Serves older adults who are struggling with a mental illness and who need intensive long term treatment and support. The goals of PACTT is to minimize hospitalization and to improve quality of life to clients in their own homes and communities. PACTT is an interdisciplinary team, comprised of Registered Nurses, Social Workers, an Occupational Therapist, a Recreational Therapist, Psychiatrist and a Program Assistant. PACTT provides a wide array of supports and services to clients and their families, relating to their mental health challenges. Admission Criteria: - Clients must be 55 years of age or older. - Clients must have severe and persistent mental health illness with psychosis, such as Schizophrenia, Bipolar Disorder or major depression. - Recent history of multiple hospital admissions and psychiatric treatment. - Clients and or the substitute decision-makers must be agreeable to PACTT services.