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 HCA stand up three full, and two half, teams in FY 2020 and three more full teams in FY 2021. The goal of the increased PACT teams is to increase capacity and keep individuals out of state hospitals.

Selection of PACT teams

Selection of the first PACT teams will start in November of 2019. Startup funds will be provided to teams in order to assist with hiring and training. The goal is for PACT teams to start January, 2020.

Read the PACT fact sheet.

Intensive residential teams (IRT)

Intensive residential teams (IRT) work with people during discharge from state hospitals. IRT help individuals who have struggled to remain in community settings such as adult family homes (AFH) or assisted living facilities.

IRT provide intensive behavioral health care to the individual in their facility to help them transition to a lower level of care.

The teams

IRT teams provide services 16 hours a day five days a week. They work with individuals who live in adult family homes or assisted living facilities after discharge from a state hospital. Services are delivered where the client lives or other appropriate community setting.

Each team has:

  • A dedicated prescriber (availability and hours to be determined) or (prescriber will be available part-time)
  • Two full-time registered nurses (RN)
  • Two full-time mental health providers (MHP)
  • Two full-time peer counselors

The teams provide recovery based treatment designed to promote stability, safety, and help the individual transition to a lower level of care. The teams provide medication management to the clients and primary mental health services based on individual need. The entire team is trained in some form of cognitive behavioral therapy for psychosis (CBT-p) based on their qualifications.

Team startup

The legislature has funded an initial pilot program that will consist of four teams who will be sent across the state based on need. These teams will start delivering services starting January 1, 2020.

The Health Care Authority’s Division of Behavioral Health and Recovery (DBHR) 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.

The pilot is called Intensive Residential Treatment Teams (IRT Teams). An RFP is currently available through WEBS until November 15. Selectees will receive startup funds and training from the University of Washington

Read the IRT fact sheet.

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