Clinicians’ Perceptions of Challenges and Strategies of Transition from Assertive Community Treatment to Less Intensive Services

Molly T. Finnerty, Jennifer I. Manuel, Ana Z. Tochterman, Candice Stellato, Linda H. Fraser, Cecily A.S. Reber, Hima B. Reddy, Angela D. Miracle

    Research output: Contribution to journalArticle

    Abstract

    The study aimed to identify clinical strategies and challenges around transition from Assertive Community Treatment (ACT) to less intensive services. Six focus groups were conducted with ACT team leaders (n = 49). Themes were grouped under four intervention-focused domains: (1) client/clinical, (2) family and natural supports, (3) ACT staff and team, and (4) public mental health system. Barriers to transition included beliefs that clients and families would not want to terminate services (due to loss of relationships, fear of failure, preference for ACT model), clinical concerns that transition would not be successful (due to limited client skills, relapse without ACT support), systems challenges (clinic waiting lists, transportation barriers, eligibility restrictions, stigma against ACT clients), and staff ambivalence (loss of relationship with client, impact on caseload). Strategies to support transition included building skills for transition, engaging supports, celebrating success, enhanced coordination with new providers, and integrating and structuring transition in ACT routines.

    Original languageEnglish (US)
    Pages (from-to)85-95
    Number of pages11
    JournalCommunity mental health journal
    Volume51
    Issue number1
    DOIs
    StatePublished - Jan 1 2014

    Fingerprint

    Community Mental Health Services
    community
    staff
    Waiting Lists
    relapse
    Focus Groups
    ambivalence
    Fear
    Mental Health
    Public Health
    mental health
    leader
    anxiety
    Recurrence

    Keywords

    • Assertive Community Treatment
    • Barriers to discharge
    • Facilitators of discharge
    • Mental illness
    • Transition

    ASJC Scopus subject areas

    • Health(social science)
    • Public Health, Environmental and Occupational Health
    • Psychiatry and Mental health

    Cite this

    Finnerty, M. T., Manuel, J. I., Tochterman, A. Z., Stellato, C., Fraser, L. H., Reber, C. A. S., ... Miracle, A. D. (2014). Clinicians’ Perceptions of Challenges and Strategies of Transition from Assertive Community Treatment to Less Intensive Services. Community mental health journal, 51(1), 85-95. https://doi.org/10.1007/s10597-014-9706-y

    Clinicians’ Perceptions of Challenges and Strategies of Transition from Assertive Community Treatment to Less Intensive Services. / Finnerty, Molly T.; Manuel, Jennifer I.; Tochterman, Ana Z.; Stellato, Candice; Fraser, Linda H.; Reber, Cecily A.S.; Reddy, Hima B.; Miracle, Angela D.

    In: Community mental health journal, Vol. 51, No. 1, 01.01.2014, p. 85-95.

    Research output: Contribution to journalArticle

    Finnerty, MT, Manuel, JI, Tochterman, AZ, Stellato, C, Fraser, LH, Reber, CAS, Reddy, HB & Miracle, AD 2014, 'Clinicians’ Perceptions of Challenges and Strategies of Transition from Assertive Community Treatment to Less Intensive Services', Community mental health journal, vol. 51, no. 1, pp. 85-95. https://doi.org/10.1007/s10597-014-9706-y
    Finnerty, Molly T. ; Manuel, Jennifer I. ; Tochterman, Ana Z. ; Stellato, Candice ; Fraser, Linda H. ; Reber, Cecily A.S. ; Reddy, Hima B. ; Miracle, Angela D. / Clinicians’ Perceptions of Challenges and Strategies of Transition from Assertive Community Treatment to Less Intensive Services. In: Community mental health journal. 2014 ; Vol. 51, No. 1. pp. 85-95.
    @article{90524b0d82a24c538030b6cbec191482,
    title = "Clinicians’ Perceptions of Challenges and Strategies of Transition from Assertive Community Treatment to Less Intensive Services",
    abstract = "The study aimed to identify clinical strategies and challenges around transition from Assertive Community Treatment (ACT) to less intensive services. Six focus groups were conducted with ACT team leaders (n = 49). Themes were grouped under four intervention-focused domains: (1) client/clinical, (2) family and natural supports, (3) ACT staff and team, and (4) public mental health system. Barriers to transition included beliefs that clients and families would not want to terminate services (due to loss of relationships, fear of failure, preference for ACT model), clinical concerns that transition would not be successful (due to limited client skills, relapse without ACT support), systems challenges (clinic waiting lists, transportation barriers, eligibility restrictions, stigma against ACT clients), and staff ambivalence (loss of relationship with client, impact on caseload). Strategies to support transition included building skills for transition, engaging supports, celebrating success, enhanced coordination with new providers, and integrating and structuring transition in ACT routines.",
    keywords = "Assertive Community Treatment, Barriers to discharge, Facilitators of discharge, Mental illness, Transition",
    author = "Finnerty, {Molly T.} and Manuel, {Jennifer I.} and Tochterman, {Ana Z.} and Candice Stellato and Fraser, {Linda H.} and Reber, {Cecily A.S.} and Reddy, {Hima B.} and Miracle, {Angela D.}",
    year = "2014",
    month = "1",
    day = "1",
    doi = "10.1007/s10597-014-9706-y",
    language = "English (US)",
    volume = "51",
    pages = "85--95",
    journal = "Community Mental Health Journal",
    issn = "0010-3853",
    publisher = "Springer Netherlands",
    number = "1",

    }

    TY - JOUR

    T1 - Clinicians’ Perceptions of Challenges and Strategies of Transition from Assertive Community Treatment to Less Intensive Services

    AU - Finnerty, Molly T.

    AU - Manuel, Jennifer I.

    AU - Tochterman, Ana Z.

    AU - Stellato, Candice

    AU - Fraser, Linda H.

    AU - Reber, Cecily A.S.

    AU - Reddy, Hima B.

    AU - Miracle, Angela D.

    PY - 2014/1/1

    Y1 - 2014/1/1

    N2 - The study aimed to identify clinical strategies and challenges around transition from Assertive Community Treatment (ACT) to less intensive services. Six focus groups were conducted with ACT team leaders (n = 49). Themes were grouped under four intervention-focused domains: (1) client/clinical, (2) family and natural supports, (3) ACT staff and team, and (4) public mental health system. Barriers to transition included beliefs that clients and families would not want to terminate services (due to loss of relationships, fear of failure, preference for ACT model), clinical concerns that transition would not be successful (due to limited client skills, relapse without ACT support), systems challenges (clinic waiting lists, transportation barriers, eligibility restrictions, stigma against ACT clients), and staff ambivalence (loss of relationship with client, impact on caseload). Strategies to support transition included building skills for transition, engaging supports, celebrating success, enhanced coordination with new providers, and integrating and structuring transition in ACT routines.

    AB - The study aimed to identify clinical strategies and challenges around transition from Assertive Community Treatment (ACT) to less intensive services. Six focus groups were conducted with ACT team leaders (n = 49). Themes were grouped under four intervention-focused domains: (1) client/clinical, (2) family and natural supports, (3) ACT staff and team, and (4) public mental health system. Barriers to transition included beliefs that clients and families would not want to terminate services (due to loss of relationships, fear of failure, preference for ACT model), clinical concerns that transition would not be successful (due to limited client skills, relapse without ACT support), systems challenges (clinic waiting lists, transportation barriers, eligibility restrictions, stigma against ACT clients), and staff ambivalence (loss of relationship with client, impact on caseload). Strategies to support transition included building skills for transition, engaging supports, celebrating success, enhanced coordination with new providers, and integrating and structuring transition in ACT routines.

    KW - Assertive Community Treatment

    KW - Barriers to discharge

    KW - Facilitators of discharge

    KW - Mental illness

    KW - Transition

    UR - http://www.scopus.com/inward/record.url?scp=84893701430&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=84893701430&partnerID=8YFLogxK

    U2 - 10.1007/s10597-014-9706-y

    DO - 10.1007/s10597-014-9706-y

    M3 - Article

    C2 - 24526472

    AN - SCOPUS:84893701430

    VL - 51

    SP - 85

    EP - 95

    JO - Community Mental Health Journal

    JF - Community Mental Health Journal

    SN - 0010-3853

    IS - 1

    ER -