Implementing ACT
Resources
Manuals and Articles
British Columbia Program Standards for Assertive Community Treatment (ACT) Teams
The BC ACT Standards serves to guide ACT program start-up, implementation, and on-going operation by clearly defining the minimum program requirements. Successful ACT model implementation and demonstrated improvements in client outcomes are best accomplished by close adherence to the ACT Standards.
Ministry of Health Services (MOHS) (March, 2008). Program Standards for Assertive Community Treatment (ACT) Teams in British Columbia.
A manual for ACT start-up: Based on the PACT model of community treatment for persons with severe and persistent mental illnesses.
This manual is a practical guidance on starting and operating an ACT program from the originators of the model. This manual describes the conceptual framework of ACT and details the day-to-day operations.
Allness, D. J., & Knoedler, W. H. (2003). A manual for ACT start-up: Based on the PACT model of community treatment for persons with severe and persistent mental illnesses. NAMI.
Evidence-Based Mental Health Practice (EBP)
Is a textbook that introduces the concepts and approaches of EBP for treating serious mental illness and describes the importance of research in intervention science and the evolution of EBPs. A chapter for each of five EBPs provides historical background, practice principles, and an introduction to implementation. Vignettes highlight the experiences of staff and consumers.
Drake, R. E., Merrens, M. R., & Lynde, D. W. (2005). Evidence-Based Mental Health Practice: A Textbook. New York: W.W. Norton.
Implementing evidence-based practices in routine mental health service settings
The authors of this journal article define the differences between EBPs and related concepts, such as guidelines and algorithms. They discuss common concerns about using EBPs, such as whether ethical values have a role in shaping such practices and how to deal with clinical situations for which no scientific evidence exists.
Drake, R. E., Goldman, H. H., Leff, H. S., Lehman, A. F., Dixon, L., Mueser, K. T., et al. (2001). Implementing evidence-based practices in routine mental health service settings. Psychiatric Services, 52 (2), 179-182.
Implementation Research: A Synthesis of the Literature
This monograph summarizes fi ndings from the review of the research literature on implementation.
Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M. & Wallace, F. (2005). Implementation Research: A Synthesis of the Literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication #231).
Policy implications for implementing evidence-based practices
The authors of this journal article describe the policy and administrative issues related to implementing evidence-based practices, particularly in public-sector settings.
Goldman, H. H., Ganju, V., Drake, R. E., Gorman, P., Hogan, M., Hyde, P. S., et al. (2001). Policy implications for implementing evidence-based practices. Psychiatric Services, 52 (12), 1591-1597.
Assertive Community Treatment of Persons with Severe Mental Illness
Dr. Leonard Stein, an originator of the Assertive Community Treatment program, places ACT in the historical context of the treatment of consumers. Key principles of ACT are discussed along with issues related to financing and administration, and the operations of an effective ACT program.
Stein, L. I., & Santos, A. B., (1998). Assertive Community Treatment of Persons with Severe Mental Illness. New York: W.W. Norton.
Implementing evidence-based practices for persons with severe mental illnesses
The authors summarize perspectives on how best to change and sustain effective practice. This article includes a sample plan for implementing EBPs.
Torrey, W. C., Drake, R. E., Dixon, L., Burns, B. J., Flynn, L., Rush, A. J., et al. (2001). Implementing evidence-based practices for persons with severe mental illnesses. Psychiatric Services, 52 (1), 45-50.
Tool-kit
BC ACT Fidelity Scale
Sample Job Descriptions
- Team Lead/Supervisor
- Psychiatrist
- Psychiatric Nurse
- Social Worker
- Peer Specialist
- Vocational Specialist
- Occupational Therapist
- Other Clinical Staff
- Program Assistant
Team Organization and Communication Forms
- ACT Daily Staff Assignment Schedule
- ACT Weekly Client Schedule
- ACT Problem List
- ACT Treatment Plan
- Client Chart Checklist
Sample ACT Assessments
Initial Assessments
Comprehensive Assessments
Vocational Assessments
Peer Support Assessments
Nursing Assessments