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Abstract

Objective:

The assertive community treatment (ACT) teams of Mount Sinai Hospital in Toronto and the KUINA Center, Hitachinaka, Japan, were compared with regard to ACT fidelity, organizational structure, populations served, and treatment outcomes. Ethnocultural adaptations to the ACT model made by both teams included enhanced family support and intervention, culturally and linguistically matched staff and patients when possible, culturally informed therapy, routine cultural assessments, culturally matched housing and community support, and flexible funding models.

Methods:

Data were gathered by chart reviews (66 patients in Toronto and 40 patients in Japan), a satisfaction measure, a standard measure of ACT fidelity, and a pre-post measure of treatment outcomes (the Brief Psychiatric Rating Scale), and hospitalization days.

Results:

Both teams achieved good fidelity to ACT and reductions in hospitalization and symptom severity. Family satisfaction scores were high.

Conclusions:

With culturally informed adaptations, ACT can be effective in a Canadian mixed ethnocultural population and a homogeneous Japanese population. (Psychiatric Services 62:971–974, 2011)

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Figures and Tables

Table 1 Performance on the Dartmouth Assertive Community Treatment Fidelity Scale of two assertive community treatment (ACT) teams
Table 2 Characteristics of patients of two assertive community treatment (ACT) teams

Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Cover: The South Gorge, Appeldore, Isles of Shoals, by Childe Hassam. Oil on canvas, 22¼ × 18 inches. Collection of the Newark Museum, Newark, New Jersey. Photo credit: the Newark Museum/Art Resource, New York.
Psychiatric Services
Pages: 971 - 974
PubMed: 21807841

History

Published online: 1 August 2011
Published in print: August 2011

Authors

Details

Wendy Chow, M.S.W., R.S.W. [email protected]
Ms. Chow, Dr. Law, Dr. Leszcz, and Dr. Sadavoy, are affiliated with the Department of Psychiatry, Univeristy of Toronto, Mount Sinai Hospital, 260 Spadina Ave., Suite 204, Toronto, Ontario M5T 2E4, Canada (e-mail: [email protected]).
Ms. Chow is also with the Department of Psychiatry, University of Toronto, Toronto, Ontario.
Miyuki Shiida, B.A.
Mrs. Shiida is with the KUINA Center, Hitachinaka, Ibaraki-ken, Japan.
Takashi Shiida, M.D.
Dr. Hirosue is with the Hiyodori Clinic, Hitachinaka, Ibaraki-ken, Japan, where Dr. Shiida was affiliated before his death on January 23, 2009.
Akiyoshi Hirosue, M.D.
Dr. Hirosue is with the Hiyodori Clinic, Hitachinaka, Ibaraki-ken, Japan, where Dr. Shiida was affiliated before his death on January 23, 2009.
Samuel Law, M.D., F.R.C.P(C) [email protected]
Ms. Chow, Dr. Law, Dr. Leszcz, and Dr. Sadavoy, are affiliated with the Department of Psychiatry, Univeristy of Toronto, Mount Sinai Hospital, 260 Spadina Ave., Suite 204, Toronto, Ontario M5T 2E4, Canada (e-mail: [email protected]).
Molyn Leszcz, M.D., F.R.C.P(C) [email protected]
Ms. Chow, Dr. Law, Dr. Leszcz, and Dr. Sadavoy, are affiliated with the Department of Psychiatry, Univeristy of Toronto, Mount Sinai Hospital, 260 Spadina Ave., Suite 204, Toronto, Ontario M5T 2E4, Canada (e-mail: [email protected]).
Joel Sadavoy, M.D., F.R.C.P(C) [email protected]
Ms. Chow, Dr. Law, Dr. Leszcz, and Dr. Sadavoy, are affiliated with the Department of Psychiatry, Univeristy of Toronto, Mount Sinai Hospital, 260 Spadina Ave., Suite 204, Toronto, Ontario M5T 2E4, Canada (e-mail: [email protected]).

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