ACT Admission Criteria

Who Can Get Help from Marion County's ACT Team?

You may get ACT services if all of these are true:

• You are 18 or older.
• You live in Marion County.
• You have the Oregon Health Plan (OHP) and you are enrolled with PacificSource CCO.

We have a small number of spots for people who have Medicare only or no insurance.

1. You Have a Serious and Ongoing Mental Health Condition
You may qualify if a doctor says you have a serious and persistent mental illness (SPMI).
This can include:

• Schizophrenia or other serious thinking problems (psychotic disorders)
• Major Depressive Disorder (very serious depression)
• Bipolar Disorder
• Some anxiety disorders, including:
• Obsessive Compulsive Disorder (OCD)
• Posttraumatic Stress Disorder (PTSD)
  
• Schizotypal Personality Disorder

You usually do not qualify for ACT if your main problem is:

• Substance use (alcohol or drugs)
• Intellectual or developmental disabilities
• Traumatic brain injury
• Personality disorder
• Autism spectrum disorder

You may still qualify if you have one of these and also have a serious mental illness from the list above.

2. You Have Big Challenges in Daily Life
You may qualify if you have serious trouble doing everyday tasks, such as:

• Taking care of personal business (paying bills, handling mail)
• Getting medical, legal, or housing help
• Knowing how to stay safe and avoid danger
• Getting enough food and eating well
• Keeping yourself clean and taking care of your hygiene

You may also:

• Need a lot of help from family or friends to do these daily tasks
• Have a hard time keeping a job
• Have trouble doing things needed to live on your own, like:
• Making meals
• Washing clothes
• Budgeting money
• Taking care of children

You may also:

• Have trouble keeping a safe and steady place to live
• Have had evictions or lost housing more than once

3. You Need a High Level of Help
You may qualify if you need a lot of services each month (more than 8 hours), and one or more of these are true:

• You go to the psychiatric hospital or emergency room many times for mental health reasons (for example, 2 or more times in 6 months).
  
• You have strong and ongoing symptoms, such as:
• Very sad or intense moods
• Serious thinking problems (psychosis)
• Thoughts of hurting yourself
• You have had alcohol or drug problems for more than 6 months.
• You have a high risk for problems with the legal system (for example, arrest or jail).
• You have a hard time:
• Meeting basic needs like food, clothing, or shelter
• You live in poor or unsafe housing, or you are homeless or about to be homeless.

You may also qualify if:

• You live in a hospital or supervised home now, but your care team believes you could live more independently if you get intensive support from ACT.
• You might need to move to a hospital or facility if you do not get this higher level of help.
• You find it hard to use regular clinic services, like standard office visits, and need more support in the community.