Support through assisted treatment (stat) - community howard regional health's (chrh) behavioral health services project, support through assisted treatment (stat) provides assisted outpatient therapy…

Support through assisted treatment (stat) - community howard regional health's (chrh) behavioral health services project, support through assisted treatment (stat) provides assisted outpatient therapy (AOT) treatment and supportive services to seriously mentally ILL (SMI) clients under civil commitment by local courts in howard, clinton and tipton counties, indiana, in order to reduce incidence and duration of hospitalization, homelessness, incarceration, and involvement with the criminal justice system. The population to be served is residents of these counties, total population 131,912 persons; 85% are white non-hispanic, 7 % are black non-hispanic, and nearly 4% are hispanic. Median household income is $52,032, with 13% of families in poverty. Nearly 40% of adults have a high school diploma, with 19% having attained a bachelor's degree or greater. Clinically, the focus is on adult individuals with SMI who are not engaging in treatment, cycling through jails or hospitals, a danger to themselves/others, or meet the statutory definition of gravely disabled. Using SMI prevalence data and estimates of the subgroup who meet the focus criteria, chrh expects to serve annually 40 persons, and through the lifetime of the project, 120 unduplicated individuals. Stat has two major goals with several objectives. Goal 1 is to reduce rates of hospitalization and incarceration, with a first objective that 75% of participants will have stable housing within 6 months of starting stat. Objective 2 is that 80% of housed individuals will maintain stable housing throughout their time in stat. Objective 3 is that 60% of clients will not have an inpatient stay or incarceration during stat. Stat's second goal is to increase the rates of treatment compliance, with two objectives. First, 70% of clients will have two or more contacts with their treatment team weekly, and second, 60% of clients will maintain a monthly contact rate to treatment for up to six months after removal from stat. Nine strategies form the building blocks of stat. 1) chrh identifies persons who are persistently non-adherent with treatment for their mental illness and meet criteria for AOT under indiana law. 2) once identified, chrh takes the initiative to gather the required evidence and petition the court for AOT. 3) chrh safeguards the due process rights of participants at all stages of AOT proceedings. 4) chrh and local criminal justice entities collaborate to maintain clear lines of communication between the court and the treatment team. 5) chrh provides evidence-based treatment services focused on engagement and helping participants maintain stability and safety in the community. 6) all collaborators in stat continually evaluate the appropriateness of the participant's treatment plan throughout the AOT period and make adjustments as warranted. 7) stat employs specific protocols to respond in the event that an AOT participant falters in maintaining treatment engagement. 8) AOT participants are evaluated at the end of the commitment period to determine if IT is appropriate to seek renewal of the commitment or allow transition to voluntary care. 9) upon transition out of stat, each participant remains connected to the treatment services they continue to need to maintain stability and safety.