Assertive Community Treatment Team

​​​​​​​​​For full service definition information link to the Clinical Coverage Policy.

Assertive Community Treatment Team​​​ (ACTT) is a nationally recognized, evidenced-based model of comprehensive psychiatric care, specifically designed for those with serious and persistent mental illnesses (SPMI), namely schizophrenia-spectrum disorders or other disorders with prominent psychotic features. The service is expected to assertively provide a wide range of services including, but not limited to: service planning, psychotherapy, substance use disorder treatment, medication management, medication assistance and monitoring, psycho-education, psychosocial rehabilitation, general health promotion, peer supports, housing assistance, and vocational services.

Intended Population

  • Members with SPMI diagnoses of schizophrenia-spectrum disorders or other disorders with prominent psychotic features, with or without dual diagnoses, or others with long term mental health disabilities who have difficulties in maintaining basic functioning, safety, and/or role fulfillment, and who have high utilization of emergency services, intractable symptoms, high levels of co-morbidity, criminal justice involvement, housing difficulties, and/or significant problems using traditional outpatient services.

Recommended Best Practices

Expected Outcomes

  • Core Expected Outcomes

  • Specific gains made in a timely, incremental manner consistent with goals outlined in the individual's person centered plan.

  • Historically, the primary intended outcome for ACTT was reduction in days hospitalized. With the advent of deinstitutionalization, this goal continues but is harder to demonstrate. Broadly, ACTT should:

    • reduce crisis system usage

    • increase medication adherence

    • reduce the number of days per month of substance usage for those with comorbid substance use disorders

    • increase community integration according to person-centered goals frequently evidenced by stable housing and employment over time.

Management Strategy

  • Core Management Strategies

  • Authorization Guidelines

  • Cardinal Innovations expects teams to be high-Ffdelity (TMACT score of 4.3 or higher). Scores below 3.0 are not tolerated. Teams with low TMACT scores, but above 3.0, will be monitored and reviewed more frequently, along with targeted reviews for teams where consumers have higher usage of crisis/inpatient services, concerning incidents and/or grievances, and any other indicators that a team's practices or outcomes are an outlier compared to peers.​