Successful engagement: a mixed methods study of the approaches of assertive community treatment and community mental health teams in the REACT trial.

Abstract:

BACKGROUND:The only randomised trial of assertive community treatment (ACT) carried out in England (the "REACT" study: randomised evaluation of assertive community treatment in North London) found no clinically significant advantage over usual care from community mental health teams (CMHTs). However, ACT clients were more satisfied and better engaged with services. To understand these findings better, we investigated the content of care and interventions offered to study participants. METHOD:Quantitative data were collected to compare team structures and processes. Qualitative interviews with care co-ordinators of 40 of the 251 REACT study participants (20 ACT, 20 CMHT clients) were carried out and thematic analysis was used to explore differences in the approaches of the two types of team. RESULTS:CMHTs scored low for ACT model fidelity and ACTTs scored high or ACT-like. All staff cited client engagement as their primary aim, but ACT approaches were less formal, more frequent and more successful than CMHTs'. Two aspects of ACT appeared important for engagement: small case loads and the team approach. Successful client engagement appeared to be associated with greater staff satisfaction. CONCLUSIONS:The findings from this study assist in understanding why the ACT approach is more acceptable to clients deemed by CMHTs as "hard to engage". The key elements of ACT that facilitate client engagement may not be easily replicated within CMHTs due to their larger, varied caseloads.

authors

Killaspy H,Johnson S,Pierce B,Bebbington P,Pilling S,Nolan F,King M

doi

10.1007/s00127-008-0472-4

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

532-40

issue

7

eissn

0933-7954

issn

1433-9285

journal_volume

44

pub_type

杂志文章
  • Anxious-depression among Hispanic/Latinos from different backgrounds: results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).

    abstract:BACKGROUND:Anxious-depression is a constellation of symptoms, frequently encountered among patients in primary care centers. There is a need to study how anxious-depression presents among Hispanic/Latinos of different backgrounds. OBJECTIVE:To study the construct of anxious-depression among 16,064 Hispanic/Latinos of ...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-015-1120-4

    authors: Camacho Á,Gonzalez P,Buelna C,Emory KT,Talavera GA,Castañeda SF,Espinoza RA,Howard AG,Perreira KM,Isasi CR,Daviglus ML,Roesch SC

    更新日期:2015-11-01 00:00:00

  • Adult attachment styles and psychosis: an investigation of associations between general attachment styles and attachment relationships with specific others.

    abstract:BACKGROUND:If attachment theory is to help inform our understanding of relationship difficulties in people with psychosis, it is first important to understand the composition of attachment networks in this group and how attachment style measured with reference to relationships in general actually relates to attachment ...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-007-0261-5

    authors: Berry K,Wearden A,Barrowclough C

    更新日期:2007-12-01 00:00:00

  • The impact of first episode psychosis on sibling quality of life.

    abstract:PURPOSE:The adverse impact of first episode psychosis (FEP) upon parents' quality of life (QoL) has been well documented. However, the determinants and levels of QoL remain poorly understood in siblings of young people experiencing FEP. This study aimed to characterise and establish the predictors of QoL for siblings o...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-013-0817-5

    authors: Bowman S,Alvarez-Jimenez M,Wade D,Howie L,McGorry P

    更新日期:2014-07-01 00:00:00

  • Parental rearing and problem behaviours in male delinquent adolescents versus controls in northern Russia.

    abstract::The purpose of this study was to investigate possible relationships between parental rearing practices and problem behaviours in a sample of male delinquent adolescents versus controls. A total of 133 subjects from a juvenile correction centre and 108 matched school-children in the Arkhangelsk region, Russia, were ass...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s001270050082

    authors: Ruchkin VV,Eisemann M,Hägglöf B

    更新日期:1998-10-01 00:00:00

  • Doctors' attitude towards people with mental illness in Western Nigeria.

    abstract:INTRODUCTION:It had been suggested that those more knowledgeable about mental illness are less likely to endorse negative or stigmatizing attitudes. This study aimed to evaluate the attitude of doctors in Nigeria towards the mentally ill. METHODS:Medical doctors (n = 312) from eight selected health institutions in Nig...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-007-0246-4

    authors: Adewuya AO,Oguntade AA

    更新日期:2007-11-01 00:00:00

  • Posttraumatic growth in the aftermath of a disaster: looking for the role of gender.

    abstract::In the past 10 years, the literature on disasters and mental health has shifted from a focus on psychopathology, to an interest in documenting manifestations of resilience in the face of mass trauma. The Jin et al. study, published in this issue of the Journal, examines gender differences in the relationship between p...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 评论,杂志文章

    doi:10.1007/s00127-014-0949-2

    authors: Cerdá M

    更新日期:2014-12-01 00:00:00

  • Violence and depressive symptoms during pregnancy: a primary care study in Brazil.

    abstract:AIM:To estimate the prevalence of violence, depressive symptoms, and associated factors during pregnancy in women attending antenatal care in Brazil. METHODS:Violence was assessed using a modified version of the abuse assessment screen (ASS), and depressive symptoms were evaluated using the primary care evaluation of ...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-009-0145-y

    authors: Manzolli P,Nunes MA,Schmidt MI,Pinheiro AP,Soares RM,Giacomello A,Drehmer M,Buss C,Hoffmann JF,Ozcariz S,Melere C,Manenti CN,Camey S,Ferri CP

    更新日期:2010-10-01 00:00:00

  • Sex, gender role orientation, gender role attitudes and suicidal thoughts in three generations. A general population study.

    abstract:BACKGROUND:Suicide and other suicidal behaviours are markedly (though differently) patterned by gender. The increase in young male suicide rates in many countries has heightened interest in whether suicidal behaviours and ideation (thoughts) are related to masculinity. Relatively little research has explored the relati...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-006-0074-y

    authors: Hunt K,Sweeting H,Keoghan M,Platt S

    更新日期:2006-08-01 00:00:00

  • Involuntary admission from the patients' perspective.

    abstract:BACKGROUND:Involuntary admission legislation and rates differ greatly throughout the European Union Member States. In Ireland, the Mental Health Act 2001 has introduced significant changes in the care for patients admitted involuntarily, including mental health tribunals that review the involuntary admission orders. A...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-009-0104-7

    authors: O'Donoghue B,Lyne J,Hill M,Larkin C,Feeney L,O'Callaghan E

    更新日期:2010-06-01 00:00:00

  • Somatic distress among Kosovar civilian war survivors: relationship to trauma exposure and the mediating role of experiential avoidance.

    abstract:PURPOSE:The current study examined the prevalence and correlates of somatic distress (SD) in the aftermath of war, and the role of a process hypothesized to contribute to posttraumatic stress: experiential avoidance. METHODS:Civilian war survivors (n = 163) from Kosovo were assessed in structured interviews, reporting...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-009-0160-z

    authors: Morina N,Ford JD,Risch AK,Morina B,Stangier U

    更新日期:2010-12-01 00:00:00

  • Association between bullying at work and mental disorders: gender differences in the Italian people.

    abstract:BACKGROUND:In the last few years the international literature has shown an increasing attention for the work as life-event stressor, for its organizational characteristics as well as for job insecurity and interpersonal conflicts. METHODS:We have studied 707 subjects who approached the Work Psychopathology Medical Cen...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00127-009-0155-9

    authors: Nolfe G,Petrella C,Zontini G,Uttieri S,Nolfe G

    更新日期:2010-11-01 00:00:00

  • Family social support, community "social capital" and adolescents' mental health and educational outcomes: a longitudinal study in England.

    abstract:PURPOSE:To examine the associations between family social support, community "social capital" and mental health and educational outcomes. METHODS:The data come from the Longitudinal Study of Young People in England, a multi-stage stratified nationally representative random sample. Family social support (parental relat...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-011-0391-7

    authors: Rothon C,Goodwin L,Stansfeld S

    更新日期:2012-05-01 00:00:00

  • Occupation and mental health in a national UK survey.

    abstract:OBJECTIVES:To measure the prevalence of common mental disorder (CMD) by occupation in a representative sample of Great Britain and to identify occupations with increased and decreased risk of CMD. METHODS:A cross-sectional interview-based survey was carried out including 5,497 working male and female respondents, 16-6...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-009-0173-7

    authors: Stansfeld SA,Rasul FR,Head J,Singleton N

    更新日期:2011-02-01 00:00:00

  • Impact of shared mental health care in the general population on subjects' perceptions of mental health care and on mental health status.

    abstract:OBJECTIVE:A community survey evaluated whether the development of a shared mental health care intervention had an impact on health care perceptions and mental health status of subjects with common mental health problems (MHP). METHODS:Adults <70 years old with common MHP (DSM-IV/CIDI-SF major depressive disorder, gene...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00127-007-0285-x

    authors: Younès N,Hardy-Bayle MC,Falissard B,Kovess V,Gasquet I

    更新日期:2008-02-01 00:00:00

  • Predicting psychiatric readmission: sex-specific models to predict 30-day readmission following acute psychiatric hospitalization.

    abstract:PURPOSE:Psychiatric readmission is a common negative outcome. Predictors of readmission may differ by sex. This study aimed to derive and internally validate sex-specific models to predict 30-day psychiatric readmission. METHODS:We used population-level health administrative data to identify predictors of 30-day psych...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-017-1450-5

    authors: Barker LC,Gruneir A,Fung K,Herrmann N,Kurdyak P,Lin E,Rochon PA,Seitz D,Taylor VH,Vigod SN

    更新日期:2018-02-01 00:00:00

  • Help-seeking for mental health problems among Chinese: the application and extension of the theory of planned behavior.

    abstract::The underutilization of professional care is a perennial problem among Chinese populations. To examine the social-cognitive factors that may affect help-seeking intentions, the present study applied and extended Ajzen's theory of planned behavior (TPB) to understand the intention to seek help from mental health profes...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-008-0484-0

    authors: Mo PK,Mak WW

    更新日期:2009-08-01 00:00:00

  • Attempted suicide among immigrants in European countries: an international perspective.

    abstract:PURPOSE:This study compares the frequencies of attempted suicide among immigrants and their hosts, between different immigrant groups, and between immigrants and their countries of origin. METHODS:The material, 27,048 persons, including 4,160 immigrants, was obtained from the WHO/EURO Multicentre Study on Suicidal Beh...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00127-010-0336-6

    authors: Bursztein Lipsicas C,Mäkinen IH,Apter A,De Leo D,Kerkhof A,Lönnqvist J,Michel K,Salander Renberg E,Sayil I,Schmidtke A,van Heeringen C,Värnik A,Wasserman D

    更新日期:2012-02-01 00:00:00

  • A randomized-controlled trial of treatment for self-stigma among persons diagnosed with schizophrenia-spectrum disorders.

    abstract:PURPOSE:A substantial body of research indicates that self-stigma is associated with poorer outcomes related to recovery among people with severe mental illnesses. Narrative Enhancement and Cognitive Therapy (NECT) is a structured, group-based approach which targets the effects of self-stigma. A randomized-controlled t...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00127-019-01702-0

    authors: Yanos PT,Lysaker PH,Silverstein SM,Vayshenker B,Gonzales L,West ML,Roe D

    更新日期:2019-11-01 00:00:00

  • Threshold 3: the feasibility of the Threshold Assessment Grid (TAG) for routine assessment of the severity of mental health problems.

    abstract:BACKGROUND:Evidence-based practice requires the development of measures which are suitable for everyday clinical use ('feasible'). There is no consensus as to how to establish feasibility. METHOD:The feasibility of a new assessment - the Threshold Assessment Grid (TAG) - for use when making referrals to mental health ...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s001270170017

    authors: Slade M,Cahill S,Kelsey W,Powell R,Strathdee G,Valiakalayil A

    更新日期:2001-10-01 00:00:00

  • Are self-referrers just the worried well?--A cross-sectional study of self-referrers to community psycho-educational Stress and Self-Confidence workshops.

    abstract:BACKGROUND:Reluctance to seek formal help has been seen as a major problem in trying to reduce the prevalence of anxiety and depression. AIMS:The aims of this study were to assess the psychiatric status of those self-referring to psycho-educational Stress and Self-Confidence community workshops using a cognitive behav...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-005-0896-z

    authors: Brown JS,Boardman J,Elliott SA,Howay E,Morrison J

    更新日期:2005-05-01 00:00:00

  • Cross-national comparison of the link between socioeconomic status and emotional and behavioral problems in youths.

    abstract:INTRODUCTION:In previous longitudinal studies in the US, lower socioeconomic status (SES) was associated with more emotional and behavioral problems. It remains unclear whether these findings can be generalized outside the US, as different countries vary in their health care systems and prevention of psychopathology in...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-010-0191-5

    authors: van Oort FV,van der Ende J,Wadsworth ME,Verhulst FC,Achenbach TM

    更新日期:2011-02-01 00:00:00

  • Associations between psychotic-like symptoms and inattention/hyperactivity symptoms.

    abstract:OBJECTIVE:Our aim was to study the association between psychotic-like symptoms and inattention/hyperactivity symptoms in a general adolescent population. SUBJECTS AND METHODS:The sample is based on a population-based prospective mother-child birth cohort, the Northern Finland Birth Cohort 1986. In the 15-16-year follo...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-009-0165-7

    authors: Hurtig TM,Taanila A,Veijola J,Ebeling H,Mäki P,Miettunen J,Kaakinen M,Joukamaa M,Therman S,Heinimaa M,Järvelin MR,Moilanen I

    更新日期:2011-01-01 00:00:00

  • Intimate relationships and childbearing after adolescent depression: a population-based 15 year follow-up study.

    abstract:PURPOSE:Adolescent depression is associated with a range of interpersonal adversities. We hypothesized that depressed adolescents are at subsequent increased risk of problems related to intimate relationships and childbearing in adulthood, and used longitudinal data to examine this. METHOD:A population-based investiga...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-010-0238-7

    authors: Jonsson U,Bohman H,Hjern A,von Knorring L,Paaren A,Olsson G,von Knorring AL

    更新日期:2011-08-01 00:00:00

  • U.S. military mental health care utilization and attrition prior to the wars in Iraq and Afghanistan.

    abstract:OBJECTIVE:Health care utilization studies of mental disorders focus largely on the ICD-9 category 290-319, and do not generally include analysis of visits for mental health problems identified under V-code categories. Although active duty service members represent a large young adult employed population who use mental ...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-008-0461-7

    authors: Garvey Wilson AL,Messer SC,Hoge CW

    更新日期:2009-06-01 00:00:00

  • Individual and parental psychiatric history and risk for suicide among adolescents and young adults in Denmark: a population-based study.

    abstract:BACKGROUND:Both individual and familial histories of mental illness are substantial risk factors for suicide in young people. AIM:To explore suicide risk among adolescents and young adults according to detailed aspects of individual and parental psychiatric admission history. METHODS:A nested case-control study was u...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-008-0385-2

    authors: Stenager K,Qin P

    更新日期:2008-11-01 00:00:00

  • Traumatic events and their relative PTSD burden in Northern Ireland: a consideration of the impact of the 'Troubles'.

    abstract:PURPOSE:Over a 30-year period in its recent history, daily life in Northern Ireland (NI) was characterised by civil violence, colloquially termed as the 'Troubles'. The current report examines exposure to 29 traumatic event types and the associated conditional prevalence of post-traumatic stress disorder (PTSD) among t...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-013-0757-0

    authors: Ferry F,Bunting B,Murphy S,O'Neill S,Stein D,Koenen K

    更新日期:2014-03-01 00:00:00

  • The recognition of mental health disorders and its association with psychiatric scepticism, knowledge of psychiatry, and the Big Five personality factors: an investigation using the overclaiming technique.

    abstract::The present study examined the general public's ability to recognise mental health disorders and this ability's association with psychiatric scepticism, knowledge of psychiatry, and the Big Five personality factors. A total of 477 members of the British general public completed an overclaiming scale, in which they wer...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-010-0193-3

    authors: Swami V,Persaud R,Furnham A

    更新日期:2011-03-01 00:00:00

  • Sex differences in the experience of depressed mood state over fifteen years.

    abstract::A study was conducted to examine sex differences in frequency, duration and severity of experience of depressed mood state in a non-clinical group and to consider how such findings contribute to the understanding of sex differences in depressive experience. A cohort of 156 subjects, assessed initially in 1978 in their...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s001270050016

    authors: Wilhelm K,Parker G,Asghari A

    更新日期:1998-01-01 00:00:00

  • American parents' willingness to prescribe psychoactive drugs to children: a test of cultural mediators.

    abstract:PURPOSE:In the USA, white children receive psychoactive drugs more often than black or Hispanic children. This study investigates whether cultural attitudes statistically mediate differences between American parents' self-identified racial-ethnic group membership and their willingness to medicate children for behaviora...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-013-0710-2

    authors: Cohen D,Dillon FR,Gladwin H,De La Rosa M

    更新日期:2013-12-01 00:00:00

  • Childhood adversity and common mental disorders in young employees in Sweden: is the association affected by early adulthood occupational class?

    abstract:BACKGROUND:Childhood adversities are associated with an elevated risk for common mental disorders (CMDs). Whether the strength of the association also holds for young employees is unclear. Given the increase in CMD rates in young adults over the past decade, identification of risk factors has important implications for...

    journal_title:Social psychiatry and psychiatric epidemiology

    pub_type: 杂志文章

    doi:10.1007/s00127-020-01874-0

    authors: Björkenstam E,Helgesson M,Mittendorfer-Rutz E

    更新日期:2020-05-13 00:00:00