Assertive Outreach in Mental Health: a manual for practitioners

Paperback | November 1, 2002

byTom Burns, Mike Firn

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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 socialcare. Assertive Outreach is a targeted 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 effectiveengagement 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 being 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.

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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 socialcare. Assertive Outreach is a targeted and ref...

Tom Burns is in the Department of Psychiatry, St George's Hospital Medical School, London UK. Mike Firn is on the Assertive Community Treatment (ACT) Team, Garratt Court, Furmage Street, London UK.

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Format:PaperbackDimensions:360 pages, 9.45 × 6.61 × 0.77 inPublished:November 1, 2002Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0198516150

ISBN - 13:9780198516156

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Extra Content

Table of Contents

Part One - Conceptual Issues1. Origins of assertive outreach2. Current context and aims3. Who is assertive outreach for? Referrals and discharges4. Ingredients and standards (model fidelity)5. Key working versus the 'team approach'6. 24-hour availability and extended services7. The role of medication8. Compulsion and freedom9. Cultural sensitivityPart Two - Health and Social Care Practice10. Engagement11. Medication compliance12. Hostility13. Suicidality14. Self-neglect15. Schizophrenia and delusional disorders16. Bipolar affective disorder17. Personality problems and disorders18. Depression, anxiety and situational disorders19. Substance abuse20. Personal finance21. Housing and homelessness22. Physical health care23. Employment and activity24. Daily living skills25. Psychosocial interventions and work with families and carersPart Three - Structural Issues26. Managing the team27. Training28. Service planning29. Research and developmentReferences

Editorial Reviews

"Burns and Firn have succeeded writing a book that serves as a manual for practitionersand that utilizes their experiences in a flexible approach incorporating many aspects of assertive community treatment in the care of persons with severe and persistent mental illness." -Psychiatric Services