The American Journal of Orthopsychiatry, 68(2), 179-190. https://doi.org/10.1037/h0080328, Essock, S. M., Mueser, K. T., Drake, R. E., Covell, N. H., McHugo, G. J., Frisman, L. K., Kontos, N. J., Jackson, C. T., Townsend, F., & Swain, K. (2006). ACT teams deliver services in-person to consumers, averaging approximately two or more hours of services across four or more contacts per week. Implementing Assertive Community Treatment teams. High risk for or with a recent history of criminal justice involvement (e.g. Mental Health Practice, 8(10), 37-39. https://doi.org/10.7748/mhp2005.07.8.10.37.c1877, Habibis, D., Hazelton, M., Schneider, R., Davidson, J., & Bowling, A. . Estimating the cost impact of three dual diagnosis treatment programs. ACT offers a strengths-based and holistic approach to promote optimal wellness and recovery to people with challenges related to a primary diagnosis of schizophrenia, schizoaffective disorder, bipolar disorder, and other psychotic disorders who may have concurrent substance use. Bridging the science-to-service gap in schizophrenia care in the Netherlands: The Schizophrenia Quality Improvement Collaborative. Services include 24-hour mental health crisis support, one-on-one emotional support, access to medicine and nursing services. Community-oriented mental health care: Assessing diversity in clinical practice. (2008). Model fidelity of Assertive Community Treatment for clients with first-episode psychosis: A target group-specific application. Comparative effectiveness of three approaches to serving people with severe mental illness and substance abuse disorders. Psychosocial Rehabilitation Journal, 16(4), 39-50. https://doi.org/10.1037/h0095653, Rosenheck, R. A., Neale, M. S., & Mohamed, S. (2010). Psychiatric Rehabilitation Journal, 26(3), 268-277. https://doi.org/10.2975/26.2003.268.277, Blow, F. C., Ullman, E., Lawton Barry, K., Bingham, C. R., Copeland, L. A., McCormick, R., & Van Stone, W. (2000). ACTT also provides support services which involve assisting clients with medical and dental appointments, financial and housing issues, money management, transportation, legal services and collaboration with families and assistance to clients with children. Intensive case management for homeless people with alcohol and other drug problems: Denver. Who uses consumer-run self-help organizations? Community Mental Health Journal, 45(1), 12-18. https://doi.org/10.1007/s10597-008-9168-1, Walsh, J. Nordic Journal of Psychiatry, 58(2), 165-169. https://doi.org/10.1080/08039480410005567, Aagaard, J., & Mller-Nielsen, K. (2011). American Journal of Psychiatric Rehabilitation, 18(3), 302-302. https://doi.org/10.1080/15487768.2015.1081030, Ito, J., Oshima, I., Nishio, M., Sono, T., Suzuki, Y., Horiuchi, K., Niekawa, N., Ogawa, M., Setoya, Y., Hisanaga, F., Kouda, M., & Tsukada, K. (2011). https://store.samhsa.gov/sites/default/files/d7/priv/buildingyourprogram-act_1.pdf, Assertive Community Treatment: How to use the evidence-based practices KITs, (DHHS Publication No. The American Journal of Psychiatry, 154(3), 341-348. https://doi.org/10.1176/ajp.154.3.341, Wood, K., & Anderson, J. SAMHSA's mission is to lead public health and service delivery efforts that promote mental health, prevent substance misuse, and provide treatments and supports to foster recovery while ensuring equitable access and better outcomes. Psychiatric Services, 48(4), 497-503. https://doi.org/10.1176/ps.48.4.497, Calsyn, R. J., Morse, G. A., Klinkenberg, W. D., Yonker, R. D., & Trusty, M. L. (2002). BMC Psychiatry, 10, Article 73. https://doi.org/10.1186/1471-244X-10-73, Braucht, G. N., Reichardt, C. S., Geissler, L. J., Bormann, C. A., Kwiatkowski, C. F., & Kirby, M. W., Jr. (1995). The team delivers services in the places and contexts where they are needed (i.e., in vivo). Every family is touched by mental illness. Canadian Journal of Community Mental Health, 28(1), 151-164. https://doi.org/10.7870/cjcmh-2009-0012, Lee, C. C., Liem, S. K., Leung, J., Young, V., Wu, K., Wong, K. K., Yuen, S. K., Lee, W. F., Leung, T., Shum, M., Kwong, P., & Lo, W. (2015). Early Intervention in Psychiatry, 1(1), 88-96. https://doi.org/10.1111/j.1751-7893.2007.00015.x, Hastrup, L. H., Kronborg, C., Bertelsen, M., Jeppesen, P., Jorgensen, P., Petersen, L., Thorup, A., Simonsen, E., & Nordentoft, M. (2013). Assertive Community Treatment versus standard treatment for severely mentally ill patients in Denmark: A quasi-experimental trial. CMHA Torontos Assertive Community Treatment (ACT) Teams provide treatment, rehabilitation and support services to individuals diagnosed with a serious mental illness who have had multiple psychiatric hospitalizations. Assertive Community Treatment for Alcohol Dependence (ACTAD): Study protocol for a randomised controlled trial. It describes initiatives that address employment, housing, education, social connectedness, and emotional well-being. About This Guide The purpose of this guide is to educate public partners of the Health and Human Services Commission (HHSC) to better understand mental health care in Texas. ACT teams deliver services in-person in the home and in community settings, using inpatient and outpatient mental health and medical facilities as needed. (2008). Alcohol and Alcoholism, 52(2), 234-241. https://doi.org/10.1093/alcalc/agw091, Gilburt, H., Burns, T., Copello, A., Coulton, S., Crawford, M., Day, E., Deluca, P., Godfrey, C., Parrott, S., Rose, A. K., Sinclair, J. M. A., Wright, C., & Drummond, C. (2012). Does Assertive Community Treatment reduce the use of compulsory admissions? This toolkit outlines the essential components for supportive housing services and programs for people living with mental illness disorders. Individuals 16+ living with a serious mental illness who have had multiple hospitalizations. Intensive case management for the severely mentally ill: Controlled trial. This study is ineligible for review because it does not report program or service impacts on an eligible target outcome (Study Eligibility Criterion 4.1.5). The impact of Assertive Community Treatment on utilization of primary care and other outpatient health services: The North Carolina experience. SMA-08-4344). U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration. Moderators and mediators of client satisfaction in case management programs for clients with severe mental illness. Assertive community treatment ( ACT) is an intensive and highly integrated approach for community mental health service delivery. International Journal of Mental Health and Addiction, 6(3), 316-324. Only publications with eligible contrasts that met design and execution standards are included in the individual study findings table. Dor-Gauthier, V., Miron, J.-P., Jutras-Aswad, D., Ouellet-Plamondon, C., & Abdel-Baki, A. Balancing hospital and community treatment: Effectiveness of an extended-hours community mental health team in a semi-rural region of Australia. Specialized Assertive Community Treatment intervention for homeless youth with first episode psychosis and substance use disorder: A 2-year follow-up study. C. "QMHP" means a Licensed Medical Practitioner or any other person meeting the following minimum qualifications as documented by the LMHA or designee: Graduate degree in psychology; U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration. One-year outcomes of a randomized trial of case management with seriously mentally ill clients leaving jail. (2002). Recovery orientation of treatment, consumer empowerment, and satisfaction with services: A mediational model. A., Koen, L., Joska, J. Assertive Community Treatment for patients with chronic and severe mental illness who abuse drugs. (1998). Psychiatric Services, 61(10), 982-987. https://doi.org/10.1176/ps.2010.61.10.982, Van Duin, D., Franx, G., Van Wijngaarden, B., Van Der Gaag, M., Van Weeghel, J., Slooff, C., & Wensing, M. (2013). Psychiatric Services, 60(7), 908-913. https://doi.org/10.1176/appi.ps.60.7.908, Killaspy, H., Mas-Expsito, L., Marston, L., & King, M. (2014). BMC Health Services Research, 15, Article 388. https://doi.org/10.1186/s12913-015-1058-y, Landis, J. A randomised multicentre trial of integrated versus standard treatment for patients with a first episode of psychotic illness. Alcoholism Treatment Quarterly, 10(3-4), 187-200. https://doi.org/10.1300/J020V10N03_15, Brewer, W. J., Lambert, T. J., Witt, K., Dileo, J., Duff, C., Crlenjak, C., McGorry, P. D., & Murphy, B. P. (2015). Psychiatric Services, 64(5), 445-451. https://doi.org/10.1176/appi.ps.201100543, Van Dorn, R. A., Swanson, J. W., Swartz, M. S., Wilder, C. M., Moser, L. L., Gilbert, A. R., Cislo, A. M., & Robbins, P. C. (2010). One-year outcomes of a randomized trial of Consumer Case Management. The Assertive Community Treatment Team (ACTT) assists adults who have severe and persistent mental illness to live in the community, to better manage their symptoms, achieve personal goals and maintain optimism. Services include 24-hour mental health crisis support, one-on-one emotional support, access to medicine and nursing services. Intensive case management for frequent users of psychiatric hospitals in a large city: A comparison of team and individual caseloads. Work interest as a predictor of competitive employment: Policy implications for psychiatric rehabilitation. Substance abuse and first-episode schizophrenia-spectrum disorders. A., Isenberg, H., Lockwood, D., Martin, S. S., & Scarpitti, F. R. (1992). Psychological Medicine, 32(3), 403-416. https://doi.org/10.1017/s0033291702005305. Community Mental Health Journal, 35(2), 193-204. https://doi.org/10.1023/a:1018780916794, Stobbe, J., Mulder, N. C. L., Roosenschoon, B.-J., Depla, M., & Kroon, H. (2010). An application form can be obtained by calling The Access Point at 1-888-640-1934 or by visiting their website at www.theaccesspoint.ca. Assertive Community Treatment for people with alcohol dependence: A pilot randomized controlled trial. Journal of Addictive Diseases, 31(3), 270-277. https://doi.org/10.1080/10550887.2012.694602, Aubry, T., Bourque, J., Goering, P., Crouse, S., Veldhuizen, S., LeBlanc, S., Cherner, R., Bourque, P.-., Pakzad, S., & Bradshaw, C. (2019). Journal of Dual Diagnosis, 8(3), 188-199. https://doi.org/10.1080/15504263.2012.697861, Essock, S. M., & Kontos, N. (1995). (2006). Services are offered 24 hours per day, seven days per week, in a community-based setting. The toolkit includes a brochure (English, Spanish), a PowerPoint presentation, and an introductory video. Trials, 16, Article 438. https://doi.org/10.1186/s13063-015-0967-8, Gregory, N., & Hovey, N. (2005). Assertive outreach for "difficult to engage" patients: A useful tool for a subgroup of patients in specialized early psychosis intervention programs. Schizophrenia Bulletin, 21(1), 129-140. https://doi.org/10.1093/schbul/21.1.129, Solomon, P., & Draine, J. Mental Intensive case management for high-risk patients with first-episode psychosis: Service model and outcomes. Group-based worry intervention for persecutory delusions: An initial feasibility study. Mental Health Services Research, 3(2), 107-114. https://doi.org/10.1023/a:1011569119461, Xie, H., McHugo, G., Sengupta, A., Clark, R., & Drake, R. (2004). Kaitlin Fedro, BHN Client Rights Officer at (254) 752-3451. SMA-08-4344). Cognitive adaptation training combined with Assertive Community Treatment: A randomised longitudinal trial. Martin, S. S., & Scarpitti, F. R. (1993). Psychiatric Services, 70(9), 833-836. https://doi.org/10.1176/appi.ps.201800375, Nieves, E. J. Efforts to enhance the ACT platform to deal with these issues directly, such as the development of the Integrated Dual Diagnosis Treatment Model in New . A randomized trial of Assertive Community Treatment for homeless persons with severe mental illness. The ACT and IST treatment team focuses on client individualized recovery plans to address practical issues of daily life such as obtaining medical and psychiatric care, finding and maintaining safe housing in a natural setting, training to improve independent living skills, securing financial benefits, and enhancing the overall quality of life for adults diagnosed with schizophrenia, schizoaffective disorder, bipolar disorder, and major depression disorder. Journal of Mental Health Administration, 23(3), 329-337. https://doi.org/10.1007/BF02522306, Jerrell, J. M., & Hu, T.-W. (1996). Admission for routine services: Adult Behavioral Health: (254) 752-3451 Children/Adolescent Behavioral Health: (254) 752-7889 Intellectual/ Developmental Disabilities: (254) 757-3933 Do you have an unresolved complaint? (1995). Assertive Community Treatment. Clients can be referred, using an ACTT referral form (PDF), by health-care professionals, community or government agencies, family members or by self-referral. ACT services typically include crisis assessments and interventions; comprehensive assessments that review psychiatric history and diagnoses, physical health, substance use, social functioning, education and employment, family and relationships, and daily living activities; teaching illness management and recovery skills; individual supportive therapy; substance abuse treatment; employment support services; case management, including assistance with transportation, benefits, medical care, and housing; assistance with daily living activities; and medication management, including medication prescription, administration, and monitoring. (1993). Journal of Drug Issues, 23(1), 43-59. https://doi.org/10.1177/002204269302300104, Isham, L., Grafahrend, H., Nickless, A., Pugh, K., Pleasants, S., Smedley, N., Freeman, D., & Mulligan, A. Assertive Community Treatment (ACT) Coleman mental health professionals are available 24 hours a day, 7 days a week to initiate mental health treatment and drug and alcohol treatment. Intensive Outpatient Services - Assertive Community Treatment Insurance Carriers Accepted: Blue Cross Blue Shield Cigna Magellan Tricare (Humana) Aetna UBH/UHC Scott & White Medicaid (via General Revenue Fund) Extended Hours Mon-Fri | 5pm-10pm Sat-Sun | 8am-2pm Services expand to full Family (adults & children) Adding evidence-based interventions to Assertive Community Treatment: A feasibility study. Practices preventing rehospitalization of individuals with schizophrenia. Hospital & Community Psychiatry, 44(9), 839-843. https://doi.org/10.1176/ps.44.9.839, Dixon, L., Friedman, N., & Lehman, A. Please wait while our site loads your content Do you have an unresolved complaint?You may contact. Psychiatry Research, 239, 212-219. https://doi.org/10.1016/j.psychres.2016.03.010, Appel, P. W., Tsemberis, S., Joseph, H., Stefancic, A., & Lambert-Wacey, D. (2012). Psychiatric Services, 64(4), 312-317. https://doi.org/10.1176/appi.ps.201200096, Morrissey, J. P., Domino, M. E., & Cuddeback, G. S. (2013). The effectiveness of the Assertive Community Treatment model. Journal of Dual Diagnosis, 4(3), 219-237. https://doi.org/10.1080/15504260802072065, Morse, G. A., York, M. M., Dell, N., Blanco, J., & Birchmier, C. (2020). The Assertive Community Treatment Team (ACTT) assists adults who have severe and persistent mental illness to live in the community, to better manage their symptoms, achieve personal goals and maintain optimism. Effective services for homeless substance abusers. BMJ, 331(7517), 602-608. https://doi.org/10.1136/bmj.38565.415000.E01, Thorup, A., Petersen, L., Jeppesen, P., Ohlenschlaeger, J., Christensen, T., Krarup, G., Jrgensen, P., & Nordentoft, M. (2005). CMHA Toronto's Assertive Community Treatment (ACT) Teams provide treatment, rehabilitation and support services to individuals diagnosed with a serious mental illness who have had multiple psychiatric hospitalizations. Mental Health Services Research, 4(4), 267-275. https://doi.org/10.1023/a:1020933103412, Kenny, D. A., Calsyn, R. J., Morse, G. A., Klinkenberg, W. D., Winter, J. P., & Trusty, M. L. (2004). An evaluation of the Gloucester Assertive Community Treatment team extended working service. The REACT study: Cost-effectiveness analysis of Assertive Community Treatment in North London. Multisite experimental cost study of intensive psychiatric community care. Cost-effectiveness of early intervention in first-episode psychosis: Economic evaluation of a randomised controlled trial (the OPUS study). Administration and Policy in Mental Health, 28(4), 279-297. https://doi.org/10.1023/a:1011185513720, Granholm, E., Holden, J. L., Sommerfeld, D., Rufener, C., Perivoliotis, D., Mueser, K., & Aarons, G. A. ACT offers customized, community-based services for people living with mental illness. Administration and Policy in Mental Health, 25(2), 153-173. https://doi.org/10.1023/a:1022286921362, Ford, R., Ryan, P., Norton, P., & Beadsmore, A. Assertive Community Treatment: Getting started with EBPs (DHHS Publication No. Assertive Outreach: Does it reach expectations? Administration and Policy in Mental Health, 29(6), 461-480. https://doi.org/10.1023/a:1020724326260, Passetti, F., Jones, G., Chawla, K., Boland, B., & Drummond, C. (2008). Early Intervention in Psychiatry, 14(2), 203-210. https://doi.org/10.1111/eip.12846, Audini, B., Marks, I. M., Lawrence, R. E., Connolly, J., & Watts, V. (1994). Substance use in young adults with schizophrenic disorders. The teams are multidisciplinary, with each having a social worker, nurses, case managers, a vocational/employment specialist, an occupational therapist, a psychiatrist, a peer support worker and an addictions specialist. Contact USA.gov. (1995). Mental Health Services Research, 2(3), 155-164. https://doi.org/10.1023/a:1010141826867, Herinckx, H. A., Kinney, R. F., Clarke, G. N., & Paulson, R. I. (2012). You may also contact the Texas Health and Human Services On call pager availability outside of these hours, Telephone: 709-752-3511 Two modes of case management: Assessing their impact. Assertive Community Treatment (ACT) is a multidisciplinary team approach that assumes responsibility for directly providing acute, active, and ongoing community-based psychiatric treatment, assertive outreach, rehabilitation, and support. Assertive Community Treatment (ACT) is a community-based service delivery model designed for individuals (termed "consumers") with severe and persistent mental illness.
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