CTT's mission is to provide comprehensive case management services to people with severe mental illness. Originally created in 1989 for the purpose of serving patients discharged from philadelphia state hospital as a result of its closure, it has since broadened its mandate to include patients discharged from norristown state hospital (NSH), persons with forensic histories, those with CO-occurring (mental health and substance abuse) disorders and individuals referred through the county mental health court. Currently, CTT CAN serve 850 extremely vulnerable and at risk individuals, including: over 350 on our assertive community treatment teams, (ACT) and about 500 on our blended enhanced case management teams, (be). CTT operates under two case management team models, with three assertive community treatment teams (ACT) and four blended enhanced case management teams, (be). In the ACT model, ALL case management, health care coordination, mental health and substance abuse treatment is PROV