result of a mental disorder, a danger to self or to others or a patient with a persistent or acute disability or a grave disability and the facts on which this statement is based. 5. A statement that the applicant believes the proposed patient is in need of supervision, care and treatment and the facts on which this statement is based. ARIZ. REV. STAT. § 36-520(D). The screening agency shall offer assistance to the applicant in preparation of the application. On receipt of the application, the screening agency shall act as prescribed in section 36-521 within forty-eight hours of the filing of the application excluding weekends and holidays. If the application is not acted upon within forty-eight hours, the reasons for not acting promptly shall be reviewed by the director of the screening agency or the director's designee. ARIZ. REV. STAT. § 36-521(A). On receiving the application for evaluation, the screening agency, before filing a petition for court-ordered evaluation, shall provide prepetition screening within forty-eight hours excluding weekends and holidays when possible to determine whether there is reasonable cause to believe the allegations of the applicant for the court-ordered evaluation, whether the person will voluntarily receive evaluation at a scheduled time and place and whether the person has a persistent or acute disability or a grave disability or is likely to present a danger to self or others until the voluntary evaluation. Application for Emergency Evaluation: ARIZ. REV. STAT. § 36-524(A). A written application for emergency admission shall be made to an evaluation agency before a person may be hospitalized in the agency. ARIZ. REV. STAT. § 36-524 (B). The application for emergency admission shall be made by a person with knowledge of the facts requiring emergency admission. The applicant may be a relative or friend of the person, a peace officer, the admitting officer or another responsible person. ARIZ. REV. STAT. § 36-524(C). The application shall be made on a prescribed form and shall include the following: 1. A statement by the applicant that the applicant believes that the person, as a result of a mental disorder, is a danger to self or others or has a persistent or acute disability or a grave disability, and is unable or unwilling to undergo voluntary evaluation and that during the time necessary to complete the prepetition screening procedures set forth in sections 36-520 and 36-521 the person is likely without immediate hospitalization to suffer serious physical harm or serious illness or is likely to inflict serious physical harm on another person. 2. The specific nature of the harm or illness the person is likely to suffer or inflict without immediate hospitalization. 3. A summary of the facts that support the statements made by the applicant, including the observations of persons who witnessed the events described in the statements or the behaviors of the person who is the subject of the application. 4. The signature of the applicant. ARIZ. REV. STAT. § 36-524(A). A. [A] peace officer may take into custody any individual the peace officer has probable cause to believe is, as a result of mental disorder, a danger to self or others, and if during the time necessary to complete the prepetition screening procedures set forth in sections 36-520 and 36-521 the person is likely without immediate hospitalization to suffer serious physical harm or serious illness or to inflict serious physical harm on another person. The peace officer shall transport the person to a screening agency unless the person’s condition or the agency’s location or hours makes such transportation impractical, in which event the person shall be transported to an evaluation agency. A peace officer is not held civilly liable for any acts committed by a person whom the peace officer has not taken into custody pursuant to this section. ARIZ. REV. STAT. §36-527 (A). A person taken into custody for emergency admission may not be detained longer than twenty-four hours excluding weekends and holidays following such detention unless a petition for court-ordered evaluation is filed. Petition for Evaluation: *There is a pending bill to this legislative session that may impact this statute and process - AZ HB2744 | BillTrack50. However, as of March 11, 2024 only the screening agencies have direct access to the court as provided in the below statutes. ARIZ. REV. STAT. §36-521(D). If, based on the allegations of the applicant for the court-ordered evaluation and the prepetition screening report or other information obtained while attempting to conduct a prepetition screening, the agency determines that there is reasonable cause to believe that the proposed patient is, as a result of mental disorder, a danger to self or to others or has a persistent or acute disability or a grave disability and that the proposed patient is unable or unwilling to voluntarily receive evaluation or is likely to present a danger to self or to others, has a grave disability or will further deteriorate before receiving a voluntary evaluation, the agency shall prepare a petition for court-ordered evaluation and shall file the petition, which shall be signed by the person who prepared the petition unless the county attorney performs these functions. If the agency determines that there is reasonable cause to believe that the person is in such a condition that without immediate hospitalization he is likely to harm himself or others, the agency shall take all reasonable steps to procure such hospitalization on an emergency basis. ARIZ. REV. STAT. §36-523(D). A petition and other forms required in a court may be filed only by the screening agency that has prepared the petition. Order for Inpatient Evaluation time limit: ARIZ. REV. STAT. §36-530(B). A person receiving an evaluation on an inpatient basis will remain in the facility during the evaluation, which shall be completed in less than seventy-two hours.

ARIZ. REV. STAT. § 36-531(B). If it is determined on an evaluation of the patient's condition that the patient [meets the state commitment standard], the medical director in charge of the agency that provided the evaluation … shall prepare, sign and file a petition for court-ordered treatment unless the county attorney performs the functions of preparing, signing or filing the petition[.] ARIZ. REV. STAT. § 36-540(A). If the court finds by clear and convincing evidence that the proposed patient, as a result of mental disorder, is a danger to self, is a danger to others, has a persistent or acute disability or a grave disability and is in need of treatment, and is either unwilling or unable to accept voluntary treatment, the court shall order the patient to undergo [inpatient and/or outpatient treatment]. ARIZ. REV. STAT. § 36-501(8). “Danger to others” means that the judgment of a person who has a mental disorder is so impaired that the person is unable to understand the person’s need for treatment and as a result of the person’s mental disorder the person’s continued behavior can reasonably be expected, on the basis of competent medical opinion, to result in serious physical harm. ARIZ. REV. STAT. § 36-501(9). "Danger to self": (a) Means behavior that, as a result of a mental disorder: i. Constitutes a danger of inflicting serious physical harm on oneself, including attempted suicide or the serious threat thereof, if the threat is such that, when considered in the light of its context and in light of the individual’s previous acts, it is substantially supportive of an expectation that the threat will be carried out. ii. Without hospitalization will result in serious physical harm or serious illness to the person. (b) Does not include behavior that establishes only the condition of having a grave disability. ARIZ. REV. STAT. § 36-501(16). “Grave disability” means a condition evidenced by behavior in which a person, as a result of a mental disorder, is likely to come to serious physical harm or serious illness because the person is unable to provide for the person’s own basic physical needs. ARIZ. REV. STAT. § 36-501(33). "Persistent or acute disability" means a severe mental disorder that meets all the following criteria: (a) Significantly impairs judgment, reason, behavior or capacity to recognize reality. (b) If not treated, has a substantial probability of causing the person to suffer or continue to suffer severe and abnormal mental, emotional or physical harm. (c) Substantially impairs the person’s capacity to make an informed decision regarding treatment, and this impairment causes the person to be incapable of understanding and expressing an understanding of the advantages and disadvantages of accepting treatment and understanding and expressing an understanding of the alternatives to the particular treatment offered after the advantages, disadvantages and alternatives are explained to that person. (d) Has a reasonable prospect of being treatable by outpatient, inpatient or combined inpatient and outpatient treatment.

Recommended updates to treatment laws

  1. 1

    Amend Ariz. Rev. Stat.§§ 36-524(A),36-524(B), 36-521(D), 36-523(D) to authorize direct access to petition the court for emergency evaluation

  2. 2

    Amend Ariz. Rev. Stat.§ 36-527(A) to extend the duration of hold for emergency evaluation to a minimum of 48 hours, but preferably 72 hours or more

  3. 3

    Amend Ariz. Rev. Stat. §§ 36-524(C), 36-525(B) and 36-501 to add all bases for inpatient commitment to emergency criteria to eliminate inconsistency

  4. 4

    Amend Ariz. Rev. Stat. § 36-531(B) to authorize citizen right of petition for at least enumerated citizens, preferably any responsible adult, for inpatient commitment

  5. 5

    Amend Ariz. Rev. Stat. § 36-531(B) to authorize citizen right of petition for at least enumerated citizens, preferably any responsible adult, for outpatient commitment

  6. 6

    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