A nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse recommend a referral for assertive community treatment (ACT)?
Explanation & Rationale
A. A client who has a new diagnosis of major depressive disorder: Clients with newly diagnosed depression typically benefit from outpatient therapy, medication management, and support groups rather than ACT, which is designed for individuals with chronic, severe mental illness and frequent hospitalizations. B. A client who has repeated acute care admissions due to schizophrenia: Assertive Community Treatment (ACT) provides intensive, multidisciplinary, community-based support for clients with severe mental illness who struggle with medication adherence and recurrent hospitalizations. This model helps reduce relapse rates and improve functioning. C. A client who has requested family therapy following the death of a family member: This client would benefit from grief counseling or family therapy, not ACT, as their needs are situational and not related to chronic psychiatric instability. D. A client who has physical injuries following an incident of partner violence: This client requires crisis intervention, physical care, and referrals to domestic violence resources or shelters rather than ACT, since the issue is safety-related, not chronic mental illness management.