ACT - Psychological treatment Flashcards
What does ACT stand for?
Assertive community therapy
What is ACT?
A multi-disciplinary team approach to intensive care management in which the team members share a caseload, have a high frequency of patient contact (typically once a week), low patient to staff ratios, and provide an outreach to patients in the community.
What is ACT helpful for?
Negative symptoms
Why is ACT used?
It is used to reduce the number of re-hospitalisations and keep patients out in the community.
How is ACT used by?
Clinicians and psychiatrists and other health care professionals
Characteristics of ACT
- Multi-disciplinary teams with low client to staff ratios
- 24 hour coverage
- A focus on who needs it the most within society
Treatment in real life settings
Examples of how ACT helps people
- Help with finding a client a job and helping them maintain it
- Helping with the clients social life
- Keeping track and helping them with medication
- Helping the client to the shopping
- Normal day to day tasks.
Strength
Holistic care - around the clock care for those who need it most. This allows for the client to receive help and treatment wherever and whenever they are which means that the client is having a better standard of living than being in hospital.
Strength
SZ patients suffer with. Because they have someone working there with them, helping them, this becomes less stressful for them alleviating their symptoms.
Weakness
Form of social control? - Gomory suggests ACT is paternalistic and coercive - I that the client does not have the choice whether or not to undergo ACT treatment. He found that 11% of clients feel forced into the treatment - many re-hospitalisations occur anyways due to substance abuse, more symptoms, more arrests etc. So the patient it left worse off.
Weakness
The patient still needs to take drugs in order to alleviate the original symptoms. Although ACT helps with every day to day life, the patient still needs to take medication for the positive symptoms as these do not go away. This means that the patient is still having side effects from the treatment and therefore there are still ethical concerns.