Assisted Outpatient Treatment Grant Program for Individuals with Serious Mental Illness (AOT)
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:
- Evaluate 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
- $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:
- 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 one 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/SUD 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.
What This Program Funds
New Program • Training Providers
Application instructions, requirements, and information about the online application process can be found in funding announcement.
For programmatic or technical
For fiscal or budget questions:
For grant review process and application status
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