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Program of Assertive Community Treatment (PACT)

What is PACT?

PACT is for people with severe mental health disorders, who frequently need care in a psychiatric hospital or other crisis service. These clients often have challenges with traditional services, and may have a high risk or history of arrest and incarceration.

PACT serves up to 1,200 people statewide with effective and intensive outreach services. These services are evidence-based, recovery-oriented, and provided through a team approach. With small caseloads, PACT teams can address each person's needs and strengths to provide the right care at the right time.

Peer specialists help people transition back into their communities. Up to 85 percent of services are available within communities.

Program reviews are conducted at least once a year to measure progress with the following goals:

  • Reduce the need for care within state hospitals.
  • Increase satisfaction and quality of life.
  • Decrease the use of community inpatient and crisis services.
  • Increase employment.
  • Reduce involvement with criminal justice.

PACT statewide expansion

To bridge the gap for PACT services, the legislature mandated that the Health Care Authority (HCA) stand up three full, and two half, teams in fiscal year (FY) 2020 and three more full teams in FY 2021. The goal of expanding PACT teams is to increase capacity and keep individuals out of state hospitals.

Note: HCA has a role in standing up individual PACT teams, but does not operate them. To find a PACT team provider, view our active team directory.

Selection of PACT teams

PACT teams selected for 2020 fiscal year include:

selected teams will add capacity for an additional 400 people served. Three additional teams will be selected in the fall of 2020 through a procurement.

Coming in 2020: HCA will pilot  a new type of discharge wrap around service for individuals discharging or diverting from a state hospital to an Aging and Long Term Supports Administration (ALTSA) licensed facility.