Aging in Action


a middle-aged man helping an elderly woman walk in a kitchen

Life changes as we become older. Some people enter the later stages of life feeling positive about life. Wisdom and experience alter how we see the world. There are many benefits that come from living a long life. However, the aging process can also be challenging. A person may notice physical changes that make it hard to hear or see things clearly. Health problems can lead to increases in pain and discomfort. Moving around or managing tasks that used to be easy to complete are now difficult. It can be harder to remember things or pay attention when people are talking about something important. Feelings of frustration and loss are natural when we can no longer do things that we once took for granted. People who are aging may feel that they are no longer as independent and in control of their lives. Positive supports are used to help people who are elderly adjust to the changes that occur with age. These practices are often used to improve quality of life and mental health in nursing homes, medical settings, with family members at home, and in the community.

In Depth


Minnesota Resources

Minnesota Adult Mental Health Assertive Community Treatment Information

Minnesota Standards for Assertive Community Treatment

Minnesota Assertive Community Treatment Dartmouth Assertive Community Treatment Scale

National Resources

Assertive Community Treatment Summary

Assertive Community Treatment Implementation Manual—The Evidence-based Treatment Guide from The Center for Evidence-based Practices and Its Ohio Assertive Community Treatment Coordinating Center of Excellence

Assertive Community Treatment and Motivational Interviewing
Manthey TJ, Blajeski S & Monroe-DeVita M. (2012). Motivational Interviewing and Assertive Community Treatment: A Case for Training ACT Teams.  International Journal of Psychosocial Rehabilitation. Vol 16(1) 5-16.

Article on Fidelity of Implementation: Tool for Measurement of Assertive Community Treatment 
Monroe-DeVita, M., Teague. G.B., & Moser, L.L. (2011). The TMACT: A New Tool for Measuring Fidelity to Assertive Community Treatment.Journal of the American Psychiatric Nurses Association, 17: 17 DOI: 10.1177/1078390310394658

Cost Effectiveness of Assertive Community Treatment
Clark, R. E., Teague, G. B., Ricketts, S. K., Bush, P. W., Xie, H., McGuire, T. G., … Zubkoff, M. (1998). Cost-effectiveness of assertive community treatment versus standard case management for persons with co-occurring severe mental illness and substance use disorders. Health Services Research, 33(5 Pt. 1), 1285–1308.