RURAL ASSERTIVE COMMUNITY TREATMENT PROJECT

印第安纳州心理健康部门，与五个社区合作 为农村集水区和印第安纳州服务的精神卫生中心(CMHCS) 普渡大学印第安纳波利斯分校建议评估 四家社区医疗中心新成立的积极社区治疗小组的疗效。 每个站点都将具有实验条件，该条件将收到 ACT服务加上现有的CMHC服务，以及将 除ACT外，有资格获得CMHC的所有服务。五分之一 CMHC将被用于试验性地评估替代案例经理 方法，莱茵兰德模式。这第五个站点还将提供 ACT和Rhinelander方法之间的非实验比较。 拟议项目的狭隘焦点是评估 农村病例管理服务。关于农村的研究有很大差距。 与人口更稠密地区的项目相比。更广泛的重点是 将这项研究嵌入ACT研究计划的矩阵中 模特。 评价的重点将是：(1)客户成果，如减少 住院，提高生活质量，改善角色功能， 更大的居住和财务稳定性，服药合规性， 参与法律制度；(2)以下方面的案件管理服务 联系的频率、持续时间和类型，以及(3)成本效益分析， 包括使用CMHC服务、医院使用、病例管理服务以及 法律制度的介入。

The Indiana Department of Mental Health, in cooperation with five Community Mental Health Centers (CMHCS) serving rural catchment areas and Indiana University-Purdue University at Indianapolis, proposes to evaluate the efficacy of new assertive community treatment (ACT) teams at four CMHCs. Each site will have both an experimental condition that will receive the ACT services plus existing CMHC services, and a control condition that will be eligible to receive all the services of the CMHC except ACT. A fifth CMHC will be used to evaluate experimentally an alternative case manager approach, the Rhinelander model. This fifth site will also provide nonexperimental comparisons between the ACT and the Rhinelander approach. The narrow focus of the proposed project is to evaluate the efficacy of rural case management services. There is a large gap in research on rural programs compared to ones in more populated areas. The broader focus is to embed this study within the matrix of a program of research on the ACT model. The focus of the evaluation will be: (1) client outcomes, such as reduced hospitalization, increased quality of life, improved role functioning, greater residential and financial stability, medication compliance, involvement with the legal system; (2) case management services in terms of frequency, duration, and types of contacts, and (3) cost-benefit analysis, including use of CMHC services, hospital use, case management services, and legal system involvement.