SMA Healthcare operates outpatient mental health services, including case management, throughout its four-county service area (Flagler, Putnam, St. Johns, and Volusia). Child Psychiatric Services are also available in Putnam and St. Johns. There is also the FACT team, which serves the most persistent and severely mentally ill population with intensive case management to keep those individuals out of state hospitals and other crisis services. Donations to this fund are used for needs identified within these programs and can be designated by county/location according to the wishes of the donor.