PMID: 2091461Dec 1, 1990Paper

Evaluating professionally operated and self-help programs for the seriously mentally ill

American Journal of Community Psychology
P A Toro

Abstract

Reviewed a study by Bond et al. (1990) that evaluates assertive community treatment (ACT), an intensive community-based program for the seriously mentally ill. Such programs have been developed at a rapid pace in recent years but lack extensive research support. This randomized study supports the effectiveness of ACT and is a significant contribution to the mixed findings from the existing literature. However, its methodological flaws include (a) differential dropout from the ACT and comparison groups, (b) a relatively short follow-up period (12 months), and (c) limitations of the ACT intervention which prevents rehospitalization but lacks impact in other domains (e.g., social relationships, housing stability, employment). Self-help programs, poorly represented by the comparison group in this research, may offer the sorts of societal niches required by the mentally ill. Further research, giving such programs a "fair shake" against professionally controlled programs, is sorely needed.

References

Jan 1, 1979·Psychological Bulletin·J A Durlak
Dec 1, 1990·American Journal of Community Psychology·G R BondR De Graaf-Kaser
Jun 1, 1987·American Journal of Public Health·J L FranklinG E Miller

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Citations

Jan 1, 1991·New Directions for Mental Health Services·T F Witheridge
Oct 10, 1998·New Directions for Mental Health Services·P W Corrigan, S G McCracken
Oct 10, 1998·New Directions for Mental Health Services·H P Lefley
Dec 28, 1999·New Directions for Mental Health Services·R H Hunter
Dec 28, 1999·New Directions for Mental Health Services·M Sullivan
Dec 28, 1999·New Directions for Mental Health Services·M B Monroe-DeVita, D F Mohatt
Mar 13, 2001·New Directions for Mental Health Services·R H Hunter
Mar 13, 2001·New Directions for Mental Health Services·D L Johnson
Oct 9, 2001·New Directions for Mental Health Services·L L Bachrach
Apr 1, 1992·Community Mental Health Journal·G R YankK E Davis
Apr 1, 1993·Community Mental Health Journal·F W Becker
Aug 1, 1998·The Journal of Behavioral Health Services & Research·B M Rohland
Jul 1, 1991·Journal of Mental Health Administration·D R Kemp
Apr 1, 1997·Journal of Mental Health Administration·D A Gilbert, W V Rago
May 12, 2005·The Psychiatric Quarterly·Jeffrey L GellerPaul S Appelbaum
Apr 29, 2006·The Journal of Behavioral Health Services & Research·Matthew ChinmanLarry Davidson
Oct 1, 1996·International Journal of Technology Assessment in Health Care·R E Peschel, E Peschel
Jun 1, 1992·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·G R YankP B Porterfield
Feb 1, 1991·American Journal of Community Psychology·G R BondD Wasmer
Feb 1, 1992·American Journal of Community Psychology·P A Toro, D M McDonnell
May 1, 1995·Psychiatry·L DavidsonE E Griffith

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