March 5, 2024

On March 4, 2024, the Justice Department filed a statement of interest explaining how the integration mandate of Title II of the Americans with Disabilities Act applies to children who have been medically cleared for discharge from psychiatric institutions but who remain institutionalized because of the lack of available community placement. The statement of interest was filed in T.G. v. Maryland Department of Human Services, a lawsuit on behalf of a proposed class of children with mental health disabilities in the state’s foster care system who are institutionalized in psychiatric hospitals and other institutional settings, despite being medically cleared for discharge, due to a lack of available community-based services. The department’s brief explains that the ADA’s integration mandate requires states to provide services to people with disabilities in the most integrated setting appropriate to their needs when they do not oppose such services, and when such placement can be reasonably accommodated. The statement also explains that (1) plaintiffs’ eligibility for a program makes them qualified under the ADA; (2) a treatment professional’s approval of a plaintiff for discharge establishes that the plaintiff is appropriate for a more integrated setting; and (3) a claim under Title II’s integration mandate does not require a showing of discriminatory intent, disparate treatment, or disparate impact.

For more information on the ADA, please call the department’s toll-free ADA information line at 800-514-0301 (TTY 833-610-1264) or visit