Study on Effects of an Assertive Community Treatment in a Community Mental Health Center

Kyung Hee Ha; Young Hee Kim

doi:10.0000/jkapmhn.2012.21.1.89

Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.21(1) > 1057963

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Ha and Kim: Study on Effects of an Assertive Community Treatment in a Community Mental Health Center

Original Article

Journal of Korean Academy of Psychiatric and Mental Health Nursing

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2012; 21(1): 89-98.

Published online: 31 March 2012

DOI: https://doi.org/10.0000/jkapmhn.2012.21.1.89

Study on Effects of an Assertive Community Treatment in a Community Mental Health Center

Kyung Hee Ha¹, Young Hee Kim²

¹Assistant Professor, Ajou University, Suwon, Korea.

²Team Leader/Psychiatric Nurse, Eum Hospital, Yongin, Korea.

Corresponding author: Kim, Young Hee. Eum Hospital, 986-10 5F, Soodaplaza, Yeongdeok-dong, Giheung-gu, Yongin 446-908, Korea. Tel: +82-31-212-1500, Fax: +82-31-212-1567, boolfox@hanmail.net

Received 3 February 2012 Revised 13 March 2012 Accepted 22 March 2012

Abstract

Purpose

This study was done to assess effects of Assertive Community Treatment (ACT) in a community mental health center.

Methods

This study was a non-equivalent control group design with two groups, each of 20 clients. The instruments were the Brief Psychiatric Rating Scale (BPRS), Global Assessment of Function (GAF), Satisfaction of Life, and the number and duration of admissions. Data collection was done in March, 2010 for the pre-test, and in March, 2011 for the post-test in the S community mental health center in Gyung-gi province. The collected data were analyzed using descriptive statistics, Fisher's exact test, and Mann-Whitney U test with the SPSS/WIN program.

Results

The experimental group showed significant differences in the duration of admission, GAF, and Satisfaction of Life, but not on number of admissions and BPRS.

Conclusion

The results of this study indicate that ACT can be applied as an effective case management model in Korea.

Keywords: Assertive community treatment, Case management, Community mental health

Figures and Tables

Table 1

PACT Principes and Services (Gold et al., 2003)

Table 2

Homogeneity Test of General and Psychiatric Characteristics between Experimental and Control Group (N=40)

Exp.=experimental group; Cont.=control group.

^†Fisher's exact test.

Table 3

Homogeneity Test of Dependent variables between Experimental and Control Group (N=40)

Exp.=experimental group; Cont.=control group; BPRS=brief psychiatric rating scale; GAF=global assessment of function.

Table 4

Significance Test of Dependent Variables between Experimental and Control Group (N=40)

Exp.=experimental group; Cont.=control group; BPRS=brief psychiatric rating scale; GAF=global assessment of function.

References

1. Ahn KH. The paradigm shift in mental health care for human rights of persons with mental disabilities. 2008. Seoul: National Human Rights Commission of Korea.

2. Barry KL, Zeber JE, Blow F. Effect of strengths model versus assertive community treatment model on participant outcomes and utilization: Two-year follow-up. Psychiatr Rehabil J. 2003. 26:268–277.

3. Bedell JR, Cohen NL, Sullivan A. Case management: The current best practices and the next generation of innovation. Community Ment Health J. 2000. 36:179–194.

4. Bond GR, Drake RE, Mueser KT, Latimer E. Assertive community treatment for people with severe mental illness. Dis Manag Health Outcomes. 2001. 9:141–159.

5. Denis DB, Peterson G, Piskur C. Effectiveness of and consumer satisfaction with an assertive community treatment program for the severely mentally ill: A 3-year follow-up. Psychol Serv. 2004. 1:40–47.

6. Gold PB, Meisler N, Santos AB. The program of assertive community treatment: Implementation and dissemination of an evidence-based model of community-based care for persons with severe and persistent mental illness. Cogn Behav Pract. 2003. 10:290–303.

7. Ha KH. A study on Implementation of ACT model for people with psychiatric disabilities in Suwon Mental Health Center. J Rehabil Res. 2010-a. 14(2):67–92.

8. Ha KH. A qualitative study on the case manager's experiences of implementing assertive community treatment model in Korea. Korean J Soc Welf Stud. 2010-b. 41(3):107–133.

9. Ha KH. In : Yang OK, editor. The poverty and mental health service: Focused on case management. Reconfiguring Poverty. 2010-c. 2010 Korean Academy of Social Welfare Autumn Conference; Seoul. Korean Academy of Social Welfare;67–78.

10. Jones A. Assertive community treatment: Development of the team, selection of clients, and impact on length of hospital stay. J Korean Acad Psychiatr Ment Health Nurs. 2002. 9:261–270.

11. Kim HJ, Nam HK. A study of community psychiatric mental health nurse's activity. J Korean Acad Psychiatr Ment Health Nurs. 2007. 16:489–501.

12. Kim YR. A study on the effectiveness of Korean type ACT program. 2009. Osan: Hansin University;Unpublished master's thesis.

13. Kirsh B, Cockburn L. Employment outcomes associated with ACT: A review of ACT literature. Am J Psychiatr Rehabil. 2007. 10:31–51.

14. Kwon CS. A study on confusion regarding to case management in Korea and an alternative for solution. Res Case Manag. 2010. 1:1–22.

15. Lee CS, Kim SJ. A study on the effectiveness of case management for rehabilitation of the chronic mentally illness. J Korean Acad Psychiatr Ment Health Nurs. 2002. 11:206–220.

16. McHugo GJ, Drake RE, Teague GB, Xie H. Fidelity to assertive community treatment and client outcomes in the New Hampshire Dual Disorders Study. Psychiatr Serv. 1999. 50:818–824.

17. Min SY. A descriptive study on monitoring the implementation of case management for persons with chronical mental illness. Korean J Soc Welf Stud. 2006. 30:215–242.

18. Mueser KT, Bond GR, Drake RE, Resnick SG. Models of community care for severe mental illness: A review of research on case management. Schizophr Bull. 1998. 24:37–74.

19. Nieves EJ. The effectiveness of the assertive community treatment model. Adm Policy Ment Health. 2002. 29:461–480.

20. Oh MJ. A study on the effectiveness of ACT case management model in the community mental health center. 2009. Suwon: Ajou University;Unpublished master's thesis.

21. Overall JE, Gorham DR. The brief psychiatric rating scale. Psychol Rep. 1962. 10:799–812.

22. Park JI. A study on the effectiveness of the strengths model of case management for people with mental illness. 2002. Seoul: Seoul Woman's University;Unpublished doctoral dissertation.

23. Rosen A, Mueser KT, Teesson M. Assertive community treatment: Issues from scientific and clinical literature with implications for practice. J Rehabil Res Dev. 2007. 44:813–825.

24. Tibbo P, Joffe K, Chue P, Metelitsa A, Wright E. Global assessment of function following assertive community treatment in Edmonton, Alberta: A longitudinal study. Can J Psychiatry. 2001. 46:144–148.

25. Whang SC. A model development and implementation of case management in Korea. Korean J Soc Welf. 1995. 27:275–304.

26. Whang SD. The current state of mental health case management and development of a case management practice model for community mental health centers in Korea. Ment Health Soc Work. 2008. 30:30–54.

27. Yang OK. The measurement development for satisfaction of life. Korean J Soc Welf. 1994. 24:157–198.

28. You JC. Lee YM, editor. The limitation of ACT implementation in Korea. Suwon International Mental Health Symposium: Communication and Solidarity in Mental Health. 2009. Suwon: Ajou University Medical Center;739–761.

29. Ziguras SJ, Stuart GW. A meta-analysis of the effectiveness of mental health case management over 20 year. Psychiatr Serv. 2000. 51:1410–1421.

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