Alternative approaches to standard inpatient mental health care: development of a typology of service models DOI
Jessica Griffiths, Helen Baldwin,

Jerusaa Vasikaran

et al.

Published: Dec. 14, 2023

Abstract Background Inpatient mental health care is a challenging component of the services system, with frequent reports negative and coercive experiences doubts about its therapeutic value. As such, alternative approaches for individuals experiencing crisis are highly desirable. This research aimed to identify models which offer an standard inpatient across all age groups, both nationally internationally, develop typology these models. Methods A dual literature search expert consultation methodology was adopted relevant Three typologies were developed according group acuity, including: alternatives acute adults; longer-stay adults, including rehabilitation forensic services; children young people. Results We identified array service in each typology, some community settings, hospital-based working settings. Models varied greatly characteristics, extent implementation supporting evidence. Conclusions Through this mapping exercise, we have three novel care. range community-based, cross-setting identified. The identification providing substantially different way suggests that improvements could be provided within existing structures. Potential inequities access certain such as people who compulsorily detained, younger transitioning between children’s adult services. These can inform future description, evaluation comparison also yields key considerations design, development arrays.

Language: Английский

Examining Youth Flexible ACT Model Implementation in the Netherlands DOI Creative Commons
Marieke Broersen,

Nynke Frieswijk,

Maaike van Vugt

et al.

Community Mental Health Journal, Journal Year: 2024, Volume and Issue: 60(6), P. 1081 - 1093

Published: March 22, 2024

Abstract Model adherence is a key indicator of mental health care quality. This study investigates the degree model adherence, as well content and staging care, among first Youth Flexible Assertive Community Treatment (ACT) teams in Netherlands. fidelity was assessed sixteen with Flexile ACT scale (2014 version). Mental workers completed ‘content questionnaire’ to map interventions applied teams. scores revealed that twelve adhered standard ‘optimal implementation’ (≥ 4.1 on 5 point scale) four ‘adequate implementation’. Most disciplines were integrated within teams; however, several items regarding involvement specific availability treatment (peer support worker, employment education specialist programs, family interventions, dual disorder treatment) scored below optimum. Frequency contact during use Routine Outcome Monitoring instruments optimum well. The care’ data showed most clients received an individual psychological intervention, nearly half client sample scaled-up / intensified care. findings indicate predominantly successful translation from theoretical framework into practice, covering both non-ACT functions. Further room for improvement lies incorporation specialized personal social recovery domains, including peer worker specialist, protocolled interventions.

Language: Английский

Citations

3
Longitudinal record linked analysis of an Assertive Community Treatment programme in a suburban mental health hospital: Emergency department presentations, hospital admissions and bed days. DOI Creative Commons
Susanne Stanley,

Ajay Velayudhan,

Amanda Hellewell

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: June 13, 2024

Abstract Purpose This study aimed to objectively assess a long-term Assertive Community Treatment (ACT) programme run by suburban mental health hospital in Western Australia. The examined the tracking Emergency Department (ED) presentations, admissions and length of stays (bed days) people with severe illness who entered programme. Methods Between January 2008 - June 2019, 160 clients attended had presentation admission activities assessed at two time periods 1) PRE period from each client’s first engagement service up their entering service’s ACT programme, 2) DURING – which is that client spent engaged Results No difference was found between ED presentations before as compared during Voluntary were significantly lower than but no for involuntary admissions. Both voluntary stays, however, showed significant reduction bed days Conclusion data shows mixed support continued use services. While remained same, suggests increased provision outpatient home care through working community keeping them out more restrictive settings.

Language: Английский

Citations

0
Reducing mental health distress and preventing depression in young people in the community: a multimethod observational study with a real-world and prospective 12-month controlled approach DOI
Christy Lai Ming Hui, Eric Chen, Stephanie Ming Yin Wong

et al.

Psychiatry Research, Journal Year: 2024, Volume and Issue: 344, P. 116279 - 116279

Published: Nov. 23, 2024

Language: Английский

Citations

0
A qualitative study of the experiences of young people with severe mental health problems and complex needs regarding youth flexible assertive community treatment DOI Creative Commons
Martin Berg Johansen, Hanne Kilen Stuen, Eva Brekke

et al.

Frontiers in Psychiatry, Journal Year: 2024, Volume and Issue: 15

Published: Dec. 6, 2024

Youth Flexible Assertive Community Treatment (Youth ACT) is a service model for children and young people with severe mental health problems complex needs aimed at providing integrated, continuous holistic care. Studies on people's experiences of ACT or similar models are scarce. The present qualitative study to explore describe how experience follow-up treatment provided by teams. Semi-structured interviews were conducted 14 (age range, 15-19 years) who being followed up team. Qualitative content analysis was used, the following two overarching themes characterizing teams identified: (1) trusting collaborative relationships, (2) organization matters. participants experienced more personal relationship staff, behaved like friends paid attention resources, interests, solutions their context. emphasized valued components that coincided model, indicating match between what needed wanted supposed provide. team these relationships youth-friendly developmentally sensitive care appeared be facilitated organized, flexible accessible while multifaceted help systemic follow-up.

Language: Английский

Citations

0
Alternative approaches to standard inpatient mental health care: development of a typology of service models DOI
Jessica Griffiths, Helen Baldwin,

Jerusaa Vasikaran

et al.

Published: Dec. 14, 2023

Abstract Background Inpatient mental health care is a challenging component of the services system, with frequent reports negative and coercive experiences doubts about its therapeutic value. As such, alternative approaches for individuals experiencing crisis are highly desirable. This research aimed to identify models which offer an standard inpatient across all age groups, both nationally internationally, develop typology these models. Methods A dual literature search expert consultation methodology was adopted relevant Three typologies were developed according group acuity, including: alternatives acute adults; longer-stay adults, including rehabilitation forensic services; children young people. Results We identified array service in each typology, some community settings, hospital-based working settings. Models varied greatly characteristics, extent implementation supporting evidence. Conclusions Through this mapping exercise, we have three novel care. range community-based, cross-setting identified. The identification providing substantially different way suggests that improvements could be provided within existing structures. Potential inequities access certain such as people who compulsorily detained, younger transitioning between children’s adult services. These can inform future description, evaluation comparison also yields key considerations design, development arrays.

Language: Английский

Citations

0