The proposed Gallatin County Assisted Outpatient Treatment (AOT) Program will serve adults with serious mental illness (SMI) who meet the criteria for outpatient civil commitment in Gallatin County, meaning the person is a danger to themselves or others, or cannot meet their own basic needs. The AOT program will create a multi-disciplinary, evidence-based approach to reduce the incidence and duration of Montana State Hospital commitments, homelessness, incarceration, and criminal justice system interactions while improving the health and social outcomes for adults with serious mental illness. The AOT Program will provide an effective community-based alternative to State Hospital commitments to 150 people over four years.
The Gallatin County AOT Program will achieve the following goals:
1. AOT participants receive behavioral and social health services and supports that meet their needs and promote participant health, stability, and safety.
2. AOT participants are served in the least restrictive setting possible, and are diverted from the state hospital, homelessness, and the criminal justice system.
3. Individuals with SMI transitioning from AOT are healthy and stable in the community.
4. Community partners collaborate to effectively deliver coordinated behavioral and social health services.
The Gallatin AOT Program will achieve these goals and related objectives through several key strategies, including:
• Building community capacity to serve adults with SMI by implementing evidence-based screening, assessments, and treatment services in addition to social health services so individuals can be treated and recover safely in the community, including after exiting the AOT Program.
• Enhancing formal partnerships between behavioral health, social health, and civil court stakeholders to effectively implement the AOT program with a strong focus on respecting the civil and privacy rights of program participants. This will occur through MOUs as well as formalized processes and procedures.
• Strengthening training for collaborating behavioral and social health partners to implement evidence-based practices to fidelity, ensure consistent provision of trauma-informed, culturally-informed, person-centered care, and ongoing education and outreach to diverse community partners.
• Engaging in rigorous evaluation and continuous quality improvement processes to optimize the AOT Program for community needs.