By Peter Ryan DProf MSc CQSW, Steve Morgan BA BPL DipCOT MA
This booklet supplies a accomplished, evidence-based account of assertive outreach from a strengths point of view. It emphasizes constructing a collaborative method of operating with the carrier person, which stresses the fulfillment of the provider user's personal aspirations, and development upon the carrier user's personal strengths and assets. The e-book offers a entire, authoritative method of the topic, that mixes an outline of the coverage and perform matters. It uses wide case research fabric to demonstrate person and workforce circumstances.Comprehensive and authoritativeIntegrates coverage and practiceExtensive use of case examine materialEvidence-based
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Extra resources for Assertive Outreach: A Strengths Approach to Policy and Practice
Marshall and Lockwood’s (1998) systematic review came to similar conclusions. Of the ten studies Marshall used to analyse psychosocial functioning, there were no clear differences between ACT and standard community care. In this context, results from the UK studies with respect to psychosocial functioning are perhaps not too surprising. Two studies (Thornicroft 1998, Burns et al 1999) showed no differences with respect to psychosocial functioning. Marks et al (1994) found modest and limited improvements in favour of the experimental group clients.
The ACT model has received considerable attention overseas. Hoult et al (1983) in North Shore, Sydney, Australia, set up and evaluated an ACT programme. Also, a team based at the Maudsley Hospital, London, developed and evaluated the Daily Living Programme, which again was largely based on the ACT model (Marks et al 1994, Muijen et al 1992b). The first major international replication of the ACT model came from Dr John Hoult and his colleagues, who were setting up an ACT service in Sydney (Hoult et al 1983).
It should be noted that there was a high drop-out rate in the experimental site (only 29 out of 60 clients actually agreed to participate). Clients were assessed on quality of life, residential living status, vocational and educational status, symptomatology and hospitalization. The results indicated that the quality of life of the clients receiving strengths case management significantly improved compared to that of the control clients. Furthermore, the vocational and educational outcomes for the strengths case management group were significantly better than those of the control group.