Clinicians' Perceptions of Challenges and Strategies of Transition from Assertive Community Treatment to Less Intensive Services.
The study aimed to identify clinical strategies and challenges around transition from Assertive Community Treatment (ACT) to less intensive services. Six focus groups were conducted with ACT team leaders (n = 49). Themes were grouped under four intervention-focused domains: (1) client/clinical, (2)...
| Publicado en: | Community Mental Health Journal Vol. 51; no. 1; pp. 85 - 96 |
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| Autores principales: | , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Jan2015
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=100351780&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 100351780 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00103853 CMH jtl: Community Mental Health Journal issn: 00103853 maglogo: N pubinfo: dt: Jan2015 vid: 51 iid: 1 pid: 237 pub: Springer Nature artinfo: ui: 100351780 10.1007/s10597-014-9706-y ppf: 85 ppct: 11 formats: fmt: @attributes: type: P size: 206KB tig: atl: Clinicians' Perceptions of Challenges and Strategies of Transition from Assertive Community Treatment to Less Intensive Services. aug: au: Finnerty, Molly Manuel, Jennifer Tochterman, Ana Stellato, Candice Fraser, Linda Reber, Cecily Reddy, Hima Miracle, Angela affil: Department of Child and Adolescent Psychiatry/Bureau of Evidence Based Services and Implementation Science, New York University/New York State Office of Mental Health, 1051 Riverside Drive, Unit 104 New York 10032 USA School of Social Work, Virginia Commonwealth University, 1001 West Franklin Street Richmond 3284-2027 USA New York State Psychiatric Institute, New York State Office of Mental Health, 1051 Riverside Drive, Unit 104 New York 10032 USA Office of Coordinated Mental Health Services, New York City Department of Health and Mental Hygiene, 42-09 28th St., 19th floor CN No. 17, Long Island City New York 11101-4132 USA PGSP-Stanford Psy.D. Consortium, 1791 Arastradero Rd. Palo Alto 94304 USA Fairleigh Dickinson University, 1000 River Road Teaneck USA su: New York (State) Medical quality control Focus groups Interviewing Sound recordings Interpersonal relations Mental health services Transitional care Research methodology Attitudes of medical personnel Research funding Thematic analysis Judgment sampling sug: subj: Medical quality control Focus groups Interviewing Sound recordings Interpersonal relations Mental health services New York (State) Offices of Mental Health Practitioners (except Physicians) Psychiatric and Substance Abuse Hospitals Residential Mental Health and Substance Abuse Facilities Integrated Record Production/Distribution Sound recording merchant wholesalers Record Production Transitional care Research methodology Attitudes of medical personnel Research funding Thematic analysis Judgment sampling keyword: Assertive Community Treatment Barriers to discharge Facilitators of discharge Mental illness Transition Assertive Community Treatment Barriers to discharge Facilitators of discharge Mental illness Transition ab: The study aimed to identify clinical strategies and challenges around transition from Assertive Community Treatment (ACT) to less intensive services. Six focus groups were conducted with ACT team leaders (n = 49). Themes were grouped under four intervention-focused domains: (1) client/clinical, (2) family and natural supports, (3) ACT staff and team, and (4) public mental health system. Barriers to transition included beliefs that clients and families would not want to terminate services (due to loss of relationships, fear of failure, preference for ACT model), clinical concerns that transition would not be successful (due to limited client skills, relapse without ACT support), systems challenges (clinic waiting lists, transportation barriers, eligibility restrictions, stigma against ACT clients), and staff ambivalence (loss of relationship with client, impact on caseload). Strategies to support transition included building skills for transition, engaging supports, celebrating success, enhanced coordination with new providers, and integrating and structuring transition in ACT routines. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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