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Is PACT a Viable Model for Older Adults with Severe Mental Illnesses?

Abstract Adults aged 60 and older are the fastest growing segment of the American population. Only a fraction of older adults who acknowledge mental health problems receive specialty mental health services. This study examined service utilization, service costs and outcomes in a Program of Assertive Community Treatment (PACT) specifically designed to meet the needs of older adults with severe mental illnesses. The majority of individuals entered the program from institutional care. Ninety-three percent had a diagnosis in the schizophrenic spectrum. On average, individuals received 201.10 contacts (184.7 hours) over 365 days. The majority of contacts were for rehabilitation services, followed by medication support services, by case management and crisis intervention. Total cost for services was $1,319,115 compared with $3,285,663 for the year prior to enrollment. The results suggest that PACT is a promising model to meet the needs of older adults with severe mental illnesses in a manner that both decreases costs and enhances recovery.