Implementing assertive community treatment teams.
Implementing assertive community treatment teams.
复制标题
建立积极的社区治疗团队。
DOI：
10.1176/ps.46.7.679
复制
发表时间：
1995
期刊：
影响因子：
--
通讯作者：
Kontos,N
中科院分区：
文献类型：
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作者：
Essock,SM;Kontos,N
康涅狄格州精神卫生部于1987年开始创建自信的社区治疗团队。作者描述了该部门在定义自信的社区治疗模式，在创建新的自信的社区治疗团队，并在监测这些团队的创建和运作，以确保忠实于自信的社区治疗模式保持所采取的方法。即使在没有新工作人员经费的情况下，也可以通过重新配置现有的社区工作人员和将工作人员从州立医院调到社区来建立有自信的社区治疗小组。康涅狄格州一项随机试验的初步数据将自信的社区治疗与拥有一系列社区服务的地区的高质量病例管理进行了比较，结果表明，预期的模式得到了复制，但各个项目的实践风格有所不同。自信的社区治疗的客户在医院的频率约为标准服务的客户的一半，也不太可能没有永久住所。有必要对自信的社区治疗小组进行培训和不断监测，以发现与干预模式不同的做法，从而采取纠正行动。
The Connecticut Department of Mental Health began creating assertive community treatment teams in 1987. The authors describe the approach taken by the department in defining the assertive community treatment model, in creating new assertive community treatment teams, and in monitoring the creation and functioning of these teams to ensure that fidelity to the assertive community treatment model is maintained. Assertive community treatment teams can be created even in the absence of funding for new staff by reconfiguring current community-based staff and by moving staff from state hospitals to the community. Preliminary data from a randomized trial in Connecticut comparing assertive community treatment with high-quality case management in areas with an array of community services indicated that the intended models were replicated, with variations in practice style across programs. Clients in assertive community treatment were in the hospital about half as often as clients in standard services and were also less likely to be without a permanent residence. Training and ongoing monitoring of assertive community treatment teams are necessary to detect practices that diverge from the intervention model so that corrective action can be taken.