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Social and Community Psychiatry pp 249–275Cite as

Assertive Community Treatment: Home Intervention for People with Severe and Enduring Mental Health Problems: Designing the Greek Model

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Abstract

Home intervention for people with severe and enduring mental health problems – assertive community treatment (ACT) – is an intensive intervention programme in the community for people with severe mental illnesses. In the 35 years since the introduction of this specific model, numerous intervention teams were established worldwide, while the criticism directed at the model on the matter of methodology (intervention techniques and targeting) as well as the cost-effectiveness of similar programmes is interesting. Hereinafter, the authors examine the attempts made to form similar teams in Greece, while focusing on the particular socioeconomic conditions and legal/institutional framework in which such attempts were made.

Finally, they present the EPAPSY Day Centre Home Intervention Team and, at the same time, raise the question concerning the manner in which such teams will be supported and framed.

“Tonight we Improvise” (Questa Sera si Recita a Soggeto)

(Luigi Pirandello, 1929)

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Bibliography

  • Amering M, Schmolke M (2009) Recovery in mental health: reshaping scientific and clinical responsibilities. Wiley, West Sussex

    Book  Google Scholar 

  • Boardman J, Parsonage M (2007) Delivering the government’s mental health policies. SCMH, London

    Google Scholar 

  • Bond GR, Salyers MP (2004) Prediction of outcome from the Dartmouth assertive community treatment fidelity scale. CNS Spectr 9(12):937–942

    PubMed  Google Scholar 

  • Burns T (2010) The rise and fall of assertive community treatment? Int Rev Psychiatry 22(2):130–137

    Article  PubMed  Google Scholar 

  • Burns T, Guest L (1999) Running an assertive community treatment team. Adv Psychiatr Treat 5(5):348–356

    Article  Google Scholar 

  • Chapman T, Goodwin S, Hennely R (1991) A new deal for the mentally ill: progress for propaganda? Crit Soc Policy 11(32):5–20

    Article  Google Scholar 

  • Deegan PE (1988) Recovery: the lived experience of rehabilitation. Psychosoc Rehabil J 11(4):11–19

    Article  Google Scholar 

  • Dixon L (2000) Assertive community treatment: twenty-five years of gold. Psychiatr Serv 51(6):759–765

    Article  CAS  PubMed  Google Scholar 

  • Drake RE, Bond GR, Essock SM (2009) Implementing evidence-based practice for people with schizophrenia. Schizophr Bull 35(4):704–713

    Article  PubMed  PubMed Central  Google Scholar 

  • Drukker M, Laan W, Dreef F, Driessen G, Smeets H, Van Os J (2014) Can assertive community treatment remedy patients dropping out of treatment due to fragmented services? Community Ment Health J 50(4):454–459

    Article  PubMed  Google Scholar 

  • Dubuis J, Stylianidis S, Harnois GP (2006) La réhabilitation: une problématique mondiale. Inf Psychiatr 82(4):321–330

    Google Scholar 

  • Farkas M (2007) The vision of recovery today: what it is and what it means for services. World Psychiatry 6(2):68

    PubMed  PubMed Central  Google Scholar 

  • Goffman E (1968) Asylums: essays on the social situation of mental patients and other inmates. Aldine Transaction, Chicago

    Google Scholar 

  • James DV, Mullen PE, Pathé MT, Meloy JR, Preston LF, Darnley B, Farnham FR (2009) Stalkers and harassers of royalty: the role of mental illness and motivation. Psychol Med 39(09):1479–1490

    Article  CAS  PubMed  Google Scholar 

  • Kidd S, George L, O’ Connell M, Sylvestre J, Kirkpatrick H, Browne G, Thabane L (2010) Fidelity and recovery – orientation in assertive community treatment. Community Ment Health J 46(4):342–350

    Article  PubMed  Google Scholar 

  • Langan M (1990) Community care in the 1990’s. Crit Soc Policy 29:58–70

    Article  Google Scholar 

  • Leete E (1989) How I perceive and manage my illness. Schizophr Bull 15(2):197

    Article  CAS  PubMed  Google Scholar 

  • Mavreas VG, Tomaras V, Karydi V, Economou M, Stefanis CN (1992) Expressed emotion in families of chronic schizophrenics and its association with clinical measures. Soc Psychiatry Psychiatr Epidemiol 27(1):4–9

    Article  CAS  PubMed  Google Scholar 

  • Nordén T, Malm U, Norlander T (2012) Resource Group Assertive Community Treatment (RAct) as a tool of empowerment for clients with severe mental illness: a meta-analysis. Clin Pract Epidemiol Mental Health: CP & EMH 8:144–151

    Article  Google Scholar 

  • Phillips SD, Burns BJ, Edgar ER, Mueser KT, Linkins KW, Rosenheck RA, Herr ECM (2001) Moving assertive community treatment into standard practice. Psychiatr Serv 52(6):771–779

    Article  CAS  PubMed  Google Scholar 

  • Priebe S (2004) Institutionalization revisited–with and without walls. Acta Psychiatr Scand 110(2):81–82

    Article  PubMed  Google Scholar 

  • Rosen A, Mueser KT, Teesson M (2007) Assertive community treatment-issues from scientific and clinical literature with implications for practice. J Rehabil Res Dev 44(6):813

    Article  PubMed  Google Scholar 

  • Salyers MP, Tsemberis S (2007) ACT and recovery: integrating evidence-based practice and recovery orientation on assertive community treatment teams. Community Ment Health J 43(6):619–641

    Article  PubMed  Google Scholar 

  • Salyers MP, Bond GR, Teague GB, Cox JF, Smith ME, Hicks ML, Koop JI (2003) Is it ACT yet? Real-world examples of evaluating the degree of implementation for assertive community treatment. J Behav Health Serv Res 30(3):304–320

    Article  PubMed  Google Scholar 

  • Salyers M, Hichks L, McGuire A, Banmgandner H, Ring K, Hea-Won K (2009) A pilot to enhance the recovery orientation of ACT through per-provided illness management and recovery. Am J Psychiatr Rehabil 12(3):191–204

    Article  Google Scholar 

  • Salyers MP, Stull LG, Rollins AL, McGrew JH, Hicks LJ, Thomas D, Strieter D (2013) Measuring the recovery orientation of assertive community treatment. J Am Psychiatr Nurses Assoc 19(3):117–128

    Article  PubMed  PubMed Central  Google Scholar 

  • Stanhope V, Matejkowski J (2010) Understanding the role of individual consumer–provider relationships within assertive community treatment. Community Ment Health J 46(4):309–318

    Article  PubMed  Google Scholar 

  • Stull L, McGrew J, Salyers M (2010) Staff and consumer perspectives on defining treatment success and failure in assertive community treatment. Psychiatr Serv 61(9):929–932

    Article  PubMed  PubMed Central  Google Scholar 

  • Stylianidies S, Lavdas N, Markou K, Belekou P (2013) The concept of recovery from a serious psychiatric illness in modern psychiatric care: from the conceptual approach to its implementation in daily practice. Synapsis 24(1):55–64

    Google Scholar 

  • Stylianidis S (2003) Assertive community treatment: investigation of its application in Greek psychiatry. Arch Hell Med 20(3):243–250

    Google Scholar 

  • Stylianidis S, Gionakis N, Pantelidou S (2006) Guide for the organisation of crisis and emergency services. Ministry of Health and Social Solidarity, Operational Plan “Health – Welfare 2000-2006”, Athens

    Google Scholar 

  • Tschoop M, Berren N, Bong C (2001) Consumer perceptions of ACT interventions. Community Ment Health J 47:408–414

    Article  Google Scholar 

  • van Vugt MD, Kroon H, Delespaul PA, Mulder CL (2012) Consumer-providers in assertive community treatment programs: associations with client outcomes. Psychiatr Serv 63(5):477–481

    Article  PubMed  Google Scholar 

  • Watts J, Priebe S (2002) A phenomenological account of users’ experiences of assertive community treatment. Bioethics 16(5):439–454

    Article  PubMed  Google Scholar 

  • Webb AL, Wistow G (1987) Social work, social care and social planning: the personal social services since seebohm. Longman, London

    Google Scholar 

  • World Health Organization (WHO) Regional Office for Europe (2008) Policies and practices for mental health in Europe: meeting the challenges. WHO Regional Office Europe. http://www.euro.who.int/__data/assets/pdf_file/0006/96450/E91732.pdf

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Author information

Authors and Affiliations

  1. EPAPSY Recovery and Rehabilitation Day Centre, Athens, Greece

    Alex Krokidas (Service Manager) & Xenia Varvaressou (Home Intervention Team Manager)

  2. Department of Psychology, Panteion University, Athens, Greece

    Stelios Stylianidis

Authors
  1. Alex Krokidas
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  2. Xenia Varvaressou
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  3. Stelios Stylianidis
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Correspondence to Stelios Stylianidis .

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Editors and Affiliations

  1. Panteion University, Department of Psychology, Athens, Greece

    Stelios Stylianidis

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Krokidas, A., Varvaressou, X., Stylianidis, S. (2016). Assertive Community Treatment: Home Intervention for People with Severe and Enduring Mental Health Problems: Designing the Greek Model. In: Stylianidis, S. (eds) Social and Community Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-319-28616-7_13

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  • DOI: https://doi.org/10.1007/978-3-319-28616-7_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28614-3

  • Online ISBN: 978-3-319-28616-7

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