Schroeder Rebecca A
a School of Nursing , University of Southern Maine , Portland , Maine , USA.
Issues Ment Health Nurs. 2018 Jun;39(6):499-505. doi: 10.1080/01612840.2017.1413460. Epub 2018 Jan 25.
Assertive Community Treatment (ACT) is a model of care that provides comprehensive community-based psychiatric care for persons with serious mental illness. This model has been widely documented and has shown to be an evidence-based model of care for reducing hospitalizations for this targeted population. Critical ingredients of the ACT model are the holistic nature of their services, a team based approach to treatment and nurses who assist with illness management, medication monitoring, and provider collaboration. Although the model remains strong there are clear differences between urban and rural teams. This article describes present day practice in two disparate ACT programs in urban and rural Maine. It offers a new perspective on the evolving and innovative program of services that treat those with serious mental illness along with a review of literature pertinent to the ACT model and future recommendations for nursing practice. The success and longevity of these two ACT programs are testament to the quality of care and commitment of staff that work with seriously mentally ill consumers. Integrative care models such as these community-based treatment teams and nursing driven interventions are prime elements of this successful model.
积极社区治疗（ACT）是一种为严重精神疾病患者提供全面的社区精神病护理的护理模式。该模式已有大量文献记载，并已证明是一种基于证据的护理模式，可减少该目标人群的住院次数。ACT模式的关键要素包括其服务的整体性、基于团队的治疗方法以及协助疾病管理、药物监测和提供者协作的护士。尽管该模式仍然强大，但城市和农村团队之间存在明显差异。本文描述了缅因州城市和农村两个截然不同的ACT项目的当前实践。它为治疗严重精神疾病患者的不断发展和创新的服务项目提供了新的视角，同时回顾了与ACT模式相关的文献以及对护理实践的未来建议。这两个ACT项目的成功和长久存在证明了与严重精神疾病消费者合作的护理质量和工作人员的奉献精神。像这些基于社区的治疗团队和以护理为导向的干预措施这样的综合护理模式是这个成功模式的主要要素。
