CARE MODELS

Assertive Community Treatment (ACT)

A multidisciplinary team that brings care to the person in the community, for those with the highest needs.

How it works

A team (psychiatry, nursing, case management, peer and employment specialists) shares a small caseload and provides most services directly, often at home, around the clock.

What the evidence says, use by use

Evidence is specific to the condition, population and—for devices—the exact product. One label never covers everything.

Schizophrenia & Psychosis: Reducing hospitalization and homelessness; supporting community living

Established
Who was studied / who it’s for: Adults with serious mental illness and high service needsWhat this label means: Strong research and/or authoritative clinical guidelines support this specific use.

SAMHSA lists ACT as an evidence-based practice for people with serious mental illness who have not been well served by traditional outpatient care.

Sources: SAMHSA

Who usually provides it

Public mental-health systems (in Florida, often called FACT teams).

Cautions & things to know

  • Eligibility is usually limited to people with the highest needs.

Questions for a clinician

Conversation prompts, not a treatment plan.

  • Is there an ACT/FACT team in our county, and how is a referral made?

Educational, not medical advice. NeuroCoach is an educational and care-navigation resource, not a medical provider. Information about medications, supplements, therapies, devices, clinical trials and community experiences is provided for education and exploration and is not a recommendation, diagnosis or treatment plan. Evidence varies substantially among interventions. Decisions about medical or mental-health treatment should be made with an appropriately qualified healthcare professional. Do not start, stop or change medication, supplements or treatment based solely on information found here.

Sources

Sources checked October 5, 2026. Links support this page; they don’t imply endorsement of NeuroCoach.

  1. Assertive Community Treatment evidence-based practices kit SAMHSA