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

Family Resources in Resources in Kentucky

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How many people in Kentucky have SMI?

119958

individuals with severe mental illness.

49765

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 Kentucky

2023 total beds: 410
  • Civil beds: 370
  • Forensic beds: 40
2023 beds per 100,000 people: 9.1

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

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

Deinstitutionalization, outdated treatment laws, discriminatory Medicaid funding practices, and the prolonged failure by states to fund their mental health systems drive those in need of care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
21%
Estimated number of inmates with SMI in 2021
9,676
State psychiatric inpatient beds 2023
410
Likelihood of incarceration versus hospitalization
24 to 1

2021 Kentucky 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
$206,967,451
Percentage of expenditures for state hospitals
60%
Expenditures per person served by the public mental health system
$1,414
Percentage of SMHA expenditures of total state budget
0.5%

Kentucky's Treatment Laws

KY. REV. STAT. ANN. § 202A.041(1). Any peace officer who has reasonable grounds to believe that an individual [meets the criteria for emergency evaluation] shall take the individual into custody and transport the individual without unnecessary delay to a hospital or psychiatric facility … for the purpose of an evaluation to be conducted by a qualified mental health professional. KY. REV. STAT. ANN. § 202A.031(1). An authorized staff physician may order the admission of any person who is present at, or is presented at, a hospital. Within twenty-four hours (excluding weekends and holidays) of the admission under this section, the authorized staff physician ordering the admission of the individual shall certify in the record of the individual that in his opinion the individual should be involuntarily hospitalized. KY. REV. STAT. ANN. § 202A.028(1). Following an examination by a qualified mental health professional and a certification by that professional that the person meets the criteria for involuntary hospitalization, a judge may order the person hospitalized for a period not to exceed seventy-two (72) hours, excluding weekends and holidays.

KY. REV. STAT. ANN. § 202A.051(3). The petition shall be filed by a qualified mental health professional, peace officer, county attorney, Commonwealth's attorney, spouse, relative, friend, or guardian of the individual concerning whom the petition is filed, or any other interested person. KY. REV. STAT. ANN. § 202A.026. No person shall be involuntarily hospitalized unless such person is a mentally ill person: (1) Who presents a danger or threat of danger to self, family or others as a result of the mental illness; (2) Who can reasonably benefit from treatment; and (3) For whom hospitalization is the least restrictive alternative mode of treatment presently available. KY. REV. STAT. ANN. § 202A.011(2). "Danger" or "threat of danger to self, family or others" means substantial physical harm or threat of substantial physical harm upon self, family, or others, including actions which deprive self, family, or others of the basic means of survival including provision for reasonable shelter, food or clothing.

Ky. Rev. Stat. Ann. § 202A.0815. No person shall be court-ordered to assisted outpatient mental health treatment unless the person: 1. Is diagnosed with a serious mental illness; 2. Has a history of repeated nonadherence with mental health treatment, which has: (a) At least twice within the last forty-eight (48) months, been a significant factor in necessitating hospitalization or arrest of the person; or (b) Within the last twenty-four (24) months, resulted in an act, threat, or attempt at serious physical injury to self or others; 3. Is unlikely to adequately adhere to outpatient treatment on a voluntary basis based on a qualified mental health professional’s: (a) Clinical observation; and (b) Identification of specific characteristics of the person’s clinical condition that significantly impair the person’s ability to make and maintain a rational and informed decision as to whether to engage in outpatient treatment voluntarily; and 4. Is in need of court-ordered assisted outpatient treatment as the least restrictive alternative mode of treatment presently available and appropriate.

Recommended updates to treatment laws

  1. 1

    Amend Ky. Rev. Stat. Ann. § 202A.041(1) to authorize citizen right of petition for at least enumerated citizens, preferably any responsible adult, for emergency evaluation

  2. 2

    Add psychiatric deterioration criteria or amend grave disability criteria to include it

  3. 3

    Amend Ky. Rev. Stat. § 202A.0815 in order to expressly exclude periods of hospitalization or incarceration from the period of treatment history considered

  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