Programs

Assertive Community Treatment (ACT) - MHDDAD Eligibility Criteria

Individuals with severe and persistent mental illness that seriously impairs their ability to live in the community. Priority is given to people recently discharged from an institutional setting with schizophrenia, other psychotic disorders (e.g., schizoaffective disorder) or bipolar disorder, because these illnesses more often cause long-term psychiatric disability; and individuals with significant functional impairments as demonstrated by the inability to consistently engage in at least two of the following:

Individuals with significant functional impairments as demonstrated by the inability to consistently engage in at least two of the following:

Maintaining personal hygiene;
Caring for personal business affairs;
Obtaining medical, legal, and housing services;
Recognizing and avoiding common dangers or hazards to self and possessions;
Persistent or recurrent failure to perform daily living tasks except with significant support or assistance from others such as friends, family, or other relatives;
Employment at a self-sustaining level or inability to consistently carry out homemaker roles (e.g., household meal preparation, washing clothes, budgeting, or childcare tasks and responsibilities);
Maintaining a safe living situation (e.g., repeated evictions or loss of housing);

Individuals with one or more of the following problems that are indicators of continuous high-service needs (i.e., greater than 8 hours of service per month):

High use of acute psychiatric hospitals or crisis/emergency services including mobile, in-clinic or crisis residential (e.g., 3 or more admission per year) or extended hospital stay (60 days within the past year) or psychiatric emergency services.
Persistent, recurrent, severe, or major symptoms (e.g., affective, psychotic, suicidal).
Coexisting substance use disorder of significant duration (e.g., greater than 6 months) or co-diagnosis of substance abuse (ASAM Levels I, II.1, II.5, III.3, III.5).
High risk or a recent history of criminal justice involvement (e.g., arrest and incarceration).
Inability to meet basic survival needs or residing in substandard housing, homeless, or at imminent risk of becoming homeless.
Residing in an inpatient bed or in a supervised community residence, but clinically assessed to be able to live in a more independent living situation if intensive services are provided, or requiring a residential or institutional placement if more intensive services are not available.
Inability to participate in traditional clinic-based services;

A lower level of service/support has been tried or considered and found inappropriate at this time.