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Information CCAF in English |
On this page, you can find information about:
- ACT and FACT in the Netherlands
- the European ACT and FACT conference in 2011
- the CCAF
- model fidelty and certifcation
- how to get in touch with the CCAF
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ACT and FACT in the Netherlands |
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Both ACT and FACT teams operate in the Netherlands. The two models are outlined below.
ACT for the most severely ill patients
ACT provides multi-disciplinary care with shared caseloads for the 20% group of most severely ill patients with SMI. When a patient under the care of an ACT team stabilizes, he or she proceeds to a lighter form of care such as case management, provided by 'step-down' teams. There are now 35 ACT teams in the Netherlands. You can find these teams on the (F)ACT map on Google maps, where they are marked with red dots.
FACT for all SMI patients
FACT provides multi-disciplinary care for the whole group (100%) of SMI patients in a particular region (50,000 inhabitants). Continuity of care is provided for these patients. If necessary (in the event of an imminent crisis recurring psychosis, threat of readmission) a FACT team can provide full ACT care by switching to shared caseload and intensive outreach. After the crisis a step-down procedure takes place within the same team, which ensures more continuity.
Because the area covered is smaller, the team is better able to support social inclusion for these patients. The teams collaborate extensively with social partners for that purpose. There are now 80 FACT teams in the Netherlands. You can find these teams on the (F)ACT map on Google maps, where they are marked with blue dots. You can read more about the FACT approach in 'FACT: a Dutch version of ACT', which you can download below.
English literature about ACT and FACT in the Netherlands
You will find several Dutch studies of ACT and FACT (in English) on the page 'Literatuur over ACT en FACT' on this website.
download: Fact a dutch version of Act. |
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European ACT and FACT conference in 2011 |
The ACT method is used in several countries in Europe. As well as over a hundred ACT and FACT teams in the Netherlands, there are 250 ACT teams in the UK and 20 in Spain. Croatia has also started to introduce ACT.
The Council of Europe is in favour of intensive care outside psychiatric hospitals and optimal social inclusion for people with SMI. In conjunction with European partners, the CCAF aims to stimulate further use of the ACT and FACT models by providing information for policy makers, professionals and national client organizations.
Following the example of the annual ACT conference in the USA, the CCAF is  stimulating the organization of a biennial European ACT and FACT conference. The first will be held in the Netherlands, October 6 and 7, 2011. You can find more information about the conference or register your interest in attending it through the website of the conference: www.eaof.org or read about it in the flyer (download here). |
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The CCAF: Certification Centre for ACT and FACT |
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The CCAF (Certification Centre for ACT and FACT) is a non-profit foundation set up by Dutch mental health care professionals and researchers. The CCAF certifies ACT and FACT teams which maintain model fidelity. CCAF-certified teams deliver recognizable, similar and guaranteed quality of care and treatment. The certificates assure organizations, family representatives and mental health care purchasers of the quality provided by these teams. In this way the CCAF promotes model fidelity in the rollout of these two models for SMI patients. |
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Model fidelity and certification |
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The Certification Centre for ACT and FACT (CCAF) conducts audits of ACT and FACT teams to assess the teams' model fidelity. Teams found to satisfy the requirements are certified and included in the CCAF register. The Centre conducts about 30 audits a year.
The assessment of ACT teams
Until now, the CCAF has used a slightly adapted version of DACTS (Dartmouth ACT Scale) to assess ACT teams. When the TMACT - an enhanced ACT assessment tool being developed in the United States of America - is ready, it may be translated in Dutch.
The assessment of FACT teams
To assess FACT teams the CCAF uses the FACTs (FACT scale), which is partly based on DACTS, but includes more items relating to the process of care delivery, quality assurance and routine outcome monitoring. You can download the english version of the FACTs below.
download: FACTs: fidelity scale FACT - english version, december 2010 |
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CCAF: English information
