Assertive Community Treatment

Assertive Community Treatment (ACT) services at Carolina Outreach assist adults with persistent mental health and/or substance abuse issues that require intensive interventions to remain stable in the community due to one or more of the following additional difficulties:

  • Numerous visits or admissions to the hospital
  • Repeated jail time, homelessness
  • Difficulties making or keeping friends
  • Thoughts of hurting themselves or others
  • Feeling like people are out to get them
  • Hearing things other people can’t hear
  • Money problems
  • Medication and medical problems

ACT services assist individuals to improve all areas of functioning so that they can live independently and reach their full potential. Treatment empowers individuals to improve and stabilize symptoms, physical health, housing, employment, and social opportunities, while at the same time reducing hospitalizations and legal problems. Treatment is primarily in the community, but does include some clinic-based services. The ACT Team consists of a nurse, an employment specialist, mental health professionals, substance use professionals, a psychiatrist, and a peer who has recovered after services. The ACT program provides individuals with 24/7/365 availability.

Our teams annually submit to a Tool for Measurement of Assertive Community Treatment (TMACT) review. TMACT is an internationally used tool that measures adherence to the ACT model. In North Carolina, this measurement is a requirement that is enforced by NC ACT Technical Assistance Center and DHHS. In 2014, our Durham team was the first team in the state to achieve TMACT high fidelity. In 2015 our Durham, Raleigh, and Goldsboro teams achieved high fidelity. Our Kinston team is also recognized as one of the higher scoring fidelity teams in the state. We expect that our ACT program will continue to maintain and develop exceptional ACT teams.

We take pride in our proven ability to transform low-fidelity teams into some of the highest quality teams in the state, and in the process provide individuals optimum service and treatment.