The Sequential Intercept Model: Using Assisted Outpatient Treatment to Reduce the Need for Competency Restoration
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Expires on Mar 28, 2026
Credit Offered
1 CME Credit
1 Psych CE Credit
1 SW CE Credit
1 COP Credit

People with SMI are about 3 times more likely than the general public to be involved with the criminal legal system. Untreated, symptomatic mental illness is a contributor to this problem. The Sequential Intercept Model provides a framework to spur the development of interventions designed to prevent justice involvement altogether, ideally by way of an effective, criminologically informed treatment system. Such a system includes an Assisted Outpatient Treatment program. AOT is a tool that civil courts and mental health systems employ collaboratively to address non-adherence to treatment. AOT aims to motivate individuals with SMI to engage in treatment and ensure the MH system serves its most vulnerable clients. This webinar will focus on how using AOT can impact The Ultimate Intercept- Best clinical practices in the community and Intercept II- Initial Detention and Initial Hearings, including how AOT can be used to reduce the need for hospital-based competency restoration.  


Enduring webinar 

Learning Objectives

  • Identify why people with SMI are overrepresented in the criminal legal system.  
  • List two ways AOT can enhance the clinical outcomes in the community. 
  • Describe how AOT could reduce the waiting list for forensic mental health beds.  

Target Audience

Counselor, Nurse/Nurse Practitioner, Psychiatrist, Physician Assistant, Psychologist, Social Worker, Peer Specialist/Peer Support  

Instructional Level

Introductory, Intermediat 

Estimated Time to Complete

Estimated Duration: 1.0 hour 
Program Start Date: March 28, 2023
Program End Date: March 28, 2026

Ongoing Interdisciplinary Discussion Board

After completing the course, engage with colleagues in the mental health field through SMI Adviser's Webinar Roundtable Topics discussion board. This is an easy way to network and share ideas with other clinicians who participate in this webinar. Access through the discussion tab.

How to Earn Credit 

Participants who wish to earn AMA PRA Category 1 Credit™, CE credit for psychologists, CE credit for social workers, or a certificate of participation may do so by viewing the live presentation and completing the evaluation. Participants claiming CE credit for psychologists and those claiming CE credit for social workers, must have full attendance to claim credit. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians), CE certificate (psychologists), CE certificate (social workers) or certificate of participation (other disciplines) showing the event date and hours earned.

Continuing Education Credit

In support of improving patient care, the American Psychiatric Association is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.


The APA designates this live event for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


The APA designates this live event for a maximum of 1.0 psychology continuing education credits. Psychologists should claim only the credit commensurate with the extent of their participation in the activity.

Social Workers

The APA designates this live event for a maximum of 1.0 social work continuing education credits. Social workers should claim only the credit commensurate with the extent of their participation in the activity.

Continuing education requirements vary from state to state. Many state boards grant reciprocity with national accrediting organizations and other state boards. It is the responsibility of each professional to understand the requirements for license renewal or check with the state or national licensing board and/or professional organization to become more familiar with their policies for acceptable continuing education credit. Social workers and Psychologists should contact their regulatory board to determine course approval.

Planning Committee and Faculty Disclosures

The American Psychiatric Association adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CME activity — including faculty, planners, reviewers or others — are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.

Faculty Disclosures

  • Mark R. Munetz, MD is Professor and Chair Emeritus at Northeast Ohio Medical University (NEOMED)Dr. Munetz served as The Margaret Clark Morgan Chair of Psychiatry at NEOMED from 2007-2019.   He directed community psychiatry at NEOMED and was medical director for the County of Summit Alcohol, Drug Addiction and Mental Health Services Board from 1992- 2012 where he helped develop and sustain one of the first AOT programs in OhioAt NEOMED Dr. Munetz developed the Ohio Criminal Justice Coordinating Center of Excellence, the Ohio Program for Campus Safety and Mental Health and the Best Practices in Schizophrenia Treatment Center. Dr. Munetz has no relevant financial relationships to disclose. 

Planning Committee

  • Teri Brister, PhD, LPC, National Alliance on Mental Illness. Dr. Brister has no relevant financial relationships to disclose.  
  • Amy Cohen, PhD, American Psychiatric Association. Dr. Cohen has no relevant financial relationships to disclose. 
  • John Torous, MD, Beth Israel Deaconess Medical Center. Dr. Torous has no relevant financial relationships to disclose. 
  • Sherin Khan, LCSW, Thresholds. Ms. Khan has no relevant financial relationships to disclose. 

Accessibility for Participants with Disabilities

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance.

Technical Requirements

This internet-based CME activity is best experienced using any of the following:

  • The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari
  • Internet Explorer 11+

This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

  • Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version)
  • Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version)
  • Internet Connection: 1 Mbps or higher

Minimum Requirements:

  • Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content
  • Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content

For assistance: Contact for questions about this activity | Contact for technical assistance

Funding for SMI Adviser was made possible by Grant No. SM080818 from SAMHSA of the U.S. Department of Health and Human Services (HHS). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, SAMHSA/HHS or the U.S. Government.
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