The assertive community treatment team as a complex dynamic system of care.


Journal Article

This paper presents a dynamic systems view of assertive community treatment (ACT), a recognized evidence-based treatment for adults with severe and persistent mental illness (SPMI). It is argued that because an ACT team operates as a complex adaptive system (CAS), it engages in the organizational processes of "sensemaking" and self-organization, which help to bring order to the actions of team members and sustainability of the intervention itself. Consequently, successful implementation of ACT requires that management technologies such as meaning-creation and design are used in conjunction with traditional "command and control" technologies of policies, procedures, processes, and structures.

Full Text

Duke Authors

Cited Authors

  • Allred, CA; Burns, BJ; Phillips, SD

Published Date

  • January 2005

Published In

Volume / Issue

  • 32 / 3

Start / End Page

  • 211 - 220

PubMed ID

  • 15844845

Pubmed Central ID

  • 15844845

International Standard Serial Number (ISSN)

  • 0894-587X


  • eng

Conference Location

  • United States