| Assertive Case Treatment |
Overall Rank: 32 |
 |
Percent of adults with a serious mental illness at risk of repeated relapse, have made high use of inpatient and/or emergency services, have a poor history of engagement with services or are homeless, who are offered treatment via an assertive case treatment (ACT) or intensive case management program.
Domain : Outreach Services
Primary health care service provided in non-clinical settings, usually to vulnerable populations (e.g., homebased care, shelter-based care, Assertive Community Treatment teams, street nurses).
Additional Domain(s) : Accessibility
Rationale
The range of services needed for people with schizophrenia are diverse and need to be tailored to individual circumstances and current local resources. However, some people with schizophrenia have high needs for care and tend to be lost from ordinary services. Assertive outreach teams (or assertive community treatment ACT) are an effective way of helping to meet those needs and are better at staying in touch than ordinary services. Also, most people with schizophrenia will need rapid access to help in crises. Services need to plan how to best deliver help and treatment ensuring that teams are functionally integrated.
Primary Reference
National Collaborating Centre for Mental Health. (2002). Schizophrenia: Core interventions in the treatment and management of schizophrenia in primary and secondary care. London, UK: National Institute for Clinical Excellence. Retrieved on July 31, 2006 from: http://www.nice.org.uk/page.aspx? o=CG001NICEguideline
Level of Evidence
I: Consistently higher quality studies specifically focused on primary mental health care.
- It is difficult for a homeless person to liaise with an ACT team.
- I cannot express strongly enough the need for this.
- Absolutely needed, but is this primary care? If so, then the benchmark should be acheving the national median for this measure (it will be low).
Variation in Results
|
Ratings-based Rank
| Relevance |
16 |
| Actionability |
62 |
| Overall Importance |
26 |
|
|
Stakeholder Rank
| Academics |
35 |
| Clinicians |
31 |
| Consumers |
51 |
| Decision Makers |
41 |
� |
|
Special Group Rank
| First Nations |
34 |
| Rural Areas |
57 |
| Federal Stakeholders |
48 |
|
Regional Rank
| BC |
AB |
SK |
MB |
ON |
QC |
NB |
NS |
PE |
NL |
YT |
NT |
NU |
| 39 |
37 |
39 |
7 |
31 |
48 |
33 |
76 |
25 |
13 |
35 |
1 |
82 |
|
|
Overall Rank
|
ceqm-acmq.com