ACT Team (Assertive Community Treatment)
Assertive Community Treatment (ACT) is an Evidence-Based Practice Model designed to provide treatment, rehabilitation and support services to individuals who are diagnosed with a severe mental illness and whose needs have not been well met by more traditional mental health settings. ACT Teams provide services directly to an individual that are tailored to meet his or her specific needs.

The two ACT Teams are overseen by Director of ACT Services Melissa Alvino. Team Leaders; Richard Staab (ACT I) and Alisa Palumbo (ACT II), lead teams of licensed social workers, physicians, peer specialists, program assistants, registered nurses, and support staff who provide the services to clients. SAIL’s ACT I & II Teams are composed of full-time, part-time, and per-diem employees who are available for clients 24 hours per day and 7 days per week. The teams are made up of highly trained, education, and experienced professionals who serve some of the most high risk clients throughout the area.

ACT teams deliver services to individuals in their natural living settings rather than in hospital or clinic settings. This means that interventions and skills teaching are carried out at the locations where individuals live, work, socialize and where support is needed. The staff sees clients who are unable or unwilling to utilize the traditional mental health system. The staff also sees clients that have an AOT (Assisted Outpatient Treatment) petition written by local courts and magistrates. These clients are required to obtain such services as this team provides. Many of the clients also have various other life issues including drug and alcohol use, promiscuous behavior, and previous criminal histories in addition to their medical and psychological history.

SAIL’s ACT I program was established in 2003 and ACT II program in 2015. When operating at full capacity, these clinical programs serve approximately 68 “high need” clients. The ACT Team roster of clients remains generally full for the entire year as the County of Nassau remains dependent on such a team of professionals to provide these services.

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the Path to
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Director of ACT Services:
Melissa Alvino, MA
malvino@sail-inc.org

ACT I Team Leader:
Rich Staab, MA
rstaab@sail-inc.org

ACT II Team Leader:
Alisa Palumbo, LMSW
apalumbo@sail-inc.org

ACT I Psychiatrist:
Rosario Inciong, M.D.
rinciong@sail-inc.org

ACT II Psychiatrist:
Nara Narasimhan, M.D.
nnarasimhan@sail-inc.org