Thursday, November 21, 2024
11/21/2024
Centerstone Assisted Outpatient Treatment (C-AOT) will implement and evaluate a new AOT program, reducing the incidence and duration of psychiatric hospitalizations, homelessness, incarcerations, and interactions with the criminal justice system, while improving health/social outcomes for 275 adults with serious mental illness (SMI) involved in the civil commitment process in Lee County, Florida (Year 1: 50; Year 2-4: 75 annually). C-AOT’s focus population is expected to mirror catchment area Centerstone clients with SMI, including 56% male, 44% female, 69% white, 23% African American, and 3% Hispanic/Latino individuals. An estimated 21,000+ catchment area adults are expected to have SMI; of those, an estimated 5,200+ are expected to have co-occurring substance use disorder (COD). Adjusting for age, from 2010-2018, hospitalizations for mental disorders increased by 80.5% in Lee County. In 2018, Lee County jails served an average daily inmate population of 1,772, including 16% with SMI. Forty-five percent of individuals experiencing homeless in Lee County have a developmental/mental health condition or substance use addiction. In the 2017-2018 fiscal year, 4,850 adults from Lee County received an involuntary commitment examination. C-AOT will be faithfully implemented according to Florida civil commitment statute, including strict adherence to client due process rights specified in Florida statute. C-AOT will ensure treatment provision for persons from Lee County who are court ordered to receive involuntary outpatient treatment. C-AOT will provide evidence-based intensive outpatient mental and substance use disorder treatment and recovery support services using SAMHSA’s Assertive Community Treatment model within a Recovery Oriented System of Care. Clients with COD will also receive relapse prevention services and Medication Assisted Treatment (MAT), as appropriate. Project goals include: (1) Implement and evaluate a new AOT program in collaboration with local stakeholders to provide evidence-based/multidisciplinary treatment and recovery services; (2) Develop infrastructure and community capacity to implement AOT program/services; (3) Improve the health/social status and outcomes among clients ordered to involuntary outpatient treatment; and (4) Develop/disseminate a replicable service model. C-AOT will achieve the following measurable objectives: Reduce mental health symptomatology by 50%; Reduce substance use by 65%; Provide 100% in need with resources to identify/secure stable housing and employment; Reduce costly service use (e.g., hospitalization) by 40%; Reduce past 30-day criminal justice system involvement by 60%; Increase social connectedness by 70%; and Achieve 80% participant retention. C-AOT has commitments from partners dedicated to the project’s success, including local courts and other stakeholders involved in the civil commitment process (e.g., Trial Court Administrator, State Attorney’s Office, and Public Defender from the 20th Judicial Circuit), as well as community-based providers who will support wraparound care/recovery among C-AOT participants.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
