Assertive Outreach in Mental Health A Manual for Practitioners

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Edition: 1st
Format: Paperback
Pub. Date: 2002-06-20
Publisher(s): Oxford University Press
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Summary

Assertive Outreach is the treatment of choice for the severely mentally ill in the community. It involves taking services to the patients rather than requiring them to attend hospitals and clinics. The model is one of a high staff-to-patient ratio offering comprehensive health and social care. Assertive Outreach is a targetted and refined application of the existing practice of community mental health teams- an evolution of community policy rather than a revolutionary change. Research evidence and outcome data suggests it results in reduced hospitalizations, promotes effective engagement with difficult patients and improves patient wellbeing. As a policy, it has been implemented successfully in Australia, the USA and Europe, and it is now adopted nationally in the UK. This book will equip all members of the multidisplinary Assertive Outreach team with a clear understanding of the essential processes and interventions involved. Tom Burns and Mike Firn are pioneers in this field and have been running an Assertive Outreach team for seven years. They have been awarded Beacon status by the UK Department of Health to reflect their excellence, and are heavily involved in teaching others setting out on the same path.

Table of Contents

Part I Conceptual issues
Origins of assertive outreach
3(7)
Current context and aims
10(10)
Who is assertive outreach for? Referrals and discharges
20(14)
Ingredients and standards (model fidelity)
34(12)
Key working versus the `team approach'
46(6)
24-hour availability and extended services
52(7)
The role of medication
59(7)
Compulsion and freedom
66(12)
Cultural sensitivity
78(17)
Part II Health and social care practice
Engagement
95(11)
Medication compliance
106(13)
Hostility
119(13)
Suicidality
132(10)
Self-neglect
142(8)
Schizophrenia and delusional disorders
150(12)
Bipolar affective disorder
162(12)
Personality problems and disorders
174(9)
Depression, anxiety, and situational disorders
183(9)
Substance abuse
192(12)
Personal finance
204(11)
Housing and homelessness
215(8)
Physical health care
223(8)
Employment and activity
231(11)
Daily living skills
242(9)
Psychosocial interventions and work with families and carers
251(16)
Part III Structural issues
Managing the team
267(17)
Training
284(9)
Service planning
293(10)
Research and development
303(15)
References 318(19)
Index 337

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