Community Mental Health Journal

, Volume 44, Issue 1, pp 75–77 | Cite as

Are Assertive Community Treatment and Recovery Compatible? Commentary on “ACT and Recovery: Integrating Evidence-based Practice and Recovery Orientation on Assertive Community Treatment Teams”

  • Robert E. DrakeEmail author
  • Patricia E. Deegan
Community Psychiatric Practice

Congratulations to Salyers and Tsemberis (2007) for tackling the details of a difficult issue and making several positive and timely recommendations. Their suggestions should influence the current process of revising the assertive community treatment (ACT) fidelity scale. This article reminds us that, after nearly 30 years of ACT, many details of the model remain unspecified. Its recovery-orientation is paramount among them.

A recent study of ACT teams in Indiana found that the variance in the use of various coercive measures was enormous: some teams use a variety of forms of coercion routinely, others not at all (Moser 2007). Coercion is a flagrant violation of recovery values that can be specified, measured, and reduced. Other aspects of recovery-orientation are subtler, but they probably also vary widely across teams in the absence of clear standards.

Specifying values and quality in human service interactions is extremely difficult. Program manuals and fidelity scales generally...


Community Mental Health Assertive Community Treatment Borderline Personality Disorder Mental Health Team Assertive Community Treatment Team 
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  1. Essock, S. M., Mueser, K. T., Drake, R. E., Covell, N. H., McHugo, G. J., Frisman, L. K., Kontos, N. J., Jackson, C. T., Townsend, F., & Swain, M. A. (2006). Comparison of ACT and standard case management for delivering integrated treatment for co-occurring disorders. Psychiatric Services, 57, 185–196.PubMedCrossRefGoogle Scholar
  2. Moser, L. L. (2007). Coercion in assertive community treatment: Examining client, staff and program predictors. Unpublished dissertation, Indiana University-Purdue University Indianapolis, Indianapolis.Google Scholar
  3. National Alliance on Mental Illness (2006). Grading the states report. Arlington, VA: NAMI.Google Scholar
  4. Salyers, M. P., & Tsemberis, S (2007). ACT and recovery: Integrating evidence-based practice and recovery orientation on assertive community treatment teams. Community Mental Health Journal, 43, 619–641.PubMedCrossRefGoogle Scholar
  5. Woltmann, E. M., Whitley, R., McHugo, G. R., Brunette, M., Torrey, W., Lynde, D., Coots, L., & Drake, R.E. (in press). The role of staffing turnover in implementation of evidence-based practices in mental health. Psychiatric Services.Google Scholar
  6. Wright, C., Catty, J., Watt, H., & Burns, T. (2004). A systematic review of home treatment services. Classification and sustainability. Social Psychiatry and Psychiatric Epidemiology, 39, 789–796.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.Dartmouth Medical SchoolLebanonUSA
  2. 2.ByfieldUSA

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