Evidence
"mental disorders"
Client perspectives on helpful ingredients of assertive community treatment.
This is the first published article on the helpful ingredients of ACT from the client perspective. This study had ACT clients from six assertive community treatment (ACT) programs describe features they liked best about ACT. Clients mentioned non-specific ingredients most frequently (e.g., relationships with case managers); somewhat less frequently they mentioned ingredients considered by experts as integral to the ACT model (e.g, staff availability, home visits). Although ACT services differ in many ways from traditional counseling or psychotherapy, client-identified best aspects of ACT focused more strongly on features of the helping relationship that have been found to be important for counseling in general.
Keywords:
psychotherapy
client satisfaction
community mental health services
mental disorders
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McGrew, J.H., Wilson, R.G., & Bond, G.R. (1996). Client perspectives on helpful ingredients of assertive community treatment. Psychiatric Rehabilitation Journal, 19(3), 13-21.
Reaching out: the psychology of assertive outreach.
This book is a collection of chapters that all aim to examine psychological processes involved in assertive outreach. The introduction provides definitions and the evolution of assertive outreach. “Assertive outreach is a flexible and creative client-centred approach to engaging service users in a practical delivery of a wide range of services to meet the complex health and social needs and wants. It is a strategy that requires service providers to take an active role, working with service users, to secure resources and choices in treatment, rehabilitation, psychosocial support, functional and practical help, and advocacy...in equal priorities. (Joint Statement by SCMH, CMHSD, IMPACT, TULIP, North Birmingham AO Service, Kush Housing Association, The Working Together in London Initiative, 1999). It includes the origins of assertive outreach from Training and Community Living (TCL) to Assertive Community Treatment (ACT) and the Programme for Assertive Community Treatment (PACT), as well as differentiates psychological skills and psychological therapy in assertive outreach. It emphasizes the neglect of psychological therapies within ACT and how this neglect has caused ACT to drift from its original psychosocial philosophy of care and to be perceived to promote the medical model. The first half of the book outlines a psychological approach to the task of assertive outreach, beginning with the primary task of engaging service users. The second half of the book is devoted to the task of delivering psychological therapies.
Keywords:
psychotherapy
family systems
intervention
psychological therapy
community services
mental disorders
cognitive-behavioural therapy (cbt)
motivational interviewing (mi)
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Cupitt, C. (2010). Reaching out: the psychology of assertive outreach. Routledge.