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Program of Assertive Community Treatment


The program is an effective, evidence-based, recovery-oriented mental health service delivery model that utilizes a trans-disciplinary team approach providing intensive outreach-oriented services to individuals with severe and persistent mental illnesses and co-occurring disorders.  Utilizing a client-centered approach, team members are responsibilities for addressing the needs of consumers and carry low caseloads to allow for individualized care and frequent contracts (1-10 staffing ratio).  Services are available 24/7 and directed to consumer needs with 75% to 85% of treatment services delivered in the community.  All services are intended to support recovery and fully reintegrate the consumer into the community by utilizing peer specialists and incorporating evidence-based and promising practices into individualized service planning.  PACT is for individuals who have high use of psychiatric hospitalization and crisis services, have difficulty benefiting from traditional services, and may have a high risk or history of arrest and incarceration. PACT is funded for $10.4 million per year for statewide implementation.

The10 PACT teams have the capacity to serve a total of 648 to 800 individuals statewide:

  • 6 full (urban) PACT teams (serving 80-100 consumers per team)
  • 4 half (rural) PACT teams (serving 42-50 consumers per team

On-site fidelity assessment reviews are conducted at least once a year.  PACT outcomes being considered for review include:

  • Gradual reduction of recently added state hospital beds
  • Decreased state hospital utilization
  • Increased consumer satisfaction and quality of life
  • Decreased community inpatient and crisis service utilization
  • Increase in employment
  • Reduction in criminal justice involvement and
  • Graduation from PACT


WA-PACT Program Standards

PACT Policies & Procedures Guidelines

WA-PACT Comprehensive Assessment Template

Practice Guidelines for Recovery Oriented Behavioral Health Care


Contact Information:

David Reed: