Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-19T07:32:42.088Z Has data issue: false hasContentIssue false

Running an assertive community treatment team

Published online by Cambridge University Press:  02 January 2018

Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

In the 1960s, most people with severe mental illness were treated in large mental hospitals, receiving all their care under one roof, ensuring its continuity and accountability. Deinstitutionalisation resulted in discharge into the community, where care was fragmented between many agencies, making continuity and accountability very difficult. Countless individual programs were developed with few links between them. Not surprisingly, deinstitutionalised patients, in an unfamiliar environment and with poor coping skills to navigate services, did not receive the care they needed.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 1999 

References

Burns, B. J. & Santos, A. B. (1995) Assertive community treatment: an update of randomized trials. Psychiatric Services, 46, 669675.Google ScholarPubMed
Burns, T. & Priebe, S. (1996) Mental health care systems and their characteristics: a proposal. Acta Psychiatrica Scandinavica, 94, 381385.CrossRefGoogle ScholarPubMed
Ciompi, L. (1988) Learning from outcome studies toward a comprehensive biological–psychosocial understanding of schizophrenia. Schizophrenia Research, 1, 373384.CrossRefGoogle Scholar
Harding, C. M., Brooks, G. W., Ashikaga, T. et al (1987) The Vermont longitudinal study of persons with severe mental illness, II: Long-term outcome of subjects who retrospectively met DSM–III criteria for schizophrenia. American Journal of Psychiatry, 144, 727735.Google ScholarPubMed
Holloway, F., Oliver, N., Collins, E. et al (1995) Case management: a critical review of the outcome literature. European Psychiatry, 10, 113128.CrossRefGoogle ScholarPubMed
Hoult, J. (1986) Community care of the acutely mentally ill. British Journal of Psychiatry, 149, 137144.CrossRefGoogle ScholarPubMed
Intagliata, J. (1982) Improving the quality of community care for the chronically mentally disabled: the role of case management. Schizophrenia Bulletin, 8, 655674.CrossRefGoogle ScholarPubMed
Kent, A. & Burns, T. (1996) Setting up an assertive community treatment service. Advances in Psychiatric Treatment, 2, 143150.Google Scholar
Marshall, M. & Lockwood, A. (1998) Assertive Community Treatment for people with severe mental disorders (Cochrane Review). The Cochrane Library (3). Oxford: Update Software.Google Scholar
Mueser, K. T., Bond, G. R., Drake, R. E. et al (1998) Models of community care for severe mental illness: a review of research on case management. Schizophrenia Bulletin, 24, 3774.CrossRefGoogle ScholarPubMed
Overall, J. E. & Gorham, D. L. (1962) The Brief Psychiatric Rating Scale. Psychological Reports, 10, 799812.CrossRefGoogle Scholar
Solomon, P. (1992) The efficacy of case management services for severely mentally disabled clients. Community Mental Health Journal, 28, 163180.Google Scholar
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, 392397.CrossRefGoogle ScholarPubMed
Teague, G. B., Drake, R. E. & Ackerson, T. H. (1995) Evaluating use of continuous treatment teams for persons with mental illness and substance abuse. Psychiatric Services, 46, 689695.Google Scholar
Thornicroft, G., Wykes, T., Holloway, F. et al (1998) From efficacy to effectiveness in community mental health services. PRiSM Psychosis Study 10. British Journal of Psychiatry, 173, 423427.CrossRefGoogle ScholarPubMed
UK700 Group (1999) Comparison of intensive and standard case management for patients with psychosis. Rationale of the trial. British Journal of Psychiatry, 174, 7478.Google Scholar
Wing, J. K., Beevor, A. S., Curtis, R. H. et al (1998) Health of the Nation Outcome Scales: research and development. British Journal of Psychiatry, 172, 1118.CrossRefGoogle ScholarPubMed
Wooff, K. & Goldberg, D. P. (1988) Further observations on the practice of community care in Salford. Differences between community psychiatric nurses and mental health social workers. British Journal of Psychiatry, 153, 3037.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.