Assertive Community Treatment Teams August 14, 2013
Nonprofit organization that assists individuals with mental illness to recover in the area of their lives impacted by their illness
Homeless Outreach Entitlement Assistance Outpatient Behavioral Health Clinics HomeBase (Shelter Plus Care)* Supportive Housing Program* Assisted Housing Program* Group Homes Representative Payee Program * Denotes ACT Team Modality Use
Staffing Patterns Organizational Boundaries Service Delivery
Small Caseload Team Approach Program Meeting Practicing Team Leader Continuity of Staffing Staff Capacity Psychiatrist on Staff Nurse on Staff Substance Abuse Specialist on Staff Vocational Specialist on Staff Program Size
Explicit Admission Criteria Intake Rate Full Responsibility for Treatment Services Responsibility for Crisis Services Responsibility for Hospital Admissions Responsibility for Hospital Discharge Planning Time-Unlimited Services
Community-based Services No Drop-Out Policy Assertive Engagement Mechanisms Intensity of Service Frequency of Contact Work with Support System Individualized Substance Abuse Treatment Dual Disorder Treatment Groups Dual Disorders (DD) Model Role of Consumers on Treatment Team
Number of Hospitalizations Reason for Percent 12 Months 12 Months Inpatient Change Before After All 60 47 -21.7% 37 22 Mental Illness/SA -40.5% Schizophrenia 26 13 -50.0% Physical Illness 23 25 +8.7%
Number of Hospitalizations Reason for Percent 12 Months 12 Months Inpatient Change Before After Mental 28 6 -79.6% Illness/SA
I MPACT : E MERGENCY R OOM V ISITS Number of ED Visits Reason For ED Percent 12 Months 12 Months Visit Change Before After 353 219 -38.0% All 70 36 -48.6% Mental Illness/SA 24 10 -58.3% Schizophrenia Injuries 38 31 -18.4% Other Physical 245 152 -38.0% Illness
1 Year 1 Year 2 Years 3 Years Cohort 2 Years Pre- Post- Post- Post- Setting Pre-MIRCI Size MIRCI MIRCI MIRCI MIRCI Inpatient 111 40 40 32 34 26 Emergency 111 227 224 135 118 114 Specialty 89 15 18 3 11 4
2011 2011 50% still on ACT Team 2012 2012 100% still on ACT Team 2013 2013 88% still on ACT Team
Housed and Stable Homeless and Symptomatic Homeless Home Stable Symptomatic Connected to Families Disconnected From Families Broad Support System No Support System Income No Income Healthy Self Image Poor Self Image Adequate Functioning Inadequate Functioning o Socially o Socially o Activities of Daily Living o Activities of Daily Living o Cognitively o Cognitively
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