The Laredo Assisted Outpatient Treatment (AOT) Program is an integrated behavioral approach to AOT with the goal of improving access and adherence to intensive behavioral health services in order to avert relapse, repeated hospitalizations, arrests, incarcerations, suicide, property destruction, and violent behaviors in the Webb County region. The services will serve to enhance continuum of care and make mental health support services and health care for seriously mentally ill clients more accessible. Services will be focused on providing intensive case management which include behavioral health screening and support services (psycho-education, support groups), psychiatric services, medication management, intensive case management, outreach services, HIV/STD testing, education and risk reduction, as well as primary care. The Laredo AOT Program proposes to serve 40 participants for the first year, 80 during the second year, 100 during the third year and 120 during the fourth year for a grand total of 340 participants with serious mental illness which will receive integrated behavioral health treatment and comprehensive medical care services. Target population: Individuals 18 years of age and older who: are seriously mentally ill, unlikely to survive safely in the community without supervision; and substantially deteriorating, likely to become gravely disabled or seriously harm themselves or others without treatment; and failing to engage in available treatment; and likely to benefit from AOT services; and have a history of non-compliance with treatment and has either two or more hospitalizations; or incarcerations within the last 36 months; or within the last 48 months, one or more acts and/or attempts to cause serious physical harm to self and/or others.