Pecan Valley Centers' Assisted Outpatient Treatment program will significantly improve the lives of the individuals involved by increasing treatment adherence and treatment outcomes for those who have a serious mental illness and have been historically non-adherent. Pecan Valley Centers will identify individuals with a history of non-compliance with treatment, history of incarcerations and arrests, and history of multiple inpatient psychiatric hospitalizations. With these individuals, Pecan Valley Centers will provide medication management, case management, skills training, and psychosocial rehabilitation, as well as specific evidence-based practices, such as Assertive Community Treatment (ACT), Illness Management and Recovery (IMR), Permanent Supportive Housing (PSH), Supported Employment (SE), Seeking Safety, and the Matrix Substance Abuse Treatment. The specific evidence-based practices are tailored for individuals who have a serious mental illness. Pecan Valley Centers anticipates serving 30 unduplicated individuals annually in the proposed Assisted Outpatient Treatment program. This totals to 120 unduplicated individuals over the entire grant term. Pecan Valley Centers has identified the following goals; 1) increased use of outpatient mental health treatment for "revolving door patients", 2) increased community tenure, 3) decreased rates of homelessness, and 4) decreased rates of arrests and/or incarcerations. Pecan Valley Centers estimated that 100 individuals will receive Assisted Outpatient Services over the lifetime of the grant. Pecan Valley Centers estimated that 72 individuals will experience a reduced rate of psychiatric hospitalizations over the lifetime of the grant. Pecan Valley Centers estimates that 96 individuals will have secure, safe, and affordable housing over the lifetime of the grant. Pecan Valley Centers estimates that 90 individuals will experience less criminal justice involvement (arrest and/or incarceration) over the lifetime of the grant.