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1 ACT ACT ACT ACT ACT ACT M-GTA ACT ACT ACT ACT ACT ACT ACT Since, although Assertive Community TreatmentACTor similar programs have been seen in Japan, there are many issues such as not having any legality that need to be solved. To study solutions for these issues, this paper has discussed how the ACT team in the U.S.A. can organize successful teaming. Eight people including ACTs team leaders were held ministructured interviews and the results analyzed by M-GTA. Also discussed was how to use these results for Japanese ACT teams. The teaming process of ACT is divided into forming a team and a team administration. Important points for AForming a team To create ACT with a new team, not with a present team To set up a hiring standard of ACT staff who have the necessary for recovery-oriented skills To set up a preparation period until ACT has started clinical work BTeam administration To exercise the art of leadership To follow ACT policy To improve staff clinical skills Key words : Assertive Community Treatment, teaming, U.S.A, qualitative research, suggestion to ACT team in Japan Assertive Community Treatment: ACT MarxSteinTest ACT

2 ACT QOL Harvey, Burns, Fiander, et al. ; Kenny, Calsyn, Morse, ; Rapp, & Goscha, ; Ziguras, & Stuart,, ;, ;, ACT ACT-J ACT-K ACT- ACT ACT ACT Boyer, & Bond, ; Carney, Donovan, Yurdin, et al. ; Kirk, Koeske, ; Salyers, & Bond, ; Schulz, Greenley, & Brown, ACT ACT ACT Dartmouth Assertive Community Treatment Scale: DACTS United States Department of Health and Human Services - Substance Abuse and Mental Health Services Administration: SMHSAS National Mental Health Information Center: Center for Mental Health Services, ACT ACT ACT 1 ACT ACT ACT DACTS DACTS Tools for Measurement of Assertive Community Treatment: TMACTMonroe- DeVita, Teague, Moser,

3 ACT ACT ACT 1DACTS TMACT DACTS TMACT United States Department of Health and Human Services - Substance Abuse and Mental Health Services Administration: SMHSAS National Mental Health Information Center: Center for Mental Health Services. (). Evidence-Based Practices: Shaping Mental Health Services Toward Recovery, Evidence-Based Practices: Assertive Community Treatment: Building Your Program, p.. Monroe-DeVita, M, Teague, G.B., Moser, L. (). Tools Measurement of Assertive Community Treatment: TMACT- Washington State Pilot Version10/28/08. The Washington Institute for Mental Research & Training Division of Public Behavioral Health & Justice Policy, University Washington School of Medicine.

4 ACT Individual Treatment Team: ITT ACT ITT ITT ITT ITT ITT ITT ITT ITT Allness, & Knoedler, : DACTS TMACT

5 ACT ACT ACT ACT 4 4 ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT Allness, & Knoedler, : ACT ACT ACT

6 ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT Allness, & Knoedler, : ITT ACT ACT ACT

7 ACT ACT ACT ITT 2 ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT Indiana University Purdue University Indianapolis: IUPUI ACT ACT NPO, ACT IUPUI ACT DACTS DACTS

8 Adult & Child ACT ACT ACT PACT PACT PACT ACT PACT PACT PACT PACT ACT DACTS. ACT ACT

9 : M-GTA Rice & Ezzy=Pope & Mays = 3 1 ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT

10 ACT ACT ACT ACT ACT ACT ACT ACT ACT 1 ACT DACTS ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT

11 ACT ACT ACT 2 ACT ACT DACTS ACT ACT ACT ACT ACT ACT DACTS ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT DACTS TMACT ACT

12 ACT ACT ACT 3 ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ITT

13 ACT ACT ACT ACT ACT ACT ACT ACT ACT 4 ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT

14 ACT ACT ACT ACT ACT 4 ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT

15 ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT

16 ACT ACT ACT ACT 5 ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT

17 ITT Cannon-Bowers / Cannon-Bowers, Tannenbaum, Volpe, ACT ACT ACT ACT ACT DACTS.. ACT DACTS DACTS DACTS TMACT ACT ACT ACT ACT Evidence-Based Practice: EBP EBP EBP ACT ACT :

18 United States Department of Health and Human Service,EBP EBP EBP ACT ACT ACT ACT ACT ACT ITT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT ACT B ACT ACT DACTSDartmouth Assertive Community Treatment ScaleACT Stain Test ACT Stein & Test, McGrew

19 ACT McGrew, Bond, Dietzen, et al. Teague Teague, Bond, Drake, DACTS DACTS ACT DACTS TMACT Monroe-DeVita PACTProgram for Assertive Community Treatment ACT ACT ACT, EBP ACT Family Psycho-educationSupported Employment Illness Management and Recovery Co-Occuring Disorders: Integrated Dual Diagnosis Treatment mentalhealth.samhsa.gov/cmhs/communitysupport/ toolkits/ Allness, D.J. & Knoedler, W.H. (.). A Mannual for ACT Start-Up: Based on the PACT Model of Community Treatment for Persons with Severe and Persistent Mental Illness, 2003 Edition. Arlington, Virginia; NAMI (National Alliance for the Mentally Ill ). Boyer, S.L., & Bond, G.R. (). Does assertive community treatment reduce burnout?: A comparison with traditional case management. Mental Health Service Research,, -. Cannon-Bowers, J.A., Tannenbaum, E.S., Volpe, C.E. (). Defining competencies and establishing team training requirements. In R.A. Guzzo, E.S. Salas, and Associates, Team Effectiveness and Decision Making in Organization (-). San Francisco: Jossey-Bass Publishing. Carney, J., Donovan, R., Yurdin, M. et al. (). Incidence of burnout among New York City intensive case managers: Summary of findings. Psychosocial Rehabilitation Journal, (), -. Harvey, K., Burns, T., Fiander, M. et al. (). The effective of intensive case management on the relative of patients with severe mental illness, Psychiatric Service, (), -. - Kenny, D., Calsyn, R., Morse,G. (). Evaluation of treatment programs for persons with severe mental illness: Moderate and mediator effects, EVALUATION REVIEW, (), -. M-GTA Kirk, S.A. Koeske, R.D. (). Changes in health and job attitudes of case managers providing intensive services. Hospital and Community Psychiatry,, -. McGrew, J. H., Bond, G. R., Dietzen, L., et al.(). Measuring the fidelity of implementation of a mental health program model. Journal of Consulting Clinical Psychology,, - - H Assertive Community Treatment

20 ACT Monroe-DeVita, M, Teague, G.B., Moser, L. (). Tools Measurement of Assertive Community Treatment: TMACT- Washington State Pilot Version10/28/08. The Washington Institute for Mental Research & Training Division of Public Behavioral Health & Justice Policy, University Washington School of Medicine. Pope, C. & Mays, N. () Qualitative Research in Health Care, 3rd edition, Blackwell Publishing Ltd. Rapp, C.A. & Goscha, A.R. (). The principle of effective case management of mental health services, Psychiatric Rehabilitation Journal, (), -. Rice P.L. & Ezzy D. (). Qualitative Research Method, Oxford University Press. SCQPM SCQPM Salyers, M.P., & Bond, G.R. (). An exploratory analysis of racial factors in staff burnout among assertive community treatment workers. Community Mental Health Journal, (), -. Schulz, R., Greenley, J.R., & Brown, R. (). Organization, management, and clients effect on staff burnout. Journal of Health Social Behavior,, -. Stein L. L., Test M A. (). Alternative to mental hospital treatment,.: Conceptual model, treatment program and clinical evaluation. Archive of General Psychiatry,, - ACT-K Teague, G. B., Bond, G. R., Drake, R. E. (). Program fidelity in Assertive Community Treatment: Development and use of a measure. American Journal of Orthopsychiatry- - United States Department of Health and Human Services: Office of the Surgeon General. (). Mental Health: A Report of the Surgeon General. United States Department of Health and Human Services. United States Department of Health and Human Services - Substance Abuse and Mental Health Services Administration: SMHSAS National Mental Health Information Center: Center for Mental Health Services. (). Evidence-Based Practices: Shaping Mental Health Services Toward Recovery: Assertive Community Treatment: Building Your Program. United States Department of Health and Human Services. mentalhealth.samhsa.gov/cmhs/communitysupport/ toolkits/community/// Ziguras, S.J. & Stuart, G.W. (). A meta-analysis of the effective of mental health case management over years, Psychiatric Service, (), -.

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