NPACT: Enhancing Programs of Assertive Community Treatment for the Seriously Mentally Ill
- 210 Downloads
Morbidity and mortality due to physical illness is extremely high in the population of persons with serious mental illness. The purpose of this study was to examine the impact on psychiatric and physical outcomes through enhancing a standard Program of Assertive Community Treatment (PACT) with Advanced Practice Psychiatric Mental Health Nurses (APNs) and stabilized consumer peer providers (NPACT). In a two-group community comparison design, 38 participants receiving NPACT were compared to 21 participants receiving traditional PACT. Evaluations were conducted at baseline and 6 months. Significant improvements over time were demonstrated for both groups on all summary variables. Treatment effects for NPACT over PACT were demonstrated for psychiatric symptoms, community functioning, and consumer satisfaction. Conclusions: Enhancements for PACT using advanced practice nurses and consumer peer providers have the potential to address both health and mental health problems for the seriously mentally ill.
Unable to display preview. Download preview PDF.
- American Psychiatric Association (1987). DSM III-R. Washington, DC: American Psychiatric Association.Google Scholar
- CMHS, MHSIP Report Card Phase II Task Force. (April, 1996). The MHSIP consumer-Oriented Mental Health Report Card. Cambridge MA: Human Services Research Institute of Cam-bridge, MA.Google Scholar
- Dixon, L., Goldberg, R., Lehman, A., & McNary, S. (2001). The impact of health status on work, symptoms, and functional outcomes in severed mental illness. The Journal of Nervous and Mental Diseases, 189,17-23.Google Scholar
- Dixon, L., Hackman, A., & Lehman, A. (1997). Consumers as staff in assertive community treatment programs. Administration & Policy in Mental Health, 25, 199-208.Google Scholar
- Hoyle, R. H., Nietzel, M.T., Guthrie, P. R., Baker-Prewitt, J. L., & Heine, R. (1992). The Disability Rating Form: A brief schedule for rating disability associated with severe mental illness.Psychosocial Rehabilitation Journal, 16(1),77-94.Google Scholar
- Lane, R., Glazer, W. M., Hansen, T. E., Berman, W. H., & Kramer, S. I. (1985). Assessment of Tardive Dyskinesia using the Abnormal Involuntary Movement Scale. The Journal of Ner-vous and Mental Disease, 173, 353-357.Google Scholar
- Lieberman, A. A. & Test, M. A. (1987). Health care practices and health status of the mentally ill in the community. Health and Social Work, 12(1),29-37.Google Scholar
- Pennebaker, J. W. (1982). The Psychology of Physical Symptoms. New York: Springer-Verlag.Google Scholar
- Stein, L. I., & Santos, A. B. (1998). Assertive community treatment of persons with severe mental illness. New York: W.W. Norton Inc.Google Scholar
- U.S. Department of Health and Human Services (1996). Physical Activity and Health: A Report of the Surgeon General, Atlanta, GA: U. S. DHHS, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion.Google Scholar