1. Assertive Community Treatment

2. Assertive Community Treatment ACT Model of Care
Nationally recognized treatment approach which has been demonstrated to be effective in the treatment and oversight of individuals with serious and persistent mental illness.

3. ACT demonstrates Significantly less time in hospitals
More time in independent living situations
Greater success in the employment arena
More positive social relationships
Clients express greater satisfaction with life
Clients experience a decrease in symptoms

4. National Alliance for the Mentally Ill ACT Study
Only 18% of the ACT clients were hospitalized in the first year
88% of the non-ACT comparison treatment group was hospitalized

5. Key Features of MHCD ACT Teams
Case Management services
community- based
Psychopharmacologic treatment
including new atypical antipsychotic and antidepressant medications
Individual supportive therapy
Mobile crisis intervention

6. Key Features of MHCD’s ACT Teams
Substance abuse treatment
In vivo skills teaching
Structuring time
Handling activities of daily living
Supportive employment
paid and volunteer work
Support for resuming education

7. Key Features of MHCD’s ACT Teams
Collaboration with families and assistance with children
Residential and housing opportunities
Hospitalization

8. Assertiveness is Essential
Frequent contacts with staff
Most services are provided in the community- vs.- the office
Collateral services
Housing/Residential
Vocational
Emphasis is on learning and enhancing community living skills

9. ACT Characteristics Primary Providers of Service
Services Are Provided in the Community
Services are Highly Individualized
Have an Assertive “Can Do” Approach

10. Primary Provider of Service
Act teams help consumers with all their needs. The team may not provide all of the service but will refer and link consumers to all of the services they need. Act teams start with the idea that “everything is our job.”

11. Services are Provided in the Community.
It’s essential that we see people where they live so that we can understand their situation, strengths and needs. Working with people in the community helps consumers stay in treatment and eliminates the need for the transfer of learning.

12. Services are Highly Individualized
Getting to know consumers in all realms of their life allows us to help them develop goals that are meaningful and specific to them.
The program fits the consumer instead of the consumer needing to fit the program.

13. We Have an Assertive “Can Do” Approach
We always remain optimistic that consumers can achieve their goals.
We always remain optimistic that we can find creative methods to help consumers achieve their goals.

14. ACT Teams Have favorable case ratios Are multi-disciplinary
Have extended hours of operation
Help the consumer develop a relationship with many members of the team
Promote team work
Meet frequently

15. ACT Teams Continued
Deliver services according to the consumers need at the time
Complete a comprehensive assessment with each consumer
Provide facilitated treatment planning meetings which include everyone who the consumer wants to invite.

16. Right Service at the Right Time
Every 6 months we complete a Recovery Needs Level to determine the consumers level of care.
We look at a variety of areas in their lives:
Housing status
Hosp. stays
CM needs
Legal issues
Medication adherence, etc

17. Right Service at the Right Time
We have teams designed to offer the correct amount of services to fit the individual needs of the consumer:
HITT
CTT
Outpatient

18. Right Service at the Right Time
By looking at the RNL we can determine what the consumer needs and connect them to the right Team.

19. High Utilizers High Utilizers would be on a HIT level team.
HITT Case Managers have a lower caseload and are able to spend a high number of hours with each individual consumer.

20. High Utilizers Other small grant teams with different specialties
We have several HIT Teams:
Arapahoe HITT- focuses on Dual –Diagnosis consumers
Stout St. HITT- focuses on Homeless Consumers
Downing HITT-focuses on all High needs consumers
Welcome Home- focuses on re-offenders
21st Century – focuses on medically compromised consumers
Other small grant teams with different specialties

21. High Utilizers
Case Managers on HIT Teams have time to meet with and collaborate with outside agencies to brainstorm on ways to best help the consumer and help them in their recovery.
With collaboration, care and patience even the most difficult consumer can recover!