A Historical Review of the Madison Model of Community Care

Thompson, Kenneth S.; Griffith, Ezra E. H.; Leaf, Philip J.

doi:10.1176/ps.41.6.625

Cited by 66 publications

(48 citation statements)

References 41 publications

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“…2 Assertive community treatment (ACT) is a community mental health program that was originally developed by Stein and Test as an alternative to hospitalization. [3][4][5] ACT is one of the most welldisseminated, evidence-based case management programs. [6][7][8] ACT provides a highly individualized and comprehensive array of services, with integrated medical and rehabilitation services delivered by an interdisciplinary team in the community.…”

mentioning

confidence: 99%

Family needs and related factors in caring for a family member with mental illness: Adopting assertive community treatment in Japan where family caregivers play a large role in community care

Sono

Oshima

Ito

2008

Psychiatry Clin Neurosci

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Aim:In Japan the family plays a large role in community care for persons with mental illness; therefore the aim of the present study was to describe the needs of family caregivers related to assertive community treatment (ACT) and to analyze the relationship of these needs to underlying factors.Methods: Participants were recruited from the membership of three family associations of persons with mental illness. Of the 224 family members, 152 (67.9%) completed a self-report questionnaire consisting of the following measures: demographic variables, family life difficulty scale, global burden, general life satisfaction, subjective health status, family rejection scale, quantity of supportive behaviors, and needs for ACT.Results: More than 70% of participants reported that service components of ACT would be beneficial, especially in the future. Functions that helped maintain the ordinary routine of family life were significantly correlated with current needs for ACT. Conclusions:When a person has chronic mental illness the family has many needs related to ACT. When functions that maintained the ordinary routine of family life were disturbed, the need for ACT support increased. Elderly parents or siblings were also concerned about the future, when caring for the member with mental illness would become more difficult.

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confidence: 99%

Family needs and related factors in caring for a family member with mental illness: Adopting assertive community treatment in Japan where family caregivers play a large role in community care

Sono

Oshima

Ito

2008

Psychiatry Clin Neurosci

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“…These services include the delivery of medications and a variety of psychosocial interventions at or nearest to the patients' homes for the severely mentally ill (Marshall & Lockwood, 1998;Stein & Test, 1980;Thompson et al 1990). There have been many studies on this method of service delivery, particularly the Assertive Community Treatment (ACT) model demonstrating its effectiveness in improving the care of the mentally ill in the community (Marshall & Lockwood, 1998).…”

Section: Introductionmentioning

confidence: 99%

Hospital‐based community psychiatric service for patients with schizophrenia in Kuala Lumpur: A 1‐year follow‐up study of re‐hospitalization

Dahlan

Midin

Sidi

et al. 2013

Asia-Pacific Psychiatry

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Introduction: Hospital-based community psychiatric service (HCPS) is a developing intervention in Malaysia targeted for patients with severe mental illnesses (SMIs). Its effectiveness had not been systematically measured. This study aimed to assess the outcome of HCPS with respect to re-hospitalization and factors associated with low re-hospitalization among patients with schizophrenia in the metropolitan city of Kuala Lumpur. Methods: A naturalistic and retrospective cohort study was conducted using within-subject pre-post design on 155 patients with schizophrenia who received HCPS in Hospital Kuala Lumpur (HKL). The selection was made by simple random sampling. The hospital admission profiles were obtained from clinical records. The socio-demographic and relevant clinical data were also assessed through clinical interviews. Results: One hundred and forty (90%) of 155 respondents had low rate of hospital admission with significant reduction of being hospitalized within 1 year after receiving HCPS (p < 0.001). Having good social support was significantly associated with lower rate of rehospitalization (p = 0.001). Discussion: The study revealed the effectiveness of HCPS in terms of reducing rates of hospital admission among patients with schizophrenia in Malaysia. The finding may be used as an evidence to develop the service further in other hospitals. However, the finding needs to be replicated through studies with better design involving more psychiatric centres.

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“…Visant à démontrer que cette approche peut soutenir avec succès un traitement à long terme auprès de jeunes adultes frappés par la maladie, Test et al, (1985Test et al, ( , 1991 (Thompson et al, 1990). En effet, ce système, fruit d'une adaptation et d'une généralisation des principes du suivi intensif, s'appuie sur des ressources d'hébergement variées et une équipe spécialisée de suivi intensif entraînée pour suivre les clients les plus difficiles (Mobile Community Treatment) (Stein et al, , 1990b.…”

Section: Le Suivi Intensif Dans Le Milieu à Partir De L'expérience Deunclassified

Points de repère pour différencier la gestion de cas du suivi intensif dans le milieu auprès des personnes souffrant de troubles mentaux graves

Gélinas¹

2007

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L'auteur propose une synthèse des éléments essentiels qui permettent de différencier la gestion de cas du suivi intensif dans le milieu pour les personnes souffrant de troubles mentaux graves. En situant le développement de ces deux approches dans leur contexte social, l'auteur identifie les points de repère qui permettent de les distinguer à la fois au plan conceptuel et pratique. Cet exercice permet de dissiper la confusion répandue dans les écrits et d'outiller les cliniciens afin qu'ils puissent identifier les modèles les plus appropriés pour répondre aux besoins de leur clientèle. Cela implique de prendre en considération les caractéristiques du système dans lequel ils interviennent car sa configuration exerce une influence considérable sur leur travail.The author proposes a synthesis of the essential elements to distinguish Case Management from Assertive Community Treatment with people suffering from severe mental illness. By situating these two approaches in their social context, the author identifies points of reference that allow to distinguish them one from the other on both practical and conceptual levels. This exercise allows to dissipate the widespread confusion in the literature as well as give clinical workers the necessary tools to identify the appropriate models to meet the needs of the clientele. This also implies taking into consideration the characteristics of the system in which they intervene for its configuration exerts a considerable influence on their work.El autor propone una smtesis de los elementos esenciales que permiten diferenciar la gestion de casos del seguimiento intensivo en el medio, para las personas que sufren de desordenes mentales graves. Situando en su contexto social el desarrollo de estos dos enfoques, el autor identifica los puntos de referenda que permiten distinguirlos a nivel conceptual y practico. Este ejercicio permite disipar la confusion generalizada en los escritos y ofrece utiles a los clînicos para que puedan identificar los modelos mas apropiados para responder a las necesidades de sus clientes. Esto implica que hay que tomar en consideraciôn las caracterîsticas del sistema en el que intervienen puesto que su configuraciôn ejerce una influencia considerable en su trabajo

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A Historical Review of the Madison Model of Community Care

Cited by 66 publications

References 41 publications

Family needs and related factors in caring for a family member with mental illness: Adopting assertive community treatment in Japan where family caregivers play a large role in community care

Family needs and related factors in caring for a family member with mental illness: Adopting assertive community treatment in Japan where family caregivers play a large role in community care

Hospital‐based community psychiatric service for patients with schizophrenia in Kuala Lumpur: A 1‐year follow‐up study of re‐hospitalization

Points de repère pour différencier la gestion de cas du suivi intensif dans le milieu auprès des personnes souffrant de troubles mentaux graves

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