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Full Service Partnerships (PACT)

Designed to assist Orange County’s most vulnerable individuals, Full Service Partnerships (FSP) provide intensive, community-based outpatient services. This support is designed for residents who have the greatest barriers to accessing care: including individuals of all ages who are living with a Serious Emotional Disturbance (SED) or Serious Mental Illness (SMI); unserved or underserved; and are homeless, at risk of homelessness, involved in the criminal justice system, frequent users of inpatient psychiatric treatment, culturally or linguistically isolated, and/or have complex medical needs.

Our multi-disciplinary team approach is designed to do "whatever it takes." Services are individualized, strength-based, and client-centered. The FSPs commit to the success of their members and work collaboratively to provide services and supports to promote health, recovery from addiction and substance use disorders, and wellness. In addition to intensive case management and psychiatric and crisis response services, we can also help with job training, education, transportation, housing, and guidance on how to access benefits.

Orange County Health Care Agency (HCA) offers various partnerships to target specific populations

Program for Assertive Community Treatment (PACT)

PACT is the County-operated version of a Full Service Partnership program. PACT specifically targets individuals who have had two or more hospitalizations and/or incarcerations due to their mental illness in the past year.

Its “whatever it takes” model provides field-based outpatient services to residents ages 14 and older who are living with serious emotional disturbance or serious mental illness. Individuals enrolled in the PACT may also have a co-occurring substance use disorder, be experiencing isolation, and have had difficulty engaging with more traditional outpatient mental health services. Most referrals from County outpatient clinics.

PACT teams provide age-targeted services (Children/youth ages 14-21, Youth ages 18-25, adults ages 26-59, older adults ages 60 and older). Youth ages 18-21 are served by the Child/Youth team or the TAY team based on their level of caregiver involvement and developmental age.

Telecare and Orange (TAO)

Serves adults with serious mental illness who are unserved/underserved; homeless or at risk of homelessness; at risk of institutionalization/hospitalization; not successful in traditional mental health services; may have co-occurring mental illness and substance use. Referrals can come from different sources including the general community.

Opportunity Knocks (OK)

This program serves adults with serious mental illness who have a recent history of incarceration and/or are experiencing recidivism in the criminal justice system and may be homeless or at risk of homelessness. Referrals can come from different sources including the general community, jails, and probation.

Striving Towards Enhanced Partnerships (STEPS) program serves two populations:

For adults with serious mental illness returning to the community after a stay in long-term care facilities such as IMDs and MHRCs and/or are on LPS Conservatorship. Referrals come from long-term care facilities or the general community.

For adults with serious mental illness participating in the Assisted Intervention (AI) Court, referrals come from the AI Court through the Public Defender's Office or Judges.

"Whatever It Takes" (WIT)

Serving adults with serious mental illness who are participating in the Whatever It Takes Court. Services are delivered in collaboration with Orange County Superior Court, Probation Department, Public Defender, and District Attorney. Referrals come from the WIT Court through the Public Defender's Office or Judges.

Assisted Outpatient Treatment (AOT)

For adults with serious mental illness who are not succeeding in other efforts, including continuing to fail to engage in mental health treatment with at least two hospitalizations or incarcerations within the last 36 months, or one or more serious acts of violence toward self or others within the last 48 months. The program serves individuals who are court-ordered to participate in Assisted Outpatient Treatment and individuals who meet criteria and are willing to participate voluntarily. For more information about AOT and referrals to AOT FSP program, please visit the AOT page at