Community Mental Health Journal

, Volume 34, Issue 6, pp 579-593

First online:

The Impact of Assertive Community Treatment on the Social Relationships of People Who Are Homeless and Mentally Ill

  • Robert J. Calsyn
  • , Gary A. Morse
  • , W. Dean Klinkenberg
  • , Michael L. Trusty
  • , Gary Allen

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Two randomized experiments compared theeffectiveness of the assertive community treatment (ACT)team against other treatments (outpatient therapy,drop-in center, and brokered case management) inimproving the social relationships of individuals whowere both homeless and suffered from severe andpersistent mental illness. In both studies clientsassigned to ACT teams reported having more professionalsin their social networks than clients assigned tothe other treatments. Clients did not report significantdifferences between treatment conditions on most of theother social relationship dimensions. Further attention to developing social skills andnetwork interventions within ACT teams arerecommended.