The Norfolk CSB's Program of Assertive Community Treatment, known as PACT, is a community-based program that provides intensive mental health services to adults with severe and persistent mental illnesses. These individuals have difficulty with maintaining stability, and often resist or avoid involvement with mental health services as a result of their mental health symptoms. These symptoms cause them to experience significant distress, impairment, and functional limitations in their adult role functioning that are not effectively remedied by other available treatments.
The three primary components of the PACT Program are: (1) Treatment, (2) Rehabilitation, and (3) Support Services. The program’s goal is to increase community stability and promote recovery, thereby improving quality of life and reducing the risk of hospitalization, incarceration, and/or homelessness for individuals served. There is an emphasis on outreach; relationship building; continuity of caregivers over time; service provision in natural settings; and individualization of services.
PACT is designed to provide services through an interdisciplinary team of mental health professionals, including a designated psychiatrist, nursing staff, case managers, substance abuse counselors, and vocational and peer specialists. The interdisciplinary team provides the majority of services and minimally refers to outside service providers, other than for medical care. Services are provided daily, including evenings, weekends, and holidays.
Specific services provided under the PACT umbrella are as follows:
Assessment of symptoms and needs
Psychopharmacological treatment, medication administration, and monitoring
Skills training in activities of daily living, social skills, and interpersonal relationships
Collaboration with families, providers, and other involved parties in the consumer’s treatment
Assistance with maintaining physical health
Work-related services to help find and maintain employment; support for resuming education
Substance abuse treatment
Peer counseling and recovery training
Direct support and advocacy to help individuals access community resources
Mobile crisis assessment and intervention; collaboration with Emergency Services and hospitals