Skip to main content

Advertisement

Log in

Transitioning Clients from Assertive Community Treatment to Traditional Mental Health Services

  • Original Paper
  • Published:
Community Mental Health Journal Aims and scope Submit manuscript

Abstract

The original assertive community treatment (ACT) model included time-unlimited treatment. However, resource restrictions and subsequent research call into question the feasibility and necessity of time-unlimited services. This study compares the outcomes of 48 individuals who successfully transitioned from ACT to less intensive Community Mental Health Center (CMHC) services to 19 persons who required return to ACT or did not remain in CMHC treatment. There were no statistically significant differences in demographics, diagnoses, and other treatment factors between the two groups.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  • Dixon, L. B. (2000). Assertive community treatment: Twenty five years of gold. Psychiatric Services (Washington, D.C.), 51, 759–765. doi:10.1176/appi.ps.51.6.759.

    CAS  Google Scholar 

  • Dixon, L., Friedman, N., & Lehman, A. (1993). Compliance of homeless mentally ill persons with assertive community treatment. Hospital & Community Psychiatry, 44, 581–583.

    CAS  Google Scholar 

  • Dixon, L. B., Krauss, N., Kernan, E., Lehman, A. F., & DeForge, B. R. (1995). Modifying the PACT model to serve homeless persons with severe mental illness. Psychiatric Services (Washington, D.C.), 7, 684–688.

    Google Scholar 

  • Drake, R. E., & Deegan, P. E. (2008). Are assertive community treatment and recovery compatible? Commentary on “ACT and recovery: Integrating evidence based practice and recovery orientation on assertive community treatment teams”. Community Mental Health Journal, 44, 75–77. doi:10.1007/s10597-007-9120-9.

    Article  PubMed  Google Scholar 

  • Lehman, A. F., Dixon, L. B., Kernan, E., DeForge, B. R., & Postrado, L. T. (1997). A randomized trial of assertive community treatment for homeless persons with severe mental illness. Archives of General Psychiatry, 54, 1038–1043.

    PubMed  CAS  Google Scholar 

  • Lehman, A. F., Kreyenbuhl, J., Buchanan, R. W., Dickerson, F. B., Dixon, L. B., Goldberg, R., et al. (2004). The Schizophrenia Patient Outcomes Research Team (PORT) updated treatment recommendations 2003. Schizophrenia Bulletin, 30, 193–217.

    PubMed  Google Scholar 

  • Lehman, A. F., & Steinwachs, D. M. (1998). Translating research into practice: The Schizophrenia Patients Outcomes Research Team (PORT) treatment recommendations. Schizophrenia Bulletin, 24, 1–9.

    PubMed  CAS  Google Scholar 

  • McGrew, J. H., & Bond, R. E. (1995). Critical ingredients of assertive community treatment: Judgments of the experts. Journal of Mental Health Administration, 22, 113–125. doi:10.1007/BF02518752.

    Article  PubMed  CAS  Google Scholar 

  • McGrew, J. H., & Bond, G. R. (1997). The association between program characteristics and service delivery in assertive community treatment. Administration and Policy in Mental Health, 25, 175–189. doi:10.1023/A:1022239005432.

    Article  PubMed  CAS  Google Scholar 

  • McHugo, G. J., Drake, R. E., Teague, G. B., & Xie, H. (1999). Fidelity to assertive community treatment and client outcomes in the New Hampshire dual disorders study. Psychiatric Services (Washington, D.C.), 50, 818–824.

    CAS  Google Scholar 

  • McRae, J., Higgins, M., Lycan, C., & Sherman, W. (1990). What happens to patients after five years of intensive case management stops? Hospital & Community Psychiatry, 41, 175–179.

    CAS  Google Scholar 

  • Rosenheck, R. A., & Dennis, D. (2001). Time limited assertive community treatment for homeless persons with severe mental illness. Archives of General Psychiatry, 58, 1073–1080. doi:10.1001/archpsyc.58.11.1073.

    Article  PubMed  CAS  Google Scholar 

  • Salyers, M. P., Masterson, T. W., Fekete, D. M., Picone, J., & Bond, G. (1998). Transferring clients from intensive case management: Impact on client functioning. The American Journal of Orthopsychiatry, 68, 233–245. doi:10.1037/h0080332.

    Article  PubMed  CAS  Google Scholar 

  • Salyers, M. P., & Tsemberis, S. (2007). ACT and recovery: Integrating evidence based practice and recovery orientation on assertive community treatment teams. Community Mental Health Journal, 43, 619–641. doi:10.1007/s10597-007-9088-5.

    Article  PubMed  Google Scholar 

  • Stein, L. I., & Test, M. A. (1980). Alternatives to mental hospital treatment I. Conceptual model, treatment program, and clinical evaluation. Archives of General Psychiatry, 37, 392–397.

    PubMed  CAS  Google Scholar 

  • Teague, G. B., Bond, G. R., & Drake, R. E. (1998). Program fidelity in assertive community treatment: Development and use of a measure. The American Journal of Orthopsychiatry, 68, 216–232. doi:10.1037/h0080331.

    Article  PubMed  CAS  Google Scholar 

  • Ziguras, S. J., & Stuart, G. W. (2000). A meta-analysis of the effectiveness of mental health case management over 20 years. Psychiatric Services (Washington, D.C.), 51, 1410–1421. doi:10.1176/appi.ps.51.11.1410.

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ann L. Hackman.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hackman, A.L., Stowell, K.R. Transitioning Clients from Assertive Community Treatment to Traditional Mental Health Services. Community Ment Health J 45, 1–5 (2009). https://doi.org/10.1007/s10597-008-9179-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10597-008-9179-y

Keywords

Navigation