Dissemination of assertive community treatment programs.
Dissemination of assertive community treatment programs.
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传播积极的社区治疗计划。
DOI：
10.1176/ps.46.7.676
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发表时间：
1995
期刊：
影响因子：
--
通讯作者：
Dias,JK
中科院分区：
文献类型：
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作者：
Deci,PA;Santos,AB;Hiott,DW;Schoenwald,S;Dias,JK
目的本研究旨在估计美国针对严重精神疾病成年人使用自信社区治疗模式的项目数量，并描述不同项目干预特征的差异。方法州精神卫生当局确定的自信社区治疗项目完成了一项包含 12 项的调查。该调查包括有关病例数、治疗团队的组成、服务性质和服务提供结构的问题。结果各州确定的 340 个项目中共有 303 个项目（89%）对调查做出了答复。超过 75% 的人在现场提供大部分服务，提供药物，包括自信社区治疗团队中的医务人员，并且每个提供者的病例数比例低于 20 名消费者。 结论 自信社区治疗计划在 33 个州的传播相当不均匀，其中项目最集中在中西部和东部各州。
ObjectiveThe study sought to estimate the number of programs in the US for severely mentally ill adults that used the assertive community treatment model and to describe variations in characteristics of the intervention across programs.MethodsAssertive community treatment programs identified by state mental health authorities completed a 12-item survey. The survey included questions on caseload, composition of the treatment team, nature of services, and structure of service provision.ResultsA total of 303 of 340 programs (89 percent) identified by states responded to the survey. More than 75 percent provided most of their services in the field, delivered medications, included medical staff on the assertive community treatment team, and had caseload ratios of less than 20 consumers for each provider.ConclusionsAssertive community treatment programs have disseminated quite unevenly across 33 states, with the highest concentrations of programs in midwestern and eastern states.