FC20-01 - Cultural competent assertive community treatment team for severe and persistently mentally ill: Innovations and adaptations

2011 ◽  
Vol 26 (S2) ◽  
pp. 1921-1921
Author(s):  
W. Chow ◽  
J. Sadavoy

The Cultural Competent Assertive Community Treatment Team (ACTT) is a joint venture sponsored by Mount Sinai Hospital in partnership with Hong Fook Mental Health Association established in 1999. This is the first ever cultural diverse mental health program using the cultural competency model. It was developed in response to the cultural diverse needs from the culturally diverse communities and supported with the best evidence-based research.Since the implementation of the program, we focused on identifying key issues that have facilitated or hindered the therapeutic alliances, patients’ service utilization and treatment compliance because of cultural differences in health concepts and health care systems.We will present what we have learned in literature review and the best evidence-based practice guidelines. Key cultural issues we have encountered with our clients will be described. Methods and strategies that are effective in overcoming cultural differences will be highlighted. We will use a case illustration to demonstrate our innovations and adaptations and will highlight lessons and challenges we have learned during the process of developing the cultural competency model. Feedbacks from the audience would be also incorporated to formulate the “best practice” guidelines. The guidelines will contribute significantly to the understanding of the complexity of cultural factors in treating mental illness but also ensure the effective service delivery to cultural diverse population.Cultural Competent Assertive Community Treatment Team has won American Psychiatric Foundation Advancing Minority Mental Health Award as well as the Leading Practice Award from Ontario Hospital Association in 2007.

2002 ◽  
Vol 26 (9) ◽  
pp. 339-341 ◽  
Author(s):  
Aileen O'Brien ◽  
Mike Firn

Aims and MethodThe study aims to describe the experience of an assertive community treatment team when commencing clozapine at home rather than in hospital, following a locally-devised policy. Any failed attempts and problems experienced are described.ResultsThere have been no serious adverse events with 13 patients who have been started on clozapine at home.Clinical ImplicationsFor an assertive community treatment team, home-initiation of clozapine is a practical option, particularly when patients refuse to come in to hospital.


2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
J.J. Martinez Jambrina

Assertive Community Treatment (ACT) or Assertive outreach is not a treatment but a way of organising and delivering care via a specialised team to provide intensive, highly co-ordinated and flexible support and treatment for clients with longer term needs living in the community. to be effective, teams must deliver a mix of evidence based psychosocial intervention and intensive practical support from multi-skilled and multi-disciplinary practitioners. This lecture will focus on an overview of ACT development in Spain and a number of issues affecting the implementation of ACT services. the Assertive Community Treatment team of Avilés (Asturias, Spain) was the first ACT service-delivery model implemented in Spain. It started in 1999 as an effort to give an answer to the increasing needs of patients with the most severe and persistent mental illnesses and their families. Due to lack of previous community-based programs following ACT model in Spain, our development process and start-up procedure have guided a number of similar teams all over our country.


2021 ◽  
Vol 33 (S1) ◽  
pp. 69-69
Author(s):  
Monica Taylor-Desir

Breast cancer, the most commonly diagnosed cancer in women worldwide, is responsible for one in six cancer deaths (Sung, H. et al., 2021). Women with schizophrenia have an associated increased incidence of breast cancer compared to the general population (Grassi & Riba, 2020). Patients with severe mental illness are noted to have disparities in accessing and initiating cancer treatment especially among those who are older (Iglay et al., 2017). A case vignette will be presented to illustrate the care and interventions provided by an American Assertive Community Treatment team which fostered supportive treatment engagement and improved the quality of life for a patient that chose to forgo recommended cancer treatment. This presentation will highlight the essential nature of the Assertive Community Treatment team in supporting decisional capacity, facilitation of a patient’s grief and acknowledgement of one’s own mortality as well as incorporation of medical and palliative care. The attendee will appreciate the importance of the multidisciplinary approach for persons with chronic mental illness and co-morbid cancer diagnoses.


Sign in / Sign up

Export Citation Format

Share Document