Oklahoma’s (OK’s) Pathway to Recovery Assisted Outpatient Treatment (PTR) program will provide trauma-informed outreach and evidence-based, strengths-based, non-threatening AOT for adults with serious mental illness (SMI). A high priority will be placed on decreasing psychiatric hospitalizations, incarceration, and homelessness. The PTR program will be the first of its kind in each of the counties selected for the project: Canadian, Pottawatomie, Mayes, Payne, and Kay.
Persons with SMI are the most likely to be unemployed and living in poverty, without safe and stable housing or homeless, and to experience incarceration. The PTR program will be designed to offer maximum treatment and support to prevent these negative outcomes and result in recovery that means living an independent life in the community.
Two certified community behavioral health clinics (CCBHCs) in these counties, Red Rock Behavioral Health Services, and Grand Lake Community Mental Health Center, are experienced in operating within an AOT process in other counties. They bring the know-how with them to implement quickly.
Important goals will be to: 1) Create local AOT processes with involvement of law enforcement, court system, and other key community partners; 2) Implement a local AOT process maximizing use of OK AOT law; 3) Locate, assist and engage individuals through innovative, intensive outreach approaches utilizing motivational interviewing and critical time intervention techniques; 4) Meet immediate support and treatment needs; 5) Complete a comprehensive assessment that includes psychiatric, social and primary care needs; 6) Complete an integrated care/treatment plan; 7) Maintain a “never give up” approach - keep changing the plan until a person is meaningfully engaged in long-term outpatient treatment; 8) Track outcomes each step of the way; and 9) Implement a continuous quality improvement process; and 10) Utilize evidence based practices such as Critical Time Intervention (CTI), Motivational Interviewing (MI), Independent Placements and Supports (IPS), and Programs of Assertive Community Treatment (PACT), Enhanced Illness Management Recovery (E-IMR), Collaborative Assessment and Management of Suicidality (CAMs), Housing First, Moral Reconation Therapy (MRT). All services will be built upon trauma-informed principles focusing on hope and resilience.
Objectives include training 20+ staff annually, serving 45 in the first year, 75 in the second year, and 100 in years three and four, for a total of 320. The goals for participants include reducing the following by the twelve-month update: 1) reduce hospitalizations by 60%; 2) Reduce number admitted to psychiatric hospitals by 50%; 3) Reduce nights spent in emergency rooms for mental health care by 25%; 4) Reduce the number of arrests by 45%; and 5) Reduce the number of days spent in jail by 50%.