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Innovations : assertive-community-treatment

Clinical Innovations

Title: Assertive Community Treatment for High Cost Patients


Organization: People Encouraging People  

Innovation Type: Comprehensive Case Management  

What They’re Doing: Assertive community treatment program for high-cost patients with mental illness and/or behavioral health issues.  

Clinical Innovation: Baltimore Mental Health Systems, Inc. in coordination with Value Options, the Administrative Services Organization for Maryland Public Mental Health System, identified the highest cost Medicaid users in Baltimore City of health care services and People Encouraging People enrolled them into their Assertive Community Treatment program. Assertive Community Treatment is a health services delivery model that provides comprehensive, community-based mental and behavioral health services and support. The approach uses multi-disciplinary teams of providers (psychiatrists, case managers, social workers, peer counselors, etc.) who provide care around the clock in the patient’s home or neighborhood location. Services may include case management, ongoing assessments, psychiatric services, substance abuse services, health education, employment and housing assistance.  

Evaluation Type: Quasi-Experimental .

Evaluation Plan: University of Maryland Evidenced Based Practice Center is conducting the evaluation. The evaluator will review claims data for the 19 individuals enrolled in the program to determine care utilization and cost before and after enrollment in the program to assess any cost reduction. Preliminary ED and hospital utilization data.

Patient Health and Cost Outcomes: Data will be available October 2012.  

Publications: None

Target Population: Adult (aged 18 and over) consumers with a severe and persistent mental illness who have been identified by Value Options, the Administrative Services Organization for Maryland Public Mental Health System as the highest cost utilizers of health care services.

Date of Implementation: November, 1, 2010

Contact: Dimitrios Cavathas, LCSW-C, Division Director of Community Services,

Multimedia: Pending

Where to learn more:


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