Comparison of Assertive Community Treatment Programs in Urban Massachusetts and Rural North Carolina

被引：0
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作者：
Dan Siskind
Elizabeth Wiley-Exley
机构：
[1] University of Queensland,Queensland Center for Mental Health Research
[2] Princess Alexandra Hospital,Division of Mental Health
[3] University of North Carolina School of Public Health,Department of Health Policy and Management
来源：
Administration and Policy in Mental Health and Mental Health Services Research | 2009年 / 36卷
关键词：
Assertive community treatment (ACT); Mental health; Rural; Urban;
D O I：
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学科分类号：
摘要：
In this pilot study, we compared teams in rural North Carolina (NC) and urban Massachusetts (MA) to examine the how sites vary the implementation of the Assertive Community Treatment (ACT) model to respond to state and local circumstances. We analysed and compared data on: client characteristics using the NC-TOPPS and a modified survey in MA; Regional Demographics and; Team Characteristics. Issues such as driving distances, lack of qualified clinical staff, scarcity of physicians, and more limited oversight created impediments to fidelity in rural NC, despite higher per patient funding. ACT is now national, but variability in implementation of the model remains.
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