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Assertive Community Treatment Team (ACTT) Program

Assertive Community Treatment Team (ACTT) Program

Service Description

An Assertive Community Treatment (ACT) team consists of a community-based group of medical, behavioral health and rehabilitation professionals who use a team approach to meet the needs of an individual with severe and persistent mental illness. An individual who is appropriate for ACT does not benefit from receiving services across multiple, disconnected providers and may become at greater risk of hospitalization, homelessness, substance use, victimization and incarceration. An ACT team provides person-centered services addressing the breadth of an individual’s needs, helping him or her achieve their personal goals. Thus, a fundamental charge of ACT is to be the first-line (and generally sole provider) of all the services that an individual receiving ACT needs. Being the single point of responsibility necessitates a higher frequency and intensity of community-based contacts and a very low individual-to-staff ratio. Services are flexible; teams offer varying levels of care for all individuals receiving ACT and appropriately adjust service levels given an individual’s changing needs over time.

Eligibility Criteria

ACT teams shall document written admission criteria that reflect the following requirements, which ALL must be met for a beneficiary to be deemed eligible for ACT Team services:

  • Beneficiaries (ages 18 and over) with severe and persistent mental illness; priority is given to people with schizophrenia, other psychotic disorders (e.g. schizoaffective disorder) and bipolar disorder because these illnesses more often cause long-term psychiatric disability. Beneficiaries with other psychiatric illnesses are eligible dependent on the level of the long-term disability.  Individuals with a primary diagnosis of a substance use disorder or intellectual/developmental disabilities are not the intended beneficiary group.
  • The beneficiary has significant functional impairment as demonstrated by at least ONE of the following conditions:
    • Significant difficulty consistently performing the range of routine tasks required for basic adult functioning in the community (for example, caring for personal business affairs; obtaining medical, legal, and housing services; recognizing and avoiding common dangers or hazards to self and possessions; meeting nutritional needs; attending to personal hygiene) or persistent or recurrent difficulty performing daily living tasks except with significant support or assistance from others such as friends, family, or relatives;
    • Significant difficulty maintaining consistent employment at a self-sustaining level or significant difficulty consistently carrying out the head-of-household responsibilities (such as meal preparation, household tasks, budgeting, or child-care tasks and responsibilities); or
    • Significant difficulty maintaining a safe living situation (for example, repeated evictions or loss of housing or utilities). 
  • The beneficiary has ONE OR MORE of the following problems, which are indicators of continuous high-service needs:
    • High use of acute psychiatric hospital (2 or more admissions during the past 12 months) or psychiatric emergency services;
    • Intractable (persistent or recurrent) severe psychiatric symptoms (affective, psychotic, suicidal, etc.);
    • Coexisting mental health and substance use disorders of significant duration (more than 6 months);
    • High risk or recent history of criminal justice involvement (such as arrest, incarceration, probation);
    • Significant difficulty meeting basic survival needs, residing in substandard housing, homelessness, or imminent risk of homelessness;
    • Residing in an inpatient or supervised community residence, but clinically assessed to be able to live in a more independent living situation if intensive services are provided; or requiring a residential or institutional placement if more intensive services are not available; or
    • Difficulty effectively using traditional office-based outpatient services. 
  • There are no indications that available alternative interventions would be equally or more effective based on North Carolina community practice standards and within the LME-MCO service array.

Service Areas

Cleveland County
Davidson County
Forsyth County
Gaston County
Guilford County
Lincoln County
Mecklenburg County
Stanly County


Kathy Connell, Enhanced Services Referral Coordinator
Direct: (704) 986-1535, Fax: (866) 786-3759
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What sets Monarch’s ACTT service apart?

The ACT team delivers all services according to a recovery-based philosophy of care. The team promotes self-determination, respects the person receiving ACT as an individual in his or her own right and engages peers in promoting hope that the individual can recover from mental illness and regain meaningful roles and relationships in the community. Our teams are highly trained, supportive and responsive.

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    Administrative Office: 350 Pee Dee Avenue, Suite 101, Albemarle, NC 28001
    Phone: (866) 272-7826 | Fax: (704) 982-5279