Cover Image
QR Code

A national survey of assertive community treatment services in England.

Background: Assertive community treatment (ACT) teams have been implemented across England since 1999. Although successful at engaging clients, the model has failed to show the same clinical effectiveness in trials in Europe as in the US and Australia. Aim: To investigate current ACT provision in En...

Full description

Published in:Journal of Mental Health Vol. 19; no. 6; pp. 500 - 509
Main Authors: Ghosh R, Killaspy H
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Dec2010
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104950877&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 104950877
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        09638237
        JHM
      jtl: Journal of Mental Health
      issn: 09638237
      maglogo: N
    pubinfo:
      dt: Dec2010
      vid: 19
      iid: 6
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
    artinfo:
      ui:
        104950877
        55531530
        10.3109/09638231003728125
        104950877
      ppf: 500
      ppct: 9
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: A national survey of assertive community treatment services in England.
      aug:
        au:
          Ghosh R
          Killaspy H
        affil: General Adult Psychiatry, Cambridgeshire & Peterborough NHS Foundation Trust, Cambridge; ratnaghosh78@yahoo.com
      sug:
        subj:
          Community Mental Health Services Trends
          Health Care Delivery
          Personnel Staffing and Scheduling
          Human
          England
          Questionnaires
          Descriptive Statistics
          Data Analysis Software
          T-Tests
          Chi Square Test
          Male
          Female
          Multidisciplinary Care Team
          Male
          Female
      ab: Background: Assertive community treatment (ACT) teams have been implemented across England since 1999. Although successful at engaging clients, the model has failed to show the same clinical effectiveness in trials in Europe as in the US and Australia. Aim: To investigate current ACT provision in England, aims of treatment and team managers' views of the effectiveness of ACT and the most important interventions. Method: Postal survey of managers of all services in England identifying as ACT teams. Results: A total of 104/187 (56%) completed questionnaires were received. The majority of teams were in urban or mixed urban/rural areas. One third (36%) of teams had no psychiatrist, one half (48%) had no psychologist and less than a fifth (18%) had designated inpatient admission beds. The areas of intervention rated as most important by team managers could be delivered by non-professionally trained staff (engagement, accommodation, finances). The majority of managers reported positive clinical outcomes but only one third had collected data to support this. One third of teams were undergoing review or being reconfigured or closed. Conclusion: Successful client engagement is not being used as a vehicle to deliver evidence-based interventions. Many ACTs in England are not adequately staffed to deliver these.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N