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Is There a Difference Between PACT and ACT?

NAMI does not distinguish between programs known as PACT (Program of Assertive Community Treatment) and those known as ACT (Assertive Community Treatment).  NAMI uses the terms PACT and ACT interchangeably in our national dissemination effort, with the belief that they are referring to the same treatment model of effective, evidence-based outreach-oriented service for people with severe and persistent mental illnesses. 

As Marianne Test, Ph.D., one of the developers of the model known as PACT or ACT writes, "these terms are most commonly used interchangeably," and that the most important factor is that such programs contain the critical ingredients of the model that are related to positive outcomes.  For more information about these critical ingredients, please see the PACT Model Fidelity Review on our web site.

There is only one set of standards that NAMI uses for all programs of Assertive Community Treatment, even though the official name that a state, county, or locality uses for PACT or ACT can vary widely.  Indeed,  PACT or ACT is also known by other names across the country.  For example, in Wisconsin, ACT programs are called Community Support Programs, or CSP.  In Florida, ACT programs are called FACT (Florida Assertive Community Treatment); in Rhode Island and Delaware ACT programs are called Mobile Treatment Teams (MTT), while Virginia uses PACT for its assertive community treatment teams.


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