Assertive Community Treatment

Contact us for ACT technical assistance (fidelity evaluation, consulting & training). Click here. 

Assertive Community Treatment (ACT) is an evidence-based practice that improves outcomes for people with severe mental illness who are most at-risk of psychiatric crisis and hospitalization and involvement in the criminal justice system. ACT is one of the oldest and most widely researched evidence-based practices in behavioral healthcare for people with severe mental illness.

ACT is a multidisciplinary team approach with assertive outreach in the community. The consistent, caring, person-centered relationships have a positive effect upon outcomes and quality of life. Research shows that ACT reduces hospitalization, increases housing stability, and improves quality of life for people with the most severe symptoms of mental illness. ACT may also reduce staff burnout and increase job satisfaction, cost effectiveness, and client satisfaction (see "Recommended Reading" below).

ACT & Integrated ACT-IDDT

Contact us for ACT technical assistance (fidelity evaluation, consulting & training). Click here.

Our Center provides technical assistance (consulting, training & fidelity evaluation) to behavioral healthcare  organizations in Ohio and other states that are providing ACT services, plan to implement ACT services, and wish to integrate ACT with Integrated Dual Disorder Treatment (IDDT), the evidence-based practice for people with severe mental illness and addiction to alcohol and other drugs. Our Center has provided technical assistance for ACT and integrated ACT-IDDT in these states and the Netherlands:

  • Ohio
  • California
  • Colorado
  • Georgia
  • Illinois
  • Indiana
  • Iowa
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Michigan
  • New Hampshire
  • New Mexico
  • North Carolina
  • North Dakota
  • Pennsylvania
  • Tennessee
  • Texas
  • Virginia
  • Washington
  • Wisconsin




We provide technical-assistance services (consulting and training) for ACT and ACT-IDDT to behavioral healthcare organizations in Ohio through our ACT Coordinating Center of Excellence (CCOE) initiative, which is supported by the Ohio Department of Mental Health and Addiction Services. We provide ACT fidelity evaluations with support from the Ohio Department of Medicaid.


Our consultants and trainers have been invited guest presenters about ACT and integrated ACT-IDDT at numerous conferences and training events in the United States. We have also presented at conferences and other events in Spain and the Netherlands and Australia. We have also hosted implementers from the Netherlands, England and Norway.


Recommended ACT resources produced by our Center:

Ohio Medicaid ACT Resources

ACT Fidelity Resources:

+ More ACT Resources in our database (click here)

Other resources from our Center to integrate with ACT:



  • Susan D. Phillips, Barbara J. Burns, Elizabeth R. Edgar, Kim T. Mueser, Karen W. Linkins, Robert A. Rosenheck, Robert E. Drake, Elizabeth C. McDonel Herr (2001). Moving Assertive Community Treatment Into Standard Practice. Psychiatric Services, v52, n6, p771-779.

Additional Reading for ACT Outcomes

  • Gary R. Bond & Robert E. Drake (2015). The critical ingredients of assertive community treatment. World Psychiatry, v14, n2.
  • Latimer, E. (1999). Economic impacts of Assertive Community Treatment: A review of the literature. Canadian Journal of Psychiatry, 44, 443-454.
  • Boyer, S. & Bond, G. (1999). Does Assertive Community Treatment Reduce Burnout? A Comparison with Traditional Case Management. Mental Health Services Research, 1(1), 31-45.

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