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Assisted Outpatient Treatment Grant Program for Individuals with Serious Mental Illness (AOT)


Additional Links

Notice of Funding Opportunity (


Application Deadline: Jan 24, 2020

Sponsoring Organization

Substance Abuse and Mental Health Services Administration (SAMHSA)


Awards grants to implement and assess new assisted outpatient treatment (AOT) programs dedicated to treating individuals with severe mental illnesses (SMIs). AOT, also known as involuntary outpatient commitment or conditional release, programs coordinate with local courts to provide individuals with community-based mental health services without removing them from their homes or social support systems.

Required activities for grantees include:

  • Building coalitions and leveraging existing relationships with local stakeholders in the civil commitment process, including law enforcement, judges, hospitals, inpatient programs, housing and peer recovery support services, to successfully implement AOT
  • Planning and enacting evidence-based treatment services for mental illness and substance use disorder (SUD), when indicated
  • Evaluating the physical, mental, and social health needs of those participating in the AOT program
  • Providing case management services and necessary referrals to healthcare and social service providers
  • Developing partnerships between the criminal justice system, including courts, and behavioral health organizations that provide evidence-based treatment services
  • Evaluating the AOT program implementation process to ensure the AOT program is meeting the needs of the individual and state laws
  • Providing community recovery support services, such as educational/training programs, employment services, housing linkages, and peer recovery support

Amount of Funding

Award ceiling: $1,000,000 per year
Project period: Up to 4 years
Estimated number of awards: Up to 14
Estimated total program funding: $13,398,000

Who Can Apply

Eligible applicants include:

  • States
  • Counties
  • Cities
  • Mental health systems, including state mental health authorities
  • Mental health courts
  • Other entities with authority under the law of the state in which the applicant grantee is located to implement, monitor, and oversee AOT programs

Applicants must operate in jurisdictions that have in place an existing, sufficient array of services for people with serious mental illnesses such as:

  • Assertive Community Treatment (ACT)
  • Mobile crisis teams
  • Supportive housing
  • Supported employment
  • Peer supports
  • Case management
  • Outpatient psychotherapy services
  • Medication management
  • Trauma-informed care

Additional provision of service requirements include:

  • A provider organization for direct client home- and community-based services, such as substance use disorder (SUD) or mental health treatment, appropriate to the grant must be involved in the proposed project. The provider may be the applicant or another organization committed to the project. More than one provider organization may be involved.
  • Each mental health/substance abuse treatment provider organization must have at least two years' experience, as of the due date of the application, providing relevant services, including mental health case management. Official documents must establish that the organization has provided relevant services for the last two years.
  • Each mental health/substance abuse treatment provider organization must comply with all applicable local, city, county, and state licensing, accreditation and certification requirements, as of the due date of the application.

Grants will be awarded only to applicants that have not previously implemented an AOT program. "Not previously implemented" means that even though the state may have an AOT law, the eligible applicant has not fully implemented AOT approaches through the courts within the jurisdiction that they are operating in.

Geographic Coverage


What This Program Funds

New Program • Training Providers

Application Process

Application instructions, requirements, and information about the online application process can be found in funding announcement.


For programmatic or technical questions:
David Barry

For fiscal or budget questions:
Corey Sullivan

For grant review process and application status questions:
Gabriela Porter

Topics This Program Addresses

Community Planning and Coalition Building • Community Supervision • Housing and Homelessness • Justice System • Mental Health • Recovery • Substance Use Disorder • Treatment • Violence, Trauma, and Abuse