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Assertive community treatment

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https://www.readbyqxmd.com/read/28591137/increasing-medication-adherence-and-income-assistance-access-for-first-episode-psychosis-patients
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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...
April 3, 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
#12
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
#13
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
#14
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
https://www.readbyqxmd.com/read/28206715/housing-first-for-older-homeless-adults-with-mental-illness-a-subgroup-analysis-of-the-at-home-chez-soi-randomized-controlled-trial
#15
Timothy E Chung, Agnes Gozdzik, Luis I Palma Lazgare, Matthew J To, Tim Aubry, James Frankish, Stephen W Hwang, Vicky Stergiopoulos
OBJECTIVE: This study compares the effect of Housing First on older (≥50 years old) and younger (18-49 years old) homeless adults with mental illness participating in At Home/Chez Soi, a 24-month multisite randomized controlled trial of Housing First. METHOD: At Home/Chez Soi, participants (n = 2148) were randomized to receive rent supplements with intensive case management or assertive community treatment, based on their need level for mental health services, or usual care in their respective communities...
February 16, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28188476/classrooms-in-peace-within-violent-contexts-field-evaluation-of-aulas-en-paz-in-colombia
#16
Enrique Chaux, Madeleine Barrera, Andrés Molano, Ana María Velásquez, Melisa Castellanos, Maria Paula Chaparro, Andrea Bustamante
Classrooms in Peace (Aulas en Paz) is an elementary school-based multicomponent program for prevention of aggression and promotion of peaceful relationships. Inspired by international programs and socio-emotional research, it includes (1) a classroom universal curriculum, (2) parent workshops and home visits to parents of the 10% most aggressive children, and (3) extracurricular peer groups of two aggressive and four prosocial children. Activities seek to promote socio-emotional competencies such as empathy, anger management, creative generation of alternatives, and assertiveness...
February 11, 2017: Prevention Science: the Official Journal of the Society for Prevention Research
https://www.readbyqxmd.com/read/28134557/aftercare-engagement-a-review-of-the-literature-through-the-lens-of-disparities
#17
Kristen Keefe, Esteban V Cardemil, Matthew Thompson
While prior research has well documented racial and ethnic disparities in mental health care broadly, significantly less attention has been given to possible disparities existing in the transition to aftercare. Grounded in Klinkenberg and Calsyn's (1996) framework, we review current research on aftercare, identify commonalities between the prior and current reviews, and highlight gaps for future research. We focus on variables pertinent to our understanding of racial/ethnic disparities. Articles were retrieved via PsycINFO, PubMed, PsycARTICLES, and Google Scholar...
February 2017: Psychological Services
https://www.readbyqxmd.com/read/28123222/homelessness-unsheltered-status-and-risk-factors-for-mortality-findings-from-the-100%C3%A2-%C3%A2-%C3%A2-%C3%A2-000-homes-campaign
#18
Ann Elizabeth Montgomery, Dorota Szymkowiak, Jessica Marcus, Paul Howard, Dennis P Culhane
OBJECTIVES: People who live in unsheltered situations, such as the streets, often have poorer health, less access to health care, and an increased risk of premature mortality as compared with their sheltered counterparts. The objectives of this study were to (1) compare the characteristics of people experiencing homelessness who were sleeping primarily in unsheltered situations with those who were accessing homeless shelters and other sheltered situations, (2) identify correlates of unsheltered status, and (3) assess the relationship between unsheltered status and increased risk of mortality...
November 2016: Public Health Reports
https://www.readbyqxmd.com/read/28116636/clinical-factors-associated-with-successful-discharge-from-assertive-community-treatment
#19
Elizabeth Bromley, Lisa Mikesell, Fiona Whelan, Gerhard Hellemann, Marcia Hunt, Gary Cuddeback, Daniel W Bradford, Alexander S Young
We sought to explore clinical factors associated with successful transition from Assertive Community Treatment to less intensive clinical services. Mixed-method observational follow up study of veterans discharged from three VA-affiliated ACT teams to less intensive clinical services. Of the 240 veterans in ACT, 9% (n = 21) were discharged during the study period. Among the 11 of 21 discharged veterans who enrolled in the follow up study, reason for discharge, designated by the veteran's primary clinician at the time of discharge, predicted outcomes (p = 0...
January 23, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28076358/a-randomized-trial-examining-housing-first-in-congregate-and-scattered-site-formats
#20
Julian M Somers, Akm Moniruzzaman, Michelle Patterson, Lauren Currie, Stefanie N Rezansoff, Anita Palepu, Karen Fryer
OBJECTIVE: No previous experimental trials have investigated Housing First (HF) in both scattered site (SHF) and congregate (CHF) formats. We hypothesized that CHF and SHF would be associated with a greater percentage of time stably housed as well as superior health and psychosocial outcomes over 24 months compared to treatment as usual (TAU). METHODS: Inclusion criteria were homelessness, mental illness, and high need for support. Participants were randomised to SHF, CHF, or TAU...
2017: PloS One
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