Evidence map›Paper›PMID 24526472›Full record

ArticleCommunity mental health journal2015

Clinicians' perceptions of challenges and strategies of transition from assertive community treatment to less intensive services.

Molly T Finnerty, Jennifer I Manuel, Ana Z Tochterman, Candice Stellato, Linda H Fraser, Cecily A S Reber, Hima B Reddy, Angela D Miracle

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Community mental health journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Intensive case management for severe mental illness.The Cochrane database of systematic reviews · 2017
    Pooled it
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  14. Observational
  15. The critical ingredients of assertive community treatment.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

Molly T FinnertyDepartment of Child and Adolescent Psychiatry/Bureau of Evidence Based Services and Implementation Science, New York University/New York State Office of Mental Health, 1051 Riverside Drive, Unit 104, New York, NY, 10032, USA, Molly.Finnerty@omh.ny.gov.
Jennifer I Manuel
Ana Z Tochterman
Candice Stellato
Linda H Fraser
Cecily A S Reber
Hima B Reddy
Angela D Miracle
New York State Office of Mental Health · USFairleigh Dickinson University · USNew York City Department of Health and Mental Hygiene · USNew York University · USStanford University · USVirginia Commonwealth University · US

Funding

Research Methods CoreP30MH090322 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI DUAN, NAIHUA · 2011 to 2015
$8.1M
Intervention for Persons with Co-Occurring Disorders Leaving Residential TxK01DA035330 · NIDA · VIRGINIA COMMONWEALTH UNIVERSITY · PI MANUEL, JENNIFER I · 2014 to 2018
$835k
NIDA NIH HHS K01 DA035330NIMH NIH HHS P30 MH090322
6 · The paper itself

Abstract

The study aimed to identify clinical strategies and challenges around transition from Assertive Community Treatment (ACT) to less intensive services. Six focus groups were conducted with ACT team leaders (n = 49). Themes were grouped under four intervention-focused domains: (1) client/clinical, (2) family and natural supports, (3) ACT staff and team, and (4) public mental health system. Barriers to transition included beliefs that clients and families would not want to terminate services (due to loss of relationships, fear of failure, preference for ACT model), clinical concerns that transition would not be successful (due to limited client skills, relapse without ACT support), systems challenges (clinic waiting lists, transportation barriers, eligibility restrictions, stigma against ACT clients), and staff ambivalence (loss of relationship with client, impact on caseload). Strategies to support transition included building skills for transition, engaging supports, celebrating success, enhanced coordination with new providers, and integrating and structuring transition in ACT routines.

Indexed as

Attitude of Health PersonnelMental DisordersProfessional-Patient RelationsAttitude to HealthCase ManagementCommunity Mental Health ServicesFocus GroupsHealth PersonnelHumansNew YorkPerceptionSocial StigmaStereotyping

Identifiers

PMID24526472
PMCPMC4289526
OpenAlexW2006111011

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.