Grant Details

Assisted Outpatient Treatment (AOT) Grant Program

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    Funder Type

    Federal Government

    IT Classification

    C - Funds little to no technology


    Substance Abuse & Mental Health Services Administration (SAMHSA)


    The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Mental Health Services (CMHS) is accepting applications for fiscal year (FY) 2020 Assisted Outpatient Treatment Grant Program for Individuals with Serious Mental Illness (Short title: Assisted Outpatient Treatment [AOT]). This four-year program is intended to implement and evaluate new AOT programs and identify evidence-based practices in order to reduce the incidence and duration of psychiatric hospitalization, homelessness, incarcerations, and interactions with the criminal justice system while improving the health and social outcomes of individuals with a serious mental illness (SMI). This program is designed to work with courts, to allow these individuals to obtain treatment while continuing to live in the community and their homes.

    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. AOT (also known as involuntary outpatient commitment, conditional release, and other terms) involves petitioning local courts to order individuals to enter and remain in treatment within the community for a specified period of time. AOT is a recognized evidence-based practice and is intended to facilitate the delivery of community-based outpatient mental disorder treatment services for individuals with SMI that are under court order.


    History of Funding

    None is available.

    Additional Information

    The AOT grant program is one of SAMHSA's services grant programs. SAMHSA intends that its services grants result in the delivery of services as soon as possible after award. Service delivery should begin by the fourth month of the project at the latest. Recipients funded with this grant will be required to:

    • Demonstrate and utilize existing relationships with local participants in the civil commitment process including law enforcement, families, judges and/or administrative law judges/magistrates and special justices that preside over civil commitment processes on AOT, hospitals, inpatient settings, housing services and peer recovery support services. Build a coalition of local stakeholders in the civil commitment process so that local issues and barriers regarding the implementation of AOT can be addressed. (Letters of Commitment from the stakeholders must be submitted in Attachment 1).
    • Evaluate the psychiatric, social, and medical needs of individuals participating in the program.
    • Prepare and execute a treatment plan that includes evidence-based mental and, when indicated, substance use disorder services to those living with SMI including the delivery of outpatient and intensive outpatient services with a multidisciplinary team of clinical experts.
    • Provide case management services that support the treatment plan, including ensuring that appropriate referrals are made to medical and home- and community-based social service and recovery support service providers.
    • Form partnerships between the behavioral health entities that provide an array of evidence-based treatment and the criminal justice system, including the courts.
    • Evaluate the process for implementing AOT to ensure consistency with the individual's needs and state law.
    • Provide community recovery support services, including educational/training programs aimed at assisting with employment, other employment services, housing linkages, peer recovery support, and other related services. 


    Corey Sullivan

    Corey Sullivan
    Office of Financial Resources, Division of Grants Management
    5600 Fishers Lane
    Rockville, MD 20857
    (240) 276-1213

  • Eligibility Details

    Eligible applicants are: 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 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 SMI such as ACT, mobile crisis teams, supportive housing, supported employment, peer supports, case management, outpatient psychotherapy services, medication management, and trauma-informed care.

    Deadline Details

    Applications were to be submitted by January 24, 2020. A similar deadline is anticipated, annually.

    Award Details

    Anticipated total available funding is $13,398,000. Anticipated number of awards is up to 14 awards with up to $1,000,000 per year. Length of project is 4 years. There is no cost sharing/match requirement.

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