Assertive Community Treatment

Name: Assertive Community Treatment
Brand: Taylor & Francis Inc
Price: 280.99 AUD
Availability: BackOrder

Evidence-based Practice or Managed Recovery

By: Sandra Johnson

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Hardcover | 15 October 2010 | Edition Number 1

At a Glance

Hardcover
188 Pages

Dimensions(cm)
22.9 x 15.2 x 1.91

Hardcover

RRP $326.00

$280.99

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The twenty-first century has witnessed an explosion in studies on comparative health studies, but mental health remains virtually ignored. Unlike the well researched topic of health policy, there is a gap in the marketplace covering mental health policy and health care policymaking. This book fills that gap; it is a comparative analysis of the implementation of Assertive Community Treatment (ACT), an evidence-based practice employed in two states that promises to empower the well-being of individuals suffering from mental illness. Assertive Community Treatment specifically examines the tension separating the notion of client recovery and evidence-based programs. Johnson challenges the assumption that practitioners should rely on evidence-based practices to close the gap between scientific knowledge and practice. She argues that in an era of managed care, this encourages state mental health administrators to adopt policies that are overly focused on outcomes. Programs that can measure the outcomes of care provided, and evidence-based practices, have become central aspects of the quality care agenda. This study traces the role of policy entrepreneurs throughout the Assertive Community Treatment policymaking process. By differentiating mental health in general, qualitative research increases the chances of observing similarities and differences in outcomes. Johnson explains why the ACT model was adopted and implemented. She concludes that there is a clear monopoly by medical researchers and scientists within Assertive Community Treatment research, and as a result, too much emphasis is placed on the roles of policy entrepreneurs as the main innovators in the agenda and policy formulation stages. Johnson presents a strong argument for more innovation in the implementation stage.Sandra J. Johnson received her Ph.D. in political science from The Graduate Center, The City University of New York (CUNY). Her specialties include the politics of healthcare, policy making, US presidency, Congress, and electoral politics. She is also the author of two articles currently under review concerning Assertive Community Treatment and the efficacy of evidence-based practices.

Industry Reviews

-Can innovation be institutionalized? How can such objectives as quality and consumer empowerment and recovery, on the one hand, be reconciled with the drive for cost-savings, on the other? Is it possible to balance standardization with ground-level creativity and flexibility in the dissemination of model programs? Does an evidence-based service approach divert attention from crucial dimensions of effective program performance? These and other pivotal questions are examined by Sandra Johnson in this important new work concerning the spread of Assertive Community Treatment programs for individuals with severe mental health problems. Johnson makes a key contribution to our understanding of the politics of mental health policy, particularly the process of implementation, by calling attention to the political and economic factors impinging on the operation of ACT in two states based on her close familiarity with the policy studies literature combined with in-depth empirical research. Her findings deserve broad consideration.-

-- David A. Rochefort, Arts & Sciences Distinguished Professor, Political Science Department, Northeastern University

-[Raises] thought-provoking comments and questions. . . . Assertive Community Treatment raises important issues for psychologists and the mental health field in general.-

--Gary Morse, PsycCRITIQUES

"Can innovation be institutionalized? How can such objectives as quality and consumer empowerment and recovery, on the one hand, be reconciled with the drive for cost-savings, on the other? Is it possible to balance standardization with ground-level creativity and flexibility in the dissemination of model programs? Does an evidence-based service approach divert attention from crucial dimensions of effective program performance? These and other pivotal questions are examined by Sandra Johnson in this important new work concerning the spread of Assertive Community Treatment programs for individuals with severe mental health problems. Johnson makes a key contribution to our understanding of the politics of mental health policy, particularly the process of implementation, by calling attention to the political and economic factors impinging on the operation of ACT in two states based on her close familiarity with the policy studies literature combined with in-depth empirical research. Her findings deserve broad consideration."

-- David A. Rochefort, Arts & Sciences Distinguished Professor, Political Science Department, Northeastern University

"[Raises] thought-provoking comments and questions. . . . Assertive Community Treatment raises important issues for psychologists and the mental health field in general."

--Gary Morse, PsycCRITIQUES

-- David A. Rochefort, Arts & Sciences Distinguished Professor, Political Science Department, Northeastern University

"[Raises] thought-provoking comments and questions. . . . Assertive Community Treatment raises important issues for psychologists and the mental health field in general."

--Gary Morse, PsycCRITIQUES

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