{"id":566566,"date":"2026-04-05T19:54:13","date_gmt":"2026-04-05T19:54:13","guid":{"rendered":"https:\/\/www.newsbeep.com\/us\/566566\/"},"modified":"2026-04-05T19:54:13","modified_gmt":"2026-04-05T19:54:13","slug":"new-mexicos-court-mandated-pathways-to-mental-health-care-local-news","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us\/566566\/","title":{"rendered":"New Mexico&#8217;s court-mandated pathways to mental health care | Local News"},"content":{"rendered":"<p>State Sen. Moe Maestas, an Albuquerque Democrat, wants civil commitment to \u201cbecome a thing.\u201d<\/p>\n<p>\u201cI want the average legal practitioner, the average person dealing with family members struggling with mental health issues, that they know it\u2019s a thing,\u201d Maestas said. \u201cThis is an option for families and for providers.\u201d<\/p>\n<p>                        <img loading=\"lazy\" decoding=\"async\" src=\"data:image\/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAQAAAADCAQAAAAe\/WZNAAAAEElEQVR42mM8U88ABowYDABAxQPltt5zqAAAAABJRU5ErkJggg==\" alt=\"maestas moe.jpg\" class=\"img-responsive lazyload full default\" width=\"300\" height=\"375\" data- data-\/><\/p>\n<p>Moe Maestas<\/p>\n<p>New Mexico has two legal mechanisms \u2014 one civil, one criminal \u2014 that could result in court-mandated treatment or evaluation for people with severe mental illness. A process called civil commitment authorizes family members, health care providers, district attorneys or police officers to petition the court to mandate treatment when individuals pose a danger to themselves or others. Meanwhile, when the issue of competency is raised in a criminal case, it halts prosecution pending a forensic evaluation.<\/p>\n<p>Both systems have been subject to heavy revisions by the Legislature in recent years, as lawmakers attempt to address the intersecting issues of homelessness, mental health and public safety.<\/p>\n<p>The changes have received mixed reviews from advocates and family members of people with severe mental illness, but most agree there are wide gaps that render the systems insufficient: Providers are scarce and treatment is expensive. Some argue the new legislation relies too heavily on the legal system to manage behavioral health issues.<\/p>\n<p>Public Defender Tess Williams cited a law change in recent years that would direct some defendants with mental illness to a community-based program: \u201cHowever, no such program exists in New Mexico,\u201d she said, \u201cso it\u2019s sort of an empty pathway.\u201d<\/p>\n<p>The new legislation also has sparked concerns from civil libertarians, who argue the reforms could infringe on New Mexicans\u2019 freedoms.<\/p>\n<p>But Maestas framed the Legislature\u2019s changes in recent years as a \u201creasonable\u201d reaction to the realities of today.<\/p>\n<p>\u201cWe\u2019re just recognizing problems that exist within a modern world and coming up with a modern legal structure to deal with those problems,\u201d he said.<\/p>\n<p>Civil commitment<\/p>\n<p>Senate Bill 3, passed earlier this year as a piece of priority legislation from Gov. Michelle Lujan Grisham, provides a definition for \u201cserious harm to self\u201d and \u201cserious harm to others\u201d within New Mexico\u2019s mental health laws, a change Maestas, the bill\u2019s sponsor, said will ensure the law is applied consistently across the state.<\/p>\n<p>The bill focused on reforming civil commitment \u2014 a process by which a court can mandate treatment \u2014 after a personal tragedy: A family member had died by suicide, despite efforts to help her stabilize her mental health.<\/p>\n<p>\u201cWhat it comes down to is, how do we get our loved ones the help they deserve?\u201d Maestas said. \u201cIf your loved one has behavioral health issues and is suicidal, how do you prevent that person from ultimately committing suicide?\u201d<\/p>\n<p>He continued, \u201cYou either tell a judge to throw them in jail for a year, or you petition the court through this assisted outpatient treatment statute.\u201d<\/p>\n<p>SB 3 updates definitions in New Mexico\u2019s mental health and disability law, as well as the state\u2019s Assisted Outpatient Treatment Act, to clarify what it means for people to pose \u201cserious harm\u201d to themselves or others \u2014 including high likelihood of self-inflicted injury or death or lack of capacity to take care of themselves. Previous versions of the law did not specifically delineate the latter.<\/p>\n<p>Signed by the governor in March, the bill will go into effect May 20.<\/p>\n<p>SB 3 garnered broad bipartisan support, with Republican Sen. Crystal Brantley of Elephant Butte signing on as a key supporter of the legislation.<\/p>\n<p>The bill was intended to confront a \u201chard truth,\u201d she wrote in a message to The New Mexican. <\/p>\n<p>\u201cWe\u2019ve seen too many cases where dangerous behavior is identified, but the tools to intervene meaningfully aren\u2019t used or aren\u2019t clear,\u201d Brantley wrote. \u201cSB 3 was designed to close that gap and to ensure that when someone poses a risk to themselves or others, there is a path to act decisively while still protecting due process.\u201d<\/p>\n<p>But not everyone supported SB 3. Disability rights advocates voiced \u201c<a href=\"https:\/\/www.santafenewmexican.com\/news\/local_news\/senate-committee-approves-bill-to-expand-involuntary-mental-health-treatment\/article_170a5909-cc4c-49db-8479-ad929116b0b4.html\" target=\"_blank\" rel=\"nofollow noopener\">grave concerns<\/a>\u201d the bill would take away constitutional freedoms and result in coerced treatment for people with disabilities.<\/p>\n<p>Others say the state hasn\u2019t allocated enough funding and developed an adequate network of care to ensure people ordered to assisted outpatient treatment have access to it, as well as intensive case management services to guide them through the treatment process.<\/p>\n<p>The Legislature allocated $3 million in 2024 to fund seven pilot programs statewide for both competency diversion and assisted outpatient treatment. In the First Judicial District \u2014 which includes Santa Fe, Rio Arriba and Los Alamos counties \u2014 that money has paid for a program manager and just one court \u201cnavigator\u201d to help connect defendants in the diversion program with services.<\/p>\n<p>Stacy Boone, the senior statewide behavioral health manager for the New Mexico Administrative Office of the Courts, said a request for more funding is pending.<\/p>\n<p>While SB 3 didn\u2019t change who is authorized to petition the court for civil commitment \u2014 family members, police and health care providers can all do it, Maestas said \u2014 members of the House Judiciary Committee did attempt to specify that a \u201cqualified mental health professional\u201d would be required to make the initial call that somebody is a danger to themself or others because of mental illness.<\/p>\n<p>They later <a href=\"https:\/\/www.santafenewmexican.com\/news\/legislature\/bill-to-expand-forced-mental-health-treatment-in-new-mexico-heads-to-governor\/article_6a6220e0-655e-49bb-95d9-a54b01a9243c.html\" target=\"_blank\" rel=\"nofollow noopener\">dropped<\/a> the amendment on the House floor after law enforcement leaders voiced worries it would make the bill \u201cunworkable.\u201d<\/p>\n<p>Maestas framed the bill\u2019s proposal as a sensible way to encourage behavioral health treatment.<\/p>\n<p>\u201cIt\u2019s giving a modern society the tools to nudge people into behavioral health treatment, to overcome their current situation,\u201d he said.<\/p>\n<p>Criminal competency<\/p>\n<p>House Bill 8, an omnibus public safety bill passed in 2025, made major reforms to the criminal competency process in response to concerns the system didn\u2019t provide \u201csufficient tools\u201d to help criminal defendants with competency issues, said bill sponsor Rep. Christine Chandler, D-Los Alamos. It expanded options for court-ordered mental health treatment for people accused of misdemeanors and low-level felonies, rather than release and dismissal.<\/p>\n<p>The criminal competency reforms originated from a simple truth, Chandler said: \u201cWe see people suffering.\u201d<\/p>\n<p>\u201cThey have a serious mental illness,\u201d she continued. \u201cThey may not be dangerous \u2014 and a large majority of people are not who have serious mental illnesses, let\u2019s underscore that \u2014 but they aren\u2019t capable of making decisions that advance their welfare.\u201d<\/p>\n<p>When a defendant\u2019s competency \u2014 or their ability to participate in their own defense \u2014 is raised in a criminal case, it triggers a mental health evaluation by a forensic evaluator.<\/p>\n<p>There are two possible outcomes for defendants determined to be mentally incompetent by the court: Either their case is dismissed, or the prosecutor requests a dangerousness hearing. A defendant found to be dangerous is committed to the New Mexico Behavioral Health Institute in Las Vegas for treatment.<\/p>\n<p>But that system leaves people who are not dangerous and not charged with a serious crime without any options for treatment.<\/p>\n<p>\u201cUnless they\u2019re charged with a serious crime and there\u2019s a concern about dangerousness, there\u2019s no mechanism to either restore those individuals or get them treatment in a formal way,\u201d Chandler said.<\/p>\n<p>HB 8 was intended to provide \u201cadditional pathways\u201d toward treatment, she said, by expanding the list of crimes that would qualify a defendant as dangerous, allowing for outpatient and community-based competency restoration programs, and creating an avenue for district attorneys to refer defendants to outpatient treatment.<\/p>\n<p>Since she first proposed reforms to the state\u2019s criminal competency statute, Chandler has acknowledged that will require additional infrastructure for mental health treatment.<\/p>\n<p>HB 8 was signed into law in conjunction with a major state investments in behavioral health and a regionalized approach to expanding access to care. But advocates say the state is far from achieving adequate access.<\/p>\n<p>\u201cThis is going to be a work in progress,\u201d Chandler said. \u201cAnd if tweaks need to be made \u2014 as with all things \u2014 let\u2019s do that.\u201d<\/p>\n<p>Local members of the National Alliance on Mental Illness \u2014 a grassroots organization that aims to improve the lives of those with mental illness \u2014 echo the need for more and better treatment options families can access themselves, and a more integrated system of care.<\/p>\n<p>NAMI Santa Fe board President Betty Sisneros Shover noted the uncertainty for families who call 911 to address a loved one\u2019s mental health crisis \u2014 the call could result in a response by social workers in the city of Santa Fe\u2019s Alternative Response Unit, or it could lead to a law enforcement response, potentially sending their loved one into the criminal justice system.<\/p>\n<p>\u201cDo I call or do I try to defuse it myself and hope tomorrow is better?\u201d she said. \u201cBecause you don\u2019t know what the outcome will be after you call.\u201d<\/p>\n<p>Meanwhile she said, La Sala, Santa Fe County\u2019s crisis triage center, is only open during business hours, \u201cand of course that\u2019s not when all these crises happen,\u201d she said.<\/p>\n<p>Tom Stark, vice president of the local NAMI board, said care systems are \u201call siloed badly and frequently work counter to one another.\u201d<\/p>\n<p>\u201cThere are some really bright spots in the system, but they could connect much, much better,\u201d he said.<\/p>\n<p>Staff writers Phaedra Haywood and Nicholas Gilmore contributed to this report.<\/p>\n<p>Margaret O\u2019Hara reports on issues affecting healthy communities in New Mexico. Her work is funded by a grant from Anchorum Health Foundation. Anchorum will not have any role in editorial decisions. The New Mexican and its Public Service Journalism Fund retain full editorial control. Philanthropically funded stories by The New Mexican are made available to all readers without a paywall.<\/p>\n","protected":false},"excerpt":{"rendered":"State Sen. Moe Maestas, an Albuquerque Democrat, wants civil commitment to \u201cbecome a thing.\u201d \u201cI want the average&hellip;\n","protected":false},"author":2,"featured_media":566567,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59],"tags":[97,252,253,983],"class_list":["post-566566","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health-care","tag-health","tag-health-care","tag-healthcare","tag-local-news"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/566566","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=566566"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/566566\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/566567"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=566566"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=566566"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=566566"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}