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Related Experiment Videos

Dissemination of assertive community treatment programs

P A Deci1, A B Santos, D W Hiott

  • 1Department of Psychiatry, Medical University of South Carolina 29425, USA.

Psychiatric Services (Washington, D.C.)
|July 1, 1995
PubMed
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Assertive Community Treatment (ACT) programs for severely mentally ill adults are unevenly spread across the U.S. Most programs offer field-based services, include medical staff, and maintain low caseloads.

Area of Science:

  • Mental Health Services Research
  • Psychiatry
  • Public Health

Background:

  • Severely mentally ill adults often require intensive, community-based support.
  • Assertive Community Treatment (ACT) is an evidence-based model for this population.
  • Understanding the current reach and characteristics of ACT programs is crucial for service planning.

Purpose of the Study:

  • To estimate the number of Assertive Community Treatment (ACT) programs for severely mentally ill adults in the U.S.
  • To describe the variations in program characteristics and service delivery models.

Main Methods:

  • A survey was distributed to Assertive Community Treatment (ACT) programs identified by state mental health authorities.
  • The survey collected data on caseload, treatment team composition, services offered, and service structure.

Related Experiment Videos

  • Response rate was 89% (303 out of 340 programs).

    • Main Results:

    • Over 75% of ACT programs provided most services in the community.
    • A majority of programs included medical staff on their treatment teams.
    • Caseload ratios were generally low, with less than 20 consumers per provider in most programs.

    Conclusions:

    • Assertive Community Treatment (ACT) programs have disseminated unevenly across the United States.
    • Higher concentrations of ACT programs were observed in midwestern and eastern states.
    • Further research is needed to understand barriers to wider dissemination.