Forty Years of Progress in Community Mental Health: The Role of Evidence-Based Practices

Dixon, Lisa B.; Goldman, Howard H.

doi:10.1080/j.1440-1614.2003.01274.x

Cited by 21 publications

(14 citation statements)

References 39 publications

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“…In acute settings in mental health services the revolving door phenomenon is commonplace (de Girolama & Cozza 2000;Dixon & Goldman 2004;Razali 2004;Sawyer 2005). This phenomenon refers to the rapid and repeated admission and discharge of people with mental health problems.…”

Section: Background and Literature Reviewmentioning

confidence: 99%

Is deinstitutionalization working in our community?

Hamden

Newton

McCauley-Elsom

et al. 2011

Int J Mental Health Nurs

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This exploratory study examined the impact of deinstitutionalization on consumers admitted to a regional community care unit (CCU) between 1996 and 2007, and looked at lengths of stay and re-admissions to acute psychiatric care units and the impact this might have on quality of life. The results showed that the original and current residents of CCU have improved quality of life through friendships, a home-like environment, and reduced re-admissions to acute psychiatric care units; however, further improvements can be made with more emphasis on employment/vocational services and social inclusion. More concerning is those who are unable to access a CCU bed due to chronic CCU bed shortages. This group, referred to as the 'new chronic patients', tend to become victims of 'the revolving door phenomenon', homelessness, and substance abuse. The assertive community treatment model of care and community packages are recommended for people on waiting lists for CCU, or those who do not fit the CCU criteria, to try and reduce the level of disability that is likely to occur from frequent relapses.

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Section: Background and Literature Reviewmentioning

confidence: 99%

Is deinstitutionalization working in our community?

Hamden

Newton

McCauley-Elsom

et al. 2011

Int J Mental Health Nurs

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“…O Programa de Acompanhamento Intensivo de pacientes na comunidade tem sido o modelo de atendimento mais pesquisado 4 . Entre as propostas de acompanhamento comunitário, esta é talvez a que apresenta maior evidên-cia de eficácia no tratamento dos pacientes portadores de transtornos graves e persistentes 7,[42][43][44] . Esse modelo de acompanhamento intensivo foi adotado nas reformas psiquiátricas americana e italiana, e se destacou como o mais eficaz no cenário internacional.…”

Section: A Assistência Psiquiátrica Na Atualidadeunclassified

Reforma psiquiátrica e serviços residenciais terapêuticos

Vidal

Bandeira

Gontijo

2008

J. bras. psiquiatr.

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Palavras-chavePsiquiatria, desinstitucionalização, reforma psiquiátrica, moradias assistidas. resumo objetivo: Apresentar os principais aspectos da reforma psiquiátrica ocorrida em diversos países e no Brasil, destacar a política de reinserção social dos pacientes e descrever os procedimentos da desospitalização ocorridos em Barbacena, Minas Gerais, com ênfase nas residências terapêuticas e nas intervenções de reabilitação psicossocial. método: Pesquisa bibliográfica realizada nas fontes eletrônicas Medline e Lilacs (1990Lilacs ( a 2006, com os seguintes descritores: deinstitutionalization, psychiatric reform, community-based treatment, psychosocial rehabilitation. Descrição do processo de implantação das residências terapêu-ticas (RT) por meio de consulta aos documentos da Prefeitura de Barbacena e de observação direta das residências. resultados: A maioria dos trabalhos selecionados indicou que pacientes desospitalizados apresentam melhora na autonomia, na interação social, no nível global de funcionamento e na qualidade de vida. A desospitalização implica a existência de serviços comunitários com diversos níveis de atenção e requer a presença de profissionais qualificados e programas de reabilitação efetivos. Em Barbacena, o processo de desospitalização teve início em 2000. Atualmente existem 24 RTs no município. Conclusão: Apesar das dificuldades na sua implantação, os tratamentos de base comunitária tornaram-se o modelo dominante de cuidados psiquiátricos. Para os pacientes desospitalizados, as RTs têm importante papel no processo de reinserção social.

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“…This pilot programme became a model for the country. As emphasized by Goldman & Dixon (2003) in their 40th anniversary review, the technology offered by the development of EBPs such as Assertive Community Treatment (ACT), has been critical to the success of CSP.…”

Section: Historical Background Of Community Mental Health Centers (Cmhc)mentioning

confidence: 99%

“…Have we made progress in the last 10 years? Dixon & Goldman (2003) previously reflected on this question at the 40-year anniversary of the Act, underlining the importance of the development of evidence-based practices (EBPs) in our evolving technologies to treat serious mental illness. The last decade has seen expansions in the development of EBPs.…”

mentioning

confidence: 99%

Fifty years of progress in community mental health in US: the growth of evidence-based practices

Dixon

Schwarz

2013

Epidemiol Psychiatr Sci

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Fifty years have elapsed since the passage of the Community Mental Health Centers (CMHC) Act in 1963 that reflected the legislative peak of the community mental healthcare movement in the US Progress of the last 10 years is represented both by expansions of evidence-based practices (EBPs) and the development of emerging practices and fundamental shifts in the orientation of the system stimulated by the consumer-driven recovery movement. Established EBPs have accumulated expanded evidence, new EBPs have been developed and emerging EBPs are gaining increased acceptance. While the lack of widespread implementation of EBPs as well as the limitations of these technologies produces unnecessary suffering and disability, we believe that the growth of evidence for treatments and services justifies optimism for the future.

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Forty Years of Progress in Community Mental Health: The Role of Evidence-Based Practices

Cited by 21 publications

References 39 publications

Is deinstitutionalization working in our community?

Is deinstitutionalization working in our community?

Reforma psiquiátrica e serviços residenciais terapêuticos

Fifty years of progress in community mental health in US: the growth of evidence-based practices

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