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

Grants to USA Agencies, Mental Health Systems, and Service Providers
for Community Services to Treat Persons with Severe Mental Disorders

Agency Type:


Funding Source:

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U.S. Department of Health and Human Services (HHS) - Substance Abuse and Mental Health Services Administration (SAMHSA) - Center for Mental Health Services (CMHS)

Deadline Date:

01/24/20 11:59 PM ET


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Grants to qualifies USA state and local government agencies, mental health providers and courts, and other entities to assist individuals with severe mental disorders. Funding is intended for court collaboration to provide appropriate treatment and promote independence. The purpose of the program is to reduce incarceration, homelessness, psychiatric hospitalization, and interactions with the criminal justice system while improving the health and social outcomes of individuals with a serious mental illness (SMI). The program is designed to work with courts, to allow these individuals to obtain treatment while continuing to live in the community and their homes.

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.
  • 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. 

Allowable Activities:

  • Engage families and natural supports in the support process, including by providing family psycho-education services.
  • Collaborate and coordinate with area hospitals to ensure appropriate discharge planning and follow-up for individuals participating in the AOT program.

GrantWatch ID#:

GrantWatch ID#: 172023

Estimated Total Program Funding:


Number of Grants:


Estimated Size of Grant:

-Tier 1: Up to $700,000 per year.
-Tier 2: Up to $1,000,000 per year.

Term of Contract:

Project length may be up to four years.

Additional Eligibility Criteria:

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.

SAMHSA believes that only existing, experienced, and appropriately credentialed organizations with demonstrated infrastructure and expertise will be able to provide required services quickly and effectively. You must meet three additional requirements related to the provision of services.

The three requirements are:

- A provider organization for direct client (e.g., substance abuse treatment, substance abuse prevention, mental health) home- and community-based 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 mental health/substance abuse treatment provider organization must have at least two years of 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); and

- 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.

Pre-Application Information:

Applications are due by 11:59 PM (Eastern Time) on January 24, 2020.

You are required to complete four (4) registration processes:
1. Dun & Bradstreet Data Universal Numbering System (to obtain a DUNS number);
2. System for Award Management (SAM);
3.; and
4. eRA Commons

If this is your first time submitting an application, you must complete all four registration processes. If you have already completed registrations for DUNS, SAM, and, you need to ensure that your accounts are still active, and then register in eRA Commons. If you have not registered in, the registration for and eRA Commons can be done concurrently. You must register in eRA Commons and receive a Commons Username in order to have access to electronic submission, receive notifications on the status of your application, and retrieve grant information

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For a list of application documents, see the Package tab (press Preview) on the page above.


Contact Information:

Before starting your grant application, please review the funding source's website listed below for updates/changes/addendums/conferences/LOIs.

Program Issues:
David Barry
Center for Mental Health Services
Substance Abuse and Mental Health Services Administration
(240) 276-0116

Grants Management and Budget Issues:
Corey Sullivan
Office of Financial Resources, Division of Grants Management
Substance Abuse and Mental Health Services Administration
(240) 276-1213

CFDA Number:


Funding or Pin Number:


URL for Full Text (RFP):

Geographic Focus:

USA: Alabama;   Alaska;   Arizona;   Arkansas;   California;   Colorado;   Connecticut;   Delaware;   Florida;   Georgia;   Hawaii;   Idaho;   Illinois;   Indiana;   Iowa;   Kansas;   Kentucky;   Louisiana;   Maine;   Maryland;   Massachusetts;   Michigan;   Minnesota;   Mississippi;   Missouri;   Montana;   Nebraska;   Nevada;   New Hampshire;   New Jersey;   New Mexico;   New York City;   New York;   North Carolina;   North Dakota;   Ohio;   Oklahoma;   Oregon;   Pennsylvania;   Rhode Island;   South Carolina;   South Dakota;   Tennessee;   Texas;   Utah;   Vermont;   Virginia;   Washington, DC;   Washington;   West Virginia;   Wisconsin;   Wyoming

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