Untitled

Paulson, Robert I.; Herinckx, Heidi; Demmler, Jean; Clarke, Greg; Cutler, David L.; Birecree, Elizabeth

doi:10.1023/a:1018745403590

Cited by 54 publications

(4 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Research suggests that peer and clinician group facilitators each bring unique strengths. Activities of consumer and nonconsumer teams may be similar but team cultures may differ notably (Paulson et al, 1999) or peer providers may rapidly develop therapeutic relationships with clients and succeed at engaging those who would otherwise be unengaged (Sells, Davidson, Jewell, Falzer, & Rowe, 2006). The benefits of peers were also noted in a VHA study of the acceptability of consumer-provided mental health services (Chinman et al, 2006).…”

mentioning

confidence: 99%

Participant experiences in peer- and clinician-facilitated mental health recovery groups for veterans.

Beehler

Clark

Eisen

2014

Psychiatric Rehabilitation Journal

View full text Add to dashboard Cite

show abstract

mentioning

confidence: 99%

Participant experiences in peer- and clinician-facilitated mental health recovery groups for veterans.

Beehler

Clark

Eisen

2014

Psychiatric Rehabilitation Journal

View full text Add to dashboard Cite

show abstract

“…OCEACT also collaborates with local stakeholders by facilitating a quarterly ACT advisory meeting, and monitoring ACT outcomes through the collection of quarterly reporting of ACT referrals, utilization, and outcomes. The director hired to lead this initiative has above 18 years of experience conducting research and evaluation of evidence-based practices in mental health including implementation of ACT and the related Individual Placement and Support (IPS) model of supported employment ( Clarke et al, 2000 ; Herinckx et al., 1997 ; Paulson et al, 1999 , 2002 ). OCEACT hired five statewide trainers with previous experience on ACT teams to provide expert consultation and conduct annual fidelity reviews of ACT programs around the state.…”

Section: Resultsmentioning

confidence: 99%

Statewide implementation of high-fidelity recovery-oriented ACT: A case study

Herinckx¹,

Kerlinger²,

Cellarius

2021

Implementation Research and Practice

Self Cite

View full text Add to dashboard Cite

Background: Assertive Community Treatment (ACT) is a recognized evidence-based practice, but the use of Translation Science to ensure the broad implementation of high quality ACT services has not yet been fully explored. This single intrinsic case study explores how Oregon uses strategies identified through Translation Science to achieve statewide implementation of high-fidelity recovery-oriented ACT. Method: Multiple data sources were used to evaluate this implementation process, including ACT fidelity review reports, programmatic outcome data, a national ACT taskforce survey, and focus groups with program participants. Findings: In 2013, the Oregon Health Authority funded the creation of the Oregon Center of Excellence for Assertive Community Treatment to support the implementation of ACT. It also implemented administrative rules requiring an annual re-certification process with a minimum level of fidelity to the evidence-based model. Other implementation strategies included establishing an ACT Advisory Committee, quarterly reviews of implementation and outcome data, and trainings promoting the role of peer providers and related evidence-based practices. Conclusion: High-fidelity recovery-oriented ACT services in Oregon are maintained through multiple strategies, including codifying the minimum level of ACT implementation into state administrative rule, linking fidelity benchmarks scores to Medicaid reimbursements, and funding ongoing oversight, training and technical assistance through a statewide technical assistance center. Strict adherence to the ACT model has been a key to ensuring a uniform level of high-quality care across Oregon while incorporating additional evidence-based practices without compromising the integrity of the original model. Plain language abstract: Assertive Community Treatment (ACT) is a mental health program serving individuals with the most severe mental illness in the community. While ACT is an evidence-based practice, there is more research needed to explore how ACT is implemented and maintained in different settings. In 2013, Oregon implemented ACT statewide. The Oregon Center of Excellence for ACT was created to provide training and technical assistance to ACT teams and conduct yearly fidelity reviews. Oregon is among the few states who have attached funding to yearly ACT certification, uses community sizes to determine the size of the ACT teams, and the technical assistance center not only provides training but also conducts yearly review of fidelity to the ACT model. This case study will review the steps Oregon took to implement ACT, how it continues to monitor fidelity to the model and provide training and support, and focus on recovery orientation and integrating evidence-based practices. Continued support, training, and the linking of fidelity benchmark scores to program funding are the ways that Oregon makes sure that ACT teams are successfully implementing the ACT model to fidelity with recovery-oriented care.

show abstract

“…Peer specialists have a lived mental health experience and an empathetic understanding of what a client is going through, allowing them to work with clients by utilizing this shared experience [14]. As a care team member, the peer specialist can bring first-hand knowledge of the integrated care system [15] and how to access services working with both clients and treatment teams.…”

Section: Introductionmentioning

confidence: 99%

Impact of Relaxation and Group Psycho-Education on Health Outcomes Using Integrated Care Models and Quality Improvement

Okafor¹,

Ede²,

Kinuthia³

et al. 2014

OJPM

View full text Add to dashboard Cite

The purpose of this Integrated Care Practice Change and Quality Improvement (ICPCQI) initiative was to evaluate the impact of wellness and relaxation and group psycho-education on health outcomes in an integrated care setting. Individuals diagnosed with mental illness and a co-occurring chronic medical condition participated in the ICPCQI initiatives which were run by peer support and wellness experts in an integrated care setting over the one-year project implementation period. Evaluation of outcome measures revealed an overall decline of 8.3% (p < 0.0001) and 7.3% (p < 0.0001) in the average systolic and diastolic blood pressure respectively. There was a 12.3% (p = 0.02) reduction on the average PHQ-9 scores. GAD-7 (p = 0.9) scores had a mean reduction of 1.5%. These preliminary results suggest that the evidence-based ICPCQI initiatives positively impact health outcomes among individuals with mental illness and chronic medical conditions.

show abstract

Untitled

Cited by 54 publications

References 7 publications

Participant experiences in peer- and clinician-facilitated mental health recovery groups for veterans.

Participant experiences in peer- and clinician-facilitated mental health recovery groups for veterans.

Statewide implementation of high-fidelity recovery-oriented ACT: A case study

Impact of Relaxation and Group Psycho-Education on Health Outcomes Using Integrated Care Models and Quality Improvement

Contact Info

Product

Resources

About