ACT & Residential Services – HSD Clarification Memo

The Health Systems Division has issued a memo as follows:

The Oregon Center of Excellence for Assertive Community Treatment (OCEACT), with
the approval of the Oregon Health Authority Health Systems Division, has issued
guidance regarding ACT fidelity reviews for Community Mental Health Programs
(CMHP) that also operate or provide services to individuals residing in Residential
Treatment Facilities (RTF) and/or Residential Treatment Homes (RTH) and/or Secured
Residential Treatment Facilities (SRTF) the following policy applies. OCEACT will
conduct a fidelity review of the CMHP’s ACT team when the following conditions are

1) The majority of ACT clients live in a community based setting outside of an
RTF/RTH/SRTF at the time of the fidelity review.

2) An ACT participant is currently living within an RTF/RTH/SRTF, the ACT
participant must be in the process of being transitioned back into the
community AND to the catchment area of the CMHP’s ACT team within 6
months in order to be counted as part of the ACT caseload. OCEACT will not
count individuals as part of the ACT team who are intending to return to a
county of residence different from the one that the CMHP’s ACT team serves.

Rationale: ACT is a community based service delivery model designed to ensure that the
ACT team is serving the intended target population in the most integrated community
based settings as possible.

Modification to DACT Scoring in Oregon

There has been a modification to the version of the DACT used in Oregon to score ACT fidelity reviews.  Item S10 on the DACT has been replaced by item ST8 from the Tool for Measurement of Assertive Community Treatment (TMACT).  This modification is outlined in this memo from AMH dated 03-25-15.  Please see the updated version of the DACT with these modifications.
The monthly technical assistance calls on April 14th at 9 a.m. and 3 p.m. will be used to discuss how these changes impact the role of peer specialists on ACT teams.  The PowerPoint presentation used for these calls can be downloaded here.
Please contact OCEACT if you have questions about how this may impact your program.