Assertive Community Treatment. 70. The State will expand Assertive Community Treatment (“ACT”) services to ensure network adequacy and to meet the needs of the Target Population.
Assertive Community Treatment. 7. Intensive Case Management/Community Based Case Management
Assertive Community Treatment. Overview The Agreement requires that the State ensures that ACT is available statewide to young adults in the target population aged 18-20. ACT is a team-based treatment approach for individuals with mental illness. ACT offers 24-hour support and monitoring in the community. This service should be delivered at times convenient to youth and families so that it meets their individualized needs. The Agreement permits ACT teams to substitute for CFTs through Wraparound, provided they have a POC and access to HCBS, as needed. This same service is also available through adulthood, past the target population age range, which makes it a unique service among the children’s behavioral health service array. Achievements and Developments The SME was looking for updates in these areas since the June 2023 SME Report and found substantial and positive developments:
Assertive Community Treatment. In the general population there was support for a specific service model known as Assertive Community Treatment (Xxxxx & Test, 1980). This model was originally developed in the USA and based on intensive case management in the community of people with severe mental illnesses at increased risk of hospitalization and disengagement. The characteristics of ACT included smaller individual caseloads for staff, flexible working with extended hours and community visits and help with daily living, with the multidisciplinary team being the source of skills as far as possible rather than providing brokerage with other agencies. The model was associated in early studies in the USA with a range of beneficial outcomes including reduced in- patient care and loss to follow-up and improved social functioning (Xxxxx & Xxxx, 1980, Xxxxxxxx & Xxxxxxxx, 1998). However UK research studies did not find the model of Assertive Community Treatment to be as strikingly effective compared to standard services as the initial USA studies had been (Xxxxx, 2000a; Xxxx & Xxxxx, 2005, Killaspy et al. 2006). It has been argued that one reason why this model appeared so successful initially was that, compared to the UK, community mental health services in the USA had been very underdeveloped up to its introduction (Tyrer, 2000a). Even though the extent of the benefits of Assertive Community Treatment in the UK has been controversial (Killapsy et al. 2006) the use of 'assertive outreach' teams using several features of the original model has been UK Government policy (Department of Health, 2001).
Assertive Community Treatment. Recommendation Status Updates 1 Use the quality review process in place to monitor fidelity to the ACT model and provider-specific reports as a model for similar approaches to other DOJ Agreement services.
Assertive Community Treatment. The State will expand and enhance Assertive Community Treatment (“ACT”). ACT services will be available 24 hours per day, seven days per week, and will deliver comprehensive, individualized, and flexible services, supports, treatment and rehabilitation in individuals’ homes or other community settings; including case management, initial and ongoing assessments, psychiatric services, assistance with employment and housing, family support and education, substance abuse services, and crisis services. Over the next four years the State will develop and implement ACT Teams with the capacity to serve at least 1,500 individuals at any given time.
Assertive Community Treatment. (ACT) is a treatment model for individuals at least 18 years old in which a multidisciplinary team assumes accountability for a small, defined caseload of individuals and provides the majority of direct services to those individuals in their community environment and which operates with high-fidelity to an assessment tool, such as the Dartmouth Assertive Community Treatment Scale (DACTS).
