Open access

ACT Fidelity in Ontario: Measuring Adherence to the Model

Publication: Canadian Journal of Community Mental Health
19 November 2010

Abstract

The province of Ontario, Canada, with a population of 13 million people, has a large Assertive Community Treatment (ACT) program. Despite the large uptake of ACT in Ontario, to date there has been no comprehensive evaluation of the degree to which the model has been successfully implemented. This project assessed the fidelity of 67 ACT teams (85%) in the province using the Dartmouth Assertive Community Treatment Scale. Scores fell in the high fidelity range in the human resources and organizational boundaries domains, and in the medium fidelity range for the nature of services domain. Areas requiring more attention include achievement of higher caseloads; recruitment and retention of staff (specifically vocational, substance abuse, and psychiatry staff); and key areas of recovery, specifically employment and substance abuse.

Résumé

La province de l'Ontario, au Canada, avec une population de 13 millions d'habitants, possède un vaste programme de traitement communautaire actif. Toutefois, à ce jour, aucune évaluation globale n'avait été faite des résultats de ce programme. Dans cette étude, nous évaluons 67 équipes communautaires de traitement actif (85%) de la province qui utilisent l'échelle de traitement communautaire actif de Dartmouth (Dartmouth Assertive Community Treatment Scale, DACT) pour voir jusqu'où elles sont fidèles au modèle de base. En ce qui a trait aux ressources humaines et aux frontières organisationnelles, les scores obtenus correspondent à une fidélité élevée; pour ce qui est de la nature des services, les scores correspondent à une fidélité moyenne. Les secteurs qui requièrent plus d'attention sont l'augmentation des nombres de cas traités, le recrutement et la rétention du personnel (plus particulièrement: professionnels, intervenants en abus d'alcool ou de drogues, psychiatrie), et les domaines qui ont un impact important sur le rétablissement, et en particulier l'emploi et l'abus d'alcool ou de drogues.

Formats available

You can view the full content in the following formats:

Information & Authors

Information

Published In

cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 29Number S5January 2010
Pages: 87 - 96

History

Version of record online: 19 November 2010

Authors

Affiliations

Lindsey George
Sean Kidd
Maria Wong
Rachel Harvey
Gina Browne

Metrics & Citations

Metrics

Other Metrics

Citations

Cite As

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

Cited by

1. The Dilemma of People Experiencing Borderline Personality Disorder (BPD) on Assertive Community Treatment (ACT) Teams—A Scoping Literature Review: Can ACT help people with BPD?

View Options

View options

PDF

View PDF

Get Access

Login options

Check if you access through your login credentials or your institution to get full access on this article.

Subscribe

Click on the button below to subscribe to Canadian Journal of Community Mental Health

Purchase options

Purchase this article to get full access to it.

Restore your content access

Enter your email address to restore your content access:

Note: This functionality works only for purchases done as a guest. If you already have an account, log in to access the content to which you are entitled.

Media

Media

Other

Tables

Share Options

Share

Share the article link

Share on social media