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Assertive community treatment

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https://www.readbyqxmd.com/read/28791496/forensic-assertive-community-treatment-in-a-continuum-of-care-for-male-internees-in-belgium-results-after-33-months
#1
Thomas Marquant, Bernard Sabbe, Meike Van Nuffel, Rudy Verelst, Kris Goethals
Non-forensic or regular assertive community treatment (ACT) has positive effects on non-forensic outcomes but has poor effects on forensic outcome measures. In this study, we examined non-forensic and forensic outcome measures of a forensic adaptation of ACT (ForACT) within a continuum of care for internees. Data were collected retrospectively from files of 70 participants in the ForACT group who had been released from a forensic hospital. The control group comprised internees who had left prison and entered community-based care (n = 56)...
August 8, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28768492/the-effect-of-youth-assertive-community-treatment-a-systematic-prisma-review
#2
Richard Vijverberg, Robert Ferdinand, Aartjan Beekman, Berno van Meijel
BACKGROUND: During the past decades deinstitutionalisation policies have led to a transition from inpatient towards community mental health care. Many European countries implement Assertive Community Treatment (ACT) as an alternative for inpatient care for "difficult to reach" children and adolescents with severe mental illness. ACT is a well-organized low-threshold treatment modality; patients are actively approached in their own environment, and efforts are undertaken to strengthen the patient's motivation for treatment...
August 2, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28731547/does-hospital-ownership-influence-hospital-referral-region-health-rankings-in-the-united-states
#3
Hanadi Hamadi, Emma Apatu, Aaron Spaulding
Extensive evidence demonstrates that a hospital's organizational ownership structure impacts its overall performance, but little is known concerning the influence of hospital structure on the health of its community. This paper explores the association between US hospital referral region (HRR) health rankings and hospital ownership and performance. Data from the 2016 Commonwealth Fund Scorecard on Local Health System Performance, the American Hospital Association dataset, and the Hospital Value-Based Purchasing dataset are utilized to conduct a cross-sectional analysis of 36 quality measures across 306 HRRs...
July 21, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28686473/improving-outcomes-for-homeless-people-with-alcohol-disorders-a-multi-program-community-based-approach
#4
Gary A Morse, Mary M York, Nathaniel Dell, Julie Blanco, Chelsea Birchmier
BACKGROUND: Relatively few community-based programs have been found to be helpful for homeless people with alcohol disorders, even though this group represents a high-risk, vulnerable population prone to poor outcomes. AIMS: This study sought to implement and evaluate intensive community-based programs for homeless people with alcohol disorders. METHOD: The project worked closely with a homeless outreach team for referrals, and then provided two different, intensive substance abuse treatment approaches matched to the needs of two subgroups: homeless individuals with alcohol disorders without severe mental illness received community reinforcement approach (CRA) and case management services, while those with alcohol and severe mental illness were assigned to assertive community treatment and integrated dual disorders (ACT/IDDT) services...
July 7, 2017: Journal of Mental Health
https://www.readbyqxmd.com/read/28667822/effects-of-comorbid-substance-use-disorders-on-outcomes-in-a-housing-first-intervention-for-homeless-people-with-mental-illness
#5
Karen Urbanoski, Scott Veldhuizen, Michael Krausz, Christian Schutz, Julian M Somers, Maritt Kirst, Marie-Josée Fleury, Vicky Stergiopoulos, Michelle Patterson, Verena Strehlau, Paula Goering
BACKGROUND AND AIMS: Evidence supports the effectiveness of Housing First (HF) programmes for people who are experiencing homelessness and mental illness; however, questions remain about its use in people with comorbid substance use disorders (SUD). The aim of this project was to test whether SUD modifies the effectiveness of an HF intervention. DESIGN: Secondary analysis of data from a randomized controlled trial of HF versus treatment-as-usual (TAU) with 24-month follow-up, comparing those with and without SUD at trial entry...
July 1, 2017: Addiction
https://www.readbyqxmd.com/read/28648100/the-replacement-of-assertive-outreach-services-by-reinforcing-local-community-teams-a-replication-study-reporting-comparative-outcomes-and-patient-reported-experience
#6
Mike Firn, Maria Alonso-Vicente, Dieneke Hubbeling, Jess Holley, Sarah Jane White, Ben Jones
BACKGROUND: This is the third in a series of papers on patient outcomes and other consequences of the withdrawal of specialist assertive outreach (AO) teams. We previously reported positive outcomes for patients receiving a less intensive service at up to four years, but had not systematically interviewed patients. AIMS: To test the generalizability of earlier findings through replication in another service. To complement the analysis of service utilisation with patient reported experience between the two treatment models...
June 24, 2017: Journal of Mental Health
https://www.readbyqxmd.com/read/28591137/increasing-medication-adherence-and-income-assistance-access-for-first-episode-psychosis-patients
#7
Jason Randall, Dan Chateau, James M Bolton, Mark Smith, Laurence Katz, Elaine Burland, Carole Taylor, Nathan C Nickel, Jennifer Enns, Alan Katz, Marni Brownell
BACKGROUND: Assertive community treatment for first-episode psychosis programs have been shown to improve symptoms and reduce service use. There is little or no evidence on whether these programs can increase access to income assistance and improve medication adherence in first episode psychosis patients. This research examines the impact of the Early Psychosis Prevention and Intervention Service (EPPIS) on these outcomes. METHODS: We extracted data on EPPIS patients held in the Data Repository at the Manitoba Centre for Health Policy...
2017: PloS One
https://www.readbyqxmd.com/read/28579708/field-based-evidence-of-single-and-few-doses-of-annual-ivermectin-treatment-efficacy-in-eliminating-skin-microfilaria-load-after-a-decade-of-intervention
#8
Hudu O Osue
BACKGROUND: Impact assessment of community-based ivermectin treatment control of onchocerciasis is required to determine its effectiveness. This study was conducted to evaluate geographic coverage and demographic ivermectin treatment compliance. METHODS: The number of village dosage were obtained from the community based distributors. Bioclinical data of participants comprising gender, age, number of treatment received from inception and dosage were obtained. Each participant was subjected to physical examination for palpable nodule and other skin clinical signs and symptoms of onchocerciasis...
March 2017: Ethiopian Journal of Health Sciences
https://www.readbyqxmd.com/read/28573365/-home-treatment-for-people-with-acute-mental-illnesses
#9
REVIEW
U Hepp, N Stulz
Home treatment has been proposed as an alternative to acute psychiatric inpatient treatment. Health insurance systems in Germany and in Switzerland hinder the nationwide implementation of home treatment teams into mental health systems, although the German S3 guidelines for psychosocial treatments of severe mental illnesses recommend provision of acute care at home. Evidence for home treatment is positive, yet there are only few up-to-date studies from Europe and differential indication criteria are lacking...
June 1, 2017: Der Nervenarzt
https://www.readbyqxmd.com/read/28566028/a-randomized-controlled-trial-of-the-rochester-forensic-assertive-community-treatment-model
#10
J Steven Lamberti, Robert L Weisman, Catherine Cerulli, Geoffrey C Williams, David B Jacobowitz, Kim T Mueser, Patricia D Marks, Robert L Strawderman, Donald Harrington, Tara A Lamberti, Eric D Caine
OBJECTIVE: Forensic assertive community treatment (FACT) is an adaptation of the assertive community treatment model and is designed to serve justice-involved adults with serious mental illness. This study compared the effectiveness of a standardized FACT model and enhanced treatment as usual in reducing jail and hospital use and in promoting engagement in outpatient mental health services. METHODS: Seventy adults with psychotic disorders who were arrested for misdemeanor crimes and who were eligible for conditional discharge were recruited from the Monroe County, New York, court system...
June 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28545572/intensive-case-management-for-addiction-to-promote-engagement-with-care-of-people-with-severe-mental-and-substance-use-disorders-an-observational-study
#11
Stéphane Morandi, Benedetta Silva, Philippe Golay, Charles Bonsack
BACKGROUND: Co-occurring severe mental and substance use disorders are associated with physical, psychological and social complications such as homelessness and unemployment. People with severe mental and substance use disorders are difficult to engage with care. The lack of treatment worsens their health and social conditions and increases treatment costs, as emergency department visits arise. Case management has proved to be effective in promoting engagement with care of people with severe mental and substance use disorders...
May 25, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/28540411/negative-symptoms-anxiety-and-depression-as-mechanisms-of-change-of-a-12-month-trial-of-assertive-community-treatment-as-part-of-integrated-care-in-patients-with-first-and-multi-episode-schizophrenia-spectrum-disorders-access-i-trial
#12
Stefanie J Schmidt, Matthias Lange, Daniel Schöttle, Anne Karow, Benno G Schimmelmann, Martin Lambert
Assertive community treatment (ACT) has shown to be effective in improving both functional deficits and quality of life (QoL) in patients with severe mental illness. However, the mechanisms of this beneficial effect remained unclear. We examined mechanisms of change by testing potential mediators including two subdomains of negative symptoms, i.e. social amotivation as well as expressive negative symptoms, anxiety, and depression within a therapeutic ACT model (ACCESS I trial) in a sample of 120 first- and multi-episode patients with a schizophrenia spectrum disorder (DSM-IV)...
May 24, 2017: European Archives of Psychiatry and Clinical Neuroscience
https://www.readbyqxmd.com/read/28530337/-assertive-community-treatment-act-for-better-outcomes-in-severe-mental-states-real-need-with-economical-effectiveness
#13
David Israeli, Israel Strous
No abstract text is available yet for this article.
December 2016: Harefuah
https://www.readbyqxmd.com/read/28502246/time-in-assertive-community-treatment-a-statewide-quality-improvement-initiative-to-reduce-length-of-participation
#14
Steven Huz, Helle Thorning, Candace N White, Lin Fang, Bikki Tran Smith, Marleen Radigan, Lisa B Dixon
The investigators describe a New York State initiative to increase flow through assertive community treatment (ACT) while encouraging transition to less intensive services. This initiative began as ACT approached full capacity and as evidence emerged that participants can sustain recovery post-ACT. Comparison of performance indicators over time showed that time in ACT decreased, turnover rate increased, and the percentage of ACT participants who met treatment objectives rose. Also, post-ACT rates of ambulatory behavioral health follow-up increased while rates of psychiatric inpatient hospitalization decreased...
May 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28435815/perception-of-hiv-aids-education-at-the-community-level-in-jordan
#15
Fathieh Abu Moghli, Suhair Al Habeesh, Lubna Abu Shikha
BACKGROUND: The control of spread of HIV takes concerted efforts at both national and international levels. Education is an important component of preventing the spread of HIV. This study aimed to assess the attitudes of parents, teachers and students towards informing children about HIV/AIDS, attitudes concerning 'proper' age to learn about HIV/AIDS, possible differences in attitudes relating to gender of child and what they should learn and ideas about the most 'adequate' person/institution to be responsible for provision of HIV/AIDS education...
March 2017: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/28421573/-forensic-flexible-assertive-community-treatment-client-characteristics-and-treatment-outcomes
#16
L Neijmeijer, J Verwoerd, M van Vugt, C Place, H Kroon
BACKGROUND: (Flexible) Assertive community treatment ((f)act) is applied increasingly to forensic psychiatric clients. However, evidence about the effectiveness of forensic (f)act is scanty. AIM: To investigate to what extent (subgroups of) clients receiving care from forensic (f)act teams show, after a year, changes in their social and psychological functioning and are subjected to fewer justicial outcome measures. METHOD: Between 2009 and 2011, eight forensic (f)act teams collected, at two measurement moments separated by an average of 12 months, data relating to client characteristics and outcomes of care...
2017: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/28366114/facilitation-of-psychiatric-advance-directives-by-peers-and-clinicians-on-assertive-community-treatment-teams
#17
Michele M Easter, Jeffrey W Swanson, Allison G Robertson, Lorna L Moser, Marvin S Swartz
OBJECTIVE: Psychiatric advance directives (PADs) provide a legal mechanism for competent adults to document care preferences and authorize a surrogate to make treatment decisions. In a controlled research setting, an evidence-based intervention, the facilitated psychiatric advance directive (FPAD), was previously shown to overcome most barriers to PAD completion. This study examined implementation of the FPAD intervention in usual care settings as delivered by peer support specialists and nonpeer clinicians on assertive community treatment (ACT) teams...
July 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28327086/design-of-the-lifestyle-interventions-for-severe-mentally-ill-outpatients-in-the-netherlands-lion-trial-a-cluster-randomised-controlled-study-of-a-multidimensional-web-tool-intervention-to-improve-cardiometabolic-health-in-patients-with-severe-mental-illness
#18
Anne Looijmans, Frederike Jörg, Richard Bruggeman, Robert Schoevers, Eva Corpeleijn
BACKGROUND: The cardiometabolic health of persons with a severe mental illness (SMI) is alarming with obesity rates of 45-55% and diabetes type 2 rates of 10-15%. Unhealthy lifestyle behaviours play a large role in this. Despite the multidisciplinary guideline for SMI patients recommending to monitor and address patients' lifestyle, most mental health care professionals have limited lifestyle-related knowledge and skills, and (lifestyle) treatment protocols are lacking. Evidence-based practical lifestyle tools may support both patients and staff in improving patients' lifestyle...
March 21, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28293778/evaluating-the-quality-of-rural-intensive-case-management-services-using-administrative-data-an-exploratory-study
#19
Somaia Mohamed
Assertive Community Treatment (ACT) for people with severe mental illness is an effective approach that is increasingly implemented in rural areas. Low-cost methods of evaluating fidelity to program models are needed to assure services are delivered as intended. In 2007, the Veterans Health Administration implemented an ACT-like Mental Health Intensive Case Management (ACT/ICM) program for SMI veterans in rural areas. This study demonstrates the use of administrative data, reflecting patient characteristics and intensity of service delivery, to characterize services delivered by these programs, to compare them to general mental health programs at the same VA medical centers, and to each other...
March 15, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28287862/implementation-of-a-health-indicator-monitoring-system-in-an-assertive-community-treatment-team-at-a-community-outpatient-behavioral-health-organization
#20
Gwen Sims, Kathleen R Delaney
Persons with severe mental illness have increased risk for medical co-morbidities and early mortality. The purpose of this project was to implement a health indicator monitoring system for an Assertive Community Treatment team and to utilize this system to generate referrals to appropriate medical providers. The system established utilized Substance Abuse and Mental Health Services Administration (SAMSHA) recommended health indicators and pre-post data analysis to assess the effectiveness of the initiative...
March 2017: Issues in Mental Health Nursing
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