Miscellaneous ACT documents
Assertive Community Treatment - additional resources, links, and documents
Participants in some training classes have requested more information and.or sample documents used in other ATC teams. Below is a partial list provided by one trainer. No endorsement of these materials, either express or implied, is intended by providing these links.
ACTA: Assertive Community Treatment Association
NAMI's ACT page
ACT Center of Indiana
Ohio Coordinating Center for ATC
Peer Support Specialist Program
TIP 35: Enhancing Motivation for Change in Substance Abuse Treatment
General documents: - note: files are Word files (.doc), except where noted as Excel (.xls) or Acrobat Reader (.pdfs) files.
ACTT Audit Tool recommendations
DACTS Protocol (.pdf)
DACTS Scale (.pdf)
Iowa ACT Quarterly Outcomes Form (.xls)
Forms-General
Medical Records Request Letter - SOAR
Nurse/Psychiatrist
Disability Information
Informed Consent for Medication
MD Progress Note
Med Box Schedule
Substance Abuse
Drinking Calendar 2008
Drinking Calendar Instructions
MI Poster (.pdf)
Motivational Interviewing
Weekly Therapy Schedule
Team Leader
Daily Staff Attendance (.xls)
Master Schedule
Sample Schedule 10/5/07
Weekly Therapy Schedule
Service Definitions (.pdf)
WRAP Recovery
WRAP Mental Health News-Recovery
WRAP Overview
MHA's Assessment Forms
These forms are extremely detailed, so we have broken them into sections. They were created by Donna Duggins, who has graciously allowed us to provide them to you as guidelines in creating your own forms. We have typed them up into Word 2003 documents, so you may download them for use.
3. Comprehensive: Mental Health
6. Comprehensive: Social & Developmental
7. Comprehensive: Activities of Daily Living
8. Comprehensive: Family & Relationships
9. Comprehensive: Strengths & Resources
10. Comprehensive: Rights & Responsibilities
Note: Some files listed on this page are in PDF (Portable Document Format) and are compatible with Adobe Acrobat Reader 5.0 or higher. To obtain Acrobat Reader (free download) please use the link listed below.
Adobe Acrobat Reader