Assertive Community Treatment Team (ACTT)



Assertive Community Treatment Team (ACTT ) team is an inter-disciplinary team that provides intensive case management with a focus 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.


The inter-disciplinary team is comprised of a psychiatrist, registered nurses, social workers, occupational therapists, addictions counsellors,  recreation therapist and peer support worker. Staff spend approximately 80% of their time in the community providing services to the consumers. Support is provided seven (7) days a week.


Areas to which ACTT 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 ratio 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.



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 or services when they require more frequent contact that only an ACT Team can provide.



© Copyright 2019 Thresholds Homes and Supports. All Rights Reserved. Web Design and Content Management by REM Web Solutions.     |     Staff Login
Click here to contact us Crisis Services in Waterloo Wellington