Assertive community treatment and the physical health needs of persons with severe mental illness: Issues around integration of mental health and physical health

Mona Shattell, Natasha Donnelly, Anna Scheyett, Gary S. Cuddeback

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Assertive community treatment (ACT) is characterized as a service delivery platform and represents an ideal setting in which mental health and physical health care can be integrated. OBJECTIVE: Little is known about the extent to which ACT integrates physical health care with mental health care or the challenges ACT teams experience. To address this gap, focus groups were conducted with five ACT teams in a Midwestern US state to explore how ACT teams address the physical health care needs of persons with severe mental illness. DESIGN: A qualitative study design was used. RESULTS: Three major themes emerged: ACT teams recognize serious and chronic physical health problems, ACT teams take on a variety of roles to address physical health problems, and there are challenges to integrating primary and mental health care within an ACT setting. CONCLUSIONS: ACT needs to be adapted to incorporate promising practices designed to better integrate physical health care and mental health care.

Original languageEnglish (US)
Pages (from-to)57-63
Number of pages7
JournalJournal of the American Psychiatric Nurses Association
Volume17
Issue number1
DOIs
StatePublished - Jan 1 2011
Externally publishedYes

Fingerprint

Community Mental Health Services
Mental Health
Health
Delivery of Health Care
Focus Groups
Primary Health Care

Keywords

  • ACT/PACT
  • community mental health services
  • primary health care

ASJC Scopus subject areas

  • Phychiatric Mental Health

Cite this

Assertive community treatment and the physical health needs of persons with severe mental illness : Issues around integration of mental health and physical health. / Shattell, Mona; Donnelly, Natasha; Scheyett, Anna; Cuddeback, Gary S.

In: Journal of the American Psychiatric Nurses Association, Vol. 17, No. 1, 01.01.2011, p. 57-63.

Research output: Contribution to journalArticle

@article{c020d937e8684721aa482676bb8c66b1,
title = "Assertive community treatment and the physical health needs of persons with severe mental illness: Issues around integration of mental health and physical health",
abstract = "BACKGROUND: Assertive community treatment (ACT) is characterized as a service delivery platform and represents an ideal setting in which mental health and physical health care can be integrated. OBJECTIVE: Little is known about the extent to which ACT integrates physical health care with mental health care or the challenges ACT teams experience. To address this gap, focus groups were conducted with five ACT teams in a Midwestern US state to explore how ACT teams address the physical health care needs of persons with severe mental illness. DESIGN: A qualitative study design was used. RESULTS: Three major themes emerged: ACT teams recognize serious and chronic physical health problems, ACT teams take on a variety of roles to address physical health problems, and there are challenges to integrating primary and mental health care within an ACT setting. CONCLUSIONS: ACT needs to be adapted to incorporate promising practices designed to better integrate physical health care and mental health care.",
keywords = "ACT/PACT, community mental health services, primary health care",
author = "Mona Shattell and Natasha Donnelly and Anna Scheyett and Cuddeback, {Gary S.}",
year = "2011",
month = "1",
day = "1",
doi = "10.1177/1078390310393737",
language = "English (US)",
volume = "17",
pages = "57--63",
journal = "Journal of the American Psychiatric Nurses Association",
issn = "1078-3903",
publisher = "SAGE Publications Inc.",
number = "1",

}

TY - JOUR

T1 - Assertive community treatment and the physical health needs of persons with severe mental illness

T2 - Issues around integration of mental health and physical health

AU - Shattell, Mona

AU - Donnelly, Natasha

AU - Scheyett, Anna

AU - Cuddeback, Gary S.

PY - 2011/1/1

Y1 - 2011/1/1

N2 - BACKGROUND: Assertive community treatment (ACT) is characterized as a service delivery platform and represents an ideal setting in which mental health and physical health care can be integrated. OBJECTIVE: Little is known about the extent to which ACT integrates physical health care with mental health care or the challenges ACT teams experience. To address this gap, focus groups were conducted with five ACT teams in a Midwestern US state to explore how ACT teams address the physical health care needs of persons with severe mental illness. DESIGN: A qualitative study design was used. RESULTS: Three major themes emerged: ACT teams recognize serious and chronic physical health problems, ACT teams take on a variety of roles to address physical health problems, and there are challenges to integrating primary and mental health care within an ACT setting. CONCLUSIONS: ACT needs to be adapted to incorporate promising practices designed to better integrate physical health care and mental health care.

AB - BACKGROUND: Assertive community treatment (ACT) is characterized as a service delivery platform and represents an ideal setting in which mental health and physical health care can be integrated. OBJECTIVE: Little is known about the extent to which ACT integrates physical health care with mental health care or the challenges ACT teams experience. To address this gap, focus groups were conducted with five ACT teams in a Midwestern US state to explore how ACT teams address the physical health care needs of persons with severe mental illness. DESIGN: A qualitative study design was used. RESULTS: Three major themes emerged: ACT teams recognize serious and chronic physical health problems, ACT teams take on a variety of roles to address physical health problems, and there are challenges to integrating primary and mental health care within an ACT setting. CONCLUSIONS: ACT needs to be adapted to incorporate promising practices designed to better integrate physical health care and mental health care.

KW - ACT/PACT

KW - community mental health services

KW - primary health care

UR - http://www.scopus.com/inward/record.url?scp=79952291636&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79952291636&partnerID=8YFLogxK

U2 - 10.1177/1078390310393737

DO - 10.1177/1078390310393737

M3 - Article

C2 - 21659295

AN - SCOPUS:79952291636

VL - 17

SP - 57

EP - 63

JO - Journal of the American Psychiatric Nurses Association

JF - Journal of the American Psychiatric Nurses Association

SN - 1078-3903

IS - 1

ER -