Tracking for AOT Cases and Treatments (TACT). OMH Central and Field Office staff record basic information on each court order and the status of each order in a secure electronic tracking system called Tracking for AOT Cases and Treatments (TACT). TACT is used to track important information about court-ordered recipients and is a resource for assisting in the management of the AOT program by OMH AOT program staff. In addition, TACT data are used to generate regular reports on the volume of court orders throughout the state and the number of individuals receiving AOT.
AOT Evaluation Database. OMH collects additional information concerning AOT recipients from their case managers and Assertive Community Treatment (ACT) teams. Case managers and ACT team members complete a standardized assessment for each AOT recipient at the onset of the court order (baseline), at the end of the initial court order (six month follow-up), and, if the court order is renewed, every six months for the duration of the order. The assessments capture: demographic characteristics of AOT recipients; their status in areas such as living situation, services received, engagement in services, and adherence to prescribed medication; incidence of significant events such as hospitalization, homelessness, arrest, and incarceration; functional impairment in the areas of self-care and social skills; and any incidence of harmful behaviors. These assessments are submitted to OMH and an AOT Evaluation Database is compiled. OMH uses the resulting data to assess outcomes for all AOT recipients as a group. Due to time lags inherent in paper-based survey data collection and processing, and the limited scope of the data collected on the standardized assessments, OMH does not use the evaluation database to monitor the clinical status of individual recipients.