How do people who receive assertive community treatment experience this service?
ABSTRACT Using a participatory research approach this study examined Assertive Community Treatment as experienced by service recipients. Overall participants were positive about their involvement with ACT and their experiences reflected critical ingredients of the model. The analysis revealed seven ways the ACT promoted community adjustment. Unhelpful aspects of the experience included staff requiring more training in particular service areas, conflicts over money and medications, stigmatizing aspects of the service, and authoritative practices of individual staff. Services promoting community participation were less well-developed than clinical approaches. Tensions inherent in receiving ACT services were related to the participants' negotiation of personal and social consequences of mental illness while striving for autonomy, community participation and inclusion.
- SourceAvailable from: Fang-Pei Chen
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- "The working relationship that we identified highlights a " humanistic " feature in which workers conveyed unconditional positive regard and maintained flexibility in the format of contact and service activities. This concurs with mental health consumers' viewpoints on a helpful working relationship (Brun & Rapp, 2001; Green et al., 2008; Kirsh & Tate, 2006; Krupa et al., 2005; Leiphart & Barnes, 2005; Padgett, Henwood, Abrams, & Davis, 2008; Ribner & Knei-Paz, 2002). From client perspectives in case management programs, the informal, friendship-like aspects of the working relationship appear to be of primary value (Angell & Mahoney, 2007; Buck & Alexander, 2006; Estroff, 1981; Kirsh & Tate; Ware, Tugenberg, & Dickey, 2004). "
ABSTRACT: We applied grounded theory methodology to generate a working relationship model that influences motivation for stable housing among homeless people with serious mental illness, to understand the role of a working relationship in critical service transitions. We focused on practitioners' perspectives and practices in Critical Time Intervention (CTI), a community intervention aimed to reduce homelessness through providing support during the transition from institutional to community living. We found a working relationship that highlighted "nonauthoritative" and "humanistic" features. Workers respected client autonomy and maintained flexibility in the format of client contact and service activities. They used practice strategies including following client leads and informal relating approaches to facilitate the development of client trust. The trusting relationship enhanced client interest in obtaining housing and the commitment to the transformation crucial for retaining housing. We discuss the significance of the relationship and ethical considerations of relationship-building activities in community mental health practices.Qualitative Health Research 09/2011; 22(3):373-83. DOI:10.1177/1049732311421180 · 2.19 Impact Factor
- The Journal of Rehabilitation Research and Development 01/2007; 44(6). DOI:10.1682/JRRD.2006.09.0110 · 1.69 Impact Factor