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.

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 A visitor's view of Madison's Program for Assertive Community Treatment (PACT)

1989 ◽  
Vol 13 (7) ◽  
pp. 352-355 ◽  
Author(s):  
M. Muijen ◽  
G. McNamee
Keyword(s):  
Mental Health ◽  
Assertive Community Treatment ◽  
Community Care ◽  
Research Programme ◽  
Community Treatment ◽  
Positive Research ◽  
Schizophrenic Patients ◽  
Research Findings ◽  
Long Term Prognosis ◽  
The Uk

Before commencing work on the Daily Living Programme at the Maudsley Hospital, in London, to compare the benefits of community care with standard hospital admission for patients with serious mental illness, a visit to Madison was arranged, where some ten years ago a similar study had been carried out (Stein & Test, 1980). We had the impression from the substantial literature which has appeared on the mental health service in Madison (Stein & Test, 1985) that they have implemented in practice their positive research findings on community care. It was felt that their lengthy experience with such a service could be beneficial to the UK, where such services are now being developed. This visit included PACT (Program for Assertive Community Treatment); a research programme investigating the long-term prognosis of mainly schizophrenic patients, and the various units of the mental health services in Madison.

scholarly journals Commentary

1996 ◽  
Vol 2 (4) ◽  
pp. 150-150 ◽  
Author(s):  
Steven R. Hirsch
Keyword(s):  
Assertive Community Treatment ◽  
Mentally Ill ◽  
Community Care ◽  
Coping Skills ◽  
Community Treatment ◽  
Community Living ◽  
Open Society ◽  
The Face ◽  
Mental Institution

It is difficult not to be won over by the description of assertive community treatment that promises nearly total caring for the most chronically disabled mentally ill, including “the material essentials of life such as food, clothing and shelter, coping skills necessary to meet the demands of community living and motivation to persevere in the face of life's adversity”. If we keep in mind that this approach is for patients who in previous decades would have spent their life in a mental institution, one can readily justify the transfer of expense and resources to this hopefully more humane form of treatment which allows patients to live within the context of open society, a preference they inevitably opt for when surveyed after a move from hospitalisation to community care.

scholarly journals Case management and assertive community treatment. What is the difference?

2008 ◽  
Vol 17 (2) ◽  
pp. 99-105 ◽  
Author(s):  
Tom Burns
Keyword(s):  
Case Management ◽  
Assertive Community Treatment ◽  
Health Care Systems ◽  
Unintended Consequences ◽  
Community Treatment ◽  
Small Range ◽  
Bed Management ◽  
Published Evidence ◽  
Management Procedures ◽  
Care Systems

AbstractThere has been a long-running controversy about the relative benefits of Assertive Community Treatment (ACT) compared to Case Management (CM). Several health care systems have initiated major service overhauls on the basis of published evidence. Yet this evidence has been ambiguous and supports differing interpretations. Research is examined which explores the differences in outcomes reported. It uses a range of approaches, most prominently meta-regression, to test a small range of hypotheses to explain the heterogeneity in outcomes. The main determinant of differences between ACT and CM studies is the local bed management procedures and occupancy practice. Those organizational aspects of ACT which are generally shared by CM teams are associated with reduced hospital care but the stringent staffing proposed for ACT does not affect it. ACT is a specialized form of CM, not a categorically different approach. The benefits of introducing it will depend on the nature of current local practice. Important lessons about the need to focus on treatments rather than structures seem not to have been learnt. Psychiatry's recent excessive focus on service structures may have had unintended consequences for our professional identity.

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