Implementing assertive community care for patients with schizophrenia A case study of co-operation and collaboration between mental health care and social services

2002 ◽  
Vol 16 (3) ◽  
pp. 280-286 ◽  
Author(s):  
Kristin Falk ◽  
Peter Allebeck
2021 ◽  
Vol 5 (1) ◽  
pp. 135-144
Author(s):  
Natalie S. Sherry ◽  
Abigail Feder ◽  
Raymond Pan ◽  
Shawn R. Eagle ◽  
Anthony P. Kontos

Athletes with recent concussion experience a constellation of physical (e.g., headache, nausea), cognitive (e.g., memory problems, difficulty concentrating), sleep, and emotional (e.g., anxiety, depressed mood) symptoms after injury. Mental health changes may also be a product of typical maturation in adolescents/young adults, making mood disruption difficult to disentangle from concussion sequelae. In this case study, we present the case of a high-achieving 18-year-old female rower whose concussion clinical trajectory exhibits this type of difficulty. Specifically, we provide a detailed chronological summary of the athlete’s visits with a multidisciplinary concussion team. We highlight in this case study (a) an individualized, biopsychosocial model of concussion care and (b) subtle aspects of her clinical presentation that led the clinical team to transition her treatment focus from concussion specific to formal mental health care.


The use of coercion is one of the defining issues of mental health care and has been intensely controversial since the very earliest attempts to contain and treat the mentally ill. The balance between respecting autonomy and ensuring that those who most need treatment and support are provided with it has never been finer, with the ‘move into the community’ in many high-income countries over the last 50 years and the development of community services. The vast majority of patients worldwide now receive mental health care outside hospital, and this trend is increasing. New models of community care, such as assertive community treatment (ACT), have evolved as a result and there are widespread provisions for compulsory treatment in the community in the form of community treatment orders. These legal mechanisms now exist in over 75 jurisdictions worldwide. Many people using community services feel coerced, but at the same time intensive forms of treatment such as ACT, which arguably add pressure to patients to engage in treatment, have been associated with improved outcome. This volume draws together current knowledge about coercive practices worldwide, both those founded in law and those ‘informal’ processes whose coerciveness remains contested. It does so from a variety of perspectives, drawing on diverse disciplines such as history, law, sociology, anthropology, and medicine and for is explored


PLoS Medicine ◽  
2013 ◽  
Vol 10 (1) ◽  
pp. e1001371 ◽  
Author(s):  
Mark J. D. Jordans ◽  
Wietse A. Tol ◽  
Dessy Susanty ◽  
Prudence Ntamatumba ◽  
Nagendra P. Luitel ◽  
...  

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