Measures
To measure fidelity the Dartmouth Assertive Community
Treatment Scale (DACTS) was employed.xviThe DACTS is the most widely-used fidelity measure for ACT.
It is a 28-item scale focused on three domains: human resources (e.g., Continuity of Staffing: Program maintains the same staffing over time)
, organizational boundaries (e.g., Responsi-bility for Crisis Services: Program has 24-hour responsibility for covering psychiatric crises)
and nature of services (e.g., Role of Consumers on Treatment Team: Consumers are involved as members of the team providing direct services).
Each item is rated on a 5-point scale ranging from ‘not implemented’ to ‘fully implemented’. While the DACTS
was initially created as an interviewer administered measure, it has since been successfully used as a self-report measure
xvii and was employed as such in the present study.