Transforming assertive community treatment into an integrated care system: the role of nursing and primary care partnerships.

Transforming assertive community treatment into an integrated care system: the role of nursing and primary care partnerships.
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DOI:
10.1177/1078390310394656
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发表时间:
2011-01-01
影响因子:
2
通讯作者:
Lelar, Rebecca
Lelar, Rebecca
中科院分区:
医学4区
文献类型:
--
作者:
Carson Weinstein, Lara;Henwood, Benjamin F;Lelar, Rebecca

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尽管接受自信的社区治疗(ACT)的个人经历的并发症的比例很高,这种综合服务模式仍然被认为主要是一种心理健康干预。在不影响对模型的忠实性的情况下,ACT可以作为一个理想的平台,为那些有复杂服务需求的人提供初级和行为医疗保健。使用一个案例,本文认为,通过建立护理和初级保健合作伙伴关系的ACT精神卫生保健模式转化为一个综合的医疗保健提供系统。具体来说,通过扩大和明确重新定义的作用,ACT护士,完善的护理模式,如引导护理,可以提供额外的指导方针和培训,以ACT护士谁是独特的培训和导向,作为健康整合工作的领导者和协调员。
Despite the high rate of co-occurring medical conditions experienced by individuals receiving assertive community treatment (ACT), this comprehensive service model continues to be considered primarily a mental health intervention. Without compromising fidelity to the model, ACT can serve as an ideal platform from which to provide both primary and behavioral health care to those with complex service needs. Using a case example, this article considers the transformation of the ACT mental health care model into an integrated health care delivery system through establishing nursing and primary care partnerships. Specifically, by expanding and explicitly redefining the role of the ACT nurse, well-developed care models, such as Guided Care, can provide additional guidelines and training to ACT nurses who are uniquely trained and oriented to serve as the leader and coordinator of health integration efforts.