Assertive Community Treatment Team (ACTT) focuses on the overall health needs of the people they support and work closely with their families, friends and support network. To be most effective, ACTT is centered on recovery, emphasizes people’s strengths and focuses on what each person needs.
ACTT is provided by a team of several different types of mental health professionals including a team leader, a psychiatrist, nurses, social workers, therapists and specialists who help with issues like mental illness, substance use, finding jobs, education and housing. The team is assertive, meaning they actively reach out and persistently engage with individuals who may benefit from high levels of support, trust and consistency in care.
The main goal of ACTT is to help adults with severe and persistent mental illnesses live as independently as possible in the community and their own home and avoid hospitalization. The team provides a variety of supportive services, including helping people find safe and affordable places to live, get jobs, understand their mental health and learn about treatment options. They also support recovery from substance use disorders, teach practical life skills and help manage medications.
Make a Referral – Community-Based Services
Open Access for New Patients (Walk-In or Virtual Same-Day Assessment)
Call for an Appointment
Service Locations
Monarch currently provides Assertive Community Treatment Team (ACTT) services in Cabarrus, Cleveland, Davidson, Forsyth, Gaston, Guilford, Lincoln, Mecklenburg, Rowan, Stanly, Stokes and Union counties.
Eligibility
To be eligible for Assertive Community Treatment Team (ACTT) services, an individual must meet ALL of the following criteria:
- Age 18 or over with severe and persistent mental illness; priority is given to people with schizophrenia, other psychotic disorders (e.g. schizoaffective disorder) and bipolar disorder because these illnesses more often cause long-term psychiatric disability.
Significant functional impairment as demonstrated by at least ONE of the following conditions:
- Significant difficulty consistently performing the range of routine tasks required for basic adult functioning in the community (for example, caring for personal business affairs; obtaining medical, legal, and housing services; recognizing and avoiding common dangers or hazards to self and possessions; meeting nutritional needs; attending to personal hygiene) or persistent or recurrent difficulty performing daily living tasks except with significant support or assistance from others such as friends, family, or relatives;
- Significant difficulty maintaining consistent employment at a self-sustaining level or significant difficulty consistently carrying out the head-of-household responsibilities (such as meal preparation, household tasks, budgeting, or child-care tasks and responsibilities); or
- Significant difficulty maintaining a safe living situation (for example, repeated evictions or loss of housing or utilities);
As well as ONE OR MORE of the following problems, which are indicators of continuous high-service needs:
- High use of acute psychiatric hospital or psychiatric emergency services, with two or more admissions in the past 12 months,
- Persistent or recurrent severe psychiatric symptoms (affective, psychotic, suicidal, etc.);
- Coexisting mental health and substance use disorders of significant duration (more than 6 months);
- High risk or recent history of criminal justice involvement (such as arrest, incarceration, probation);
- Significant difficulty meeting basic survival needs, residing in substandard housing, homelessness, or imminent risk of homelessness;
- Residing in an inpatient or supervised community residence, but clinically assessed to be able to live in a more independent living situation if intensive services are provided; or requiring a residential or institutional placement if more intensive services are not available; or
- Difficulty effectively using traditional office-based outpatient services and
- There are no indications that available alternative interventions would be equally or more effective based on North Carolina community practice standards and within the LME-MCO service array.
Insurance Information
Monarch accepts Medicaid and several private insurance plans, as well as self-pay for services. You can click here for a full list of insurance partners.
Due to the variety of insurance plan types, it is important that you contact your insurance company for a complete list of in-network providers and Monarch services covered under your specific insurance plan. Monarch may not be an in-network provider for all plan types these companies provide.