Telecare's program in Santa Clara County is a 100-member high-fidelity Assertive Community Treatment (ACT) program for adults and older adults with severe and persistent mental illness (SPMI), co-occurring substance use issues, and /or other challenging and complex needs that increase their risk for poor treatment outcomes. Wraparound services and supports will not only include clinical interventions, such as multidisciplinary assessment and treatment, team-based case management, 24/7/365 crisis intervention, medication support, and integrated co-occurring substance abuse services, but also non-mental health support in such areas as community integration, housing, employment and education, transportation, and benefits.