caa a22 4500 477132251 CHVBK 20180405111706.0 cr unu---uuuuu 170330e19971101xx s 000 0 eng 10.1023/A:1022286921362 doi (NATIONALLICENCE)springer-10.1023/A:1022286921362 Implementing Assertive Community Treatment Programs in Rural Settings [Elektronische Daten] [Elizabeth McDonel, Gary Bond, Michelle Salyers, Dawn Fekete, Annabel Chen, John McGrew, Larry Miller] The authors present a controlled evaluation of a rural adaptation of the assertive community treatment (ACT) model for clients with serious and persistent mental illness (SPMI). Four community mental health settings adopted an ACT model, while a fifth site blended ACT principles with those of the Rhinelander model, another approach to case management for persons with SPMI. A broad array of client and system outcomes were evaluated at 6, 12, and 24 months into the intervention. Twelve-month findings alerted us to potential problems in implementing the treatment model in study year 1; the implementation was qualitatively evaluated and weaknesses were addressed at the beginning of the second treatment year. Small, positive findings at 24 months suggested that the mid-study course correction may have had an impact. We present these findings along with descriptive data on the challenges of implementing complex services models. We give particular attention to describing implementation barriers to mental health services provision that are uniquely rural. Human Sciences Press, Inc., 1997 McDonel Elizabeth Indiana University, Bloomington aut Bond Gary Indiana University-Purdue University, Indianapolis aut Salyers Michelle Indiana University-Purdue University, Indianapolis aut Fekete Dawn Indiana University-Purdue University, Indianapolis aut Chen Annabel Indiana University-Purdue University, Indianapolis aut McGrew John Indiana University-Purdue University, Indianapolis aut Miller Larry Swanson Community Mental Health Center, USA aut Administration and Policy in Mental Health and Mental Health Services Research Kluwer Academic Publishers-Plenum Publishers 25/2(1997-11-01), 153-173 0894-587X 25:2<153 1997 25 10488 https://doi.org/10.1023/A:1022286921362 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1023/A:1022286921362 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- McDonel Elizabeth Indiana University, Bloomington aut NATIONALLICENCE 700 1- Bond Gary Indiana University-Purdue University, Indianapolis aut NATIONALLICENCE 700 1- Salyers Michelle Indiana University-Purdue University, Indianapolis aut NATIONALLICENCE 700 1- Fekete Dawn Indiana University-Purdue University, Indianapolis aut NATIONALLICENCE 700 1- Chen Annabel Indiana University-Purdue University, Indianapolis aut NATIONALLICENCE 700 1- McGrew John Indiana University-Purdue University, Indianapolis aut NATIONALLICENCE 700 1- Miller Larry Swanson Community Mental Health Center, USA 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), 153-173 0894-587X 25:2<153 1997 25 10488 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer