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Assertive Community Treatment Team Referral Form Bucks and Montgomery Counties Form Instructions: 1. The referral source will complete this form for any new referral to St. Luke\'s Penn Foundation
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Step 1: Gather necessary documents such as identification, medical history, and any previous assessments.
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Step 2: Complete the application form clearly, providing accurate personal information.
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Step 3: Detail the specific needs for assertive community treatment, including mental health challenges and support required.
04
Step 4: Obtain signatures from any required professionals, such as a psychiatrist or therapist.
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Step 5: Submit the application to the appropriate agency or mental health provider.
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Step 6: Follow up with the agency to ensure the application is being processed and to provide any additional information if requested.

Who needs assertive community treatment act?

01
Individuals with serious mental health disorders who require continuous support.
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People who struggle to engage with traditional treatment options due to various barriers.
03
Individuals facing challenges in daily living skills and community integration.
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Those who have experienced repeated hospitalizations or crises related to their mental health.
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The Assertive Community Treatment (ACT) Act is a mental health service delivery model aimed at providing comprehensive, community-based psychiatric treatment, rehabilitation, and support to individuals with severe mental illness.
Mental health service providers, including hospitals and community mental health organizations, are generally required to implement ACT principles and report on the services provided under the Assertive Community Treatment Act.
Filling out the Assertive Community Treatment Act typically involves documenting the individual's treatment plan, outcomes, progress notes, and any necessary reports based on the guidelines provided by local and state mental health authorities.
The purpose of the Assertive Community Treatment Act is to improve the quality of life for individuals with serious mental illness by ensuring they receive personalized, continuous, and comprehensive care in their community.
Information that must be reported includes the individual's diagnosis, treatment plans, services provided, progress notes, and any outcomes related to their mental health status.
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