Assist Ventura County (Assist) was designed by Ventura County Behavioral Health Department (VCBH) to implement Assisted Outpatient Treatment (AOT) using Assertive Community Treatment (ACT) in the least restrictive environment to a minimum of 60 persons with SMI annually (240 total), curb the cycle of hospital and jail/prison commitments that commonly result from resistance to mental health treatment, and promote wellness and recovery. Given that Ventura County includes a large (41.2%) Latino population, Assist will conduct targeted efforts to reach that community through culturally informed outreach, engagement and rehabilitation strategies that utilizes bilingual/bicultural staff. VCBH offers a full continuum of care in the Adult Division for persons suffering from SMI through six adult outpatient clinics countywide. Services include: individualized treatment planning, medication management, social rehabilitation, group/individual psychotherapy, and collateral contacts. In addition, VCBH has built an assertive cluster of programs directed at those resistant to treatment, including Rapid Integrated Support and Engagement (RISE), VISTA/XP for incarcerated individuals, VOICE/AB109 for probationers, and the Latino Outreach Program. VCBH will contract with an AOT-experienced external evaluator, Resource Development Associates to measure outcomes. Services include: medication management, case management, rehabilitation, substance treatment, housing, employment/vocational services, peer services, and assistance with natural supports. The goal is to increase the number of persons with SMI receiving outpatient treatment; to promote health, wellness, and recovery; and allow previously untreated persons to live a self-directed life while striving to reach their full potential. Objectives include decreasing rates of hospitalizations, homelessness, jail days by at least 50%; increasing to 95% the clients' ability to be self-supporting through benefits or gainful employment.