Fidelity to Recovery-Oriented ACT Practices and Consumer Outcomes
Fidelity to Recovery-Oriented ACT Practices and Consumer Outcomes
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DOI：
10.1176/appi.ps.201200097
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发表时间：
2013-04-01
影响因子：
3.8
通讯作者：
Moser, Lorna L.
中科院分区：
文献类型：
--
作者：
Cuddeback, Gary S.;Morrissey, Joseph P.;Moser, Lorna L.
Objective: A previous study of a recovery-oriented assertive community treatment initiative (PACT) in Washington State found reductions in state psychiatric hospital use and related costs for PACT participants, especially in the first six months after enrollment and for consumers who were high users of the state psychiatric hospital before ACT enrollment. This study examined whether these outcomes varied by team fidelity to recovery-oriented ACT practices. Methods: Generalized estimating equations (GEE) were used to examine the relationship between scores on the Tool for Measurement of Assertive Community Treatment (TMACT), a recently developed tool for assessing fidelity to recovery-oriented ACT, and the use of state hospitals, local hospitals, emergency departments, local crisis stabilization units, and arrests for 631 PACT consumers. These relationships were also examined for PACT consumers with any state hospital use (N=450) and those considered high users of the state hospital (>= 96 days in two years before PACT enrollment). Results: TMACT scores were associated (p
