Assertive Community Treatment (ACT)


Assertive Community Treatment (ACT) team is an inter-disciplinary team that provides intensive case management focusing on support, rehabilitation and treatment to individuals with severe and persistent mental health or concurrent issues. The program helps people achieve

their goals, improve their health and quality of life, and live as independently as possible.


Team members’ specialties include psychiatry, registered nursing, social work, occupational therapy, addictions, therapeutic recreation and

peer support.


Referral Process – An ACT Referral Form for Waterloo Region needs to be completed and can be accessed by contacting Here 24/7 at

1-844-437-3247. New referral applications are reviewed by a Community Intake Group. Each referral is assessed to confirm that ACT is the appropriate level of support required. Consumers are referred to the Assertive Community Treatment team from other less intensive teams/services when they require more frequent contact that only an ACT team can provide. Staff spend approximately 80% of their time in the community visiting consumers.


Areas to which ACT provides assistance:

  • Daily Activities
  • Family Life
  • Housing Assistance
  • Financial Management
  • Counseling
  • Health
  • Medication Support
  • Entitlements (ODSP; CPP)
  • Substance Abuse Treatment

Services are targeted to a specific group of individuals with severe mental illness. Rather than brokering services, treatment, support and rehabilitation services are provided directly by the ACT team. Team members share responsibility for the individuals served by the team. The

staff to consumer ration is small (approx. 1 to 10). The range of treatment and services is comprehensive and flexible. Interventions are carried

out in the community rather than in the hospital or clinic settings and there is no arbitrary time limit on receiving services. Treatment, support

and rehabilitation services are individualized and the team is assertive in engaging individuals in treatment and monitoring.


For those individuals who have experienced enhanced recovery over time, the Thresholds ACT program has a STEP-DOWN component to the service. Individuals in STEP-DOWN were previously supported by ACTT and are transitioned to a Housing Support Coordinator for ongoing support. Should the need arise, they can be moved up to ACTT level support at any time. Typically in the STEP-DOWN program, people are supported in less intensive/less frequent manor.





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