Assertive Community Treatment Teams August 14, 2013 Nonprofit - - PowerPoint PPT Presentation

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

Reason for Inpatient Number of Hospitalizations Percent Change 12 Months Before 12 Months After

All 60 47

• 21.7%

Mental Illness/SA

37 22

• 40.5%

Schizophrenia 26 13

• 50.0%

Physical Illness 23 25 +8.7%

Reason for Inpatient Number of Hospitalizations Percent Change 12 Months Before 12 Months After Mental Illness/SA 28 6

• 79.6%

IMPACT: EMERGENCY ROOM VISITS

Reason For ED Visit Number of ED Visits Percent Change 12 Months Before 12 Months After

All 353 219

• 38.0%

Mental Illness/SA 70 36

• 48.6%

Schizophrenia 24 10

• 58.3%

Injuries 38 31

• 18.4%

Other Physical Illness 245 152

• 38.0%

Setting Cohort Size 2 Years Pre-MIRCI 1 Year Pre- MIRCI 1 Year Post- MIRCI 2 Years Post- MIRCI 3 Years Post- 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

Homeless and Symptomatic

Housed and Stable

 Homeless  Symptomatic  Disconnected From Families  No Support System  No Income  Poor Self Image  Inadequate Functioning

• Socially
• Activities of Daily Living
• Cognitively

 Home  Stable  Connected to Families  Broad Support System  Income  Healthy Self Image  Adequate Functioning

• Socially
• Activities of Daily Living
• Cognitively