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A visitor's view of Madison's Program for Assertive Community Treatment (PACT)

Published online by Cambridge University Press:  02 January 2018

M. Muijen
Affiliation:
Institute of Psychiatry, De Crespigny Park, London SE5
G. McNamee
Affiliation:
The Maudsley Hospital, Denmark Hill, London SE5
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Before commencing work on the Daily Living Programme at the Maudsley Hospital, in London, to compare the benefits of community care with standard hospital admission for patients with serious mental illness, a visit to Madison was arranged, where some ten years ago a similar study had been carried out (Stein & Test, 1980). We had the impression from the substantial literature which has appeared on the mental health service in Madison (Stein & Test, 1985) that they have implemented in practice their positive research findings on community care. It was felt that their lengthy experience with such a service could be beneficial to the UK, where such services are now being developed. This visit included PACT (Program for Assertive Community Treatment); a research programme investigating the long-term prognosis of mainly schizophrenic patients, and the various units of the mental health services in Madison.

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Articles
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 1989

References

Stein, L. J. & Test, K. A. (1980) An alternative to mental hospital treatment. A conceptual model, treatment program, and clinical evaluation”. Archives of General Psychiatry, 37, 392397.Google Scholar
Stein, L. J. & Test, K. A. (1985). The Training in Community Living Model: A Decade of Experience. New Directions for Mental Health Services (No. 26), San Francisco: Jossey-Bass.Google Scholar
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