title: Discharge practices in a time-unlimited intervention: the perspectives of practitioners in assertive community treatment.
abstract: The Assertive Community Treatment (ACT) model for people with severe mental illness has typically been viewed as a time-unlimited intervention. Without a proscribed service duration, discharge from ACT largely depends on individual clients' situations and practitioners' discretion. We conducted semi-structured focus groups and interviews with practitioners to explore their discharge practices and considerations. Results highlight the heterogeneity of the clientele served in ACT, and therefore the importance of individualized treatment and discharge planning, guidance on assessing the timing of discharge for individual cases, practice strategies that balance independence and social connectedness to promote recovery, and the need for substantial system reform to facilitate transition after discharge.
authors.affiliation: Columbia University School of Social Work, New York, NY 10027, USA. fc2208@columbia.edu
authors.forename: Fang-Pei
authors.initials: FP
authors.lastname: Chen
authors.forename: Daniel B
authors.initials: DB
authors.lastname: Herman
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003156:Community Mental Health Services / Q000379:methods*; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D010348:Patient Care Team; D010351:Patient Discharge; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D013997:Time Factors