Coeur d'alene assisted outpatient treatment program: tribal court-based community mental health services for adults with serious mental illness - marimn health proposes idaho's first tribal assisted…

The Substance Abuse and Mental Health Services Administration awarded Coeur D'Alene Tribal Health Authority (doing business as Marimn Health) one million dollars on September 30, 2026, under the Assisted Outpatient Treatment program (CFDA 93.997) to establish Idaho's first tribal-based assisted outpatient treatment program for adults with serious mental illness.

The program operates under the civil jurisdiction of the Coeur D'Alene Tribal Court and will serve 170 individuals over five years through court-supervised, culturally grounded community-based treatment for adults who have disengaged from voluntary care. Treatment modalities include assertive community treatment, integrated dual disorder treatment, motivational interviewing, illness management and recovery, recovery-oriented cognitive behavioral therapy, and Wellbriety. The program coordinates with the tribal court, tribal police, behavioral health providers, and the Adult Healing to Wellness Court to improve functioning, reduce psychiatric hospitalizations and arrests, increase medication adherence, and reduce incarceration through coordinated, recovery-oriented care.

The award period runs from September 30, 2026, through September 29, 2031, with place of performance at Plummer, Idaho. The Assisted Outpatient Treatment program aims to reduce psychiatric hospitalization, homelessness, incarceration, and criminal justice interaction while improving health and social outcomes for individuals with serious mental illness.

Coeur d'alene assisted outpatient treatment program: tribal court-based community mental health services for adults with serious mental illness - marimn health proposes idaho's first tribal assisted outpatient treatment (AOT) program for adults with serious mental illness under the coeur d'alene tribal court's civil jurisdiction. Serving 170 individuals over five years, the program will provide court-supervised, culturally grounded, community-based treatment for adults who have disengaged from voluntary care. Evidence-based and community-defined practices include assertive community treatment, integrated dual disorder treatment, motivational interviewing, illness management and recovery, recovery-oriented CBT, and wellbreity. In partnership with tribal court, tribal police, behavioral health providers, and the adult healing to wellness court, the program aims to improve functioning, reduce psychiatric hospitalizations and arrests, increase medication adherence, and reduce incarceration through coordinated, recovery-oriented care.