Assertive Community Treatment: A Paradigm Shift in Treating Severe Mental Illness
Assertive Community Treatment: A Paradigm Shift in Treating Severe Mental Illness
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Location
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On DemandSessions will be available On-Demand
It is estimated that nearly 6.3% of the population nationally is suffering from severe mental illness (SMI), which equates to approximately 14.8 million people in the United States (NIHM). Severe mental illness is simply defined as someone with a moderate to severe psychiatric disorder, with significantly impaired social and occupational functioning, that requires long term care. SMI is often associated with individuals suffering from a psychotic disorder such as schizophrenia, schizoaffective disorder, schizophreniform, delusional disorder, and substance induced psychotic disorder. Bipolar disorder, other mood disorders, and personality disorders can also be considered severe mental illnesses depending on the severity and the care required.
The vast majority of those suffering from SMI will never receive proper treatment due to the lack of available resources. As a result, many people living with SMI will end up incarcerated and have repeated involvement in the criminal justice system. This issue was exacerbated by the deinstitutionalization movement in the 1970’s that sought to close down “asylums” and other long term psychiatric facilities with the intention of integrating people into the community. Regrettably, this community integration plan fell significantly short of the desired outcome.
Developed in the early 1970s, assertive community treatment (ACT) was developed to be the gold standard for working in the community with individuals with severe mental illness. ACT challenges the conventional model of patients going to inpatient facilities for an acute stabilization period and then being expected to attend outpatient care on their own. Alternatively, ACT seeks to bring treatment to patients in the community. Services include wrap around case management services, counseling, and medication management with psychiatric care.
The educational goal of this workshop is to increase understanding of best practices in the treatment of severe mental illness and assertive community treatment.
At the end of this course, participants will be able to:
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Summarize the history of treatment of clients with severe mental illness in the United States.
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Discuss the deinstitutionalization movement and identify related consequences.
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Explain how to use the assertive community treatment model.
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Identify at least 2 resources for clients with severe mental illness.
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Ma, C. C., Ng, Y. L., Ma, H. W., Cheng, Y. L., Lee, Y. P., & Wu, C. K. (2018). The effectiveness of assertive community treatment for elderly patients with severe mental illness: A randomized controlled trial. BMC Psychiatry, 18(1), 80. https://doi.org/10.1186/s12888-018-1681-7
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Cloete, K. J., & Docrat, S. (2019). Assessing the efficacy of a modified assertive community-based treatment programme in a developing country. *BMC Psychiatry*, 19(1), 156. https://doi.org/10.1186/s12888-019-2156-5
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Maruri, D. I., Caldas de Almeida, J. M., & Cohen, A. (2021). Moving psychiatric deinstitutionalization forward: A scoping review of barriers and facilitators. Cambridge Prisms: Global Mental Health, 8, e8. https://doi.org/10.1017/gmh.2021.5