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Assertive community treatment

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https://www.readbyqxmd.com/read/29128195/-what-support-of-young-presenting-a-first-psychotic-episode-when-schooling-is-being-challenged
#1
M-N Vacheron, H Veyrat-Masson, E Wehbe
Psychiatric disorders (more specifically mood disorders and psychosis) represent the 1st cause of disability among young people. Unemployment rate between 75 to 95% for the person with schizophrenia. It is correlated to poor social integration and bad economic status, worse symptomatology loss of autonomy as well as global bad functioning. It is responsible of more than half of the overall cost of psychosis. The onset of most of psychiatric disorders occur between the age of 25 and 35 years old, a critical time in young adult life when they should build their professional as well as social future...
November 8, 2017: L'Encéphale
https://www.readbyqxmd.com/read/29127565/families-in-assertive-community-treatment-act-teams-in-norway-a-cross-sectional-study-on-relatives-experiences-of-involvement-and-alienation
#2
B M Weimand, P Israel, M Ewertzon
International research shows that relatives of people with mental illness are rarely involved by mental health services. Assertive Community Treatment (ACT) has been recently implemented in Norway. The experience of relatives of ACT users is largely unknown. The aim of this study was to explore relatives' experience with ACT-teams in Norway. Data were collected using the family involvement and alienation questionnaire, consisting of experiences of approach, and alienation from the provision of professional care...
November 10, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/29067599/legislative-enforcement-of-nonconsensual-determination-of-neurological-brain-death-in-muslim-patients-a-violation-of-religious-rights
#3
Mohamed Y Rady, Joseph L Verheijde
Death is defined in the Quran with a single criterion of irreversible separation of the ruh (soul) from the body. The Quran is a revelation from God to man, and the primary source of Islamic knowledge. The secular concept of death by neurological criteria, or brain death, is at odds with the Quranic definition of death. The validity of this secular concept has been contested scientifically and philosophically. To legitimize brain death for the purpose of organ donation and transplantation in Muslim communities, Chamsi-Pasha and Albar (concurring with the US President's Council on Bioethics) have argued that irreversible loss of capacity for consciousness and breathing (apneic coma) in brain death defines true death in accordance with Islamic sources...
October 24, 2017: Journal of Religion and Health
https://www.readbyqxmd.com/read/29065870/crucial-factors-preceding-compulsory-psychiatric-admission-a-qualitative-patient-record-study
#4
Mark H de Jong, Margreet Oorschot, Astrid M Kamperman, Petra E Brussaard, Esther M Knijff, Roland van de Sande, Arthur R Van Gool, Cornelis L Mulder
BACKGROUND: Compulsory admissions have a strong effect on psychiatric patients and represent a deprivation of personal liberty. Although the rate of such admissions is tending to rise in several Western countries, there is little qualitative research on the mental health-care process preceding compulsory admission. The objective of the study was to identify crucial factors in the mental health-care process preceding compulsory admission of adult psychiatric patients. METHODS: This retrospective, qualitative multiple-case study was based on the patient records of patients with severe mental illness, mainly schizophrenia and other psychotic disorders...
October 24, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28893298/learning-from-returnee-ethiopian-migrant-domestic-workers-a-qualitative-assessment-to-reduce-the-risk-of-human-trafficking
#5
Joanna Busza, Sehin Teferra, Serawit Omer, Cathy Zimmerman
BACKGROUND: International migration has become a global political priority, with growing concern about the scale of human trafficking, hazardous work conditions, and resulting psychological and physical morbidity among migrants. Ethiopia remains a significant "source" country for female domestic workers to the Middle East and Gulf States, despite widespread reports of exploitation and abuse. Prior to introduction of a "safe migration" intervention, we conducted formative research to elicit lessons learned by women who had worked as domestic workers abroad...
September 11, 2017: Globalization and Health
https://www.readbyqxmd.com/read/28891121/mental-health-courts-and-forensic-assertive-community-treatment-teams-as-correctional-diversion-programs
#6
Jacqueline Landess, Brian Holoyda
Problem-solving courts (PSCs) developed as a means of mandating treatment and judicial supervision of certain types of court participants. PSCs have rapidly expanded in number and type over several decades. Mental health courts (MHCs) are a type of PSC that arose in response to the growing number of persons with mental illness within the criminal justice system. Their primary role is to divert individuals with mental illness from incarceration into psychiatric treatment and to reduce recidivism while improving psychosocial functioning of participants...
September 11, 2017: Behavioral Sciences & the Law
https://www.readbyqxmd.com/read/28880347/-using-resource-groups-in-assertive-community-treatment-literature-review-and-recommendation
#7
M Smeerdijk, P H A E G Delespaul, I P M Keet, M A Nugter
In psychiatry there is an increasing interest in giving patients and their relatives control over the goals of treatment and the way in which treatment is carried out. A structural method of organising this within assertive community treatment (ACT) is to let patients and their relatives participate in what is known as a resource group (RG).<br/> AIM: To provide a systematic view of the advantages of giving patients control over their treatment and the way in which it is carried out via ACT, particularly if this control is organised in the form of an RG...
2017: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/28871714/borderline-personality-disorder-and-unmet-needs
#8
Ales Grambal, Jan Prasko, Marie Ociskova, Milos Slepecky, Antonia Kotianova, Zuzana Sedlackova, Marta Zatkova, Petra Kasalova, Dana Kamaradova
BACKGROUND: Borderline personality disorder (BPD) is a disabling psychiatric condition with a chronic and challenging course. BPD is reflected as a disorder of self-regulation" and is associated with both psychological vulnerabilities and social relations that fail to support basic emotional needs. The objective of the paper is to provide the up-to-date data on the unmet needs of BPD patients and their families. METHOD: A computerized search of the literature printed between January 1990 and May 2017 was conducted in PubMed, and additional papers were extracted using keywords "borderline personality disorder,"needs," "pharmacotherapy," "psychotherapy," "CBT," and "family" in various combinations...
August 5, 2017: Neuro Endocrinology Letters
https://www.readbyqxmd.com/read/28867062/home-based-delivery-of-xr-ntx-in-youth-with-opioid-addiction
#9
Hoa T Vo, Rachael Burgower, Ilya Rozenberg, Marc Fishman
Early experience with relapse prevention medications in the treatment of opioid addiction in youth has been positive, but barriers to effectiveness and broader adoption have included problems with adherence and retention, and lack of evidence or consensus about implementation. In particular there is relatively little known about either the effectiveness of extended release naltrexone (XR-NTX) in youth, or optimal models of care for its delivery. The purpose of this study is to report on a pilot initiative to improve the effectiveness of XR-NTX by delivering doses at home with assertive outreach to patients enrolled in a community treatment outpatient program...
August 31, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28864952/transitions-from-assertive-community-treatment-among-urban-and-rural-teams-identifying-barriers-service-options-and-strategies
#10
Andrea M LeFebvre, Bill Dare, Susan J Farrell, Gary S Cuddeback
An emerging focus of Assertive Community Treatment (ACT) teams is the transition of clients to less intensive services, which creates space for individuals in need of ACT and is consistent with a recovery orientation of treatment. However, there is limited research on team transition rates, post-ACT services, and strategies to overcome transition barriers. In addition, few studies have examined differences in these factors among urban and rural ACT teams. To address these knowledge gaps, we interviewed eight ACT teams in urban and rural areas of eastern Ontario regarding their transition rates, processes of transitioning ACT clients to less intensive services, transition barriers, and solutions to overcoming these barriers...
September 1, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28862092/flexible-assertive-community-treatment
#11
Dieneke A A Hubbeling, Maria Alonso-Vicente, Mike Firn
No abstract text is available yet for this article.
September 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28857756/explicit-and-implicit-stigma-of-mental-illness-as-predictors-of-the-recovery-attitudes-of-assertive-community-treatment-practitioners
#12
Laura G Stull, Haley McConnell, John McGrew, Michelle P Salyers
BACKGROUND: While explicit negative stereotypes of mental illness are well established as barriers to recovery, implicit attitudes also may negatively impact outcomes. The current study is unique in its focus on both explicit and implicit stigma as predictors of recovery attitudes of mental health practitioners. METHOD: Assertive Community Treatment practitioners (n = 154) from 55 teams completed online measures of stigma, recovery attitudes, and an Implicit Association Test (IAT)...
2017: Israel Journal of Psychiatry and related Sciences
https://www.readbyqxmd.com/read/28836376/negotiating-the-boundaries-of-psychosis-a-qualitative-study-of-the-service-provider-perspective-on-treatment-delay-in-community-mental-health
#13
Erling Inge Kvig, Cathrine Moe, Beate Brinchmann, Tor Ketil Larsen, Knut Sørgaard
AIM: Evidence shows that many patients are detected and treated late in their course of illness, and that substantial delay occurs even after entry to mental health services. Although several studies have examined the service user and carer perspectives on treatment delay, few have explored the issue from the service provider perspective. The aim of this study was to broaden our understanding of treatment delay by exploring the service provider perspective on reasons for treatment delay in community mental health services...
August 23, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28811912/flexible-assertive-community-treatment-fact-model-in-specialist-psychosis-teams-an-evaluation
#14
Loopinder Sood, Andy Owen, Richard Onyon, Aarohi Sharma, Jessica Nigriello, Dominic Markham, Hannah Seabrook
Aims and method The impact of flexible assertive community treatment (FACT) has been observed in people previously supported by assertive community treatment (ACT) teams, but its effect on those previously with a community mental health team (CMHT) has not been studied in the UK. An observational study was conducted of 380 people from 3 CMHTs and 95 people from an ACT team, all with a history of psychosis, following service reconfiguration to 3 FACT teams. Results People previously with a CMHT required less time in hospital when the FACT model was introduced...
August 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28806892/addressing-complexity-and-improving-access-in-community-mental-health-services-an-inner-city-adaptation-of-flexible-act
#15
Arash Nakhost, Samuel F Law, Katherine M Francombe Pridham, Vicky Stergiopoulos
To serve a wider range of patients with serious mental illness and develop more integrated, flexible services, investigators in Toronto redesigned a high-fidelity assertive community treatment (ACT) team according to flexible ACT (FACT) principles. FACT, developed in the Netherlands, merges ACT and intensive case management (ICM) services. This model holds the promise of an affordable approach to addressing unmet service needs in community mental health, particularly for patients with complex health issues, by widening the ACT admission criteria...
September 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28791496/forensic-assertive-community-treatment-in-a-continuum-of-care-for-male-internees-in-belgium-results-after-33-months
#16
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
#17
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
#18
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
#19
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
#20
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
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