Community Mental Health Journal

, Volume 43, Issue 6, pp 619-641

First online:

ACT and Recovery: Integrating Evidence-Based Practice and Recovery Orientation on Assertive Community Treatment Teams

  • Michelle P. SalyersAffiliated withDepartment of Psychology, Indiana University-Purdue UniversityRoudebush VA Medical Center Email author 
  • , Sam TsemberisAffiliated withDepartment of Psychiatry, NYU Medical Center

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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.


severe mental illness recovery assertive community treatment