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The journal of mental health administration

, Volume 22, Issue 2, pp 113–125 | Cite as

Critical ingredients of assertive community treatment: Judgments of the experts

  • John H. McGrew
  • Gary R. Bond
Article

Abstract

Twenty experts on assertive community treatment (ACT) rated the importance of 73 program elements, also indicating ideal model specifications (e.g., minimum time commitment for psychiatrist) when appropriate. Interexpert agreement on ratings of importance was high (intraclassr=.94), although there was less agreement for some areas—for example, team structure (intraclassr=.70). Survey responses suggested several areas of increasing emphasis (e.g., vocational and addictions specialists) and of decreasing emphasis (e.g., the avoidance of office visits). Two subgroups of experts were identified—those who advocated large multidisciplinary teams (100 or more clients) and day and evening shifts, and those who advocated smaller, often generalist, teams (approximately 50 clients). Experts also reported ideal staffing for an ACT team. The most frequently identified disciplines were psychiatrist, nurse, and social worker. Implications for mental health policy—for example, quality assurance and program standards—are discussed.

Keywords

Mental Health Service Assertive Community Treatment Importance Rating Community Psychiatry Assertive Community Treatment Team 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Association of Mental Health Administrators 1995

Authors and Affiliations

  • John H. McGrew
    • 1
  • Gary R. Bond
    • 1
  1. 1.Department of Psychology, Purdue University School of ScienceIndiana University-Purdue University at IndianapolisIndianapolis

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