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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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Published in: | Community mental health journal 2011-08, Vol.47 (4), p.408-414 |
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description | 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. |
doi_str_mv | 10.1007/s10597-010-9335-z |
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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.</description><identifier>ISSN: 0010-3853</identifier><identifier>EISSN: 1573-2789</identifier><identifier>DOI: 10.1007/s10597-010-9335-z</identifier><identifier>PMID: 20623337</identifier><identifier>CODEN: CMHJAY</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>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. 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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.</description><subject>Assertive community treatment</subject><subject>Assertiveness</subject><subject>Attitude of Health Personnel</subject><subject>Biological and medical sciences</subject><subject>Coercion</subject><subject>Community and Environmental Psychology</subject><subject>Community health care</subject><subject>Community Mental Health Services</subject><subject>Community Participation</subject><subject>Community treatment. Ambulatory treatment. Home care</subject><subject>Consumers</subject><subject>Decision Making</subject><subject>Empowerment</subject><subject>Female</subject><subject>Health services</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental disorders</subject><subject>Mental Disorders - psychology</subject><subject>Mental Health</subject><subject>Mental health care</subject><subject>Mental Illness</subject><subject>Original Paper</subject><subject>Patient satisfaction</subject><subject>Perception</subject><subject>Perceptions</subject><subject>Professional-Patient Relations</subject><subject>Psychiatry</subject><subject>Psychology</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. 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Ambulatory treatment. Home care</topic><topic>Consumers</topic><topic>Decision Making</topic><topic>Empowerment</topic><topic>Female</topic><topic>Health services</topic><topic>Humans</topic><topic>Intervention</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental disorders</topic><topic>Mental Disorders - psychology</topic><topic>Mental Health</topic><topic>Mental health care</topic><topic>Mental Illness</topic><topic>Original Paper</topic><topic>Patient satisfaction</topic><topic>Perception</topic><topic>Perceptions</topic><topic>Professional-Patient Relations</topic><topic>Psychiatry</topic><topic>Psychology</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. 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Academic</collection><jtitle>Community mental health journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tschopp, Molly K.</au><au>Berven, Norman L.</au><au>Chan, Fong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Consumer Perceptions of Assertive Community Treatment Interventions</atitle><jtitle>Community mental health journal</jtitle><stitle>Community Ment Health J</stitle><addtitle>Community Ment Health J</addtitle><date>2011-08-01</date><risdate>2011</risdate><volume>47</volume><issue>4</issue><spage>408</spage><epage>414</epage><pages>408-414</pages><issn>0010-3853</issn><eissn>1573-2789</eissn><coden>CMHJAY</coden><abstract>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.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>20623337</pmid><doi>10.1007/s10597-010-9335-z</doi><tpages>7</tpages></addata></record> |
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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 |
title | Consumer Perceptions of Assertive Community Treatment Interventions |
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