Implementation of Assertive Community Treatment in Australia: Model Fidelity, Patient Characteristics and Staff Experiences.
The impact of variable implementation of the Assertive Community Treatment (ACT) model on patient outcomes is increasingly recognised. We conducted the first study of four established Australian ACT teams, examining team composition, processes and model fidelity, using previously validated questionn...
| Publicado en: | Community Mental Health Journal Vol. 48; no. 5; pp. 652 - 662 |
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| Autores principales: | , , , |
| Formato: | Artículo |
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Springer Nature
Oct2012
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| 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=82051396&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 82051396 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: Oct2012 vid: 48 iid: 5 pid: 237 pub: Springer Nature artinfo: ui: 82051396 10.1007/s10597-011-9466-x ppf: 652 ppct: 10 formats: fmt: @attributes: type: P size: 214KB tig: atl: Implementation of Assertive Community Treatment in Australia: Model Fidelity, Patient Characteristics and Staff Experiences. aug: au: Harvey, Carol Killaspy, Helen Martino, Salvatore Johnson, Sonia affil: Department of Psychiatry, The University of Melbourne & North Western Mental Health, Psychosocial Research Centre, 130 Bell Street Coburg 3058 Australia Department of Mental Health Sciences, University College London and Camden and Islington NHS Foundation Trust, Royal Free Hospital, London NW3 2PF UK Research Department of Mental Health Sciences, University College London and Camden and Islington NHS Foundation Trust, Charles Bell House, 67-73 Riding House Street London W1W 7EY UK su: Australia Analysis of variance Assertiveness (Psychology) Psychological burnout Job satisfaction Schizophrenia Self-evaluation Psychological stress Teams in the workplace Human services programs Statistical correlation Questionnaires Statistics Data analysis Data analysis software sug: subj: Analysis of variance Assertiveness (Psychology) Psychological burnout Job satisfaction Schizophrenia Self-evaluation Psychological stress Teams in the workplace Human services programs Australia Statistical correlation Questionnaires Statistics Data analysis Data analysis software keyword: Assertive community treatment Community mental health services Severe mental illness Staff burnout Team working Assertive community treatment Community mental health services Severe mental illness Staff burnout Team working ab: The impact of variable implementation of the Assertive Community Treatment (ACT) model on patient outcomes is increasingly recognised. We conducted the first study of four established Australian ACT teams, examining team composition, processes and model fidelity, using previously validated questionnaires. Demographic and clinical details of patients and their own experiences of ACT were gathered from staff. Associations between burnout and work experiences were examined. All teams were ACT-like (mean DACTS score = 3.7, SD = 0.3) with few significant patient differences between teams, except diagnosis (schizophrenia 61-93%, co-morbid substance abuse 16-33%) and proportion living alone (23-72%). Clinicians were fairly satisfied, but inter-team differences in staffing profile and experience emerged and one team scored highly on emotional exhaustion. Increased burnout was associated with greater stress due to taking a team approach. Inter-team differences suggested that attention to effective team working and leadership, as well as model fidelity, may be warranted. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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