Bridging the gap between inpatient and outpatient providers using organizational elements of assertive community treatment

Neil Meisler, Alberto Santos, Melisa D. Rowland, Suzanne Smith, Monica Molloy, Shannon Tyson

Research output: Contribution to journalArticle

7 Scopus citations


Even among comprehensive local public mental health systems, there remain large gaps in continuity of care following discharge from inpatient settings. The authors describe a modification of the assertive community treatment (ACT) program model that links inpatients to ongoing community- based care, and provide preliminary evidence of its effectiveness as a component in a rationally organized comprehensive system of care. Given the recent trend toward managed Medicaid arrangements, there will be increased pressure to reduce clients' length of stay in ACT programs. State mental health authorities are cautioned to resist allowing managed care contractors to radically change the conditions under which ACT programs operate until there is greater evidence of the effectiveness of alternative approaches.

Original languageEnglish (US)
Pages (from-to)141-152
Number of pages12
JournalAdministration and Policy in Mental Health
Issue number2
StatePublished - Dec 1 1997


ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this