Outcomes of Assertive Community Treatment for Adolescents with Complex Mental Health Problems Who are Difficult to Engage.
Assertive community treatment (ACT) is a well-established treatment for adults with mental illness and has an emerging evidence base for improving mental health outcomes for adolescents. Recent studies have utilized ACT with adolescents who are difficult to engage through traditional psychiatric ser...
| Publicado en: | Journal of Child & Family Studies Vol. 30; no. 2; pp. 502 - 517 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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Springer Nature
Feb2021
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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=148629503&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 148629503 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10621024 JFM jtl: Journal of Child & Family Studies issn: 10621024 maglogo: N pubinfo: dt: Feb2021 vid: 30 iid: 2 pid: 237 pub: Springer Nature artinfo: ui: 148629503 10.1007/s10826-020-01882-3 ppf: 502 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P size: 680KB tig: atl: Outcomes of Assertive Community Treatment for Adolescents with Complex Mental Health Problems Who are Difficult to Engage. aug: au: Daubney, Michael F. X. Raeburn, Narelle Blackman, Kerry Jeffries, Holly Healy, Karyn L. affil: Children's Health Queensland Hospital and Health Service, Queensland Department of Health, 4032, Chermside, QLD, Australia Queensland Ambulance Service, Queensland Department of Health, 4558, Maroochydore, QLD, Australia Parenting and Family Support Centre, School of Psychology, The University of Queensland, 4072, Brisbane, QLD, Australia QIMR Berghofer Medical Research Institute, 4006, Herston, QLD, Australia su: Assertiveness (Psychology) Mental health of teenagers Community mental health services Mental illness treatment Health outcome assessment sug: subj: Assertiveness (Psychology) Mental health of teenagers Community mental health services Mental illness treatment Residential Mental Health and Substance Abuse Facilities Outpatient Mental Health and Substance Abuse Centers Other Individual and Family Services Health outcome assessment keyword: Adolescent Assertive community treatment Difficult to reach Mental illness Mobile outreach Adolescent Assertive community treatment Difficult to reach Mental illness Mobile outreach ab: Assertive community treatment (ACT) is a well-established treatment for adults with mental illness and has an emerging evidence base for improving mental health outcomes for adolescents. Recent studies have utilized ACT with adolescents who are difficult to engage through traditional psychiatric services. The Assertive Mobile Youth Outreach Service (AMYOS) of Children's Health Queensland in Australia provides ACT for families of adolescents with severe and persistent mental health problems, who have been unable to engage successfully through the standard mental health support services provided by community clinics. AMYOS clinicians work flexibly to engage adolescents in an individualized plan aimed at reducing risk of harm, supporting recovery, improving overall functioning, and engagement with education and vocational pathways. This study reports outcomes for adolescents involved in the first five years of the AMYOS program. Overall, there were significant improvements over time on questionnaires of global functioning, perceived suicidality, hostility and a wide range of mental health problems, as rated by clinicians and families. There were also significant reductions in average monthly duration and number of hospital admissions during AMYOS treatment compared with 12 months prior to referral. Increases in visits to Emergency Department during treatment did not translate into hospitalization, suggesting adolescents were better monitored when at-risk. There was also increased engagement in school and standard healthcare. This provides further evidence that provision of assertive community treatment is associated with improved mental health outcomes for at-risk adolescents. Future research could include comparison groups and investigate possible mechanisms for change. Highlights: Assertive community treatment may help adolescents with complex mental illness. A prospective pre-post evaluation was conducted with adolescents in Australia. Adolescents involved had serious persistent mental health problems. There were reductions in mental health problems and perceived suicide risk. There was reduced mean time in hospital for mental health problems during treatment. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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