Specifications include, but are not limited to: PACT-Y is a comprehensive service for individuals under the age of 22 with serious emotional disturbance who have not responded well to traditional office- and/or community-based services and interventions, and may benefit from intensive, coordinated, and comprehensive services that are provided by one integrated, multi-disciplinary, community-based team - the PACT-Y Team. The service targets those Youth with the most challenging and persistent mental and behavioral health needs who are living in their communities but for whom other community-based behavioral health services have not resulted in sustained success for them to remain in their communities. PACT-Y Services include: comprehensive assessment psychiatry including prescribing (either a psychiatrist or psychiatric nurse practitioner) nursing care coordination counseling and psychotherapy peer supports substance use interventions occupational therapy educational support.