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Administration and Policy in Mental Health and Mental Health Services Research

Erschienen in:

01.07.2009 | Original Paper

Comparison of Assertive Community Treatment Programs in Urban Massachusetts and Rural North Carolina

verfasst von: Dan Siskind, Elizabeth Wiley-Exley

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 4/2009

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Abstract

In this pilot study, we compared teams in rural North Carolina (NC) and urban Massachusetts (MA) to examine the how sites vary the implementation of the Assertive Community Treatment (ACT) model to respond to state and local circumstances. We analysed and compared data on: client characteristics using the NC-TOPPS and a modified survey in MA; Regional Demographics and; Team Characteristics. Issues such as driving distances, lack of qualified clinical staff, scarcity of physicians, and more limited oversight created impediments to fidelity in rural NC, despite higher per patient funding. ACT is now national, but variability in implementation of the model remains.

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Titel: Comparison of Assertive Community Treatment Programs in Urban Massachusetts and Rural North Carolina
verfasst von: Dan Siskind
Elizabeth Wiley-Exley
Publikationsdatum: 01.07.2009
Verlag: Springer US
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 4/2009
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-009-0208-0

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