The past ten years have seen greater use of assertive community treatment (ACT) and the growth of recovery-oriented approaches to care. In 2007 Washington launched a network of recovery-oriented ACT teams with the goal of reducing state psychiatric hospital use. Three studies this month present findings from an evaluation of this initiative. In the first, Joseph P. Morrissey, Ph.D., and colleagues compared 450 ACT recipients with 450 matched consumers who were receiving usual care and found that ACT participation led to an average reduction of 32 to 33 state hospital days per year, or annual savings of about $11,000 to $13,000 per person in state hospital costs. The effects were most notable among individuals who were high users of the state hospital at baseline, with annual per-person reductions of about $17,000 to $20,000 (page 303). In the second study, Marisa E. Domino, Ph.D., and colleagues investigated the timing of ACT’s effects in the same sample, partly to determine whether the “ACT-for-life” mandate—the principle of unlimited treatment duration—was necessary for some consumers. Cost differences for ACT recipients were largest immediately after enrollment and tapered to insignificance at 27 months, leading the authors to conclude that—at least in terms of hospitalization outcomes—exposure to ACT could be reduced for some consumers (page 312). In the third study, Gary S. Cuddeback, Ph.D., and colleagues used a recently developed tool that measures ACT fidelity to determine whether Washington ACT teams with greater fidelity helped consumers achieve better outcomes (page 318).