Another example, in California, a capitated program (set price per person) named STRIDES (Steps Towards Recovery, Independence, Dignity, Empowerment, and Success), is a close replica to the ACTS model. There is a low caseloads, 24 hour availability, weekly meetings, and medication monitoring. In addition, there are substance abuse counselors and employment specialists available to clients (Chandler, Spicer, Wagner, & Hargreaves, 1999).
Chandler et al., 1999, conducted a study of 60 participants, receiving in-patient care at a long term mental health facility (Chandler et al., 1999). The goal was to show that a capitated ACTS model would lead to early community integration (Chandler et al., 1999). Thirty of the subjects received services …show more content…
For example, Thresholds, in Chicago, adopted a recovery-based ACT that works in collaboration with clients (Furlong, et al., 2009). Thresholds changed the following designs to the ACT model to fit a recovery model: money no longer a bargaining tool for compliance or choices; no forced medication; team now offers clients alternatives; hope is instilled; and long-term goals are made (Furlong, et al., 2009). Also, to facilitate a recovery role, Thresholds’ team members outlined the following concepts: to believe everyone can and will recover; listen and don’t judge clients; discuss goals and desires; ask the right questions (what do you want?); and allow clients to tell their stories (Furlong, et al., 2009). Drake and Deegan, (2008), recognize ACTS is not a recovery model. However, they concede that the U.S. mental health system is failing clients in many poor and/or rural areas (Drake, & Deegan, 2008). They suggest ACT is necessary in providing outpatient services in states; because, they have a short supply of community based mental health centers and high rates of homelessness, incarceration, and hospitalizations (Drake, & Deegan,
Chandler et al., 1999, conducted a study of 60 participants, receiving in-patient care at a long term mental health facility (Chandler et al., 1999). The goal was to show that a capitated ACTS model would lead to early community integration (Chandler et al., 1999). Thirty of the subjects received services …show more content…
For example, Thresholds, in Chicago, adopted a recovery-based ACT that works in collaboration with clients (Furlong, et al., 2009). Thresholds changed the following designs to the ACT model to fit a recovery model: money no longer a bargaining tool for compliance or choices; no forced medication; team now offers clients alternatives; hope is instilled; and long-term goals are made (Furlong, et al., 2009). Also, to facilitate a recovery role, Thresholds’ team members outlined the following concepts: to believe everyone can and will recover; listen and don’t judge clients; discuss goals and desires; ask the right questions (what do you want?); and allow clients to tell their stories (Furlong, et al., 2009). Drake and Deegan, (2008), recognize ACTS is not a recovery model. However, they concede that the U.S. mental health system is failing clients in many poor and/or rural areas (Drake, & Deegan, 2008). They suggest ACT is necessary in providing outpatient services in states; because, they have a short supply of community based mental health centers and high rates of homelessness, incarceration, and hospitalizations (Drake, & Deegan,