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


Additional Links

Notice of Funding Opportunity (


Application Deadline: Apr 26, 2024


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). Supports AOT programs, also known as involuntary outpatient commitment, that coordinate with courts and other community stakeholders to provide individuals with community-based mental health services. Seeks to improve the health and social outcomes for individuals with SMI and reduce psychiatric hospitalization, homelessness, incarcerations, and interactions with the criminal justice system for these individuals.

AOT programs should include the following components:

  • Evaluating the psychiatric and social needs of participants
  • Develop and implement treatment plans related to the medical, psychiatric and social needs, including the criteria for court-ordered treatment
  • Monitor participant compliance with the treatment plan
  • Provide case management services that support the treatment plan
  • Making referrals to medical and social service providers for additional services
  • Evaluate the program implementation process to ensure consistency with participant needs, preferences, and state law
  • Measuring treatment outcomes, including health and social outcomes such as rates of incarceration, health care utilization, and homelessness

A detailed list of required and allowable program activities can be found in the funding announcement.

Grantees are encouraged to address the behavioral health needs of underserved communities as defined by Executive Order 13985, including people living in rural areas and indigenous and Native American populations.

Amount of Funding

Award ceiling:

  • $500,000 per year for programs serving less than 50 clients annually
  • $750,000 per year for programs serving more than 50 clients annually

Project period: Up to 4 years
Estimated number of awards: 20-30
Estimated total program funding: $15,229,744

Who Can Apply

Eligible applicants include:

  • 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 with legislative authority to carry out AOT. Applicants from Connecticut, Massachusetts, and Maryland are ineligible for this opportunity because these states do not have the required legislative authority.

Grants will be awarded only to applicants that have not previously implemented an AOT program.

Additional provision of service requirements include:

  • A provider organization for direct mental health services 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 1 provider organization may be involved.
  • Each applicant and any partner organizations must have at least 2 years' experience, as of the due date of the application, providing relevant services. Applicants that are part of court systems must demonstrate at least 2 years' experience providing specialized services for individuals with mental illness. Official documents must establish that the organization has provided relevant services for the last 2 years.
  • Each mental health/substance user disorder 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.

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.

Applicant webinar recording and transcript
Applicant frequently asked questions


For programmatic or technical questions:
Cassandra Henry

For fiscal or budget questions:

For grant review process and application status questions:
Arvinda Khatri

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