Community Living in Action


Senior woman picking out fresh vegetables with the assistance of a woman

Community settings are very diverse. Restaurants, libraries, churches, and stores are part of the community. Social events and activities occur in community settings. City buildings where people go to vote and be part of town discussions are also part of the community. Each person is involved in the community in different ways. Young children, youth, and older adults have different roles and strengths that they can bring to a community. Sometimes people do not feel like they are part of their community. Living with a mental illness, developmental disability, autism, traumatic brain injury or other disability sometimes makes it more difficult to reach out to other people. People may feel lonely or sad because they do not know how to make friends with other people. Positive supports are used to show people how to get more involved in activities. Sometimes positive supports help people make new friends. Other positive supports encourage someone to reach out to other people at social events. Making a contribution to your community can increase feelings of wellbeing. Becoming a volunteer, working in a job, and voting are part of giving back to a community. Some positive supports are used to help all of the people living in a community setting. These types of positive supports are used to improve everyone’s social and emotional health.

In Depth


Beach Center: Operation Positive Change: PBS in an urban Context

Impact: Sexuality Feature Issue on Sexuality and People with Intellectual, Developmental and Other Disabilities

Impact: Feature Issue on Parenting Teens and Young Adults with Disabilities

Association for Positive Behavior Support Home and Community Network

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.