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Dixon, Lisa B.; Stewart, Bette; Krauss, Nancy; Robbins, Jean; Hackman, Ann; Lehman, Anthony F.

doi:10.1023/a:1018713707283

Cited by 19 publications

(1 citation statement)

References 10 publications

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“…To ensure comprehensive care and support for the patient, a multidisciplinary team including, for example, psychiatrists, social workers, psychologists, nurses, etc., is available ( Olfson, 1990 ; Marshall and Lockwood, 2011 ). ACT also focuses on community and family integration, fostering inclusion in the community (e.g., housing, recreational activities) and involving family members in treatment as needed ( Dixon et al, 1998 ; Stein and Santos, 1998 ; Philips et al, 2001 ), as families can foster a supportive and understanding environment for patients ( Waller et al, 2019 ). Additionally, case management aids patients in coordinating and organizing their services and regular home visits are offered to ensure comprehensive care tailored to individual needs ( Bertelsen et al, 2008 ).…”

Section: Introductionmentioning

confidence: 99%

Service users’ perceptions of relevant and helpful components of an integrated care concept (ACCESS) for psychosis

Rohenkohl,

Sowada,

Lambert

et al. 2023

Front. Psychol.

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IntroductionPsychotic disorders have a significant impact on patients’ lives and their families, and long-term treatment with individually tailored multimodal combinations of therapies is often required. Integrated care (IC) concepts such as the “Hamburg Model (ACCESS)” with a focus on psychotic disorders, includes different (therapeutic) components with pharmaco- and psychotherapy, family involvement, home treatment and the option of using a 24/7 crisis hotline. All components are offered by a therapeutically-oriented assertive community treatment (TACT) team in a need-adapted manner. So far, however, little is known about which specific components are regarded as especially relevant and helpful by the users of IC.MethodsPatients currently participating in IC completed a questionnaire as part of the continuous quality assurance study (ACCESS II) in which they were asked to rate the different components of treatment according to their relevance and helpfulness, considering the individual’s unique experiences with IC and needs in mental health care. Furthermore, they were asked to make suggestions regarding additional helpful components of treatment.ResultsFifty patients participated in this survey (23% of the patients currently participating in the IC concept). For participants, the most helpful and important factors were having the same therapist in the long-term and the 24/7 crisis telephone. Additional components suggested by patients included more addiction-specific therapies and increased focus on vocational rehabilitation and integration.ConclusionFrom the perspective of the users of IC, long-term care from a trusted therapist with whom there is a therapeutic relationship and the possibility to reach someone they already know from the TACT team 24/7 serves as the best basis for effective care, fostering trust, understanding, and open communication. In contrast, home treatment remains a relevant aspect of evidence-based care for people with severe mental illness, but perhaps surprisingly, is not viewed as the most important issue.

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Section: Introductionmentioning

confidence: 99%

Service users’ perceptions of relevant and helpful components of an integrated care concept (ACCESS) for psychosis

Rohenkohl,

Sowada,

Lambert

et al. 2023

Front. Psychol.

View full text Add to dashboard Cite

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A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness

Moledina

Magwood

Agbata

et al. 2021

Campbell Systematic Reviews

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Background: Homelessness has emerged as a public health priority, with growing numbers of vulnerable populations despite advances in social welfare. In February 2020, the United Nations passed a historic resolution, identifying the need to adopt social-protection systems and ensure access to safe and affordable housing for all.The establishment of housing stability is a critical outcome that intersects with other social inequities. Prior research has shown that in comparison to the general population, people experiencing homelessness have higher rates of infectious diseases, chronic illnesses, and mental-health disorders, along with disproportionately poorer outcomes. Hence, there is an urgent need to identify effective interventions to improve the lives of people living with homelessness.Objectives: The objective of this systematic review is to identify, appraise, and synthesise the best available evidence on the benefits and cost-effectiveness of interventions to improve the health and social outcomes of people experiencing homelessness.Search Methods: In consultation with an information scientist, we searched nine bibliographic databases, including Medline, EMBASE, and Cochrane CENTRAL, from database inception to February 10, 2020 using keywords and MeSH terms. We conducted a focused grey literature search and consulted experts for additional studies.Selection Criteria: Teams of two reviewers independently screened studies against our inclusion criteria. We included randomised control trials (RCTs) and quasi-experimental studies conducted among populations experiencing homelessness in high-income countries. Eligible interventions included permanent supportive housing (PSH), income assistance, standard case management (SCM), peer support, mental health interventions such as assertive community treatment (ACT), intensive case management (ICM), critical time intervention (CTI) and injectable antipsychotics, and substance-use interventions, including supervised consumption facilities (SCFs), managed alcohol programmes and opioid

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A comparison of agency‐based and self‐report methods of measuring services across an urban environment by a drug‐abusing homeless population

Pollio

North

Eyrich

et al. 2006

Int J Methods Psych Res

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The purpose of this paper is to advance the methodology for studying service assessment by comparing self-report and agency-generated methods. This study compares 30-day self-reported service use for homeless individuals (N = 229) randomly recruited from a single urban environment (St Louis, Missouri) with similar data collected from a broad array of service agencies providing homeless, substance abuse and outpatient mental health services across the same environment. Comparisons were made between self-report and agency-based data on shelter use, outpatient mental health service use (case management, psychiatric treatment, group therapy), outpatient substance abuse service use (case management, counselling, group therapy) and drop-in/day treatment use. Consistently low levels of kappa scores (all under 0.4) and correlation coefficients (only shelter use demonstrated significant agreement) were found. Findings demonstrated that the two methods of collecting service data are generally not concordant at the individual level. Certain demographic characteristics (increased age, being male, non-white ethnicity) and diagnoses (cocaine abuse/dependence, mania, schizophrenia) were associated with decreased reliability between the two methods of data collection. The two methods of assessment appeared to capture overlapping but not identical information. Each method of assessment has different utility to researchers and providers wishing to assess service use.

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Abstract: Most ACT clients had significant family contact. ACT established contact with most families, and the work with families appeared to be associated with higher levels of satisfaction with family relations and housing. The role of the FOW should be explored further.

Cited by 19 publications

References 10 publications

Service users’ perceptions of relevant and helpful components of an integrated care concept (ACCESS) for psychosis

Service users’ perceptions of relevant and helpful components of an integrated care concept (ACCESS) for psychosis

A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness

A comparison of agency‐based and self‐report methods of measuring services across an urban environment by a drug‐abusing homeless population

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