Consumer Perceptions of Assertive Community Treatment Interventions

The issue of coercion in community-based mental health programs is frequently linked to the development of the Assertive Community Treatment (ACT) model. Sixty-five adults diagnosed with severe and persistent mental illness, participating in an ACT model program, completed measures that assessed ele...

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Bibliographic Details
Published in:Community mental health journal 2011-08, Vol.47 (4), p.408-414
Main Authors: Tschopp, Molly K., Berven, Norman L., Chan, Fong
Format: Article
Language:English
Subjects:
Assertive community treatment
Assertiveness
Attitude of Health Personnel
Biological and medical sciences
Coercion
Community and Environmental Psychology
Community health care
Community Mental Health Services
Community Participation
Community treatment. Ambulatory treatment. Home care
Consumers
Decision Making
Empowerment
Female
Health services
Humans
Intervention
Male
Medical sciences
Medicine
Medicine & Public Health
Mental disorders
Mental Disorders - psychology
Mental Health
Mental health care
Mental Illness
Original Paper
Patient satisfaction
Perception
Perceptions
Professional-Patient Relations
Psychiatry
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Qualitative Research
Quality of Life
Rehabilitation
Special education
Therapeutical relation and framework
Treatments
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Summary:The issue of coercion in community-based mental health programs is frequently linked to the development of the Assertive Community Treatment (ACT) model. Sixty-five adults diagnosed with severe and persistent mental illness, participating in an ACT model program, completed measures that assessed elements of coercion and the perceived frequency of use of ACT staff therapeutic limit setting activities, as well as the relationships between coercion, empowerment, quality of life, and the working alliance. On average, participants did not perceive high degrees of coercion or negative pressures and did not feel excluded from the process of making decisions. On the continuum of restrictiveness of therapeutic limit setting activities, participants perceived staff to be using less restrictive therapeutic limit setting activities more frequently. Elements of perceived coercion and specific activities were negatively related to quality of life, sense of empowerment, and the working alliance.
ISSN:0010-3853
1573-2789
DOI:10.1007/s10597-010-9335-z