Assisted Outpatient Treatment
Active
- Assistance listing
- 93.997
- Agency
-
Substance Abuse and Mental Health Services Administration
Department of Health and Human Services
- Grant awards
- 93 $283,537,385 in federal obligations
Program facts
- Also known as
- Assisted Outpatient Treatment Grant Program for Individuals with Serious Mental Illness (Short title: Assisted Outpatient Treatment [AOT])
- Assistance type
-
- Project Grant
- Treasury account
-
- 75-1363-0-1-551
- More information
Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.
About this program
The Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMHSA) has awarded 93 Project Grants totaling $283.5 million in combined federal obligations under Assistance Listing 93.997 (Assisted Outpatient Treatment), with the most recent award dated September 30, 2026.
The program funds implementation of court-linked, community-based assisted outpatient treatment for adults with serious mental illness who meet state-specific civil commitment criteria and have demonstrated difficulty engaging in voluntary care. Funded projects deliver intensive case management, psychiatric services, medication management, evidence-based therapies including cognitive behavioral therapy and motivational interviewing, peer support, and wraparound services addressing housing, employment, and benefits access. Recipients partner with civil courts, law enforcement, hospitals, and community behavioral health providers to coordinate referral, treatment, and monitoring of court-ordered participants. Projects typically serve 50 to 300 unduplicated individuals over four years, with a focus on reducing psychiatric hospitalizations, incarceration, homelessness, and criminal justice involvement while improving treatment adherence and functional outcomes.
All awards in the portfolio are Project Grants. The program has maintained steady activity since 2016, with 22 awards in 2024 and 10 awarded in 2026. Recent grant opportunities have been posted consistently; SAMHSA posted SM-27-002 on September 3, 2026, as a forecast for future funding, and SM-26-001 closed April 20, 2026. Awards typically range from $485 thousand to $8.9 million, with variation reflecting service population size and geographic scope. Recent representative awards include Community Counseling Services in Mississippi ($1.5 million for 75–80 individuals annually), Denton County MHMR Center in Texas ($8.9 million for 300 over four years), and Marimn Health in Idaho ($1 million for 170 individuals over five years, implementing the state's first tribal AOT program).
Eligible applicants are counties, cities, mental health systems, mental health courts, or other entities with state legal authority to implement and oversee AOT. Projects are funded for up to four years. No current open solicitation window is active; the next opportunity is forecasted under SM-27-002.
Objective and description
- Objective
With this program, SAMHSA aims to reduce the incidence and/or the duration of psychiatric hospitalization, homelessness, incarcerations, and interaction with the criminal justice system while improving the health and social outcomes of individuals wi
- Description
The purpose of this program is to facilitate the implementation of Assisted Outpatient Treatment (AOT) for adults with serious mental illness (SMI). Recipients are expected to implement the AOT program, working with civil courts, community partners, and other entities to support community-based treatment for adults with SMI who meet criteria for AOT. SAMHSA's AOT grant program supports E.O. 14321 by expanding access to assisted outpatient treatment and civil commitment services.
Eligibility
- Applicant eligibility
states, counties, cities mental health systems (including state mental health authorities), mental health courts, or any other entity with authority under the law of the state in which the applicant grantee is located to implement, monitor, and oversee AOT programs.
- Beneficiary eligibility
States, counties, cities mental health systems (including state mental health authorities), mental health courts, or any other entity with authority under the law of the state in which the applicant grantee is located to implement, monitor, and oversee AOT programs.
- Length and time phasing of assistance
Project will be funded for up to 4 years. Payments will be made under an Electronic Transfer System.
How to apply
- Criteria for selecting proposals
Applications submitted related to merit, peer review criteria scored, and generally funded in score order.
- Award procedure
Applications are awarded directly by SAMHSA to the applicant organization after a number of considerations, including but not limited to merit review, and program analysis.
- Time to approval or disapproval
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards apply to this program.
Grant opportunities
| Opportunity | Status | Posted | Applications due |
|---|---|---|---|
| Assisted Outpatient Treatment | Forecasted | — | |
| Assisted Outpatient Treatment Program | Closed | ||
| Assisted Outpatient Treatment Program for Individuals with Serious Mental Illness | Closed | ||
| Assisted Outpatient Treatment Program for Individuals with Serious Mental Illness | Closed |
Grant awards
Latest 10 of 93 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | Kansas Department For Aging And Disability Services | $13,045,060 | 5% |
| 2 | Lifestream Behavioral Center, Inc. | $11,834,164 | 4% |
| 3 | Oklahoma Department Of Mental Health And Substance Abuse Services | $11,375,356 | 4% |
| 4 | Denton County Mhmr Center | $8,993,844 | 3% |
| 5 | Oakland Community Health Network | $8,657,532 | 3% |
| 6 | Health Services Kentucky Cabinet For | $8,128,767 | 3% |
| 7 | City Of Laredo | $8,000,000 | 3% |
| 8 | Administrative Office Of The Trial Court | $7,917,621 | 3% |
| 9 | Centerstone Of Florida, Inc. | $7,761,354 | 3% |
| 10 | Community Health Network Foundation, Inc. | $7,412,637 | 3% |
10 of 75 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | $18,015,921 |
| FY2025 | $20,234,323 |
| FY2024 | $57,016,211 |
| FY2023 | $36,418,018 |
| FY2022 | $53,712,250 |
| FY2021 | $27,783,524 |
| FY2020 | $18,038,220 |
| FY2019 | $13,965,424 |
| FY2018 | $13,263,515 |
| FY2017 | $12,315,079 |
| FY2016 | $13,429,662 |
Show all 11
Quick answers
What is Assistance Listing 93.997?
Assistance Listing 93.997 is Assisted Outpatient Treatment, a federal grant program run by Substance Abuse and Mental Health Services Administration (Department of Health and Human Services).
What is the CFDA number for Assisted Outpatient Treatment?
Its CFDA number is 93.997: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.997 awarded?
93 grant awards under 93.997 have obligated $283,537,385 in federal funds to 75 recipients.
Who receives the most funding from 93.997?
The recipients obligated the most under Assisted Outpatient Treatment are Kansas Department For Aging And Disability Services ($13,045,060), Lifestream Behavioral Center, Inc. ($11,834,164) and Oklahoma Department Of Mental Health And Substance Abuse Services ($11,375,356).
How much did 93.997 obligate in fiscal year 2025?
Grants under 93.997 obligated $20,234,323 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.997?
1 listed opportunity under 93.997 is open or forecasted. The latest, Assisted Outpatient Treatment, was posted on September 3, 2026.
On GovTribe
See this program's full record
- Every grant award and opportunity under it
- Funding by recipient, agency and assistance type
- Alerts for new opportunities
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