Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, PA 19107, USA.
J Am Psychiatr Nurses Assoc. 2011 Jan-Feb;17(1):64-71. doi: 10.1177/1078390310394656.
Despite the high rate of co-occurring medical conditions experienced by individuals receiving assertive community treatment (ACT), this comprehensive service model continues to be considered primarily a mental health intervention. Without compromising fidelity to the model, ACT can serve as an ideal platform from which to provide both primary and behavioral health care to those with complex service needs. Using a case example, this article considers the transformation of the ACT mental health care model into an integrated health care delivery system through establishing nursing and primary care partnerships. Specifically, by expanding and explicitly redefining the role of the ACT nurse, well-developed care models, such as Guided Care, can provide additional guidelines and training to ACT nurses who are uniquely trained and oriented to serve as the leader and coordinator of health integration efforts.
尽管接受积极社区治疗（ACT）的个体经历共病的医疗状况发生率很高，但这种全面的服务模式仍被认为主要是一种心理健康干预措施。在不影响对该模式的保真度的情况下，ACT 可以作为一个理想的平台，为那些具有复杂服务需求的人提供初级和行为健康护理。本文通过建立护理和初级保健伙伴关系，使用案例示例考虑将 ACT 心理健康护理模式转变为综合医疗服务提供系统。具体来说，通过扩大和明确重新定义 ACT 护士的角色，经过充分发展的护理模式，如引导式护理，可以为 ACT 护士提供额外的指导和培训，这些护士经过专门培训并倾向于担任健康整合工作的领导者和协调者。
