caa a22 4500 477132197 CHVBK 20180405111706.0 cr unu---uuuuu 170330e19971101xx s 000 0 eng 10.1023/A:1022230803615 doi (NATIONALLICENCE)springer-10.1023/A:1022230803615 Harbinger I: The Development and Evaluation of the First PACT Replication [Elektronische Daten] [Carol Mowbray, Mary Collins, Thomas Plum, Ted Masterton, Rodney Mulder] While Assertive Community Treatment (originally known as the PACT program) is now recognized around the world as an effective model for rehabilitation of persons with severe mental illness, this was not the case 20 years ago. Harbinger of Grand Rapids, in Kent County, Michigan, was the first replication of the PACT model which sought fidelity and included an experimental design for assessing effectiveness. The design and results are presented from an initial 30-month and a follow-up 66-month evaluation of Harbinger. The 30-month evaluation showed significant differences favoring Harbinger vs. the control group on independent living, employment, and client functioning. At 66-months, there were fewer experimental-control group differences. The differences in results are analyzed in terms of design and data collection problems, changes in the treatment environment for the control group, and the longitudinal course of mental illness. The discussion focuses on next steps in ACT research, utilizing program theory to better establish the mechanisms for successful intervention models. Human Sciences Press, Inc., 1997 Mowbray Carol School of Social Work, University of Michigan, USA aut Collins Mary School of Social Work, University of Michigan, USA aut Plum Thomas Michigan Department of Community Health, USA aut Masterton Ted Harbinger, Inc., Grand Rapids aut Mulder Rodney Department of Sociology, Grand Valley State University, Grand Rapids aut Administration and Policy in Mental Health and Mental Health Services Research Kluwer Academic Publishers-Plenum Publishers 25/2(1997-11-01), 105-123 0894-587X 25:2<105 1997 25 10488 https://doi.org/10.1023/A:1022230803615 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1023/A:1022230803615 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mowbray Carol School of Social Work, University of Michigan, USA aut NATIONALLICENCE 700 1- Collins Mary School of Social Work, University of Michigan, USA aut NATIONALLICENCE 700 1- Plum Thomas Michigan Department of Community Health, USA aut NATIONALLICENCE 700 1- Masterton Ted Harbinger, Inc., Grand Rapids aut NATIONALLICENCE 700 1- Mulder Rodney Department of Sociology, Grand Valley State University, Grand Rapids aut NATIONALLICENCE 773 0- Administration and Policy in Mental Health and Mental Health Services Research Kluwer Academic Publishers-Plenum Publishers 25/2(1997-11-01), 105-123 0894-587X 25:2<105 1997 25 10488 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer