North Carolina certifies ACT teams as meeting exceptional practice level with a rating of 4.3 or higher on the Tool for Measurement of Assertive Community Treatment (TMACT). This is following the NC ACT service definition that mandates that each ACT team completes regular fidelity reviews. Certifications are modified with every TMACT review a team completes.

This document issued by the UNC Institute for Best Practices shows NC ACT Teams that have met Exceptional Practice level at the time of their most recent TMACT review. Due to potential lengthy time frames between reviews for NC ACT Teams meeting exceptional practice level, we encourage all interested parties to note that TMACT reviews are a point in time rating. Since the last review, the fidelity of ACT Teams could have been affected by numerous factors (new Team Leads, ACT staff turnover, change in agency policies, drift from best practices, etc).

We recognize the hard work, training, and high level of supervision that is required of teams to reach exceptional practice. The UNC Institute for Best Practices stresses not only the importance of assisting teams in reaching this level of practice, but in supporting teams in maintaining exceptional practice.

Any questions about NC ACT Exceptional Practice Teams can be directed to Stephen Betuker (st*************@me*.edu).


Physician Alliance for Mental Health Wilmington A Team

August 2019

Carolina Outreach Kinston

May 2019

Meridian Behavioral Health Services Jackson County

November 2018

Daymark Recovery Services Moore County

October 2018

Easter Seals UCP Lillington

April 2018

Carolina Outreach Durham

September 2017, September 2015, January 2014

UNC Center for Excellence Chatham County

December 2016

Lutheran Services Chapel Hill   

September 2016