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Assertive Community Treatment Improves Outcomes for Individuals with SPMI

A recent DBHDD study found that individuals who participate in assertive community treatment (ACT) experience a significant decrease in both hospital readmission and length of inpatient stay as a result of ACT participation. ACT is a community-based alternative to hospitalization for people who have a severe and persistent mental illness (SPMI) which has interrupted their ability to live in the community successfully. It is often referred to as a “hospital without walls” because it provides a full range of treatment and supports that enable individuals with SPMI to live in the community.

Data collected by the department over a 6-month period showed a 56 percent decrease in the number of days of hospital admission and a 69 percent decrease in the number of individuals receiving inpatient services. The sample included 264 individuals enrolled in ACT services.

The study was conducted to determine the short-term effectiveness of the ACT teams in reducing psychiatric hospitalization. Researchers compared the frequency of hospitalizations prior to and during enrollment, and after discharge. Future research will investigate longer-term outcomes of ACT services, as well as other services in the DBHDD continuum of care.

The 22 ACT teams included in this study serve more than 1,400 people in Georgia by providing a full range of treatment and supports to enable individuals with SPMI to live in the community. Services include counseling, medication, case management and peer support. The goal of ACT is to reduce hospitalization, incarceration and homelessness, and to promote community integration. Georgia’s 22 state-funded ACT teams receive oversight, guidance, technical assistance and fidelity monitoring from DBHDD’s Office of Adult Mental Health.

Georgia DBHDD

By Georgia DBHDD

The Georgia Department of Behavioral Health and Developmental Disabilities provides treatment and support services to people with behavioral health challenges and addictive diseases, and assists individuals who live with developmental disabilities.

The agency’s mission is to lead an accountable and effective continuum of care to support people with behavioral health challenges, and intellectual and developmental disabilities in a dynamic health care environment.

1 reply on “Assertive Community Treatment Improves Outcomes for Individuals with SPMI”

Assertive Community Treatment is definitely a positive alternative to hospital-based treatment with excellent potentials to transform lives of those with psychosocial stressors or defined mental health diagnoses. The Feds is also placing priorities on this treatment modalities through proactive bills and policies:

http://hbsonline.blogspot.com/2014/08/workforce-innovation-and-opportunity.html

However, trained and experienced support staff that believe in this approach are critical to making this treatment modality a greater success.
Even among the population with developmental disabilities, the community based treatments are far more superior to hospital-based.

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