Program fidelity in assertive community treatment: Development and use of a measure.
American Journal of OrthopsychiatryPublished 1 January 1998
Gregory B. Teague, Gary R. Bond, Robert E. Drake
Citations516
SJR quartileQ1
SJR score1.07
SNIP1.01
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
A measure of program fidelity to ACT and the results of its application to fifty diverse programs are presented.
Abstract
Assertive community treatment (ACT) is a complex community-based service approach to helping people with severe mental disorders live successfully in the community. Effective replication of the model and research on critical elements require explicit criteria and measurement. A measure of program fidelity to ACT and the results of its application to fifty diverse programs are presented.
Keywords
PsychologyMedicineHealth Professions
Psychological BulletinConstruct validity in psychological tests.
10,874 Citations1955Lee J. Cronbach, Paul E. Meehl
The present interpretation of construct validity is not "official" and deals with some areas where the Committee would probably not be unanimous, but the present writers are solely responsible for this attempt to explain the concept and elaborate its implications.
Journal of the American Statistical AssociationMeasurement, Design, and Analysis: An Integrated Approach.
4,066 Citations1992Sandra G. Funk, Elazar J. Pedhazur +1 more
Archives of General PsychiatryAlternative to Mental Hospital Treatment
1,889 Citations1980Leonard I. Stein
Use of the community program for 14 months greatly reduced the need to hospitalize patients and enhanced the community tenure and adjustment of the experimental patients, and the results suggest that community programming should be comprehensive and ongoing.
Medical Entomology and ZoologyTheory-driven evaluations
1,176 Citations1990Huey-Tsyh Chen
After UUO, renal DCs exhibit inflammatory morphological and functional characteristics and are more effective antigen-presenting cells, but they do not directly contribute to tubulointerstitial damage and fibrosis.
Psychological BulletinMultivariate analysis versus multiple univariate analyses.
924 Citations1989Carl J. Huberty, John D. Morris
Clinical Psychology ReviewTreatment fidelity in outcome studies
788 Citations1991Frank J.Moncher, Ronald J. Prinz
Psychiatric ServicesAn update on supported employment for people with severe mental illness
433 Citations1997Gary R. Bond, Robert E. Drake +2 more
Supporting employment appears to be a promising approach for people with severe mental illness, but more studies are needed, with close attention to program implementation and long-term follow-up.
American Journal of OrthopsychiatryAssertive community treatment for patients with co-occurring severe mental illness and substance use disorder: A clinical trial.
422 Citations1998Robert E. Drake, Gregory J. McHugo +5 more
Integrated mental health and substance abuse treatment within an assertive community treatment (ACT) approach was compared to that within a standard case management approach for 223 patients with dual disorders over three years.
Psychiatric ServicesAssertive community treatment: an update of randomized trials
398 Citations1995Barbara J. Burns, Alberto B. Santos
Questions about the role of assertive community treatment as time-limited treatment, as an adjunct to other services and treatment, or as a comprehensive and continuous service system for adults with severe mental illness require further research.
Journal of Consulting and Clinical PsychologyMeasuring the fidelity of implementation of a mental health program model.
337 Citations1994John H. McGrew, Gary R. Bond +2 more
New Directions for Program EvaluationTheory as method: Small theories of treatments
323 Citations1993Mark W. Lipsey
Psychiatric ServicesEvaluating use of continuous treatment teams for persons with mental illness and substance abuse
211 Citations1995Gregory B. Teague, Robert E. Drake +1 more
Evaluation of the programs' fidelity to the model criteria allowed differentiation of successfully implemented continuous treatment teams from standard case management and from an unsuccessfully implemented team.
Psychiatric ServicesAssertive Community Treatment: An Evaluation of the Experimental Evidence
206 Citations1990Mark Olfson
Across the service settings and patient populations studied, assertive community treatment reduced hospital utilization and provided evidence that the approach was more effective than conventional treatment in controlling symptoms, promoting social functioning, and improving occupational performance.
The Journal of Behavioral Health Services & ResearchCritical ingredients of assertive community treatment: Judgments of the experts
183 Citations1995John H. McGrew, Gary R. Bond
Twenty experts on assertive community treatment rated the importance of 73 program elements, also indicating ideal model specifications (e.g., minimum time commitment for psychiatrist) when appropriate, and suggested several areas of increasing emphasis and decreasing emphasis.
Psychiatric ServicesExperimental Comparison of the Effects of Three Treatment Programs for Homeless Mentally Ill People
180 Citations1992Gary A. Morse, Robert J. Calsyn +3 more
Clients in the continuous treatment program had more contact with their treatment program, were more satisfied with their program, spent fewer days homeless, and used more community services and resources than clients in the other two programs.
American Journal of Public HealthService system integration, access to services, and housing outcomes in a program for homeless persons with severe mental illness.
169 Citations1998Robert A. Rosenheck, J Morrissey +9 more
Service system integration is related to improved access to housing services and better housing outcomes among homeless people with mental illness.
Archives of General PsychiatryCost-effectiveness of Intensive Psychiatric Community Care for High Users of Inpatient Services
152 Citations1998Robert A. Rosenheck, Michael Neale
At acute care hospitals, intensive psychiatric community care treatment is associated with greater long-term clinical improvement and, when fully implemented, is cost-neutral and at long-stay hospitals treating older, less-functional patients, it is not associated with clinical or functional improvement but generates substantial cost savings.
Community Mental Health JournalA model for measuring the implementation of community support programs: Results from three sites
133 Citations1992John S. Brekke, Mary Ann Test
A model for measuring the implementation of Community Support Programs for persons with severe mental illnesses is presented and findings revealed that a priori hypotheses about how the programs were expected to differ on the implementation variables were largely supported.
Community Mental Health JournalPractical guidelines for the community treatment of markedly impaired patients
114 Citations1976Mary Ann Test, Leonard I. Stein
Practical guidelines based on the empirical work of the writers and others include a focus on the teaching of coping skills, an in vivo site of treatment, an assertive approach, and use of a variety of social learning techniques.
Psychiatric ServicesA Historical Review of the Madison Model of Community Care
114 Citations1990Kenneth S. Thompson, Ezra E. H. Griffith +1 more
The authors trace the development of the Madison model from its late-1960s emphasis on improving Mendota State Hospital and providing intensive post-discharge care through the phases of releasing patients early to the community, preventing hospitalization, providing continuous community care for young schizophrenics, maintaining difficult patients in the community.
Schizophrenia BulletinMultisite Experimental Cost Study of Intensive Psychiatric Community Care
110 Citations1995Robert A. Rosenheck, Michael C. Neale +3 more
A 2-year experimental cost study of 10 Intensive Psychiatric Community Care programs was conducted at Department of Veterans Affairs medical centers in the Northeast, finding that costs were lower for IPCC patients in two subgroups: veterans over age 45 and veterans with high levels of inpatient service use before program entry.
Psychiatric ServicesImplementing assertive community treatment teams
99 Citations1995Susan M. Essock, Nina J. Kontos
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.
Psychiatric ServicesModifying the PACT model to serve homeless persons with severe mental illness
97 Citations1995Larry B. Dixon, Nancy Krauss +3 more
A program in Baltimore that has adapted the PACT model to serve homeless persons with severe mental illness is described, which has been modified by the use of "miniteams."
Psychiatric ServicesProviding Assertive Community Treatment for Severely Mentally Ill Patients in a Rural Area
80 Citations1993Alberto B. Santos, P A Deci +5 more
Although the methods of assertive community treatment may need to be modified to suit the travel requirements and other characteristics of rural settings, the study results suggest that the model can be successfully used in rural areas.
New Directions for Mental Health ServicesFamily‐aided assertive community treatment: A comprehensive rehabilitation and intensive case management approach for persons with schizophrenic disorders
61 Citations1992William R. McFarlane, Peter Šťastný +1 more
By combining the therapeutic and rehabilitative effects of assertive community treatment, family psychoeducation, and the multifamily group, better use of an expanded social network yields a more coordinated clinical effort and an enhanced level of community adaptation for patients with chronic schizophrenia.
Evaluation and Program PlanningStrength of theory and theory of strength
60 Citations1989Anne Scott, Lee Sechrest
Psychiatric ServicesWhat Do We Really Know About Community Support Programs? Strategies for Better Monitoring
59 Citations1988J. S. Brekke
Developing effective community support programs requires making a commitment to evaluating programs as they are implemented, identifying program variables to monitor, devising methods for monitoring the variables chosen, and drawing from and building on existing literature about program evaluation.
Psychiatric ServicesSpecial section on assertive community treatment: an introduction
53 Citations1995Robert E. Drake, Barbara J. Burns
The central idea of assertive community treatment was that a community-based team would provide a full range of medical, psychosocial, and rehabilitative services, analogous to care in a hospital, to prevent hospitalization of clients by maximizing their skills and supports in the community.
New Directions for Mental Health ServicesVariations in an assertive outreach model
51 Citations1991Gary R. Bond
The author reviews recent research findings examining variations in an assertive outreach model and mental health system and client characteristics that have influenced program implementation are discussed.
Evaluation ReviewThe Model-Guided Method for Monitoring Program Implementation
51 Citations1987John S. Brekke
The model-guided method provides a test of the adequacy of a program's implementation, and its application to the evaluation of a community support program for the chronically mentally ill is presented.
Evaluation and Program PlanningTheory and method in treatment evaluation
48 Citations1989John W. Finney, Rudolf H. Moos
Journal of Psychiatric PracticeAssertive Community Treatment
8 Citations1998John J. Spollen, Neil Meissler +1 more
