The Revised PACT Comprehensive Assessment has two primary aims: (1) to provide a method for integrated assessment and person-centered treatment planning, and (2) to facilitate engagement of the client with the PACT team while developing a shared understanding of the client.The PACT assessment has traditionally utilized eight domains; (1) Psychiatric History, Mental Status, and Diagnosis; (2) Physical Health; (3) Use of Drugs and Alcohol; (4) Education and Employment; (5) Social Development and Functioning; (6) Activities of Daily Living; (7) Family Structure and Relationships; and (8) Strengths and Resources. While the standard template of assessment provides a comprehensive “snapshot” of the client assessed, many teams find that they struggle with formulating the information gathered into a coherent and integrated source for effective treatment planning. As the PACT practice model continues to evolve, teams are encouraged to adopt assessment and treatment strategies that emphasize and facilitate an integrated as well as comprehensive approach. Without a sound approach and framework for assessment, key pieces of information are neglected, lost, or misunderstood, resulting in ineffective or even harmful treatment plans (Gambrill, 1997). The revised PACT Comprehensive Assessment restructures the original assessment, and includes the following interview sections: Mental Health and Personal Strengths, Physical Health, Substance Use, Sociocultural, Psychosocial, and Employment and Education.
Gambrill, E. (1997). Social work practice: A critical thinker's guide. New York: Oxford University Press.