Fidelity in Mental Health Services: Clinical Strategies for Implementing Resource Groups

2017 ◽  
Vol 45 (2) ◽  
pp. 211-222
Author(s):  
Tommy Nordén ◽  
Jonny Andersson ◽  
Torsten Norlander
Keyword(s):  
Mental Health ◽  
Social Work ◽  
Mental Health Services ◽  
Health Services ◽  
Assertive Community Treatment ◽  
Educational Program ◽  
Community Treatment ◽  
Divergent Validity ◽  
Clinical Strategies ◽  
Resource Group

We investigated whether or not people working in the fields of psychiatry and social work who do not have experience in assessing the fidelity of resource group assertive community treatment could use a new manual for the Clinical Strategies Implementation Scale–Revised (CSI–R) in a reliable and valid fashion. Participants were 4 men and 17 women who were caregivers recruited from psychiatric and social-work clinics in Middle Sweden. The study was conducted using a combination of quantitative and qualitative techniques. The caregivers were asked to rate 2 fictional cases individually and thereafter discuss their assessments in focus groups. Results indicated acceptable values for homogeneity, criterion validity, and divergent validity. We concluded that people working in the fields of psychiatry and social work who are inexperienced in using the CSI-R can use it in a reliable and valid way with the help of the new manual, and that the procedure used to conduct the study can be used as a model for a brief educational program or seminar.

scholarly journals The Greek Hybrid Version of the Assertive Community Treatment Model: A Perspective View between Challenges and Limitations

Psych ◽  
2021 ◽  
Vol 3 (4) ◽  
pp. 792-799
Author(s):  
Vaios Peritogiannis ◽  
Fotini Tsoli
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Health Services ◽  
Mental Health Professionals ◽  
Assertive Community Treatment ◽  
Rural Areas ◽  
Community Treatment ◽  
Community Mental Health Service ◽  
Perspective View

The Assertive Community Treatment (ACT) model of care has been long considered to be effective in the management of patients with severe mental illness (SMI) in most Western countries. The implementation of the original ACT model may be particularly challenging in rural and remote communities with small and dispersed populations and lack of adequate mental health services. Rural programs may have to adapt the model and modify the ACT fidelity standards to accommodate these limitations, and this is the rationale for the introduction of more flexible, hybrid ACT models. In rural Greece, the so called Mobile Mental Health Units (MMHUs) are well-established community mental health services. For patients with SMI that have difficulties engaging with treatment services, the new hybrid ACT model has been recently launched. The objective of this manuscript is to present the recently launched hybrid ACT model in rural areas in Greece and to explore the challenges and limitations in its implementation from the experience of a team of mental health professionals with ACT experience. Referral criteria have not been strictly set, but the number of previous relapses and hospitalizations is taken under consideration, as well as the history of poor treatment adherence and disengagement from mental health services. The main limitation in the implementation of the hybrid ACT service is that it has been introduced in several areas in the absence of a pre-existing community mental health service. This may impact referrals and limit focus on the difficult cases of patients with SMI, thus making the evaluation of the model inapplicable.

Compulsory community mental health care: Oceania

2016 ◽  
Author(s):  
Anthony J. O’Brien
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Developing Countries ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Health Services ◽  
Mental Health Care ◽  
Developed Countries ◽  
Community Treatment ◽  
Community Mental Health Care

Oceania is characterized by the diversity of countries and by highly variable provision of mental health services and community mental health care. Countries such as Australian and New Zealand have well-developed mental health services with a high level of provision, but many less developed countries lack mental health infrastructure. Some developing countries such as Samoa and Tonga have passed mental health legislation with provision for community treatment orders, but this legal measure is probably not a useful mechanism for advancing mental health care in developing countries. Instead, efforts to improve provision of care seem best directed to the primary care sector, and to the general health workforce, rather than to specialists. The UN CRPD offer extensions of human rights to people with mental illness and most countries in Oceania have signed it. However, the absence of a regional rights tribunal potentially limits the realization of those rights.

Cultural Competency in Mental-Health Services

2013 ◽  
Author(s):  
Jun Sung Hong ◽  
Wynne Sandra Korr
Keyword(s):  
Mental Health ◽  
Social Work ◽  
Mental Health Services ◽  
Health Services ◽  
Cultural Competency ◽  
Work Practice ◽  
Social Work Practice ◽  
Cultural Knowledge ◽  
Salient Factor ◽  
Helping Process

Since the 1980s, cultural competency has increasingly been recognized as a salient factor in the helping process, which requires social-work professionals to effectively integrate cultural knowledge and sensitivity with skills. This entry chronicles the history of mental-health services and the development of cultural competency in social-work practice, followed by a discussion of mental-health services utilization and barriers to services among racial/ethnic minorities. Directions for enhancing cultural competency in mental-health services are also highlighted.

Social Work in Health and Mental Health Services

1971 ◽  
Vol 52 (4) ◽  
pp. 211-219
Author(s):  
Bertram J. Black
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Social Work ◽  
Mental Health Services ◽  
Health Services ◽  
Common Thread ◽  
The Common

An examination of some concepts and issues relating to health care shows that the common thread is the responsibility for planning and administration

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