ACT and recovery: integrating evidence-based practice and recovery orientation on assertive community treatment teams.
We examine whether Assertive Community Treatment (ACT), a widely implemented and rigorously studied practice, can successfully incorporate a recovery-oriented approach while continuing to retain program fidelity. We briefly review the effectiveness of ACT as an evidence-based practice, with a focus on adaptations to changing populations and contexts. We explore philosophical similarities and differences between ACT and recovery and examine how fidelity standards, a widely used indicator of how ACT teams operate, support or interfere with the adoption of a recovery-oriented practice. Finally, we provide recommendations on how best to incorporate a recovery orientation into existing ACT teams.
Salyers
Michelle P
MP
Department of Psychology, Indiana University-Purdue University, Indianapolis, IN, USA. mpsalyer@iupui.edu
Tsemberis
Sam
S
D001291:Attitude of Health Personnel; D003068:Coercion; D003156:Community Mental Health Services / Q000379:methods* / Q000458:organization & administration; D003258:Consumer Behavior; D003688:Deinstitutionalization / Q000379:methods; D003695:Delivery of Health Care / Q000592:standards*; D006291:Health Policy; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D010342:Patient Acceptance of Health Care; D010348:Patient Care Team / Q000706:statistics & numerical data*; D011364:Professional Practice / Q000706:statistics & numerical data; D011570:Psychiatry / Q000706:statistics & numerical data; D016896:Treatment Outcome