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Community Mental Health Journal

Erschienen in:

03.09.2015 | Original Paper

“Sometimes What They Think is Helpful is Not Really Helpful”: Understanding Engagement in the Program of Assertive Community Treatment (PACT)

verfasst von: Miriam George, Jennifer I. Manuel, Megan E. Gandy-Guedes, Shenee McCray, Dina Negatu

Erschienen in: Community Mental Health Journal | Ausgabe 8/2016

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Abstract

This exploratory study recruited a purposive sample of twelve clinical staff from a Program of Assertive Community Treatment (PACT) team in central Virginia to understand the perceptions and experiences related to assertive engagement. The researchers coded the transcribed data initially as twenty-three sub-themes and further refined the data into four overarching themes: characteristics of assertive engagement, PACT engagement strategies and engagement strategies for difficult to engage clients. Further analysis emphasized that PACT team members emphasized the importance of the therapeutic relationship for engagement, which proves challenging for hard-to-engage clients.

Addis, J., & Gamble, C. (2004). Assertive outreach nurses’ experience of engagement. Journal of Psychiatric and Mental Health Nursing, 11, 452–460.CrossRefPubMed

Angell, B., Mahoney, C. A., & Martinez, N. I. (2006). Promoting treatment adherence in assertive community treatment. Social Service Review, 80(3), 485–526.CrossRef

Berghofer, G., Schmidl, F., Rudas, S., Steiner, E., & Schmitz, M. (2002). Predictors of treatment discontinuity in outpatient mental health care. Social Psychiatry and Psychiatric Epidemiology, 37, 276–282.CrossRefPubMed

Bond, G. R., Drake, R. E., Mueser, K. T., & Latimer, E. (2001). Assertive community treatment for people with severe mental illness: Critical ingredients and impact on patients. Disease Management & Health Outcomes, 9, 141–159.CrossRef

Boyle, S. W., Hull, G. H., Mather, J. H., Smither, L. L., & Farley, O. W. (2009). Direct practice in social work. Boston: Pearson.

Chase, M., Zinken, J., Costall, A., Watts, J., & Priebe, S. (2010). ‘These psychiatrists rate themselves as gods’: Disengagement and engagement discourses of people living with severe mental illness. Communication & Medicine, 7(1), 43–53.CrossRef

Davidson, L., Lawless, M. S., & Leary, F. (2005). Concepts of recovery: Competing or complementary? Current Opinion in Psychiatry, 18(6), 664–667.CrossRefPubMed

Diamond, R. J. (1996). Coercion and tenacious treatment in the community. In D. L. Dennis & J. Monahan (Eds.), Coercion and aggressive community treatment (pp. 51–72). New York: Plenum Press.CrossRef

Gillespie, M., Smith, J., Meaden, A., Jones, C., & Wane, J. (2004). Clients’ engagement with assertive outreach services: A comparison of client and staff perceptions of engagement and its impact on later engagement. Journal of Mental Health, 13(5), 439–452.CrossRef

Hitch, Danielle. (2009). Experiences of engagement in occupations and assertive outreach services. British Journal of Occupational Therapy, 72(11), 482–490.CrossRef

Marshall, M., & Lockwood, A. (2011). Assertive community treatment for people with severe mental disorders. Cochrane Database of Systematic Reviews, 4, CD001089. doi:10.1002/14651858.CD001089.pub2

McGrew, J. H., Pescosolido, B., & Wright, E. (2003). Case managers’ perspectives on critical ingredients of assertive community treatment and on its implementation. Psychiatric Services, 54(3), 370–376.CrossRefPubMed

Meaden, A., Nithsdale, V., Rose, C., Smith, J., & Jones, C. (2004). Is engagement associated with outcome in assertive outreach? Journal of Mental Health, 13(4), 415–424.CrossRef

Padgett, D. K., & Henwood, B. F. (2011). Commentary: Moving into the fourth decade of ACT. Psychiatric Services, 62, 605.CrossRefPubMed

Phillips, S. D., Burns, B. J., Edgar, E. R., Mueser, K. T., Linkins, K. W., Rosenheck, R. A., et al. (2001). Moving assertive community treatment into standard practice. Psychiatric Services, 52(6), 771–779.CrossRefPubMed

Priebe, S., Watts, J., Chase, M., & Matanov, A. (2005). Processes of disengagement and engagement in assertive outreach patients: Qualitative study. The British Journal of Psychiatry, 187, 438–443.CrossRefPubMed

Proctor, E. K. (1982). Defining the worker-client relationship. Social Work, 27(5), 430–435.PubMed

Ryan, P., & Morgan, S. (2004). Assertive outreach: A strengths approach to policy and practice. United Kingdom: Elsevier.

Sainsbury Center for Mental Health. (2001). Mental health topics: Assertive outreach. London: Sainsbury Center for Mental Health.

Stein, L. I., & Test, M. A. (1980). Alternative to mental hospital treatment, I: Conceptual model, treatment program, and clinical evaluation. Archives of General Psychiatry, 37, 392–397.CrossRefPubMed

Strauss, A., & Corbin, J. (1990). Basics of qualitative research. Thousand Oaks, CA: Sage.

Substance Abuse and Mental Health Services Administration. (2008). Assertive community treatment: How to use the evidence-based practice KITs (DHHS Publication No. SMA-08-4344). Rockville, MD: Center for Mental Health Services.

Teague, G. B., Bond, G. R., & Drake, R. E. (1998). Program fidelity in assertive community treatment: Development and use of a measure. American Journal of Orthopsychiatry, 68, 216–232.CrossRefPubMed

Wright, N., Callaghan, P., & Bartlett, P. (2011). Mental health service users’ and practitioners’ experiences of engagement in assertive outreach: A qualitative study. Journal of Psychiatric and Mental Health Nursing, 18, 822–832.CrossRefPubMed

Titel: “Sometimes What They Think is Helpful is Not Really Helpful”: Understanding Engagement in the Program of Assertive Community Treatment (PACT)
verfasst von: Miriam George
Jennifer I. Manuel
Megan E. Gandy-Guedes
Shenee McCray
Dina Negatu
Publikationsdatum: 03.09.2015
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 8/2016
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-015-9934-9

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“Sometimes What They Think is Helpful is Not Really Helpful”: Understanding Engagement in the Program of Assertive Community Treatment (PACT)

Abstract

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Demenzkranke durch Antipsychotika vielfach gefährdet

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

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