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Full-Text Articles in Medicine and Health Sciences

Programs Of Assertive Community Treatment (Pact): A Critical Review, Tomi Gomory Dec 1998

Programs Of Assertive Community Treatment (Pact): A Critical Review, Tomi Gomory

Tomi Gomory

Advocates of Programs of Assertive Community Treatment (PACT) make numerous claims for this intensive intervention program, including reduced hospitalization, overall cost, and clinical symptomatology, and increased client satisfaction, and vocational and social functioning. However, a reanalysis of the controlled experimental research finds no empirical support for any of these claims. Instead, there is evidence that the program is both coercive and potentially harmful. The current promotion of PACT appears to be based more on professional enthusiasm for the medical model than upon any benefit to the clients.


Clinical Interpretation Of "Health And The Human Spirit For Occupation"., Janice P. Burke Jun 1998

Clinical Interpretation Of "Health And The Human Spirit For Occupation"., Janice P. Burke

Department of Occupational Therapy Faculty Papers

In reading and contemplating Yenca's (1998) article, I was immediately struck by the utility of the ideas she offers on a number of clinical fronts. We are presented with occupation-based strategies that are directly applicable to our work with patients and program development; we can make use of the language and ideas that are offered as a way to begin talking to one another (therapist to therapist) in clinical settings about occupation; and we are given the opportunity to think about the contribution, value, and efficacy of occupation and how we might convert those ideas into clinically based research actions. …


Trends. Alternative Therapies And Resistance To Disconfirming Information In Security Bureaucracies: Perspective Of A Fourth Grader, Ibpp Editor Apr 1998

Trends. Alternative Therapies And Resistance To Disconfirming Information In Security Bureaucracies: Perspective Of A Fourth Grader, Ibpp Editor

International Bulletin of Political Psychology

The author discusses the science experiment of a fourth-grader in relation to practitioners of alternative therapies and the health field.


Philosophy And The Propaganda Of Mental Health Care: What "Real" Doctors Do, Ibpp Editor Mar 1998

Philosophy And The Propaganda Of Mental Health Care: What "Real" Doctors Do, Ibpp Editor

International Bulletin of Political Psychology

This article describes common propaganda efforts effected by representatives of mental health professional organizations.


Coercion Justified?-Evaluating The Training In Community Living Model (The Original Assertive Community Treatment Model) A Dissertation, Tomi Gomory Jan 1998

Coercion Justified?-Evaluating The Training In Community Living Model (The Original Assertive Community Treatment Model) A Dissertation, Tomi Gomory

Tomi Gomory

This dissertation examines the research and theory offered for Programs of Assertive Community Treatment, the model that is supported by Institutional Psychiatry as the most well validated and best model of intervention applicable to the psychiatric population labeled the Severely and Persistently Mentally Ill. Although this program has been researched for over 25 yrs. and the extensive literature on this model claims to have established it’s efficacy on both the systems and patient level, the findings of my critical review dispute these claims based on the examination of the empirical evidence of all available randomized controlled trials of this intervention …