assertive community treatment (psychological treatment of Sz) Flashcards
1
Q
what is ACT aim?
A
- to help patients who have frequent relapses and bouts of hospitalisations
- used by community mental health services and clients who have difficulties living independently
- links with the idea of deinstitutionalisation as in the 70s many people were discharged and required care
2
Q
who is ACT focused on and where are they treated?
A
- involves caring for the Sz patient in their own home
- focuses on clients who have difficulty meeting personal goals, getting on with others and living independently
3
Q
what tasks happen during ACT?
A
- wide range of daily activities e.g. securing housing, meeting appointments, cashing cheques
4
Q
what kind of approach does ACT use and how long does it last?
A
- holistic approach as it involves psychiatrists, nurses social workers etc
- lifelong service with no automatic termination of clients who miss appointments
5
Q
how frequent is the support?
A
- high frequency of patient contact (typically at least once a week)
- best practice shows there should be at least 120 mins contact a week (no less than 60 mins)
- available 24 hours a day 365 days a year
6
Q
who is ACT most appropiate for?
A
- individuals who are at a high risk of repeated hospitalisation and have difficulty remaining in traditional mental health treatments
7
Q
what happens if the patients condition worsens?
A
- they can be treated in a hospital setting or may be moved into sheltered accommodation if they cant live alone
8
Q
what is a strength in terms of re-hospitalisations?
A
- reduces re-hospitalisations by 85%
- benefits other people who need treatment by freeing up resources
- beneficial to patient as they spend less time in hospital
9
Q
what is a strength of side effects?
A
- there are no negative side effects, aims to help patients be more independent and part of the community e.g. sorting out own medication
10
Q
what is a strength of the treatment being individualised?
A
- more likely to work for the individual and will take into account that persons gender and culture
11
Q
what is an issue with the treatment working from self report data?
A
- potentially patients may show social desirability to prevent rehospitalisation
12
Q
what is the opposing study of gomory?
A
- patients dont have a choice in the treatment and found that 11% felt forced therefore showing an element of social control
13
Q
what is an issue of drug therapies being used in conjunction?
A
- not an effective treatment alone
- negative side effects of drugs
14
Q
what is an issue with cost?
A
- very expensive treatment (6000-12000)
15
Q
what is the opposing study of McGrew?
A
- poor understanding of which of the described components actually matter
- poorly operationalised to see effectiveness
