Community mental health agencies who assumed responsibility after de-institutionalization have struggled to determine what type of treatment most effectively maintains clients' stability in the community. The Assertive Community Treatment program (ACT), demonstrated to be an effective program for those with severe mental illness, is intended to offer intensive outreach to individuals with severe mental illness, and has an established structure and strict guidelines for adherence. Difficulties exist in implementing ACT in rural areas. This dissertation evaluated whether the Community Support Team (CST), a model offering greater flexibility in staffing, provides similar outcomes as ACT. Three outcome variables that have been empirically demonstrated as positive outcomes for ACT were examined for CST: Hospitalization Rate, Independent Living, and Competitive Employment (N=28). Hospitalization Rate was examined as the number of times hospitalization occurred during the six months before and during the first six months of treatment, and was analyzed by a paired t-test. There was a statistically significant difference between the mean number of hospitalizations before and during the CST treatment. The rates of Independent Living and Competitive Employment were compared at admission to CST and after six months of treatment, and were analyzed using the McNemar Test of Change. There were no statistically significant findings for Independent Living or Competitive Employment.