Thrive arkansas: assisted outpatient treatment and support services - the centers for youth and families (cfyf) is a cmhc serving 1800 clients annually located in pulaski county, AR

This project seeks to develop and deploy an AOT program in collaboration with and AOT management team and steering committee, local courts and hospitals, and community stakeholders. The new AOT program will serve 211 unduplicated clients over 4 years. The population of focus includes adults who are: 1) SMI, 2) involved with the criminal justice system, 3) COD, 4) at risk for hospitalization or have been hospitalized multiple times, living in pulaski county. Cfyf has 69 clients in the pulaski county detention center (pcdc) diagnosed with SMI or COD. Of those 72% are male, 38Y/o on average, 52% black/african american and 65% have a diagnosis of schizophrenia or schizoaffective disorder/personality. Of the clients who transition out of pcdc, 25% will not be restored and many will transition to the community with minimal engagement commitment and not be medication adherent. Cfyf emergency behavioral health services department screens 45 clients per month, many of which are indigent and not engaged in consistent treatment. Cfyf receives acute hospital referrals for follow-up mental health appointments of which only 20% make these appointments. Most of the acute hospital referral clients are high utilizers and are not consistently engaged in a treatment process. Pulaski county, arkansas (AR), is primarily designated urban and the most populous county in AR (POP 399,145). The area ranks low on indicators of health behaviors, clinical care, social & economic factors, and physical environment. The population of the area is 50% non-hispanic (NH) white, 6.6% hispanic, 38% NH black/african american, 2.4% asian