伦敦的积极外展团队：运作模式。泛伦敦积极外展研究，第1部分。
Assertive outreach teams in London: models of operation. Pan-London Assertive Outreach Study, part 1.
作者信息
Wright Christine, Burns Tom, James Peter, Billings Joanne, Johnson Sonia, Muijen Matt, Priebe Stefan, Ryrie Iain, Watts Joanna, White Ian
机构信息
Department of General Psychiatry, St George's Hospital Medical School and South West London and St George's Mental Health Trust, London, UK.
出版信息
Br J Psychiatry. 2003 Aug;183:132-8. doi: 10.1192/bjp.183.2.132.
BACKGROUND
Assertive outreach teams have been introduced in the UK, based on the assertive community treatment (ACT) model. It is unclear how models of community care translate from one culture to another or the degree of adaptation that may result.
AIMS
To characterise London assertive outreach teams and determine whether there are distinct groups within them.
METHOD
Semi-structured interviews with team managers plus one month's prospective process of care data collection were used to test for 'model fidelity' to ACT and, by cluster analysis, to identify groupings.
RESULTS
Fidelity varied widely, with four teams (out of 24 studied) rated 'high fidelity' and three teams rated 'low fidelity' by US standards and 17 rated 'ACT-like'. Three clusters were identified, with voluntary sector teams being the most distinct group.
CONCLUSIONS
There is wide variation in the practice of assertive outreach in London. The role of the voluntary sector requires increased attention. Heterogeneity in practice is a clinical challenge but a research opportunity in distinguishing effective from redundant components of the approach.
背景
基于积极社区治疗（ACT）模式，英国引入了主动外展服务团队。目前尚不清楚社区护理模式如何从一种文化移植到另一种文化，以及可能产生的适应程度。
目的
描述伦敦主动外展服务团队的特征，并确定团队内部是否存在不同的群体。
方法
对团队经理进行半结构化访谈，并收集为期一个月的前瞻性护理过程数据，以测试对ACT模式的“模式保真度”，并通过聚类分析来识别分组。
结果
保真度差异很大，按照美国标准，在研究的24个团队中，有4个团队被评为“高保真度”，3个团队被评为“低保真度”，17个团队被评为“类似ACT模式”。识别出三个聚类，志愿部门团队是最独特的群体。
结论
伦敦主动外展服务的实践存在很大差异。志愿部门的作用需要更多关注。实践中的异质性是一个临床挑战，但也是区分该方法有效和冗余组成部分的研究机会。
Zotero 插件