ACTT Basics
What does ACTT stand for?
Assertive Community Treatment Team.
Who manages medications and psychiatric care?
Psychiatrist or Psychiatric Nurse Practitioner.
What is the first step if a client is suicidal?
Conduct a risk assessment and notify supervisor/team.
What three elements must be in every progress note?
Staff intervention, client response, next steps/plan.
What is person-centered planning?
Services and goals driven by the individual being served own desires/goals.
How many contacts per week are expected for high-need individuals?
At least 3/week unless more is clinically appropriate.
What is the role of the peer support specialist?
Shares lived experience, provides peer support and hope.
Name one tool used to assess risk.
Columbia-Suicide Severity Rating Scale (C-SSRS) or a Risk Assessment
What system is used to bill ACTT services?
NCTracks (or other Medicaid billing systems)
Name one recovery principle.
Hope, empowerment, self-direction, peer support.
What primary population does ACTT serve?
SPMI (Severe and Persistent Mental Illness): Schizoaffective, Schizophrenia, Bipolar (Severe), Major Depressive Disorder (Severe).
Which team member focuses on housing and ADL's?
Housing Specialist or Rehabilitation Specialist.
What is the response time for a crisis?
Within 1 hour for high-risk situations.
How soon should documentation be submitted?
Within 24 hours, no later than 48 hours.
Why is strength-based language important?
It validates the client’s abilities and reinforces progress.
How often must ACTT staff meet?
Daily on weekdays (Monday-Friday).
Who is responsible for therapy services?
Licensed Therapist.
What is a WRAP plan?
Wellness Recovery Action Plan – client-driven crisis plan.
What defines a billable service?
Face-to-face or collateral contact tied to treatment goals.
How do we empower clients?
By offering choices and involving them in decisions.
What makes ACTT different from traditional outpatient services?
24/7 coverage, field based, team approach.
Who typically leads an ACT team?
Team Lead (often a licensed therapist or registered nurse with appropriate experience/credentials).
Who must be informed immediately during a crisis?
Team Lead.
What’s the rule on documenting collateral contacts?
It must be documented if it relates to the client’s goals.
What’s the role of hope in recovery?
It’s essential for motivation and long-term success