School of Social Work, University of North Carolina at Chapel Hill, 325 Pittsboro Street, CB#3550, Chapel Hill, NC, 27599, USA.
Community Ment Health J. 2021 Oct;57(7):1301-1309. doi: 10.1007/s10597-021-00806-9. Epub 2021 Mar 15.
Assertive community treatment (ACT) is an evidence-based practice for individuals living with severe mental illnesses. Originally conceptualized as a lifetime service, there is a need for standardized measures to help ACT teams identify clients who are potentially ready for a transition to less intensive services. Here, to address this gap in the literature, the psychometric properties of the Assertive Community Treatment Transition Readiness Scale (ATR) were examined. Data on the ATR were collected from ACT staff from across the country who had experience transitioning ACT clients to less intensive services. Results from an exploratory factor analysis suggested a one-factor solution and that items on the ATR demonstrated excellent internal consistency reliability as well as predictive criterion validity and known-groups validity. The ATR is an easy-to-use, 18-item measure that has the potential, in combination with clinical judgment and practice wisdom, to be a useful tool for identifying ACT clients who could transition to a less intensive level of care.
主张性社区治疗（ACT）是一种针对患有严重精神疾病的个体的循证实践。最初被概念化为一种终身服务，需要标准化的措施来帮助 ACT 团队识别那些可能准备好过渡到低强度服务的客户。在这里，为了解决文献中的这一空白，对主张性社区治疗过渡准备量表（ATR）的心理测量学特性进行了检查。来自全国各地有经验将 ACT 客户过渡到低强度服务的 ACT 工作人员收集了关于 ATR 的数据。探索性因素分析的结果表明存在一个单因素解决方案，并且 ATR 上的项目表现出极好的内部一致性可靠性以及预测标准有效性和已知组有效性。ATR 是一种易于使用的 18 项措施，结合临床判断和实践智慧，有可能成为识别可以过渡到低强度护理水平的 ACT 客户的有用工具。
