title: Encounter Preparedness, Satisfaction, and Performance Effects of Influence in Assertive Community Treatment (ACT) Teams.
abstract: Assertive community treatment (ACT) teams are linked to high quality outcomes for individuals with severe mental illness. This paper tests arguments that influence shared between team members is associated with better encounter preparedness, higher work satisfaction, and improved performance in ACT teams. Influence is conceptualized in three ways: the average level according to team members, the team's evaluation of the dispersion of team member influence, and as the person-organization fit of individual perception of empowerment. The study design is a retrospective observational design using survey data from a longitudinal study of 26 ACT teams (approximately 275 team members total) over 18 months. This study finds that average team influence and person-organization fit are positively correlated with encounter preparedness and satisfaction. Dispersion of influence was not significantly correlated with study outcomes. Influence in ACT teams has multiple dimensions, each with differential effects on team outcomes. These findings provide guidance as to how one might encourage equal and substantive contribution from ACT team members.
authors.affiliation: University of Minnesota Medical School, 420 Delaware St, Minneapolis, MN, 55455, USA. pisan007@umn.edu.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Pisansky
authors.affiliation: School of Public Health, Division of Health Policy and Management, University of Minnesota, MMC 729, 420 Delaware St SE, Minneapolis, MN, 55455, USA.
authors.forename: Douglas R
authors.initials: DR
authors.lastname: Wholey
authors.affiliation: School of Public Health, Division of Health Policy and Management, University of Minnesota, MMC 729, 420 Delaware St SE, Minneapolis, MN, 55455, USA.
authors.forename: Cindy
authors.initials: C
authors.lastname: Cain
authors.affiliation: Department of Health Management and Policy, College of Public Health, University of Iowa, 145 N. Riverside Drive, N222 CHPB, Iowa City, IA, 52242, USA.
authors.forename: Xi
authors.initials: X
authors.lastname: Zhu
mesh_terms: D003156:Community Mental Health Services / Q000379:methods*; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D001523:Mental Disorders / Q000628:therapy; D010348:Patient Care Team; D011209:Power, Psychological; D012189:Retrospective Studies; D000066477:Work Performance / Q000458:organization & administration
keywords: Assertive community treatment; Encounter Preparedness; Influence; Performance; Satisfaction