Therapeutic Agents of Assertive Community Treatment Article DOI:
Cite this article as: Chinman, M., Allende, M., Bailey, P. et al. Psychiatr Q (1999) 70: 137. doi:10.1023/A:1022101419854 Abstract
The goal of this study was to learn how assertive community treatment (ACT) contributes to the improvement of those with serious mental illness in order to contribute to the growing clinical literature regarding the therapeutic agents of ACT teams. Methods included reviewing the case records of three ACT clients who have improved significantly, as well as interviewing the clients themselves and their clinicians. The results indicated that there was significant agreement among the case records, the clients, and their clinicians in identifying the most useful aspects of assertive community treatment. Primary among these factors were the persistence demonstrated by ACT clinicians in engaging their clients, the trust that clients developed in their clinicians, and as a result, the process by which their clinicians became “guides” to the world of psychiatric and social services that further facilitated their clients' community adjustment. In closing, we consider implications from these findings both for staff development for ACT team members, and for suggestions toward the development of a model of recovery from serious mental illness.
Burns BJ, Santos AB: Assertive community treatment: an update of randomized trials. Psychiatric Services 46:669–675, 1995.
Olfson M: Assertive community treatment: an evaluation of the experimental evidence. Hospital and Community Psychiatry 41:634–641, 1990.
Santos AB, Henggeler SW, Burns BJ: Research on field-based services: models for reform in the delivery of mental health care to populations with complex clinical problems. American Journal of Psychiatry 152:1111–1123, 1995.
Scott JE, Dixon LB: Assertive community treatment and case management for schizophrenia. Schizophrenia Bulletin 21:657–668, 1995.
Bond GR, McGrew JH, Fekete DM: Assertive outreach for frequent users of psychiatric hospitals: a meta-analysis. The Journal of Mental Health Administration 22:4–16, 1995.
Bond GR, Witheridge TF, Dincin J, et al: Assertive community treatment for frequent users of psychiatric hospitals in a large city: a controlled study. American Journal of Community Psychology 18:865–891, 1990.
Teague GB, Drake RE, Ackerson TH: evaluating use of continuous treatment teams for persons with mental illness and substance abuse. Psychiatric Services 46:689–695, 1995.
Stein LI, Test MA: Alternative to mental hospital treatment, I: conceptual model, treatment program, and clinical evaluation. Archives of General Psychiatry 37:392–397, 1980.
McGrew JH, Bond GR: Critical ingredients of assertive community treatment: judgement of the experts. The Journal of Mental Health Administration 22:113–125, 1995.
Bond G: Variation in an assertive outreach model. New Directions for Mental Health Services 52:65–80,1991.
Mowbray CT, Moxley DP, Thrasher S: Consumers as community support providers: issues created by role innovation. Community Mental Health Journal 32:47–67, 1996.
Solomon P, Draine J: The efficacy of a consumer case management team: two year outcomes of a randomized trial. The Journal of Mental Health Administration 22:135–146, 1995d.
Davidson L, Stayner DA, Haglund KE: Phenomenological perspectives on the social functioning of people with schizophrenia. in, Handbook of Social Functioning in Schizophrenia. Edited by Muesser KT, Tarrier P. Needham Heights, MA, Allyn & Bacon Publishers, In press.
Goering PN, Stylianos SK: Exploring the helping relationship between the schizophrenic client and rehabilitation therapist. American Journal of Orthopsychiatry 58:271–280, 1988.
Kingdon DG, Turkington D: Cognitive-behavioral therapy of schizophrenia. New York, Guilford Press, 1994.
Davidson L, Lambert S, McGlashan T: Psychotherapeutic and cognitive-behavioral treatments for schizophrenia: Developing a disorder-specific form of psychotherapy for persons with psychosis, in Cognitive Psychotherapy of Psychotic Disorders. Edited by Perris C, McGorry P. Chichester, John Willey & Sons, In press.
Davidson L, Stayner DA, Lambert S, et al: Phenomenological and participatory research on schizophrenia: recovering the person in theory and practice. Journal of Social Issues, In press.
Davidson L, McGlashan T: The varied outcomes of schizophrenia. Canadian Journal of Psychiatry 42:34–43, 1997.
Google Scholar Copyright information
© Human Sciences Press, Inc. 1999