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Assertive Community Treatment - Evidence-based Practice or Managed Recovery (Paperback)
Loot Price: R1,711
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Assertive Community Treatment - Evidence-based Practice or Managed Recovery (Paperback)
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The twenty-first century has witnessed an explosion in studies on
comparative health studies, but mental health remains virtually
ignored. Unlike the well researched topic of health policy, there
is a gap in the marketplace covering mental health policy and
health care policymaking. This book fills that gap; it is a
comparative analysis of the implementation of Assertive Community
Treatment (ACT), an evidence-based practice employed in two states
that promises to empower the well-being of individuals suffering
from mental illness. Assertive Community Treatment specifically
examines the tension separating the notion of client recovery and
evidence-based programs. Johnson challenges the assumption that
practitioners should rely on evidence-based practices to close the
gap between scientific knowledge and practice. She argues that in
an era of managed care, this encourages state mental health
administrators to adopt policies that are overly focused on
outcomes. Programs that can measure the outcomes of care provided,
and evidence-based practices, have become central aspects of the
quality care agenda. This study traces the role of policy
entrepreneurs throughout the Assertive Community Treatment
policymaking process. By differentiating mental health in general,
qualitative research increases the chances of observing
similarities and differences in outcomes. Johnson explains why the
ACT model was adopted and implemented. She concludes that there is
a clear monopoly by medical researchers and scientists within
Assertive Community Treatment research, and as a result, too much
emphasis is placed on the roles of policy entrepreneurs as the main
innovators in the agenda and policy formulation stages. Johnson
presents a strong argument for more innovation in the
implementation stage.
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