PACT
Program of Assertive Community Treatment

The Downtown Emergency Service Center (DESC) is honored to be one of the few agencies in Washington to deliver a Program of Assertive Community Treatment (PACT). PACT is a nationally recognized practice that works with people with serious and persistent mental illness, assisting them in their journey towards recovery. The PACT model is distinguished by its intensive outreach and team-oriented, trans-disciplinary approach.

What goes into DESC's PACT Program?
Team Approach - DESC's PACT team consists of a psychiatrist, a psychiatric ARNP, nurses, mental health professionals, chemical dependency specialists, vocational specialists, social workers, and peer specialists all working together to help PACT participants reach their goals.
Small Caseload - Our team consists of 12-14 staff serving about 90 participants. This results in a ratio of about 9 participants for each staff person.
Fixed Point of Responsibility - Rather than sending participants to a variety of providers for assistance, the team provides most - if not all - the services each participant needs.
Off-site Services - Staff provide most services in the community where the help is needed.
Time Unlimited - Services are provided as long as they are needed. There is no fixed timeline or mandatory cut-off point, but some participants do "graduate" to less intensive services.

Frequently Asked Questions
Q: What makes PACT special?
A: More than 25 research studies demonstrate that PACT reduces hospital stays and improves housing stability while being more satisfactory to participants and their families than standard care. PACT is one of the 6 practices endorsed by the "Evidence Based Practice Project" sponsored by the Robert Wood Johnson Foundation, Substance Abuse and Mental Health Services Administration (SAMHSA), National Alliance for the Mentally Ill (NAMI) and several state and local agencies.
Q: How does the team approach work?
A: The traditional case management model usually involves one or two case managers who are responsible for a list of about 10-50 clients. In a PACT model, the entire team is responsible for every participant. PACT teams have daily team meetings in which they review the status of each person they serve and make a daily schedule of services to be provided in accordance to each participant’s current wants and needs.
Q: How do I sign up for PACT services?
A: Contact Lisa Floyd, King County PACT Program Manager at (206)263-8959, if you or someone you know is interested in receiving PACT services.

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