Understanding engagement in the Program of Assertive Community Treatment (PACT) from the perspectives of individuals receiving treatment

Megan E. Gandy-Guedes, Jennifer I. Manuel, Miriam George, Shenee McCray, Dina Negatu

    Research output: Contribution to journalArticle

    Abstract

    Engagement of individuals with serious mental illnesses in community mental health services is a significant challenge. The Program of Assertive Community Treatment (PACT) is an individual-centered and self-contained mental health program that provides psychiatric treatment, rehabilitation, and support services to persons with serious mental illness who have a history of or likelihood of disengagement with services. Understanding what helps and hinders consumers’ involvement in PACT services may provide information on how to tailor engagement strategies to individuals based on their treatment needs and preferences. The current study builds on existing studies by exploring factors that help and hinder engagement in PACT services from the perspectives of individuals receiving treatment. We conducted open-ended, semi-structured interviews with 17 individuals receiving PACT services. Nine themes were identified through thematic analysis: Desirable qualities of PACT, Focusing on positive outcomes, PACT as a safety net, Recovery orientation, Practical barriers, Conflictual relationships, and Medication side-effects. We conclude that the development of a trusting, therapeutic relationship that is collaborative and person-centered and that is facilitated by both practical and emotional support is critical to engaging individuals in treatment and maximizing positive outcomes.

    Original languageEnglish (US)
    Pages (from-to)400-418
    Number of pages19
    JournalSocial Work in Mental Health
    Volume16
    Issue number4
    DOIs
    StatePublished - Jul 4 2018

    Fingerprint

    Community Mental Health Services
    Social Welfare
    community
    mental illness
    Therapeutics
    mental health
    psychiatric treatment
    human being
    disengagement
    rehabilitation
    Mental Health
    health service
    medication
    Interviews
    Safety
    history
    interview

    Keywords

    • Engagement strategies
    • person centered
    • Program of Assertive Community Treatment (PACT)
    • qualitative interviews
    • recovery oriented
    • therapeutic relationship

    ASJC Scopus subject areas

    • Social Sciences (miscellaneous)
    • Public Health, Environmental and Occupational Health

    Cite this

    Understanding engagement in the Program of Assertive Community Treatment (PACT) from the perspectives of individuals receiving treatment. / Gandy-Guedes, Megan E.; Manuel, Jennifer I.; George, Miriam; McCray, Shenee; Negatu, Dina.

    In: Social Work in Mental Health, Vol. 16, No. 4, 04.07.2018, p. 400-418.

    Research output: Contribution to journalArticle

    Gandy-Guedes, Megan E. ; Manuel, Jennifer I. ; George, Miriam ; McCray, Shenee ; Negatu, Dina. / Understanding engagement in the Program of Assertive Community Treatment (PACT) from the perspectives of individuals receiving treatment. In: Social Work in Mental Health. 2018 ; Vol. 16, No. 4. pp. 400-418.
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