The Genesee Health System Specialized AOT Program will serve residents of Genesee County, Michigan with Severe Mental Illness (SMI) who do not voluntarily engage in treatment and are in need of, or placed on AOT court orders. Key aims of the program are to increase education and collaboration of key community partners specific to this population, increase engagement of the individual and their support persons in treatment, and reduce hospital recidivism.
To lay the foundation for a successful community wide program, Genesee Health System’s (GHS) Project Director will leverage existing relationships with community partners to create a network of key partners that will meet regularly as an AOT Community Collaborative and receive specialized training in addition to discussing unique challenges to Genesee County. An AOT monitor will oversee the AOT population within Genesee County and serve as an important liaison across multiple social service, treatment, legal, and judicial entities. To better review trends and challenges of serving this population, a Project Evaluator will assist in establishing community wide data collection procedures to monitor effectiveness of community wide interventions. Quality improvement plans will be tasked to the AOT Community Collaborative.
Each participant will be engaged in person-centered treatment planning through the use of Motivational Interviewing techniques following a comprehensive bio-psycho-social assessment process that has identified needs and recommended treatment; to include best practices and/or evidence based practice treatments. Each program participant will be assigned to a specialized care manager who will be specifically trained and certified to work with this challenging and vulnerable population. Judicial review hearings will take place for those on an AOT at sooner intervals than the expiration of the order to monitor and encourage AOT adherence prior to crisis situations or end of the court ordered period. Clinical outcome goals would include increased engagement in behavioral health care treatment services as evidenced by adherence to the recommended treatment plan, increased engagement of the natural support system through Family Psychoeducational Group offerings, and reduced inpatient psychiatric hospital recidivism within 30 days of admission (<15%).