{"id":9578,"date":"2020-11-05T14:04:26","date_gmt":"2020-11-05T19:04:26","guid":{"rendered":"https:\/\/www.med.unc.edu\/psych\/cecmh\/?page_id=9578"},"modified":"2026-02-05T10:38:26","modified_gmt":"2026-02-05T15:38:26","slug":"more-about-the-tmact","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/psych\/cecmh\/unc-institute-for-best-practices\/assertive-community-treatment-act\/tool-for-measurement-of-act-tmact\/more-about-the-tmact\/","title":{"rendered":"More about the TMACT"},"content":{"rendered":"
\n

Although there is a large amount of research showing that Assertive Community Treatment (ACT) can produce better individual outcomes and improved cost-savings, the effectiveness of ACT will depend on the quality of the particular program delivering this service \u2013 how faithfully best practice elements are implemented, known as \u201cprogram fidelity.\u201d<\/strong><\/p>\n

The Tool for Measurement of ACT (TMACT) originated from the Dartmouth Assertive Community Treatment Scale (DACTS), which was developed to measure the adequacy of ACT team implementation. Compared to the DACTS, the TMACT is more sensitive to change, as it is a more nuanced measure of ACT program fidelity setting a higher bar for ACT program performance. Recent research further suggests that higher fidelity scores on the TMACT were associated with reductions in state hospital and acute crisis unit stays, and improvements in retention of service recipients and competitive employment rates.The TMACT has 47 program-specific items. Each item is rated on a 5-point scale ranging from 1 (\u201cnot implemented\u201d) to 5 (\u201cfully implemented\u201d). Standards used for establishing the anchors for the \u201cfully-implemented\u201d ratings were determined by a combination of expert opinion and the empirical literature. The average rating across the 47 items reflect the final TMACT Rating, which serves as an index of overall performance.After eight years of pilot-testing, updating, and using the TMACT, Version1.0 Revision 3 (2018) is posted for download. Training is strongly encouraged for reliable and valid use of the TMACT, however it is not required. TMACT authors do not currently certify individuals as TMACT trainers. Please contact TMACT authors for training inquiries<\/a>.<\/p>\n

TMACT Summary Scale (1.0rev3)<\/a> provides an overview of TMACT items and rating anchors. This should be used for reference only, not in conducting a review.<\/p>\n

TMACT Protocol Part I (1.0rev3): Introduction<\/a> provides an overview of the TMACT, but most importantly, guidance in how to prepare, conduct, and follow-up after a TMACT review.<\/p>\n

TMACT Protocol Part II (1.0rev3): Itemized Data Collection Forms<\/a> is what is used to gather needed data and rate a team across all 47 items. Treat Part II as a workbook used to document information and make ratings for a given team. Be sure to check out a very important update to the Rating Guidelines for the Specialist Team\u00a0here. To qualify for \u201cno rate\u201d option with vacant or newly filled positions, teams must demonstrate an annual staff turnover rate of 39% or less.<\/p>\n

TMACT Protocol \u2013 Appendix (1.0rev3)<\/a> includes example forms, letters, and final report sample to support your use of the TMACT.\u00a0 *Note the 1.0rev3 Appendix will be posted shortly.<\/p>\n

Team Survey<\/a> and Excel Spreadsheet<\/a> are data collection tools used in a TMACT evaluation, sent to the team ahead of the review (refer to Protocol Part I for further instructions).<\/p>\n

These items are included in Part II, but may be easier to download here. Please refer to TMACT Part I for instructions in how to use these Chart Review Logs<\/strong> (Log I<\/a> and Log II<\/a>) and Chart Review\u00a0Tally Sheet Log I<\/a> and Tally Sheet Log 2<\/a>.<\/p>\n

Hard to keep up with exactly what has changed?\u00a0<\/strong> We understand. We created this Q&A<\/a> to explain changes made since TMACT 1.0 Revision 1. We also recorded a webinar for you!\u00a0 Part I is nearly 2 hours long and takes you up until about EP6.\u00a0 Part II is about 45 minutes, finishes up with the review AND gives you a sneak peak into eTMACT.\u00a0 PowerPoint Handout here.<\/a><\/p>\n

Part I (nearly 2 hours): https:\/\/attendee.gotowebinar.com\/recording\/3949706742188054274<\/a><\/div>\n
Part II (45 mins long AND includes sneak peak at eTMACT): https:\/\/attendee.gotowebinar.com\/recording\/6898709078069390338<\/a><\/div>\n

eTMACT<\/strong> is currently in development!\u00a0 We are creating a secure, web-based platform for conducting TMACT reviews.\u00a0 eTMACT should reduce the time and resources devoted to a review, while also further improving reliability and validity of item ratings.\u00a0 Stay tuned for more information!<\/p>\n<\/article>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Although there is a large amount of research showing that Assertive Community Treatment (ACT) can produce better individual outcomes and improved cost-savings, the effectiveness of ACT will depend on the quality of the particular program delivering this service \u2013 how faithfully best practice elements are implemented, known as \u201cprogram fidelity.\u201d The Tool for Measurement of … Read more<\/a><\/p>\n","protected":false},"author":97082,"featured_media":0,"parent":7120,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-9578","page","type-page","status-publish","hentry","odd"],"acf":[],"yoast_head":"\nMore about the TMACT - 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\/tool-for-measurement-of-act-tmact\/more-about-the-tmact\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"More about the TMACT - 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