ACT (Assertive Community Treatment)

General Background Information on the ACT model


Getting our ACT Together: Assertive Community Treatment for the Seriously Mentally Ill in Iowa

The intent of this paper is to familiarize stakeholders with the ACT model and its development in Iowa and to encourage discussion about increasing the availability of ACT in Iowa. (Nov 2010)


What is an ACT program?
Describes what it is, why it is important, its goals and features, etc.

ACT in Iowa: Progress and Challenges (updated 7/08)

Slide presentation (Power Point)

National ACT Standards

Supported and adopted by National Alliance for the Mentally Ill, authored primarily by Debra Allness and Wiliam Knoedler, most recently revised June 2003.  A key resource for developing as well as existing teams. 

ACT Program locations by state

How does ACT work in a rural setting?

Learn about rural area ACT programs.

ACT:  A review of the evidence base for its effectiveness

This is a concise review and meta-analysis of more than two decades of research on ACT outcomes. 


ACT in Iowa


Contact phone numbers for Iowa ACT programs:

Abbe Center ACT, Cedar Rapids (319) 398-3562

ACTION Program, Fort Dodge (515) 576-7712
Golden Circle ACT, Des Moines (515) 241-0982

Heartland Family Services ACT, Council Bluffs (712) 435-5350
IMPACT, Iowa City (319) 356-1754

Getting our ACT Together: Assertive Community Treatment (ACT) for the Seriously Mentally Ill in Iowa

Information about ACT in Iowa, including a cost study, clinical outcomes, implementation challenges, and recommendations (November 2010).

IPTV Highlight Assertive Community Treatment in Program

Draft of Iowa ACT Standards

These standards do not vary significantly from the recently revised version of the National Program Standards for ACT Teams (Allness and Knoedler, 2003), which are widely held to be the gold standard for successful ACT teams. Some minor changes were made for the Iowa standards which are highlighted in yellow.

ACT Outcomes

Latest version of quarterly outcomes being collected by all Iowa ACT teams (version 2.0)

This is an excel document that defines 16 outcome measures that reflect target goals of ACT.  It is based on recommended outcomes from the SAMHSA ACT resource kit.  A data entry form is provided that can be downloaded electronically or printed out in hard copy for data entry. 



Training Opportunities for ACT providers


Good training opportunities for ACT providers listed below:

Ohio SAMI (Substance Abuse and Mental Illness Coordinating Center of Excellence)


Fidelity Issues

Information on methods to assess the degree to which specific ACT programs are faithful to the model

Dartmouth Assertive Community Treatment Scale (DACTS)

The instrument is used to monitor the fidelity of ACT programs. DACTS distinguishes between ACT and brokered case management and intensive case management.

Protocol for DACTS

ACT Fidelity Scale.

Barriers to ACT

Two major barriers to ACT are 1) funding issues; and 2) availability of professionals, especially psychiatrists

Use of psychiatric extenders (e.g., ARNP's, PA's, etc.) in ACT programs

A brief review of how this is handled in some states. 


National ACT resources


NAMI's ACT Technical Assistance Center

Assertive Community Treatment Association (ACTA)