{"id":7085,"date":"2020-08-27T14:33:42","date_gmt":"2020-08-27T18:33:42","guid":{"rendered":"https:\/\/www.med.unc.edu\/psych\/cecmh\/?page_id=7085"},"modified":"2026-06-10T10:08:40","modified_gmt":"2026-06-10T14:08:40","slug":"assertive-community-treatment-act","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/psych\/cecmh\/unc-institute-for-best-practices\/assertive-community-treatment-act\/","title":{"rendered":"Assertive Community Treatment (ACT)"},"content":{"rendered":"<figure class=\"thumbnail wp-caption aligncenter\" style=\"width: 2010px\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium\" src=\"https:\/\/www.med.unc.edu\/psych\/cecmh\/wp-content\/uploads\/sites\/880\/2025\/10\/nathan-anderson-unsplash-ACT-Description_op.png\" alt=\"image of the Blue Ridge Mountains near Robbinsville, NC in autumn\" width=\"2000\" height=\"800\" \/><figcaption class=\"caption wp-caption-text\">Nathan Anderson\/ Robbinsville, NC<\/figcaption><\/figure>\n<hr class=\" rule-double-fadecorder osc-rule\" \/>\n<article><strong>Assertive Community Treatment (ACT) is a self-contained <span class=\"s1\">interdisciplinary <\/span>team staffed with a team leader, psychiatrist, nurses, social workers, therapists, and specialists in areas such as co-occurring substance use treatment, employment and educational services, supportive housing, and peer-support services.\u00a0<\/strong><\/p>\n<p><span data-contrast=\"auto\">Team members work closely together to help adults with severe mental illness live in their homes instead of institutions or on the streets. They provide a comprehensive array of services, such as helping individuals find and maintain safe and affordable housing, secure employment, learn about their mental health challenges and treatment choices, support harm reduction and substance use recovery, develop practical life skills, and provide medication oversight and support.<\/span><\/p>\n<p><span data-contrast=\"auto\">ACT teams also\u00a0assist\u00a0with the overall health care needs of the individuals they serve and aim to work closely with their families and other natural\u00a0supports. To be most effective, ACT is recovery-oriented,\u00a0strengths-based, and person-centered. Treatment is assertive in that the team is proactive and persistent in engaging individuals who would\u00a0likely benefit\u00a0from this level of support. To provide intensive, comprehensive, and flexible services, small and large teams serve no more than 50 and 120 individuals, respectively.<\/span><\/p>\n<p><span data-contrast=\"auto\">Since its original implementation in Madison, Wisconsin in the 1970s, a fundamental charge of ACT is to be the\u00a0first-line\u00a0and, when\u00a0appropriate, sole provider of all services that individuals served require. Extensive research showing ACT&#8217;s positive effect on individual outcomes, particularly\u00a0regarding\u00a0reduced hospitalization, earned ACT the status as an evidence-based practice (EBP) in the 1990s. Although key ingredients of this model have\u00a0remained\u00a0the same, ACT has evolved to harness current evidence-based psychosocial treatments and practices.<\/span><\/p>\n<p><span data-contrast=\"auto\">Learn more about the history and evolution of ACT through these\u00a0<\/span><a href=\"https:\/\/www.med.unc.edu\/psych\/cecmh\/unc-institute-for-best-practices\/assertive-community-treatment-act\/resources\/\"><span data-contrast=\"none\">resources<\/span><\/a><span data-contrast=\"auto\">.<\/span><\/article>\n","protected":false},"excerpt":{"rendered":"<p>Assertive Community Treatment (ACT) is a self-contained interdisciplinary team staffed with a team leader, psychiatrist, nurses, social workers, therapists, and specialists in areas such as co-occurring substance use treatment, employment and educational services, supportive housing, and peer-support services.\u00a0 Team members work closely together to help adults with severe mental illness live in their homes instead &hellip; <a href=\"https:\/\/www.med.unc.edu\/psych\/cecmh\/unc-institute-for-best-practices\/assertive-community-treatment-act\/\" aria-label=\"Read more about Assertive Community Treatment (ACT)\">Read more<\/a><\/p>\n","protected":false},"author":97082,"featured_media":0,"parent":2405,"menu_order":5,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-7085","page","type-page","status-publish","hentry","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Assertive Community Treatment (ACT) - UNC Center for Excellence in Community Mental Health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/psych\/cecmh\/unc-institute-for-best-practices\/assertive-community-treatment-act\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Assertive Community Treatment (ACT) - UNC Center for Excellence in Community Mental Health\" \/>\n<meta property=\"og:description\" content=\"Assertive Community Treatment (ACT) is a self-contained interdisciplinary team staffed with a team leader, psychiatrist, nurses, social workers, therapists, and specialists in areas such as co-occurring substance use treatment, employment and educational services, supportive housing, and peer-support services.\u00a0 Team members work closely together to help adults with severe mental illness live in their homes instead &hellip; 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