The assertive community treatment team as a complex dynamic system of care

被引:11
|
作者
Allred, CA
Burns, BJ
Phillips, SD
机构
[1] Duke Univ, Sch Med, Dept Psychiat & Behav Sci, Natl Ctr Child Traumat Stress,Serv Effectiveness, Durham, NC 27710 USA
[2] Duke Univ, Sch Med, Dept Psychiat & Behav Sci, Natl Ctr Child Traumat Stress,Serv Effectiveness, Durham, NC 27710 USA
关键词
evidence-based practice; dissemination; mental health systems; management; systems theory;
D O I
10.1007/s10488-004-0841-6
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This paper presents a dynamic systems view of assertive community treatment (ACT), a recognized evidence-based treatment for adults with severe and persistent mental illness (SPMI). It is argued that because an ACT team operates as a complex adaptive system (CAS), it engages in the organizational processes of "sensemaking" and self-organization, which help to bring order to the actions of team members and sustainability of the intervention itself. Consequently, successful implementation of ACT requires that management technologies Such as meaning-creation and design are used in conjunction with traditional "command and control" technologies of policies, procedures, processes, and structures.
引用
收藏
页码:211 / 220
页数:10
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