# Assertive community treatment in a post-Soviet mental health system: Implementation lessons from Georgia's mental health teams - URL: https://alisanburak.com/en/wcp-2026-posterler/so201 - Language: en - Last updated: not specified - Page title: Assertive community treatment in a post-Soviet mental health system: Implementation lessons from Georgia's mental health teams | WCP 2026 Summary > An assertive community treatment–inspired model serving approximately 150 people with severe mental illness in Tbilisi, with a client-to-staff ratio of 10:1, a… This page was translated automatically from Turkish. [Read the original](https://alisanburak.com/wcp-2026-posterler/so201) This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it. SO201 Brief Oral Poster PresentationPublic Health and EpidemiologyQualitative study # Assertive community treatment in a post-Soviet mental health system: Implementation lessons from Georgia's mental health teams ASSERTIVE COMMUNITY TREATMENT IN A POST-SOVIET MENTAL HEALTH SYSTEM: IMPLEMENTATION LESSONS FROM GEORGIA'S MENTAL HEALTH TEAMS Presenter: Ketevan Shalikashvili Country: Georgia Institution: Tbilisi State Medical University Session: 3500 - PARALLEL SHORT ORAL POSTER SESSIONS: MISCELLANEOUS - Part III Date: Fri, 25.09.2026 An assertive community treatment–inspired model serving approximately 150 people with severe mental illness in Tbilisi, with a client-to-staff ratio of 10:1, appears feasible in a post-Soviet system, but integration with addiction services and primary care remains a major gap. The study aims to describe the structure and scope of an independent community mental health service run by a nongovernmental organization in Tbilisi, compare its delivery with the core principles of assertive community treatment (ACT), and identify the adaptations that enable it to operate locally. The method is a qualitative service-level evaluation based on observation, review of program documents, and interviews with clinical staff; findings were interpreted in relation to ACT components such as team composition, caseload, service intensity, and integration with community services. The service provides ongoing care to approximately 150 people with severe mental illness, reports a client-to-staff ratio of 10:1, and allocates patients according to their area of residence and personal preference. A single multidisciplinary team includes a psychiatrist, psychologist, social worker, occupational therapist, pharmacist, and peer worker; home visits take place approximately twice a week, the caseload is shared, and the entire team reviews each patient. An on-call pair of staff and a crisis telephone line are available outside working hours, and medications are delivered during home visits or collected from the office. Observed benefits include greater patient involvement in their own care and greater autonomy, more collaborative and less conflictual relationships (most patients live with paranoid schizophrenia), stronger family relationships, and team discussions informed by multiple perspectives, particularly through the contributions of peer workers; the abstract also reports improved continuity of care and fewer hospital admissions. Integration with addiction services, primary care, and psychosocial rehabilitation remains a major gap; the strong role of families in care and the stigma associated with mental illness influence engagement with the service. The study concludes that an ACT-inspired model is feasible in a post-Soviet setting, that its benefits extend beyond symptom control to autonomy, family cohesion, and social recovery, and that adaptations to team composition, coordination, and family involvement may be needed to ensure sustainability. [View the original poster](https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/782) How to cite this study APA 7: Shalikashvili, K., et al. (2026, September 25). Assertive community treatment in a post-soviet mental health system: implementation lessons from georgia's mental health teams [Poster presentation]. 26th WPA World Congress of Psychiatry (WCP 2026), Stockholm, Sweden. https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/782 Vancouver: Shalikashvili K, et al. Assertive community treatment in a post-soviet mental health system: implementation lessons from georgia's mental health teams [poster]. 26th WPA World Congress of Psychiatry (WCP 2026); 2026 Sep 23-26; Stockholm, Sweden. 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