Assertive community treatment - is it the future of community care in the UK?

2000 ◽  
Vol 12 (3) ◽  
pp. 191-196 ◽  
Author(s):  
Max Marshall ◽  
Francis Creed
Keyword(s):  
Assertive Community Treatment ◽  
Community Care ◽  
Community Treatment ◽  
The Future ◽  
The Uk

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 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 Assertive community treatment in UK practice

2005 ◽  
Vol 11 (6) ◽  
pp. 388-397 ◽  
Author(s):  
Andrew Kent ◽  
Tom Burns
Keyword(s):  
Social Functioning ◽  
Assertive Community Treatment ◽  
Individual Case ◽  
Community Treatment ◽  
Team Members ◽  
Clozapine Treatment ◽  
Wide Range ◽  
The Uk ◽  
Poor Medication Adherence

Since 2000 assertive outreach has been a requirement of community mental health provision in the UK. This has led to rapid proliferation of assertive community treatment teams offering a pure form of clinical case management to people with severe mental illness. The teams provide intensive support in obtaining material essentials such as food and shelter and place a greater emphasis on social functioning and quality of life than on symptoms. People with psychotic illness with fluctuating mental state and social functioning and poor medication adherence are most likely to benefit. Teams are ideally placed to monitor clozapine treatment in the community. Teams require a broad skills mix, and team members need some competence across a wide range of areas. Teams should include a psychiatrist or have regular access to one. Ideal individual case-loads are 10–12 patients. Around-the-clock availability is no longer considered essential, particularly in view of the rise of crisis resolution/home treatment teams.

Community treatment order legislation in the Commonwealth

2016 ◽  
Author(s):  
John Dawson
Keyword(s):  
Outpatient Treatment ◽  
Community Care ◽  
Common Law ◽  
Community Treatment ◽  
Community Treatment Orders ◽  
Treatment Plans ◽  
The Uk ◽  
Treatment Order ◽  
Community Treatment Order

This chapter provides an overview of legislation governing the use of community treatment orders (CTOs)—that authorize compulsory outpatient treatment—in the UK, Canada, Australia, and New Zealand. It focuses particularly on the cluster of powers that CTOs confer on community mental health teams, permitting them to continue supervising a person’s outpatient care. It covers the criteria, procedures, and structure of authority for a CTO, the conditions such an order can impose on a person’s community care, the role of statutory treatment plans, and the powers available to enforce the outpatient treatment regime, especially the power of recall to hospital—analysing and comparing the subtly different regimes enacted in these Commonwealth nations that share a common law tradition.

Assertive Community Treatment in the UK

2002 ◽  
Vol 53 (5) ◽  
pp. 630-a-631 ◽  
Author(s):  
Tom Burns ◽  
Jocelyn Catty
Keyword(s):  
Assertive Community Treatment ◽  
Community Treatment ◽  
The Uk

Doing More Than Act: The Dutch Fact Model, Flexible Assertive Community Treatment

2016 ◽  
Vol 33 (S1) ◽  
pp. S481-S482
Author(s):  
R. Keet
Keyword(s):  
The Netherlands ◽  
Assertive Community Treatment ◽  
Rural Areas ◽  
Service Providers ◽  
Mental Illnesses ◽  
Community Treatment ◽  
Time Service ◽  
Competing Interest ◽  
The Uk ◽  
Model Transition

Background/objectivesAssertive community treatment (ACT) has become the standard for integrated care for people with severe mental illnesses. Limitations of ACT are the lack of flexibility, the limited feasibility in rural areas, the limited population and the time-unlimited nature. These limitations can be overcome by flexible assertive community treatment (Flexible ACT), developed in the Netherlands and introduced in several European countries.MethodsThree studies were done between 2006 and 2015 on the results of the introduction of Flexible ACT, two in The Netherlands and one in the UK.ResultsThe outcomes in the Netherlands data show the effectiveness of Flexible ACT. Remission of schizophrenia increased form 19% to 31%. Bed use was reduced and quality of life increased. Effectiveness of FACT was also shown in the UK, where total patient time in hospital declined by half, even though the average time service providers spent with patients also declined. Collected data of the digitalized boards show that the board is used in accordance with the FACT model. Transition rate to primary care is 5–10% per year.Discussion/conclusionThe introduction of Flexible ACT has been shown to benefit patients with severe mental illness and indicate the ability of to allocate human resources in mental health care more efficiently. Introduction to other countries will be accompanied by research on the effectiveness and feasibility within other cultures.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

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