Harbinger. II: Deployment and evolution of assertive community treatment in Michigan

Assertive Community Treatment (ACT) is now recognized as the model proven to be most successful in working with clients with long-term, severe mental illness. The first documented research replication study of ACT was Harbinger of Grand Rapids, in Kent County, Michigan. The Harbinger program influen...

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Veröffentlicht in:Administration and policy in mental health and mental health services research 1997-11, Vol.25 (2), p.125-139
Hauptverfasser: Mowbray, C T, Plum, T B, Masterton, T
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creator Mowbray, C T
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Masterton, T
description Assertive Community Treatment (ACT) is now recognized as the model proven to be most successful in working with clients with long-term, severe mental illness. The first documented research replication study of ACT was Harbinger of Grand Rapids, in Kent County, Michigan. The Harbinger program influenced significant programmatic changes throughout the public mental health system in Michigan. This paper describes this evolution in community mental health locally and why these changes came about. The state-level strategy to implement replications of Harbinger is described, as well as funding and monitoring mechanisms that have now resulted in over 100 successful ACT programs in Michigan. For mental health administrators, the implications discussed include the future of ACT promotion and implementation, within the reality of a managed care framework.
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source MEDLINE; SpringerLink Journals; Sociological Abstracts
subjects Community Mental Health
Community Mental Health Services - organization & administration
Diffusion of Innovation
Forecasting
Health Planning Support
Humans
Managed Care Programs - organization & administration
Mental Disorders - rehabilitation
Mental Health Services
Mental Illness
Michigan
Models, Organizational
Program Development
Program Evaluation
State Health Plans - organization & administration
Treatment Programs
United States
title Harbinger. II: Deployment and evolution of assertive community treatment in Michigan
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