National Alliance on Mental Illness
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(800) 950-NAMI; email@example.com
Two Models of Care: A Comparison Between Assertive Community Treatment (ACT)
|ACT Model||CMHC Model|
|Treatment Base||In the community||In a clinic|
|Continuity of Care||Team follows client through hospital, legal, health, and social service systems||Individual therapist or case manager may be less likely to follow client through health and social service systems.|
10 staff for every 100 clients.
|1 staff for every 30-50 clients. The individual with mental illness is a client of one staff member.|
Multidisciplinary team provides integrated clinical and case management services.
|Multiple providers function fairly autonomously, often at scattered sites.|
Team available 24 hours/day with mobile crisis intervention services.
|Hospital emergency room or crisis intervention by telephone.|
|Frequency of Contact with Client||
Daily if needed
|Weekly to monthly or less.|
|Frequency of Family Contact||
|Responsibility for Medication||
Home delivery by team if needed.
|Client or family|
|Responsibility for Physical Health||
Actively monitored by ACT team.
|Health care use encouraged|
|Responsibility for Substance Abuse Treatment||
ACT team itself provides substance abuse treatment.
|Referred to substance abuse treatment providers.|
|Responsibility for Vocational Rehabilitation||
ACT Team staff provide direct support in all phases of employment.
|Responsibility for Housing||
ACT Team staff
|Usually client and family|
Adapted from Duke University Department of Psychiatry and the Alliance for the Mentally Ill of Iowa
By the NAMI ACT Technical Assistance Center
This material was developed with support from the U.S. Substance Abuse and Mental Health Services Administration,
Center for Mental Health Services, Community Support Branch, through grant #SM52570-04