Assisted outpatient treatment program (AOT) - as a qualified, accredited political subdivision in mississippi authorized as the regional behavioral health authority, region IV mental health…

Assisted outpatient treatment program (AOT) - as a qualified, accredited political subdivision in mississippi authorized as the regional behavioral health authority, region IV mental health services, with 51 years of proven expertise serving the population of focus and 14 years of experience as a samhsa grantee, will implement, evaluate and sustain assisted outpatient treatment in full partnership with the 1ST chancery court district MS and the 18TH chancery court district MS and cross-agency partners to support adults with SMI who meet MS-specific criteria for AOT (involuntary outpatient commitment) and their families who are residing in 5 rural, medically underserved counties in north MS: alcorn, desoto, prentiss, tippah, and tishomingo to reduce disparities in access and reduce the incidence, duration of psychiatric hospitalization, homelessness, incarcerations with the criminal justice system and improve health and social outcomes. Project name:assisted outpatient treatment. Populations served:adults ages 18+ with SMI who meet criteria for AOT under MS state law who need a civil court-ordered commitment to intensive outpatient treatment. Strategies:1) develop strategies to reduce disparities and address social determinants of health reducing inpatient hospitalization, SUD, criminal justice involvement, homelessness, suicide fatalities and limited family/social connectedness; 2) develop, implement and sustain the MS civil court commitment process and community-based mental health treatment with oversight from an AOT steering committee and AOT management team; 3) provide 24/7 on-call mobile crisis response, community-based, multidisciplinary team equipped full mental health continuum of care with supportive linkages to supportive employment; supportive housing; 4) provide quarterly workforce cross-sector training; and 5) provide education/outreach to increase awareness of AOT program services and the civil court process-target historically underserved racial, ethnic, lgbtqia+ communities. Evidence-based: trauma-informed, culturally responsive and linguistically appropriate AOT, MI, person-centered therapy, CBT, CTI, hazelden's COD program curriculum, amsr-SUD treatment professionals, RX for change-clinician-assisted tobacco cessation, mat long acting injectables-SMI/suboxone OUD, wrap and peer/family supports and CIT/mhfa. Goal: use court intervention, systems navigation, and CQI with a harm reduction model to implement, evaluate and sustain culturally responsive, trauma-informed, multidisciplinary community-based intensive outpatient treatment, ebps, intensive wraparound case management, peer/family recovery support linkages, in the least restrictive environment for at least 12-MO in duration. Objectives:1A) 80% of stakeholders attend AOT steering committee and/or AOT MGT. Team meetings with 51% consumer/family involvement;1B) 80% of families will attend quarterly family advisory committee and/or trainings; 2A) 85% of staff will attend quarterly trainings and implement ebps with fidelity based on fidelity monitoring results;2B) train/certify 25 first responders annually in CIT/mhfa; 3A) facilitate 12 outreach events annually; 4A) 100% of clients will receive screening/assessment; 4B) 100% of clients receive accurate diagnosis for trauma, SUD/COD;4C) 80% of clients will improve mental health functioning; 4D) 100% of clients will receive evidence based behavioral health services; 4E) 80% of clients will reduce inpatient psychiatric admissions; 4F) 80% of clients will reduce criminal justice involvement; 4G) 80% of clients will reduce illegal substance use; 5A) 80% of clients will improve employment status;5B) 80% will improve housing stability; 5C) 80% of clients will improve social connectedness; 6A) at least 58% of clients served will be racial/ethnic/lgbtqia+ minorities; 6B) evaluate and monitor improvements in health and social outcomes of individuals, 100% timely reporting to samhsa/AOT and document AOT cost-savings. Number to serve 60 per year, 240 across 4-years.