Assertive community treatment
Assertive Community Treatment (ACT)
Assertive Community Treatment (pronunciation: ə-ˈsər-tiv kə-ˈmyü-nə-tē ˈtrēt-mənt, from the English words "assertive", "community", and "treatment") is an intensive and highly integrated approach for community mental health service delivery.
History
The ACT model was developed in the 1970s by Leonard Stein and Mary Ann Test in response to the closure of large state psychiatric hospitals. The model was based on the principle of assertive outreach, with services delivered by a multidisciplinary team, emphasizing community integration and continuity of care.
Principles
ACT is based on several key principles:
- Services are provided directly to people in their communities, rather than in a clinic.
- The ACT team is multidisciplinary and includes professionals from psychiatry, nursing, social work, occupational therapy, and substance abuse expertise.
- The team is responsible for providing a range of services, including case management, rehabilitation, and crisis intervention.
- The team works with a small number of clients, allowing for intensive services.
- Services are provided on an ongoing basis, with the goal of maintaining clients in the community and preventing hospitalization.
Effectiveness
Numerous studies have shown that ACT reduces hospitalization, increases housing stability, and improves quality of life for people with serious mental illnesses. ACT services are also cost-effective, reducing the cost of hospital stays and increasing community tenure.
See also
References
External links
- Medical encyclopedia article on Assertive community treatment
- Wikipedia's article - Assertive community treatment
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