Comparison of ACT and Standard Case Management for Delivering Integrated Treatment for Co-occurring Disorders

Essock, Susan M.; Mueser, Kim T.; Drake, Robert E.; Covell, Nancy H.; McHugo, Gregory J.; Frisman, Linda K.; Kontos, Nina J.; Jackson, Carlos T.; Townsend, Flora; Swain, Karin

doi:10.1176/appi.ps.57.2.185

Cited by 175 publications

(178 citation statements)

References 62 publications

Supporting

Mentioning

168

Contrasting

Unclassified

Order By: Relevance

“…After exclusion of 613 articles for various reasons (Figure 1), we included 36 RCTs (total 7 494 patients) plus an additional 14 companion reports. [61][62][63][64][65][66][67][68][69][70][71][72][73][74] The studies were published between 1987 and 2014 by researchers in North America (n = 24), Europe (n = 8), Australia (n = 2), Israel (n = 1) and South Africa (n = 1) ( Table 1). One study was a cluster RCT.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of quality improvement strategies for coordination of care to reduce use of health care services: a systematic review and meta-analysis

Tricco

Antony

Ivers

et al. 2014

CMAJ

133

101

View full text Add to dashboard Cite

Background: Frequent users of health care services are a relatively small group of patients who account for a disproportionately large amount of health care utilization. We conducted a metaanalysis of the effectiveness of interventions to improve the coordination of care to reduce health care utilization in this patient group. Methods:We searched MEDLINE, Embase and the Cochrane Library from inception until May 2014 for randomized clinical trials (RCTs) assessing quality improvement strategies for the coordination of care of frequent users of the health care system. Articles were screened, and data abstracted and appraised for quality by 2 reviewers, independently. Random effects meta-analyses were conducted. Results:We identified 36 RCTs and 14 companion reports (total 7494 patients). Significantly fewer patients in the intervention group than in the control group were admitted to hospital (relative risk [RR] 0.81, 95% confidence interval [CI] 0.72-0.91). In subgroup analyses, a similar effect was observed among patients with chronic medical conditions other than mental illness, but not among patients with mental illness. In addition, significantly fewer patients 65 years and older in the intervention group than in the control group visited emergency departments (RR 0.69, 95% CI 0.54-0.89). Interpretation:We found that quality improvement strategies for coordination of care reduced hospital admissions among patients with chronic conditions other than mental illness and reduced emergency department visits among older patients. Our results may help clinicians and policy-makers reduce utilization through the use of strategies that target the system (team changes, case management) and the patient (promotion of self-management). AbstractSee related commentary, www.cmaj.ca/lookup

show abstract

Section: Resultsmentioning

confidence: 99%

Effectiveness of quality improvement strategies for coordination of care to reduce use of health care services: a systematic review and meta-analysis

Tricco

Antony

Ivers

et al. 2014

CMAJ

133

101

View full text Add to dashboard Cite

show abstract

“…Lambert's study deals mostly with milder psychological problems: the figures might very well be different for psychopathy, but those appear not to have been established so far. From research done by Essock et al (2006) it is known that with drug addicts the 40% external factor was proved to be the decisive treatment tool when it was enhanced by case management. This implies collaboration between key figures and official agencies in order to ensure addicts' best possible embedding in and adaptation to society.…”

Section: Psychopathy and Therapeutic Relationsmentioning

confidence: 99%

Attachment and psychopathy in forensic patients

Berg¹,

Oei

2009

Mental Health Review Journal

View full text Add to dashboard Cite

Attachment and psychopathy in forensic patientsvan den Berg, A.; Oei, T.I. General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.-Users may download and print one copy of any publication from the public portal for the purpose of private study or research -You may not further distribute the material or use it for any profit-making activity or commercial gain -You may freely distribute the URL identifying the publication in the public portal Take down policyIf you believe that this document breaches copyright, please contact us providing details, and we will remove access to the work immediately and investigate your claim. Attachment and psychopathy in forensic patientsThe ( AbstractEffective treatment of patients with severe psychopathy is very difficult to achieve. This conclusion may be drawn from an extensive examination into the usage of the term 'psychopathy' in scientific research literature, in theoretical development from various psychological schools of thought, in the practice of therapy and in assessment. The central issue for the authors of the present article is the inability of severely psychopathic patients to commit to the patient-therapist relationship. Attachment Theory and Mentalization-Based Treatment are used here to define the cause and nature of this inability, which is incurred in very early childhood. The two above-mentioned models can aid in the development of more dynamic definitions of psychopathy, better suited to dynamic therapy formats.The ways in which psychopathy is defined partly account for a number of problems encountered in the practice of therapy. The authors assume that the treatment of psychopathy should be interactional and should match patients' individual levels of psychological development and mentalization; highly psychopathic patients often perceive others as objects ie as part of the context, not as subjects ie autonomous personalities.The authors propose to conduct further research in order to verify the validity of their hypothesis. They also put forward a number of suggestions for therapy formats with a view to establishing effective working relationships with psychopathic patients.

show abstract

“…ACT programs are not appropriate for everyone, and they are generally most effective with individuals at high risk for repeated hospitalizations, including medication-resistant and previously homeless individuals. ACT has not been found to afford a significant benefit for dual disorders (co-occurring psychosis and substance abuse) when compared with the usual integrated services for both disorders (Essock, Mueser, Drake, Covell, McHugo, & Frisman, 2006). In ACT programs, staff will initiate contacts and follow up with participants as soon as they are released from the hospital.…”

Section: Assertive Community Treatmentmentioning

confidence: 99%

Evidence Based Psychosocial Practices and Recovery from Schizophrenia

Shean¹

2008

CPSR

View full text Add to dashboard Cite

Comparison of ACT and Standard Case Management for Delivering Integrated Treatment for Co-occurring Disorders

Abstract: Integrated treatment can be successfully delivered either by assertive community treatment or by standard clinical case management.

Cited by 175 publications

References 62 publications

Effectiveness of quality improvement strategies for coordination of care to reduce use of health care services: a systematic review and meta-analysis

Effectiveness of quality improvement strategies for coordination of care to reduce use of health care services: a systematic review and meta-analysis

Attachment and psychopathy in forensic patients

Evidence Based Psychosocial Practices and Recovery from Schizophrenia

Contact Info

Product

Resources

About