Client and staff members perceptions of assertive community treatment: The nominal groups technique.

Prince, Pamela N.; Demidenko, Natalie; Gerber, Gary

doi:10.1037/h0095156

Cited by 11 publications

(9 citation statements)

References 7 publications

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“…For example, consistent with theories of psychotherapeutic change, aspects of both the treatment and person emerged as critical factors in explaining the process of therapeutic action (Lambert, 2004). Consistent with prior ACT research highlighting the critical importance of relationships (Leiphart & Barnes, 2005; McGrew & Wilson, 1996; Prince et al, 2000; Redko et al, 2004), the impact of consumers' social relationships, both good and bad (e.g., reuniting with family, lack of family support), was mentioned frequently as an important process of success and failure. These findings suggest the need to examine further how ACT teams effectively facilitate or support these social relationships.…”

Section: Discussionsupporting

confidence: 67%

“…Research has identified a variety of helpful elements of ACT, e.g., the relationship, availability of staff, assistance with everyday problems, and home visits (Chinman et al, 1999; McGrew & Wilson, 1996; Prince et al, 2000). Research also has examined aspects of ACT that may be unhelpful, e.g., interactions that are experienced as intrusive, confining, and encouraging dependency (Prince et al, 2000) or practices that seem to produce conflicts over money and medications or that are viewed as authoritative (Krupa et al, 2005).…”

mentioning

confidence: 99%

“…Research also has examined aspects of ACT that may be unhelpful, e.g., interactions that are experienced as intrusive, confining, and encouraging dependency (Prince et al, 2000) or practices that seem to produce conflicts over money and medications or that are viewed as authoritative (Krupa et al, 2005). In one small study, ACT clients reported receiving coercive services, although specificity of the coercion to ACT was unclear (Watts & Priebe, 2002); however, in two larger studies, when consumers were asked what they liked least about ACT, the most common response was to report that they disliked nothing (McGrew et al, 2002) or “no response” (Redko et al, 2004).…”

mentioning

confidence: 99%

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Processes underlying treatment success and failure in assertive community treatment

Stull

McGrew

Salyers

2011

Journal of Mental Health

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Background Processes underlying success and failure in Assertive Community Treatment (ACT), a widely-investigated treatment model for persons with severe mental illness, are poorly understood. Aims The purpose of the current study was to examine processes in ACT by 1) understanding how consumers and staff describe the processes underlying treatment success and failure and 2) comparing processes identified by staff and consumers. Method Investigators conducted semi-structured interviews with 25 staff and 23 consumers from four ACT teams. Results Both staff and consumers identified aspects of the ACT team itself as the most critical in the process of consumer success. For failure, consumers identified consumer characteristics as most critical and staff identified lack of social relationships. Processes underlying failure were not viewed as merely the opposite of processes underlying success. In addition, there was notable disagreement between staff and consumers on important processes. Conclusions Findings overlap with critical ingredients identified in previous studies, including aspects of the ACT team, social involvement, and employment. In contrast to prior studies, there was little emphasis on hospitalizations and greater emphasis on not abusing substances, obtaining wants and desires, and consumer characteristics.

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Section: Discussionsupporting

confidence: 67%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Processes underlying treatment success and failure in assertive community treatment

Stull

McGrew

Salyers

2011

Journal of Mental Health

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“…In addition, the fact that the data were collected by assertive community treatment workers may have made clients reluctant to make criticisms. A group format, for example, might encourage participants to be more frank about their opinions (4).…”

Section: Discussionmentioning

confidence: 99%

“…Clients who are receiving assertive community treatment report greater satisfaction with treatment on global satisfaction measures than clients receiving usual mental health care (3). However, except for one small study (4), no published studies have specifically asked clients about whether they have any negative feelings toward assertive community treatment.…”

mentioning

confidence: 99%

An Exploratory Study of What Clients Like Least About Assertive Community Treatment

McGrew¹,

Wilson²,

Bond³

2002

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As part of a larger interview, clients of assertive community treatment programs answered an open-ended question about what they liked least about assertive community treatment. Of 182 clients, 44 percent reported that they disliked nothing; 21 percent said that they disliked features that are considered specific to assertive community treatment, such as home visits, or that have been criticized in the literature, such as intrusiveness; 16 percent said that they were dissatisfied with underimplementation of elements thought to characterize assertive community treatment, such as frequency of visits; and 19 percent said that they were dissatisfied with general aspects of mental health service delivery, such as an inconvenient office location. Compared with clients of programs with low levels of fidelity to assertive community treatment, clients of high-fidelity programs had fewer complaints overall and fewer complaints about features considered to be specific to assertive community treatment.

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Assertive community treatment (ACT) case managers’ professional identities: A focus group study

Lerbæk

Aagaard

Andersen

et al. 2016

Int J Mental Health Nurs

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Assertive community treatment (ACT) case managers provide healthcare services to people with severe and persistent mental illness. These case managers take on generic roles in multidisciplinary teams and provide all-around services in the clients' private homes. This focus group study aimed to gain insight into Danish ACT case managers' professional identity work by examining their discussions of ethical dilemmas and collaboration in their everyday practice. Data were collected during five focus groups at three ACT teams in the North Denmark Region and subjected to discourse analysis emphasizing how identity work was accomplished through talk. The findings indicated that the case managers constructed professional identities by actively positioning themselves and the particular ACT approach in relation to other mental healthcare professionals and clients. They represented themselves as achieving better client-related outcomes by being more assertive and persistent, and as responsible caregivers who provided the help that their clients needed when other services had failed to do so. They depicted their services as being focused on the clients' well-being, and their persistent efforts to establish and sustain interpersonal relationships with clients were an important part of their service. Basic nursing tasks were described as an important part of their everyday work, and even though such tasks were not distinctive for ACT case managers, the representations of their work seemed to give them a sense of worth as professionals and legitimized a unique role in the community mental healthcare services.

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Client and staff members perceptions of assertive community treatment: The nominal groups technique.

Cited by 11 publications

References 7 publications

Processes underlying treatment success and failure in assertive community treatment

Processes underlying treatment success and failure in assertive community treatment

An Exploratory Study of What Clients Like Least About Assertive Community Treatment

Assertive community treatment (ACT) case managers’ professional identities: A focus group study

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