PDF(Pubmed)
Abstract：
UNASSIGNED: Assertive Community Treatment (ACT) is a recognized evidence-based practice, but the use of Translation Science to ensure the broad implementation of high quality ACT services has not yet been fully explored. This single intrinsic case study explores how Oregon uses strategies identified through Translation Science to achieve statewide implementation of high-fidelity recovery-oriented ACT.
UNASSIGNED: Multiple data sources were used to evaluate this implementation process, including ACT fidelity review reports, programmatic outcome data, a national ACT taskforce survey, and focus groups with program participants.
UNASSIGNED: In 2013, the Oregon Health Authority funded the creation of the Oregon Center of Excellence for Assertive Community Treatment to support the implementation of ACT. It also implemented administrative rules requiring an annual re-certification process with a minimum level of fidelity to the evidence-based model. Other implementation strategies included establishing an ACT Advisory Committee, quarterly reviews of implementation and outcome data, and trainings promoting the role of peer providers and related evidence-based practices.
UNASSIGNED: High-fidelity recovery-oriented ACT services in Oregon are maintained through multiple strategies, including codifying the minimum level of ACT implementation into state administrative rule, linking fidelity benchmarks scores to Medicaid reimbursements, and funding ongoing oversight, training and technical assistance through a statewide technical assistance center. Strict adherence to the ACT model has been a key to ensuring a uniform level of high-quality care across Oregon while incorporating additional evidence-based practices without compromising the integrity of the original model.
UNASSIGNED: Assertive Community Treatment (ACT) is a mental health program serving individuals with the most severe mental illness in the community. While ACT is an evidence-based practice, there is more research needed to explore how ACT is implemented and maintained in different settings. In 2013, Oregon implemented ACT statewide. The Oregon Center of Excellence for ACT was created to provide training and technical assistance to ACT teams and conduct yearly fidelity reviews. Oregon is among the few states who have attached funding to yearly ACT certification, uses community sizes to determine the size of the ACT teams, and the technical assistance center not only provides training but also conducts yearly review of fidelity to the ACT model. This case study will review the steps Oregon took to implement ACT, how it continues to monitor fidelity to the model and provide training and support, and focus on recovery orientation and integrating evidence-based practices. Continued support, training, and the linking of fidelity benchmark scores to program funding are the ways that Oregon makes sure that ACT teams are successfully implementing the ACT model to fidelity with recovery-oriented care.
UNASSIGNED: Multiple data sources were used to evaluate this implementation process, including ACT fidelity review reports, programmatic outcome data, a national ACT taskforce survey, and focus groups with program participants.
UNASSIGNED: In 2013, the Oregon Health Authority funded the creation of the Oregon Center of Excellence for Assertive Community Treatment to support the implementation of ACT. It also implemented administrative rules requiring an annual re-certification process with a minimum level of fidelity to the evidence-based model. Other implementation strategies included establishing an ACT Advisory Committee, quarterly reviews of implementation and outcome data, and trainings promoting the role of peer providers and related evidence-based practices.
UNASSIGNED: High-fidelity recovery-oriented ACT services in Oregon are maintained through multiple strategies, including codifying the minimum level of ACT implementation into state administrative rule, linking fidelity benchmarks scores to Medicaid reimbursements, and funding ongoing oversight, training and technical assistance through a statewide technical assistance center. Strict adherence to the ACT model has been a key to ensuring a uniform level of high-quality care across Oregon while incorporating additional evidence-based practices without compromising the integrity of the original model.
UNASSIGNED: Assertive Community Treatment (ACT) is a mental health program serving individuals with the most severe mental illness in the community. While ACT is an evidence-based practice, there is more research needed to explore how ACT is implemented and maintained in different settings. In 2013, Oregon implemented ACT statewide. The Oregon Center of Excellence for ACT was created to provide training and technical assistance to ACT teams and conduct yearly fidelity reviews. Oregon is among the few states who have attached funding to yearly ACT certification, uses community sizes to determine the size of the ACT teams, and the technical assistance center not only provides training but also conducts yearly review of fidelity to the ACT model. This case study will review the steps Oregon took to implement ACT, how it continues to monitor fidelity to the model and provide training and support, and focus on recovery orientation and integrating evidence-based practices. Continued support, training, and the linking of fidelity benchmark scores to program funding are the ways that Oregon makes sure that ACT teams are successfully implementing the ACT model to fidelity with recovery-oriented care.
摘要：
■自信社区治疗(ACT)是一种公认的循证实践，但是，使用翻译科学来确保广泛实施高质量的ACT服务尚未得到充分探索。这个单一的内在案例研究探讨了俄勒冈州如何使用通过翻译科学确定的策略来实现全州实施高保真面向恢复的ACT。
■使用多个数据源来评估此实现过程，包括ACT保真度审查报告，方案成果数据，全国ACT工作组调查，以及与计划参与者的焦点小组。
■2013年，俄勒冈州卫生局资助成立了俄勒冈州自信社区治疗卓越中心，以支持ACT的实施。它还实施了行政规则，要求每年进行重新认证，并对基于证据的模型保持最低的忠诚度。其他实施战略包括设立首都地区咨询委员会，执行情况和成果数据的季度审查，和培训促进同行提供者和相关循证实践的作用。
■俄勒冈州的高保真面向恢复的ACT服务通过多种策略进行维护，包括将ACT实施的最低水平编入州行政规则，将保真度基准分数与医疗补助报销联系起来，并为持续的监督提供资金，通过全州技术援助中心提供培训和技术援助。严格遵守ACT模式是确保整个俄勒冈州高质量护理水平统一的关键，同时在不损害原始模式完整性的情况下纳入额外的循证实践。
■自信社区治疗（ACT）是一项心理健康计划，为社区中患有最严重精神疾病的个人提供服务。虽然ACT是一种基于证据的做法，需要更多的研究来探索如何在不同的环境中实施和维护ACT.2013年，俄勒冈州在全州范围内实施了ACT。俄勒冈州ACT卓越中心的创建是为了向ACT团队提供培训和技术援助，并进行年度保真度审查。俄勒冈州是少数几个为年度ACT认证提供资金的州之一，使用社区规模来确定ACT团队的规模，技术援助中心不仅提供培训，而且每年对ACT模型的保真度进行审查。本案例研究将回顾俄勒冈州为实施ACT而采取的步骤，它如何继续监控模型的保真度并提供培训和支持，并专注于恢复导向和整合循证实践。继续支持,培训,保真度基准分数与计划资金的联系是俄勒冈州确保ACT团队成功实施ACT模型以恢复为导向的护理的方式。
■使用多个数据源来评估此实现过程，包括ACT保真度审查报告，方案成果数据，全国ACT工作组调查，以及与计划参与者的焦点小组。
■2013年，俄勒冈州卫生局资助成立了俄勒冈州自信社区治疗卓越中心，以支持ACT的实施。它还实施了行政规则，要求每年进行重新认证，并对基于证据的模型保持最低的忠诚度。其他实施战略包括设立首都地区咨询委员会，执行情况和成果数据的季度审查，和培训促进同行提供者和相关循证实践的作用。
■俄勒冈州的高保真面向恢复的ACT服务通过多种策略进行维护，包括将ACT实施的最低水平编入州行政规则，将保真度基准分数与医疗补助报销联系起来，并为持续的监督提供资金，通过全州技术援助中心提供培训和技术援助。严格遵守ACT模式是确保整个俄勒冈州高质量护理水平统一的关键，同时在不损害原始模式完整性的情况下纳入额外的循证实践。
■自信社区治疗（ACT）是一项心理健康计划，为社区中患有最严重精神疾病的个人提供服务。虽然ACT是一种基于证据的做法，需要更多的研究来探索如何在不同的环境中实施和维护ACT.2013年，俄勒冈州在全州范围内实施了ACT。俄勒冈州ACT卓越中心的创建是为了向ACT团队提供培训和技术援助，并进行年度保真度审查。俄勒冈州是少数几个为年度ACT认证提供资金的州之一，使用社区规模来确定ACT团队的规模，技术援助中心不仅提供培训，而且每年对ACT模型的保真度进行审查。本案例研究将回顾俄勒冈州为实施ACT而采取的步骤，它如何继续监控模型的保真度并提供培训和支持，并专注于恢复导向和整合循证实践。继续支持,培训,保真度基准分数与计划资金的联系是俄勒冈州确保ACT团队成功实施ACT模型以恢复为导向的护理的方式。
