State mental health authorities and informatics.
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Administrative Personnel↗
Biomedical subjects
Gregory B Teague
Publications and source records attributed to Gregory B Teague.
Fundamental principles of evidence-based medicine applied to mental health care.
This article discusses the fundamental principles of evidence-based medicine: using the best available evidence, individualizing the evidence, attending to patient preferences, and expanding clinical expertise. These principles have important implications for the adoption of evidence-based practices in mental health care.
Choice Behavior↗
Evidence-based practices: setting the context and responding to concerns.
After nearly 20 years of progress in general medicine, the evidence-based practice movement is becoming the central theme for mental health care reform in the first decade of 2000. Several leaders in the movement met to discuss concerns raised by six stakeholder groups: consumers, family members, practitioners, administrators, policy makers, and researchers. Recurrent themes relate to concerns regarding the limits of science, diversion of funding from valued practices, increased costs, feasibility, prior investments in other practices, and shifts in power and control. The authors recommend that all stakeholder groups be involved in further dialog and planning to ensure that practices emerge that represent the integration of the best research evidence with clinical expertise and consumer values.
Community Participation↗
Is it ACT yet? Real-world examples of evaluating the degree of implementation for assertive community treatment.
Despite growing interest in assessment of program implementation, little is known about the best way to evaluate whether a particular program has implemented the intended service to a level that is minimally acceptable to a funding source, such as a state mental health authority. Such is the case for assertive community treatment (ACT), an evidence-based practice being widely disseminated. Using an exploratory, actuarial approach to defining program standards, this study applies different statistical criteria for determining whether or not a program meets ACT standards using the 28-item Dartmouth Assertive Community Treatment Scale. The sample consists of 51 ACT programs, 25 intensive case management programs, and 11 brokered case management programs which were compared to identify levels of fidelity that discriminated between programs, but were still attainable by the majority of ACT programs. A grading system based on mean total score for a reduced set of 21 items appeared to be most attainable, but still discriminated ACT programs from other forms of case management. Implications for setting and evaluating ACT program standards are discussed.
Case Management↗