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Assertive Community Treatment (ACT) Model

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by

Sarah Hancock

on 19 September 2013

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Transcript of Assertive Community Treatment (ACT) Model

Providing Services Utilizing an ACT Model
ACT
Assertive Community Treatment
Who Invented it?
The ACT model of care evolved out of the work of Arnold Marx, M.D., Leonard Stein, and Mary Ann Test, Ph.D., in the late 1960s.

Professionals Involved
Social Worker
Rehabilitation Counselor
Counselor
Nurse
Psychiatrist
Peer Support Specialist
In San Diego
Telecare
ACT
Downtown IMPACT
"Wrap-Around"
When are Services Available?
24/7
Provide services and supports critical to an individual's ability to live successfully in the community
By Sarah Hancock, MS
Sept. 16, 2014
http://www.actassociation.org/actModel/
Services Provided
What makes this Model Successful?
Multidisciplinary
Small client to staff ratio
Provide most services
Minimal referrals to other mental health programs or providers.
Highly Individualized
Where are
Services Provided?
In the community!
What Makes this Model Difficult?
Share offices
Interchangeable Roles
Stressful
High Turnover
Treatment plans, developed with the client, are based on individual strengths and needs, hopes and desires. The plans are modified as needed through an ongoing assessment and goal setting process.
Individualized Services
ASSERTIVE APPROACH
Model pro-active behaviors assisting people to participate in & continue treatment, live independently, and recover from disability.
LONG-TERM SERVICES
Intended to be long-term due to the severe impairments often associated with serious and persistent
mental illness.

The process of recovery often
takes many years.
EMPHASIS ON VOCATIONAL EXPECTATIONS
The team encourages all clients to participate in community employment and provides many vocational rehabilitation services directly.
SUBSTANCE ABUSE SERVICES:
The team coordinates &
provides
substance abuse services
PSYCHOEDUCATIONAL SERVICES:
Staff work with clients & their family members to become collaborative partners in the treatment process.

Clients are taught about mental illness and the skills needed to better manage their illnesses and their lives.
FAMILY SUPPORT & EDUCATION
With the active involvement of the client, ACT staff work to include the client's natural support systems (family, significant others) in treatment, educating them and including them as part of the ACT services. It is often necessary to help improve family relationships in order to reduce conflicts and increase client autonomy.
COMMUNITY INTEGRATION
ACT staff help clients become less socially isolated and more integrated into the community by encouraging participation in community activities and membership in organizations of their choice.
ATTENTION TO HEALTH CARE NEEDS
The ACT team provides health education, access, and coordination of health care services.

Example
Trained Peer Support
Peer support specialists can help a person with a mental illness navigate the system because they are successfully navigating it themselves.
What is a peer support Specialist?
Full transcript