H79SM082913

Support Through Assisted Treatment (STAT) - Community Howard Regional Health’s (CHRH) Behavioral Health Services Project, Support Through Assisted Treatment (STAT), provides Assisted Outpatient Therapy (AOT) treatment and supportive services to seriously mentally ill (SMI) clients under civil commitment by local courts in Howard, Clinton, and Tipton counties, Indiana. The goal of STAT is to reduce the incidence and duration of hospitalization, homelessness, incarceration, and involvement with the criminal justice system. The target population for this project is the residents of these counties, with a total population of 131,912 persons. The demographic breakdown of the population is as follows: 85% are White non-Hispanic, 7% are Black non-Hispanic, and nearly 4% are Hispanic. The median household income is $52,032, with 13% of families living in poverty. Approximately 40% of adults have a high school diploma, and 19% have attained a bachelor's degree or higher.

Clinically, STAT focuses on adult individuals with SMI who are not engaging in treatment, cycling through jails or hospitals, a danger to themselves or others, or meet the statutory definition of gravely disabled. Based on SMI prevalence data and estimates of the subgroup that meets the focus criteria, CHRH expects to serve 40 persons annually and 120 unduplicated individuals over the lifetime of the project.

STAT has two major goals with several objectives. Goal 1 is to reduce rates of hospitalization and incarceration. The first objective is that 75% of participants will have stable housing within 6 months of starting STAT. The second objective is that 80% of housed individuals will maintain stable housing throughout their time in STAT. The third objective is that 60% of clients will not have an inpatient stay or incarceration during STAT. STAT's second goal is to increase the rates of treatment compliance. The first objective is that 70% of clients will have two or more contacts with their treatment team weekly. The second objective is that 60% of clients will maintain a monthly contact rate to treatment for up to six months after removal from STAT.

Nine strategies form the building blocks of STAT:

1) CHRH identifies persons who are persistently non-adherent with treatment for their mental illness and meet criteria for AOT under Indiana law.
2) Once identified, CHRH takes the initiative to gather the required evidence and petition the court for AOT.
3) CHRH safeguards the due process rights of participants at all stages of AOT proceedings.
4) CHRH and local criminal justice entities collaborate to maintain clear lines of communication between the court and the treatment team.
5) CHRH provides evidence-based treatment services focused on engagement and helping participants maintain stability and safety in the community.
6) All collaborators in STAT continually evaluate the appropriateness of the participant's treatment plan throughout the AOT period and make adjustments as warranted.
7) STAT employs specific protocols to respond in the event that an AOT participant falters in maintaining treatment engagement.
8) AOT participants are evaluated at the end of the commitment period to determine if it is appropriate to seek renewal of the commitment or allow transition to voluntary care.
9) Upon transition out of STAT, each participant remains connected to the treatment services they continue to need to maintain stability and safety.

Community Health Network Foundation

NOT APPLICABLE

93.997 - Assisted Outpatient Treatment

Division of Grants Management [HHS - SAMHSA]

Indianapolis, Indiana 462563999 United States

Single Zip Code

Assisted Outpatient Treatment Program for Individuals with Serious Mental Illness (SM-20-006)

Amendment Since initial award the total obligations have increased 311% from $774,826 to $3,182,315.