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Related Concept Videos

Specialized Care Centers and Settings-II01:30

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Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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Related Experiment Video

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Statewide implementation of high-fidelity recovery-oriented ACT: A case study.

Heidi Herinckx1, Alyssa Kerlinger1, Karen Cellarius2

  • 1Oregon Center of Excellence for Assertive Community Treatment, Options for Southern Oregon, Grants Pass, OR, USA.

Implementation Research and Practice
|April 24, 2023
PubMed
Summary

Oregon successfully implemented high-fidelity Assertive Community Treatment (ACT) statewide by using Translation Science strategies. Continued support, training, and funding linked to fidelity ensure high-quality, recovery-oriented ACT services for severe mental illness.

Keywords:
Behavioral health treatmentcommunity-based treatmentevidence-basedfidelityimplementationmental health servicespolicyservice system

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Area of Science:

  • Implementation Science
  • Mental Health Services Research
  • Public Health Policy

Background:

  • Assertive Community Treatment (ACT) is an evidence-based practice for severe mental illness.
  • The application of Translation Science to ACT implementation requires further exploration.
  • Oregon's statewide implementation of high-fidelity, recovery-oriented ACT is examined.

Purpose of the Study:

  • To explore Oregon's use of Translation Science strategies for statewide ACT implementation.
  • To evaluate the maintenance of high-fidelity, recovery-oriented ACT services.
  • To identify key factors in ensuring uniform, high-quality ACT care.

Main Methods:

  • A single intrinsic case study design was employed.
  • Data sources included ACT fidelity reports, outcome data, surveys, and focus groups.
  • Evaluation focused on implementation strategies and fidelity monitoring.

Main Results:

  • Oregon established a Center of Excellence for ACT to provide training and technical assistance.
  • Administrative rules mandate annual re-certification based on minimum fidelity levels.
  • Funding is linked to fidelity benchmarks, supporting ongoing oversight and training.

Conclusions:

  • Codifying minimum ACT implementation standards into state rules is crucial.
  • Linking fidelity scores to Medicaid reimbursements incentivizes high-quality care.
  • A dedicated technical assistance center ensures sustained fidelity and integration of practices.