The U.S. Department of Justice (DOJ) has found that Kentucky is likely violating the Americans with Disabilities Act by failing to provide sufficient community-based mental health services in Louisville. This has led to the unnecessary segregation of adults with serious mental illnesses in psychiatric hospitals, contributing to a cycle of repeated hospitalizations and encounters with law enforcement. The DOJ's investigation revealed that Louisville lacks essential services such as mobile crisis response, case management, and permanent supportive housing. Despite Kentucky's cooperation and some efforts to expand services, substantial deficiencies remain. The DOJ has expressed willingness to work with Kentucky to address these issues but may resort to legal action if necessary to ensure compliance. The report underscores the need for dignified and community-integrated care for individuals with serious mental health conditions.