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Managed cases, drop‐ins, drop‐outs, and other by‐products of mental health care
Author(s) -
Lovell Anne M.
Publication year - 1990
Publication title -
american journal of community psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.113
H-Index - 112
eISSN - 1573-2770
pISSN - 0091-0562
DOI - 10.1007/bf00938072
Subject(s) - health psychology , attrition , drop out , mental health , psychological intervention , psychology , modalities , assertive community treatment , social psychology , public health , medicine , mental illness , nursing , psychiatry , sociology , social science , dentistry , economics , demographic economics
The assertive case management (ACT) study by Bond and colleagues illustrates the problems of evaluating new mental health service modalities applied to multi-dimensional problems. Both characteristics of large urban areas and increasing consumer self-awareness affect implementation of random assignment and follow-up studies. In the study reviewed here, possible lack of fit between study subjects and the control condition, a drop-in center, may have contributed to a high attrition rate. As most of the controls never received the treatment, neither ACT nor the drop-in center were adequately tested. And without explication of how the control condition relates to other peer-oriented interventions, study findings cannot be generalized to self-help. The authors' conclusions concerning self-help are therefore not supported by their findings.