A coalition of local civil commitment process stakeholders, led by SMA Healthcare, Inc., proposes to develop and implement an Assisted Outpatient Treatment (AOT) program to serve citizens of St. Johns, Flagler, and Putnam Counties, Florida. AOT will be providing AOT to 220 individuals over the grant period (51, 70, 70 and 60 respectively for years 1-4) experiencing serious mental illness who have a history of repeated discharge from inpatient care in stable condition, only to be readmitted under a Baker Act at least twice in a 36-month period.
AOT will be implemented adhering to the AOT model as presented in “Implementing Assisted Outpatient Treatment: Essential Elements, Building Blocks and Tips for Maximizing Results” (Treatment Advocacy Center, October 2019). Participants will be referred to local psychiatric outpatient services to include medication management and counseling services in three counties. Grant funds will be used to fund 3 targeted case managers utilizing evidence-based Intensive Case Management Model and three Recovery Support Specialist focused on engaging community support systems in the 3 counties with the following goals and objectives:
Goal 1: Establish an AOT process supported by the local Baker Act judges, Baker Act receiving facilities, and treatment providers of Severe Mental Illness.
Objective 1a - Establish an “AOT Management Team” within two months of grant award that will meet monthly in first year and quarterly thereafter.
Objective 1b- Submit MOUs from “AOT Management Team” within 4 months of award.
Objective(s) 1c, d and e- within first six months of award Establish a Steering Committee of stakeholders, evaluator, and consumers/family members, Complete the Program Implementation Plan including diagram of the workflow of the project and Develop and Submit a Project Staff Training Plan for all agency personnel involved with the participant.
Goal 2: Identify and engage individuals who meet AOT criteria to increase participation in treatment services, especially those experiencing Anosognosia, and reduce psychiatric hospitalization, arrests, and homelessness.
Objective 2a- 75% of AOT enrolled participants will not be admitted to an inpatient crisis unit or state psychiatric hospital in any one-year period while participating in AOT.
Objective 2b and c- 75% of AOT Expansion enrolled participants will not be arrested and shall not experience homelessness subsequent to admission at six-month intervals and at discharge.
Objective 2d- 85% of AOT participants will remain in treatment three months after admission.
Objective 2e- 70% of participants will successfully complete the AOT program and meet statutory requirements to finish AOT.
Objective 2f- 80% of participants will engage in ancillary services within three months of completing the AOT program.