Personal Assistance in Community Existence (PACE): An Alternative to PACT

Daniel B. Fisher, University of Massachusetts Medical School
Laurie Ahern, National Empowerment Center

At the time of publication, Daniel Fisher was not yet affiliated with the University of Massachusetts Medical School.


Personal Assistance in Community Existence (PACE) is the National Empowerment Center's new approach to assisting people to fully recover from mental illness at their own pace. PACE is based on the principles of the empowerment model of recovery: self-determination, being believed in, a belief in full recovery, trust, respect, and noncoercion. PACE is proposed as an alternative to PACT (Program in Assertive Community Treatment) whose emphasis on the medical model of coercion and lifetime illness interferes with recovery and prevents most consumer/survivors from seeking services.