Assertive Community Treatment Program, (ACTP)

Assertive Community Treatment Program, (ACTP)

Brooke Sankiewicz, MSW

Program Supervisor



Assertive Community Treatment is a team treatment approach designed to provide comprehensive, community-based psychiatric treatment, rehabilitation, and support to adults with serious and persistent mental illness. People in ACTP Services have symptoms that affect their ability to function independently and that interfere with their ability to take care of themselves, including complying with prescribed medications and participating in recommended therapy services.

People who need ACTP Services may have difficulty in any number of the following areas:

  • Maintaining or having interpersonal relationships with family and friends.
  • Accessing needed mental health and physical health care.
  • Addressing issues related to aging.
  • Performing activities of daily living or other life skills.
  • Managing medications without ongoing support.
  • Maintaining housing.
  • Participating in employment and/or educational services.
  • Avoiding arrest and incarceration, navigating the legal system or transitioning back to the community from jail or prison.
  • Coping with relapses or return of symptoms due to stress or changes in the environment that result in frequent use of hospital services, emergency departments, crisis services, crisis residential programs or homeless shelters.
  • Maintaining recovery as part of the challenges of a co-occurring substance use disorder.
  • Encountering difficulty in past or present progress toward recovery despite participation in long-term or intensive services.

A team of professionals whose backgrounds and training include social work, rehabilitation, counseling, nursing and psychiatry provide Assertive Community Treatment Services. The peer support specialist is also a vital part of the treatment team. The ACTP team are certified in CPR and first-aid and the therapists and case managers are trained for emergency psychiatric services.  The services ACTP teams provide are rehabilitative and include objectives to maximize the skills of the person in treatment.  Services include:

  • Case management
  • Initial and ongoing assessments (including psychological testing)
  • Psychiatric services (including psychiatric evaluations and medication reviews)
  • Employment and educational assistance
  • Housing assistance
  • Individual and family support, education and counseling
  • Substance abuse services
  • Behavioral interventions
  • Group Therapy
  • Speech Therapy, Occupational Therapy and Physical Therapy if needed
  • Other services and supports critical to an individual's ability to live successfully in the community such as recreational outings  

Persons served in ACTP may expect to develop skills that include but are not limited to the following areas as they may need:

  • Independent living
  • Assertiveness
  • Health services
  • Self-care
  • Behavioral self-control
  • Effective social functioning
  • Emotional adjustment
  • Communication
  • Relaxation

The ACTP is a community-based outreach program where most of the services are provided in the environment of the person served such as an independent residence, adult foster care, crisis placement, hospital or other community setting.  Other services may be on-site with transportation assistance provided if needed.

ACTP services are available 24 hours per day, 365 days per year.

Anyone can make a referral to the ACT Program by calling the ACCESS Line at 1-888-225-4447.

A person is discharged from ACTP services when one of the following circumstances is met:

  • The person no longer requires the level of services provided by the ACTP and their needs can be met with a less intensive service program. Transition planning occurs throughout treatment.
  • The person no longer resides in Lapeer County.
  • The person consistently declines to be involved with the ACTP.
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