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Related Experiment Video

Updated: Jul 19, 2026

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
05:48

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'It's Like You Do It Without Knowing That You're Doing It': Practitioner Experiences with ACT Implementation.

Rebecca Lengnick-Hall1, Karissa Fenwick2, Benjamin Henwood2

  • 1School of Social Work, University of Southern California, 669 W. 34th Street, MRF Building, Suite 214, Los Angeles, CA, 90089, USA. lengnick@usc.edu.

Community Mental Health Journal
|August 11, 2018
PubMed
Summary

Frontline mental health providers often implement assertive community treatment (ACT) without explicit knowledge of its core components or fidelity monitoring. Contextual factors influence these evidence-based practice (EBP) implementation experiences.

Keywords:
Assertive community treatmentCommunity mental healthEvidence-based practice

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Area of Science:

  • Mental Health Services
  • Psychiatric Care
  • Community Psychology

Background:

  • Assertive Community Treatment (ACT) is an evidence-based practice (EBP) for severe mental illness.
  • Understanding the implementation of ACT is crucial for effective service delivery.
  • Previous research has focused on fidelity but less on provider experiences within contextual factors.

Purpose of the Study:

  • To explore the experiences of providers delivering ACT in exemplar programs.
  • To understand how frontline staff perceive and implement ACT components.
  • To examine the influence of organizational and contextual factors on ACT implementation.

Main Methods:

  • A case study approach was used, examining three exemplar ACT programs in California.
  • Interviews were conducted with 37 participants: program directors, frontline staff, and county mental health executives.
  • Qualitative data analysis focused on provider perspectives and contextual influences.

Main Results:

  • Frontline staff often practice ACT without explicit knowledge of its core components or fidelity monitoring.
  • Provider understanding of EBP implementation is nuanced and context-dependent.
  • Program director and county executive perspectives highlight the role of inner and outer contextual information in shaping implementation.

Conclusions:

  • Frontline ACT providers may implement the model without full awareness of its defined components.
  • Organizational context and communication significantly influence the understanding and application of ACT.
  • This study has implications for improving the training and fidelity monitoring of EBPs like ACT.