Welcome to our new forum in support of providing assertive community treatment (ACT) during unusual times!
Many ideas are offered here among this community. It is imperative to check with local authorities to understand what is permitted and allowed in your service area
Thank you for the work that you all are doing!
This forum will be monitored by administration to ensure that shared ideas and resources do not significantly depart from likely best practices or reflect misinformation.

Support for ACT service recipients

Wellness/Therapeutic Apps and Other Online Resources

Describe any specific applications (apps) or other online resources you have helped clients access and use.

Wellness Activities
Jul 19, 2020 13:13:27 GMT -8
Total Threads: 6 | Total Posts: 11
Therapy and Emotional Supports

Describe ways you are stepping up your therapy and emotional supports as many are experiencing increased anxiety.

The use of Mindfulness to help with stress
Aug 13, 2020 23:43:10 GMT -8
Total Threads: 6 | Total Posts: 9
Technology Access

As providers shift to providing more support via telehealth and phone contacts, the receivers (clients) need to have access to the technology to participate. Please share steps taken to assist clients in being able to participate in telehealth/phone contacts.

Lifeline Support
Jun 1, 2020 8:18:56 GMT -8
Total Threads: 3 | Total Posts: 6
Supervised Residential and Homelessness

Delivering ACT while in a pandemic will likely be different for those in supervised residential settings, as well as those who are homeless. This board is intended to capture topics relevant to these two groups.

Total Threads: 5 | Total Posts: 6

Please describe ways in which the team is providing supports for people around medications (oral medications and intramuscular injections; getting labwork completed).

Total Threads: 10 | Total Posts: 25
Medically Fragile / At Risk Individuals

ACT is often serving individuals with significant comorbid health challenges (chronic illness) and/or situational health concerns (pregnancy). Please list any practice example/modifications for these individuals.

Racial Disparities and COVID-19
Jun 1, 2020 7:53:14 GMT -8
Total Threads: 2 | Total Posts: 2
Leisure/Hobby/Social Connections

Folks we serve were already at risk of boredom, isolation, and alienation. With "shelter in place," "social distancing" and other directions -- what are you doing to help people address boredom and isolation?

Apr 15, 2020 6:06:05 GMT -8
Total Threads: 2 | Total Posts: 5
Food, TP, Soap

We are all scrambling to locate some essentials (or find creative work around to essentials) - how have you helped people access the basics to get by?

Toilet Paper Supplies
Apr 24, 2020 5:55:40 GMT -8
Total Threads: 4 | Total Posts: 5
COVID-19 Education and Teaching

We have all been more aware of the need to step up our handwashing, hygiene, disinfecting practices - how have you helped clients also improve upon these practices?

Total Threads: 3 | Total Posts: 3
Engagement of Natural Supports

Describe any strategic outreach and engagement with natural supports who can provide direct support to clients during this pandemic.

5/19 webinar for family members
May 18, 2020 12:55:46 GMT -8
Total Threads: 5 | Total Posts: 9
Employment and School

For those clients who are working and/or enrolled in school, what activities and supports have been offered (e.g., addressing layoffs, expectations of continued work (grocery), switching to online coursework)

Covid-19, Disclosure and Job Development
May 12, 2020 14:16:21 GMT -8
Total Threads: 3 | Total Posts: 5
Criminal justice involved clients - special considerations and supports

On average, 15% of those served by ACT may be involved in the criminal justice system. Some teams are specialized Forensic Assertive Community Treatment (FACT) teams. With heightened responsibilities in monitoring individuals, the COVID-19 pandemic may have altered typical practices. We welcome ideas, examples, and practice modifications as it has related to those who are involved in the criminal justice system.

Total Threads: 1 | Total Posts: 1
Co-Occurring Substance Use

For those who are actively using/abusing substances, and those working on not using -- how has the team modified the nature/types of supports offered to individuals?

Total Threads: 10 | Total Posts: 16
Addressing Client Safety (includes racial disparities)

Aside from the risk of infection, some individuals served by ACT may be of higher risk all together secondary to RACIAL DISPARITIES, psychiatric symptoms, suicidal ideation or behavior, substance use, environmental factors (neighborhood, fellow cohabitants). Any steps the team has taken to help address these additional vulnerabilities?

COVID-19 and American Indians
Jul 10, 2020 8:10:21 GMT -8
Total Threads: 8 | Total Posts: 8

Support for ACT Team Staff

Staff Self-Care

ACT teams need to attend to their own self-care as well. Possibly increases in crises, concerns about health and safety, along with social distancing measures and the need to balance personal/home needs may take their toll. Please share self-care resources you or your team is currently using.

Loving Kindness Meditation
Aug 13, 2020 23:44:44 GMT -8
Total Threads: 7 | Total Posts: 9

Please describe the ways in which you have moved to using telehealth and phone-based contacts.

Total Threads: 6 | Total Posts: 14
Daily Team Meeting Modifications

In what ways have you adjusted how you are conducting daily team meetings? (e.g., focus of meetings; nature of the meetings (completely virtual)

Total Threads: 2 | Total Posts: 5
Funding and Reimbursement

In what ways have there been modifications to how teams are funded, or reimbursed, in light of the pandemic? Implications on practice modifications?

Productivity Expectations During COVID-19?
Apr 21, 2020 8:55:07 GMT -8
Total Threads: 4 | Total Posts: 4
Safety Precautions Used by ACT Staff (e.g., PPE, physical distancing)

For some individuals ACT teams are serving, it may be extremely challenging to not have some level of physical contact with them while providing interventions and supports to also help them stay safe and well. Access to PPE has been a challenge in most places. If you have examples for how your team has been able to access PPE, or decisions around judicious use of PPE, please share here, as well as other safety precautions your team is using to keep themselves and the people they are serving healthy and safe.

ACT-specific "re-opening" guidance?
Jun 17, 2020 7:15:30 GMT -8
Total Threads: 13 | Total Posts: 22
Staffing/Coverage Modifications

What scheduling/coverage strategies are being used for staff deployed into the field to help protect against infection and spread vs. management of staff working remotely at home?

Staff Capacity
Apr 23, 2020 5:32:21 GMT -8
Total Threads: 7 | Total Posts: 8
Enrollment and Service Authorizations

Any changes in the expectations around how ACT teams are addressing new referrals and intakes during COVID-19? Any changes to the service authorization process?

new referrals/state hospital discharges
Apr 10, 2020 11:58:32 GMT -8
Total Threads: 1 | Total Posts: 6

Info and Updates: Federal Sources

Reliable Federal Source for Information and Resources

Please include carefully-vetted sources for COVID-19 related information, and also broader resources for housing, free wi-fi, etc.

FCC Funding for Telehealth
Apr 10, 2020 9:49:44 GMT -8
Total Threads: 8 | Total Posts: 8

Info and Updates: State and Local Sources

State or Local Resources

Create your own local thread to share information for your specific State, Region, County!

Michigan Information
Apr 15, 2020 5:46:49 GMT -8
Total Threads: 4 | Total Posts: 6
Peer Support/Warm Lines operating in area

We are seeing an expansion in warm lines and peer support coming up in some areas --- share here if you learn of any *for your area*

Michigan Peer Operated Warmline 4/13/20
Apr 17, 2020 6:40:50 GMT -8
Total Threads: 2 | Total Posts: 2

ACT Fidelity and COVID-19 Pandemic

ACT Fidelity Monitoring and Considerations

Fidelity monitoring is of best practice ACT in non-pandemic times. This will be area to discuss fidelity monitoring implications.

Breathing Retraining
Jun 7, 2021 11:35:20 GMT -8
Total Threads: 6 | Total Posts: 9

Words of Encouragement

Place to Express Appreciation, Gratitude, Encouragement, etc

This was hard work before a pandemic, and now it just got harder. What were we taking for granted? What do we appreciate even more? Share your thoughts - including encouragement for all in this fight!

On the Subject of Kindness During Covid-19
May 8, 2020 10:28:33 GMT -8
Total Threads: 2 | Total Posts: 2

ACT Virtual Meet-Up Notes

Total Threads: 29 | Total Posts: 34


General Discussion

You can talk about anything here.

Moderator: Admin

The role of the Nurse on the ACT team
Jul 30, 2020 11:02:35 GMT -8
Total Threads: 5 | Total Posts: 9


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