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Implementing assertive community treatment teams

S M Essock1, N Kontos

  • 1Connecticut Department of Mental Health, Hartford 06106, USA.

Psychiatric Services (Washington, D.C.)
|July 1, 1995
PubMed
Summary
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Assertive community treatment (ACT) teams reduce hospitalizations and homelessness for mental health clients. Implementing ACT requires careful planning, staff reconfiguration, and ongoing monitoring for fidelity to the model.

Area of Science:

  • Psychiatry
  • Mental Health Services Research
  • Health Services Administration

Background:

  • Assertive community treatment (ACT) is a model of community-based mental health care.
  • The Connecticut Department of Mental Health initiated ACT teams in 1987.
  • Effective implementation requires strategic planning and resource allocation.

Purpose of the Study:

  • To describe the process of developing and implementing ACT teams in Connecticut.
  • To evaluate the fidelity and effectiveness of ACT services.
  • To assess the impact of ACT on client outcomes.

Main Methods:

  • Description of the Connecticut Department of Mental Health's approach to defining and establishing ACT teams.
  • Randomized trial comparing ACT with high-quality case management.

Related Experiment Videos

  • Monitoring of team creation and functioning for model fidelity.

    • Main Results:

    • ACT teams were successfully replicated with variations in practice style.
    • Clients receiving ACT experienced approximately half the hospitalizations compared to standard services.
    • ACT clients were less likely to experience homelessness.

    Conclusions:

    • ACT can be implemented by reconfiguring existing staff and resources.
    • Ongoing training and monitoring are crucial for maintaining fidelity to the ACT model.
    • ACT demonstrates significant positive outcomes for individuals with severe mental illness.