Flexible ACT & Resource-group ACT: Different Working Procedures Which Can Supplement and Strengthen Each Other. A Response#

Remmers van Veldhuizen 1, *, Philippe Delespaul 2, Hans Kroon 3, Niels Mulder 4
1 CCAF (Certification Centre for ACT and FACT), Utrecht, The Netherlands
2 Innovations in Mental Health Care, Maastricht University and Mondriaan (Mental Health Service), The Netherlands
3 Reintegration and Community Care, Trimbos Institute, Utrecht, The Netherlands
4 Public Mental Health, Epidemiological and Social Psychiatric Research institute, Erasmus MC; Parnassia Psychiatric Institute, The Netherlands

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© Veldhuizen et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the CCAF, PO Box 543, 3440 AM Woerden, The Netherlands, Tel: +31653233193; E-mail:
# A commentary article in response to ‘Absence of Positive Results for Flexible Assertive Community Treatment. What is the next approach?’ (T. Nordén & T. Norlander in Clinical Practice & Epidemiology in Mental Health, 2014: 10, 87-91.)


This article is a response to Nordén and Norlander’s ‘Absence of Positive Results for Flexible Assertive Community Treatment. What is the next approach?’[1], in which they assert that ‘at present [there is] no evidence for Flexible ACT and… that RACT might be able to provide new impulses and new vitality to the treatment mode of ACT’. We question their analyses and conclusions. We clarify Flexible ACT, referring to the Flexible Assertive Community Treatment Manual (van Veldhuizen, 2013) [2] to rectify misconceptions. We discuss Nordén and Norlander’s interpretation of research on Flexible ACT. The fact that too little research has been done and that there are insufficient positive results cannot serve as a reason to propagate RACT. However, the Resource Group method does provide inspiration for working with clients to involve their networks more effectively in Flexible ACT.

Keywords: ACT, community care, FACT, flexible ACT, RACT, resource ACT.