Continuous Treatment Team provided participants with an unlimited amount of community-based services and an individualized plan to address their specific needs. Clinical case managers worked closely with clients to create their individualized plan; address their health needs; and help them access housing, transportation, and money management services. The service population included adults without housing who had a severe psychiatric disorder; no history of violent behavior; and an intention to stay in the St. Louis, MO, area for the duration of the study.

Adults without housing were assigned to one of two drop-in centers (one exclusive to women, one for both genders). Drop-in centers provided daytime shelter, food, clothing, showers, recreational activities, and referrals to social services from on-site social workers.  The service population included adults with a mental illness who were also experiencing homelessness. This intervention was implemented in St. Louis, Missouri. The intervention lasted 12 months.

A mental health clinic in St. Louis, MO, provided the traditional outpatient treatment, which included psychotherapy, psychiatric medication, and assistance in obtaining social services. The service population included adults without housing who had a severe psychiatric disorder, no history of violent behavior, and an intention to stay in the St. Louis area for the duration of the study. The intervention lasted 12 months.

Continuous Treatment Team provided participants with an unlimited amount of community-based services and an individualized plan to address their specific needs. Clinical case managers worked closely with clients to create their individualized plan; address their health needs; and help them access housing, transportation, and money management services. The service population included adults without housing who had a severe psychiatric disorder; no history of violent behavior; and an intention to stay in the St. Louis, MO, area for the duration of the study.

Through ICM, case managers worked with participants who were incarcerated to determine their needs and goals and to establish reentry plans for support after release. After participants’ release from prison, case managers connected them to mental and physical health treatment, employment, education, and housing services. Participants had access to 24-hour case management and no limits on the duration of participation. Mental and physical health treatment services included mental health, substance abuse, and medical and dental treatment.

The intervention included enhanced behavioral, medical, and dental services that augmented participants’ standard county health benefits. Services included treatment for chemical dependence, psychological and neuropsychological assessments, and prescription medications above the three-per-month Medicaid limit. The intervention eliminated co-payments for prescription drugs and outpatient services and improved participants’ access to mental health services.