The authors are presenting the case report of a patient who was taken care for the Community Mental Health Team in Croatia, following the recommendations of WHO 2004 as well as IRIS guidelines, considering Basic standards for management of patients with serious mental illness in the community developed by GAMIAN-Europe.

Authors are presenting work of a case manager on the case of the patient who himself takes the responsibility to ensure that the needs of patient and his family are met, by acting in a more pro-active fashion (Assertive case management (ACT)). A care-plan for the patient is presented, which details all the care which the patient was receiving, and who is providing the care. This plan is agreed at the meeting of the patient, the family, the case -manager, the psychiatrist, and other team members who are providing some of the care (Social worker, Psychologist, Occupational worker). The plan is agreed collaboratively with the patient and the family and signed by all parties concerned, including the psychiatrist. The plan is reviewed at a formal meeting of those concerned at the end of the treatment.

We recommend developing Community Mental Health Teams in Croatia which are based on the ACT principle. They are more expensive and more demanding in terms of face to face patient contact, but it is evidence based that they give better long term results.