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If you are seeking help from Community Care Services you can call us at 313-389-7500 or request a call back from one of our access staff.


If there is an immediate risk of injury or death, please call 911. For a suicide prevention hotline, please call 1-(844)-623-4347.


Assertive Community Treatment (ACT)

When a person with a severe mental illness does not respond to traditional outpatient therapy, other approaches may be necessary. The Horizon’s Assertive Community Treatment (ACT) program is an intensive community-based program specifically designed for people who have had difficulty maintaining their recovery. The program provides strategies and coping skills to help individuals manage the challenges of living with a severe mental disorder.

Team Approach
Services are provided using a multidisciplinary team approach in the office and in the community. The treatment team consists of social workers, case managers, nurses, and psychiatrists. Services may include:

  • Minimum of two weekly contacts with ACT staff
  • Intensive case management
  • Integrated health care
  • Group therapy, individual therapy
  • Medication management
  • Peer support services
  • Coordination with natural supports, external services, community resources, self-help groups
  • Team approach offering access to several ACT team members that specialize in therapy, housing, employment, and substance use

Community Integration

ACT aims to provide the least restrictive level of care so individuals can remain safely in the community with team-based support. Goals may include:

  • Gain education
  • Obtain a job or volunteer position
  • Create and maintain meaningful relationships
  • Avoid hospitalization, incarceration
  • Participate in community activities
  • Symptom stability and medication adherence
  • Develop personal, living, and social skills
  • Manage physical health care services
  • Access entitlements and benefits

ACT Program Eligibility

Program Eligibility

1. Diagnosis of severe and persistent mental illness including schizophrenia spectrum disorders, bipolar disorder, and/or major depressive disorder

2. Symptoms affecting daily life functions

3. Not responsive to traditional outpatient services and has one or more of the following:

  • Two or more psychiatric inpatient admissions in the past year, or one long-term hospitalization of 180 days or more
  • Excessive use (two or more visits in a 30-day period) of crisis/emergency services with missed attempts for outpatient service follow-up
  • Chronic homelessness
  • Repeat (two or more in a 90-day period) arrests and incarceration for offenses related to mental illness such as trespassing, vagrancy, panhandling, or other minor offenses
  • Difficulty with medication adherence that requires monitoring and support

4. Requires intensive community support to avoid hospitalization, incarceration

5. Medicaid insurance