Clinicians’ Perceptions of Challenges and Strategies of Transition from Assertive Community Treatment to Less Intensive Services
Bibliographic Data
| ID | 8908992 |
|---|---|
| Authors | Molly Finnerty (0000-0003-2035-5637, New York University, corresponding author), Molly T Finnerty, Jennifer I Manuel (0000-0002-8068-7660, Virginia Commonwealth University), Ana Z Tochterman (New York State Office of Mental Health), Candice B Stellato (New York State Office of Mental Health), Candice Stellato, Linda H Fraser (New York City Department of Health and Mental Hygiene), Cecily A S Reber (Stanford University), Hima B Reddy (Fairleigh Dickinson University), Angela D Miracle (New York State Office of Mental Health) |
| Year | 2014 |
| Volume | 51 |
| Issue | 1 |
| Pages | 85-95 |
| Publication date | 2014-02-13 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Community Mental Health Journal (JOURNAL) |
| Journal identifiers | ISSN: 0010-3853 • E-ISSN: 1573-2789 |
| Publisher | Springer Science+Business Media (PUBLISHER • DE) |
| DOI | 10.1007/s10597-014-9706-y |
| PMID | 24526472 |
| PMCID | PMC4289526 |
| OpenAlex | W2006111011 |
| Language | EN |
| Citations received | 9 |
| References cited | 26 |
The study aimed to identify clinical strategies and challenges around transition from Assertive Community Treatment (ACT) to less intensive services. Six focus groups were conducted with ACT team leaders (n = 49). Themes were grouped under four intervention-focused domains: (1) client/clinical, (2) family and natural supports, (3) ACT staff and team, and (4) public mental health system. Barriers to transition included beliefs that clients and families would not want to terminate services (due to loss of relationships, fear of failure, preference for ACT model), clinical concerns that transition would not be successful (due to limited client skills, relapse without ACT support), systems challenges (clinic waiting lists, transportation barriers, eligibility restrictions, stigma against ACT clients), and staff ambivalence (loss of relationship with client, impact on caseload). Strategies to support transition included building skills for transition, engaging supports, celebrating success, enhanced coordination with new providers, and integrating and structuring transition in ACT routines
Ambivalence · Assertive community treatment · Business · Focus group · Intervention (counseling · Mental health · Mental illness · Psychiatry · Medicine · Mental Health and Patient Involvement · Nursing · Psychiatric care and mental health services · Psychology · Schizophrenia research and treatment · Social Psychology
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Alternative to Mental Hospital Treatment
Critical Time Intervention
Transferring clients from intensive case management
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From hospital to community psychiatry
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Community Life for the Mentally Ill
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| Unique citing works | 9 |
|---|---|
| Citations per year | 1 |
| Citation span | 2017 - 2026 (10) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 9 |