Table 1.

Description of selected programs and case management services for individuals with serious mental illness in New York City, 2010

	Description	Eligibility criteria	Staff caseload
Assisted Outpatient Treatment (AOT)	Court-ordered services for individuals with mental illness who, in view of their treatment history and circumstances, are unlikely to survive safely in the community without supervision	Adults with mental illness who have not been adherent with treatment and have had: (a) ≥2 psychiatric hospitalizations in the past 36 months or any forensic mental health treatment in prior 6 months; and (b) one of more acts of serious violent behavior toward self or others or threats of, or attempts at, serious physical harm to self or others within the last 48 months	Individual treatment plans must include either ACT or case management services
Assertive Community Treatment (ACT)	Multi-disciplinary team offering community-based treatment and support services	Serious mental illness with functional impairments, not adherent with clinic care, and high use of acute services (e.g., ≥4 psychiatric hospitalizations, or ≥3 emergency room/mobile crisis visits, in prior 12 months)	Client: Staff ratio not to exceed 9.9:1
Intensive Case Management (ICM)	Trained case manager helps individuals access needed medical, social, psychosocial, educational, financial, and other services required to encourage independent functioning in the community	Serious mental illness with functional impairments and high use of acute services (e.g., ≥2 psychiatric hospitalizations, or ≥3 emergency room/mobile crisis visits, in prior 12 months)	Not to exceed 12; at least 1 contact/week
Supportive Case Management (SCM)	As above	Serious mental illness with functional impairments and demonstrated need for ongoing supportive services	Not to exceed 20; at least 2 contacts/month