Catalogo Articoli (Spogli Riviste)

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Titolo:
Assertive community treatment for people with severe mental illness - Critical ingredients and impact on patients
Autore:
Bond, GR; Drake, RE; Mueser, KT; Latimer, E;
Indirizzi:
Indiana Univ Purdue Univ, Dept Psychol, Indianapolis, IN 46202 USA IndianaUniv Purdue Univ Indianapolis IN USA 46202 anapolis, IN 46202 USA New Hampshire Dartmouth Psychiat Res Ctr, Dartmouth Med Sch, Lebanon, NH USA New Hampshire Dartmouth Psychiat Res Ctr Lebanon NH USA Lebanon, NH USA Douglas Hosp, Res Ctr, Montreal, PQ, Canada Douglas Hosp Montreal PQ Canada glas Hosp, Res Ctr, Montreal, PQ, Canada
Titolo Testata:
DISEASE MANAGEMENT & HEALTH OUTCOMES
fascicolo: 3, volume: 9, anno: 2001,
pagine: 141 - 159
SICI:
1173-8790(2001)9:3<141:ACTFPW>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTENSIVE CASE-MANAGEMENT; HOSPITAL-BASED CARE; INTEGRATED SERVICE AGENCIES; HEALTH CASE-MANAGEMENT; BENEFIT-COST-ANALYSIS; HOMELESS PERSONS; TREATMENT TEAMS; RANDOMIZED TRIAL; CLIENT OUTCOMES; ILL CLIENTS;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
152
Recensione:
Indirizzi per estratti:
Indirizzo: Bond, GR Indiana Univ Purdue Univ, Dept Psychol, 402 N Blackford St, Indianapolis, IN 46202 USA Indiana Univ Purdue Univ 402 N Blackford St Indianapolis IN USA 46202
Citazione:
G.R. Bond et al., "Assertive community treatment for people with severe mental illness - Critical ingredients and impact on patients", DIS MANAG H, 9(3), 2001, pp. 141-159

Abstract

This article describes the critical ingredients of the assertive communitytreatment (ACT) model for people with severe mental illness and then reviews the evidence regarding its effectiveness and cost effectiveness. ACT is an intensive mental health program model in which a multidisciplinary team of professionals serves patients who do not readily use clinic-based services, but who are often at high risk for psychiatric hospitalization. Most ACT contacts occur in community settings. ACT teams have a holistic approach to services, helping with medications, housing, finances and everyday problems in living. ACT differs conceptually and empirically from traditional case management approaches. ACT is one of the best-researched mental health treatment models, with 25 randomized controlled trials evaluating its effectiveness. ACT substantially reduces psychiatric hospital use, increases housing stability, and moderately improves symptoms and subjective quality of life. In addition, ACT is highly successful in engaging patients in treatment. Research also suggeststhat the more closely case management programs follow ACT principles, the better the outcomes. ACT services are costly. However, studies have shown the costs of ACT services to be offset by a reduction in hospital use in patients with a historyof extensive hospital use. The ACT model has been hugely influential in the mental health services field. ACT is significant because it offers a clearly defined model, and is clinically appealing to practitioners, financially appealing to administrators and scientifically appealing to researchers.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/01/20 alle ore 12:32:04