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Assertive community treatment (ACT) is an intensive and highly integrated approach for community mental health service delivery. [1] ACT teams serve individuals who have been diagnosed with serious and persistent forms of mental illness, predominantly but not exclusively the schizophrenia spectrum disorders.
As a result, care coordination includes traditional mental health services but may also encompass primary healthcare, housing, transportation, employment, social relationships, and community participation. In the 1940s, this was known as social counseling. [3] It is the link between the client and care delivery system. [2]
[2]: 259–261 Thanks to the development of available economic resources, a supply of mental health professionals and multidisciplinary team approaches to mental health has been deinstitutionalized. [2]: 250–270 CMH is now in the era of post deinstitutionalization. The rates of psychiatric patients treated in inpatient facilities have ...
Care and treatment must be patient-centred, multidisciplinary, intensive and have an immediacy of response to critical clinical and risk situations. Patients should be detained compulsorily under the appropriate mental health legislative framework, and the clinical and risk profile of the patient usually requires an associated level of security.
Mobile crisis teams will be on call from 8 a.m. to 2 a.m. seven days a week.
Primary care has often been termed the de facto mental health system in the United States. [7] Research shows that approximately half of all mental health care services are provided solely by primary care providers. [8] Furthermore, primary care practitioners prescribe about 70% of all psychotropic medications and 80% of antidepressants. [9]