ACT and Recovery: Integrating Evidence-Based Practice and Recovery Orientation on Assertive Community Treatment Teams

2007 ◽  
Vol 43 (6) ◽  
pp. 619-641 ◽  
Author(s):  
Michelle P. Salyers ◽  
Sam Tsemberis
Keyword(s):  
Assertive Community Treatment ◽  
Evidence Based Practice ◽  
Community Treatment ◽  
Evidence Based ◽  
Recovery Orientation

The Limits of Evidence-Based Medicine and Its Application to Mental Health Evidence-Based Practice (Part Two): Assertive Community Treatment Assertively Reviewed

2013 ◽  
Vol 15 (2) ◽  
pp. 73-86 ◽  
Author(s):  
Tomi Gomory
Keyword(s):  
Mental Health ◽  
Assertive Community Treatment ◽  
Evidence Based Medicine ◽  
Best Practice ◽  
Evidence Based Practice ◽  
Community Treatment ◽  
Evidence Based ◽  
Health Delivery ◽  
Based Medicine ◽  
Over 40 Years

This article is the second of two published in Ethical Psychology and Psychiatry; the first appeared in Volume 15, Number 1. The first article argued the very serious limitations of evidence-based medicine (EBM) and its very popular mental health offshoot evidence-based practice (EBP; Gomory, 2013). This article is meant to be a consolidation and update of a 1999 analysis of Assertive Community Treatment (ACT), the best “validated” mental health EBP according the National Institute of Mental Health (NIMH) and academic researchers. This analysis reconfirms the failure of ACT as a treatment modality and a platform for successfully reducing hospitalization; its touted consistent effect except when ACT can apply administrative coercion to keep its clients out of the hospital or quickly discharge them. When ACT fails to have such administrative coercive control, it does no better than other community mental health delivery systems. The use of ACT coercion begun over 40 years ago, the article further argues, set the table for conventionalizing psychiatric coercion as evidence-based best practice.

scholarly journals Measuring the Recovery Orientation of Assertive Community Treatment

2013 ◽  
Vol 19 (3) ◽  
pp. 117-128 ◽  
Author(s):  
Michelle P. Salyers ◽  
Laura G. Stull ◽  
Angela L. Rollins ◽  
John H. McGrew ◽  
Lia J. Hicks ◽  
...  
Keyword(s):  
Assertive Community Treatment ◽  
Community Treatment ◽  
Recovery Orientation

scholarly journals So what shall we do about assertive community treatment?

2008 ◽  
Vol 17 (2) ◽  
pp. 110-114 ◽  
Author(s):  
Sonia Johnson
Keyword(s):  
Assertive Community Treatment ◽  
Community Care ◽  
Risk Group ◽  
Full Range ◽  
Relevant Literature ◽  
High Risk Group ◽  
Community Treatment ◽  
Admission Rates ◽  
Recovery Orientation ◽  
Care Systems

AbstractThe usefulness of Assertive Community Treatment (ACT) in European countries with well-developed community care systems has been disputed, despite considerable relevant literature. This paper aims to assess reasons for and against implementing ACT in such countries. ACT may not be useful where generic community mental health teams are not yet well-developed, where admission rates are already low, or where an alternative model based on close integration of a full range of types of care is in place. Good reasons for introducing ACT include listening to patients' preferences, being able to monitor a high risk group of patients more successfully, good staff satisfaction, and the potential for using ACT teams as a platform for delivering interventions for difficult to treat psychosis. The ACT model is more likely to thrive in future if a recovery orientation can be adopted.

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