as care is not normally to be given without the individual s consent compulsory treatment may only be ordered for patients who object to care but are suffering from a serious psychiatric disturbance excluding developmental disability this care is only to be provided in instances where due to their psychiatric condition or personal circumstances an individual needs psychiatric treatment that will only be effective if the patient is admitted to an inpatient psychiatric care facility bolling et al involuntary outpatient treatment under special conditions may only begin after a period of involuntary inpatient treatment