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

Number of Hospitalizations Reason for Percent 12 Months 12 Months Inpatient Change Before After All 60 47 -21.7% 37 22 Mental Illness/SA -40.5% Schizophrenia 26 13 -50.0% Physical Illness 23 25 +8.7%

Number of Hospitalizations Reason for Percent 12 Months 12 Months Inpatient Change Before After Mental 28 6 -79.6% Illness/SA

I MPACT : E MERGENCY R OOM V ISITS Number of ED Visits Reason For ED Percent 12 Months 12 Months Visit Change Before After 353 219 -38.0% All 70 36 -48.6% Mental Illness/SA 24 10 -58.3% Schizophrenia Injuries 38 31 -18.4% Other Physical 245 152 -38.0% Illness

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

Housed and Stable Homeless and Symptomatic  Homeless  Home  Stable  Symptomatic  Connected to Families  Disconnected From Families  Broad Support System  No Support System  Income  No Income  Healthy Self Image  Poor Self Image  Adequate Functioning  Inadequate Functioning o Socially o Socially o Activities of Daily Living o Activities of Daily Living o Cognitively o Cognitively