Center for Health Policy and Research (CHPR) Publications


Financing assertive community treatment

UMMS Affiliation

Department of Family Medicine and Community Health; Center for Health Policy and Research; Clinical and Population Health Research

Publication Date


Document Type



Community Mental Health Services; Contract Services; Efficiency, Organizational; Financing, Government; Forecasting; Health Services Accessibility; Humans; Organizational Objectives; Outcome Assessment (Health Care); Reimbursement Mechanisms


Health Services Administration | Health Services Research | Public Health


Assertive community treatment (ACT) is a widely-used intervention for the most severely impaired persons with mental illness. Because it differs from traditional treatment approaches in its philosophy, its organization, and in the clients it serves, financing strategies that are appropriate for standard services may not be optimal for ACT. In developing new payment systems, policymakers must choose between targeted strategies that attempt to influence the treatment process directly and those that establish broad goals for effectiveness, access, and efficiency while allowing providers more latitude in the treatment process. These choices profoundly influence how and to whom ACT is available.


Adm Policy Ment Health. 1997 Nov;25(2):209-20.

Journal/Book/Conference Title

Administration and policy in mental health

Related Resources

Link to Article in PubMed