If AOT services are court-ordered, the individual will be assigned to a Full Service Partnership (FSP) treatment team of Turning Point’s Vista program. The treatment services provided to any individual receiving AOT will be at the FSP treatment level of care. Turning Point will provide comprehensive mental health services, including housing and community supports, to their AOT-specific individuals. The FSP treatment services will encompass a unified team approach, in which Turning Point will commit to do “whatever-it-takes” and “meet the individual where they are” to assist them to reach their personal recovery, resiliency and wellness goals and aim to reduce the number of days of hospitalization, incarceration and/or homelessness. Evidence-based practices utilized by the AOT team will include:

Assertive Community Treatment (ACT). The simple definition of assertive community treatment is an intensive, integrated approach to community mental health service delivery. What this means is that mental health services are provided in a community setting (rather than a more restrictive residential or hospital setting) to people experiencing serious mental illness. Secondary goals include reducing homelessness and unnecessary hospital stays. In this way, ACT offers treatment in the "real world" and the team of professionals provides help using a "whole team" approach.

Dialectical Behavior Therapy (DBT) is a modified type of cognitive behavioral therapy (CBT). Its main goals are to teach people how to live in the moment, develop healthy ways to cope with stress, regulate their emotions, and improve their relationships with others.

Client-Centered Therapy (also known as Person-Centered Therapy or Rogerian Therapy), is a non-directive form of talk therapy developed by humanist psychologist Carl Rogers during the 1940s and 1950s. In this approach, you act as an equal partner in the therapy process, while your therapist remains non-directive—they don't pass judgments on your feelings or offer suggestions or solutions.

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a therapy that directly addresses the impact of traumatic events. There are three main versions of trauma-focused CBT that have been proven in scientific studies to be effective for Post-Traumatic Stress Disorder (PTSD). The therapy can also help with depression and anxiety that goes along with PTSD

Trauma Informed Care. Trauma-informed care seeks to:

• Realize the widespread impact of trauma and understand paths for recovery;

• Recognize the signs and symptoms of trauma in patients, families, and staff;

• Integrate knowledge about trauma into policies, procedures, and practices; and

• Actively avoid re-traumatization.

Motivational Interviewing (MI) is a counseling approach designed to help people find the motivation to make a positive behavior change. This client-centered approach is particularly effective for people who have mixed feelings about changing their behavior.

Ohio Risk Assessment System (ORAS) The Ohio Risk Assessment System (ORAS) is a dynamic risk/needs assessment system to be used with adult offenders. It offers criminal justice actors the ability to assess individuals at various decision points across the criminal justice system.

Wellness & Recovery Action Planning (WRAP) The Wellness Recovery Action Plan (WRAP®) is a personalized wellness and recovery system born out of and rooted in the principle of self-determination. WRAP® is a wellness and recovery approach that helps people to: 1) decrease and prevent intrusive or troubling feelings and behaviors; 2) increase personal empowerment; 3) improve quality of life; and 4) achieve their own life goals and dreams. Working with a WRAP® can help individuals to monitor uncomfortable and distressing feelings and behaviors and, through planned responses, reduce, modify, or eliminate those feelings. A WRAP® also includes plans for responses from others when an individual cannot make decisions, take care of him/herself, and/or keep him/herself safe.

Integrated Dual Disorder Treatment. The Integrated Dual Disorder Treatment (IDDT) model is an evidence-based practice that improves quality of life for people with co-occurring severe mental illness and substance use disorders by combining substance abuse services with mental health services. It helps people address both disorders at the same time—in the same service organization by the same team of treatment providers.

Harm Reduction Harm reduction is an approach that emphasizes engaging directly with people who use drugs to prevent overdose and infectious disease transmission, improve the physical, mental, and social wellbeing of those served, and offer low-threshold options for accessing substance use disorder treatment and other health care services. For more information about Harm Reduction, click here: https://www.samhsa.gov/find-help/harm-reduction

Columbia Suicide Severity Rating Scale (C-SSRS). This questionnaire is intended to be used by individuals who have received training in its administration.

Reaching Recovery Tools Click here for a comprehensive overview of this tool: https://www.wellpower.org/wp-content/uploads/2015/11/2017-What-is-Reaching-Recovery.pdf

Seeking Full Service Partnership (FSP) Tool Kit. To view or download the toolkit, click here: https://work.cibhs.org/sites/main/files/file-attachments/cimh_fsp_pm_final_final.pdf?1494618604

Recognizing and Responding to Suicide Risk (RRSR) Recognizing and Responding to Suicide Risk: Essential Skills for Clinicians (RRSR) is an advanced, interactive training based on established core competencies that mental health professionals need in order to effectively assess and manage suicide risk.

Seeking Safety Trauma Groups. Seeking Safety teaches present-focused coping skills to help clients attain safety in their lives. It is highly flexible and can be conducted with a wide range of clients, clinicians, and settings. There are 25 treatment topics, each representing a safe coping skill relevant to both trauma and/or substance abuse, such as “Asking for Help”, “Creating Meaning”, “Compassion”, and “Healing from Anger”.