Team Work in Action: Building Grounds for Psychiatric Medication Decisions in Assertive Community Treatment

  • Beth Angell
  • Galina B. Bolden


Interdisciplinary teams are a common organisational form in community mental health treatment (see also Pino, Chapter 34, this volume), particularly for adults with serious and persistent mental illness. Assertive community treatment (ACT) is the most widely known team model (Simmonds, Coid, Joseph, Marriott, & Tyrer, 2001). The ACT model was originally designed to mimic the multidisciplinary functions of an inpatient unit in a community-based setting, with the aim of preventing long-term institutionalisation (Stein & Test, 1980). ACT teams offer round-the-clock comprehensive case management and psychiatric medication support and tend to be reserved for individuals with extensive histories of hospitalisation and treatment non-adherence. Other, less intensive models of case management using a multidisciplinary team approach have also been developed and are widely used in the United States and the United Kingdom.


Team Member Assertive Community Treat Discursive Practice Conversation Analysis Assertive Community Treat Team 
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Recommended reading

  1. • Angell, B., Mahoney C. A., & Martinez, N. I. (2006). Promoting treatment adherence in assertive community treatment. Social Service Review, 80(3), 485–526.CrossRefGoogle Scholar
  2. • Diamond, R. J., & Scheifler, P. L. (2007). Treatment collaboration: Improving the therapist, prescriber, client relationship. New York: W.W. Norton.Google Scholar
  3. • Heritage, J., & Maynard, D. W. (Eds.). (2006). Communication in medical care: Interaction between primary care physicians and patients. New York: Cambridge University Press.Google Scholar
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  5. • Priebe, S., & McCabe, R. (2006). The therapeutic relationship in psychiatric settings. Acta Psychiatrica Scandinavica, 113(s429), 69–72.CrossRefGoogle Scholar

Copyright information

© Beth Angell and Galina B. Bolden 2016

Authors and Affiliations

  • Beth Angell
  • Galina B. Bolden

There are no affiliations available

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