The Enhanced Outpatient Treatment (EOT) program, operated by the Massachusetts Department of Mental Health in collaboration with Eliot Community Human Services, aims to provide assertive community outreach and support to underserved behavioral health populations in the greater Metro North area. The multidisciplinary EOT team includes various professionals such as a Clinical Coordinator, Nurse Practitioner, Case Managers, a certified Recovery Coach, and a Peer Specialist. The program is designed to be accessible, with referrals not being insurance-based, allowing for a focus on personalized engagement and support. In 2023, the program reported that 31.3% of new admissions were referred by police departments or community mental health collaboratives, highlighting the program's integration with local services.

The EOT program has demonstrated significant positive outcomes for its clients, many of whom face complex challenges such as dual diagnoses of trauma and substance abuse, homelessness, and involvement with the criminal justice system. The program's low-threshold approach facilitates immediate access to treatment and community support, resulting in improved client engagement and stability. Notably, clients reported substantial improvements in their mental health, social skills, and legal status upon discharge, with a significant decrease in hospitalizations. The program's success is reflected in its high percentage of face-to-face contact and successful discharges, with 85% of clients discharged in 2023 transitioning to outpatient or long-term outreach services.