精神障害者

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1 13 ACT TEL

2 ACTassertive community treatment 1 ACT ACT ACT ACT Fidelity ScaleACT ACT ACT ACT ACT Fidelity 2000, 2001; 1994 Tessler & Gamache

3 QOL ACT 5 Chamberlain & Rapp Muser et al ACT ACT ACTAssertive Community Treatment 2

4 10:1 PACTProgram of Assertive Community Treatment 1972 Allness & Knoedler ACT Meisler ACT ACT 15 ACT Fidelity ACT 2 1) ACT QOL QOL

5 2) Fidelity fidelitybond et al fidelity Heflinger 1996, Henggeler et al fidelity Bond et al ACT fidelity ACT ACT fidelity DACTSThe Dartmouth ACT Fidelity Scale ACT ACT 50 Teague et al ACT ACT ACT DACTS ACT ACT 5 3 1) DACTS DACT Fidelity McHugo et al. 1999, Latimer 1999, Drake et al. 1996, McGrew et al

6 ACTFidelity ACTDACTS DACTS 1 DACTSDartmouth ACT Fidelity Scale H1 H2 H3 H4 H5 H6 H7 H8 H9 H10 H11 10 O1 O2 O3 O4 O5 O6 O7 S1 S2 S3 S4 S5 S6 S7 S8 S9 S10 5

7 2) ACT 1 2 PACTProgram of Assertive Community Treatment Rapp Rose & Moore ) Fidelity ACT ACT 6

8 Latimer 1999, Bond et al. 1999, Marshall et al. 1998, Mueser et al. 1998, Gorey et al. 1998, Brekke 1988 Fidelity fidelity Bond et al Fidelity fidelity ACT 2) Rapp 1998, 2002,

9 3) ACT ACT 4) 15 ACT fidelity ACT ACT ACT 1) AllnessDJ & Knoedler WH: The PACT model of community-based treatment for persons with severe and persistent mental illness: A manual for PACT start-up. NAMI, 1998.: PACT., ) Bond GR, Evans L, Salyers MP, et al.: Measurement of fidelity in psychiatric rehabilitation. Mental Health Services Research 2, 75-87, ) Bond GR, Drake RE, Becker DR, et al.: Effectiveness of psychiatric rehabilitation approaches for employment of people with severe mental illness. Journal of 8

10 Disability Policy Studies, 10, 18-52, ) Brekke JS: What do we really know about community support programs? Strategies for better monitoring. Hospital & Community Psychiatry, 39, , ) Chamberlain R & Rapp CA: A decade of case management: A methodological review of outcome research. Community Mental Health Journal, 27, , ) Drake RE, McHugo GJ, Becker DR, et al.: The New Hampshire study of supported employment for people with severe mental illness: Vocational outcomes. Journal of Consulting and Clinical Psychology 64, , ) Gorey KM, Leslie DR, Morris T, et al.: Effectiveness of case management with severely and persistently mentally ill people. Community Mental Health Journal, 34, , ) Heflinger CA: Implementing a system of care: Finding from the Fort Bragg Evaluation Project. Journal of Mental Health Administration 23, 16-29, ) Henggler SW, Pickrel SG, Brondino MJ: Multi-systemic treatment of substance-abusing and dependent delinquents: Outcomes, treatment fidelity, and transportability. Mental Health Services Research 1, , ),, : ACT: Assertive Community Treatment., , ) Latimer E: Economic impacts of assertive community treatment: A review of the literature. Canadian Journal of Psychiatry 44, , ) Marshall M, Lockwood A, Green R, et al.: Economic impacts of assertive community treatment: A review of the literature. Canadian Journal of Psychiatry, 44, , ) McGrew JH, Bond GR, Dietzen LL et al.: Measuring the fidelity implementing of a mental health program model. Journal of Consulting and Clinical Psychology 62, , ) McHugo GJ, Drake RE, Teague GB, et al.: The relationship between model fidelity and client outcomes in the New Hampshire Dual Disorders Study. Psychiatric Services 50, , ) Meisler N: Report on Fall 1996 Conference of State Rpresentatives on ACT, ) Mueser KT, Bond GR, Drake RE, et al.: Models of community care for severe mental illness: A review of research on case management. Schizophrenia Bulletin 24, 37-74, ) :. 2 9

11 ., ),, :,, ),, :,, ) : 12, 29(3), 67-72, ) :., pp.13-22,, ) Rapp CA: The strengths model. Oxford University Press, 1998.:., ) Rose SM, Moore VL: Case management. National Association of Social Workers. 19 th Encyclopedia of Social Work. Pp , NASW Press, ), :., ), :,, ) Teague GB, Bond GR, Drake RE: Program fidelity in assertive community treatment: development and use of a measure. American Journal of Orthopsychiatry 68, , ) Tessler R, Gamache G: Family experience with mental illness. Westport (CT), Auburn House, ) :., pp ,, ) : 93(),, No.6,

13 H1 H2 H3 H4 H5 H6 H7

14 H8 H9 H10 H11 O1 O2

15 O3 O4 O5 O6 O7

16 S1 S2 S3 S4 S5 S6 S7

17 S8 S9 S10

18 TEL TEL TEL TEL TEL TEL TEL TEL

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