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The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
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Related Experiment Video

Updated: Jun 20, 2026

Exploring Caspase Mutations and Post-Translational Modification by Molecular Modeling Approaches
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Published on: October 13, 2022

Modifying the PACT model: preserving critical elements

K R Lachance1, A B Santos

  • 1Adult Clinical Service, Charleston-Dorchester Community Mental Health Center, South Carolina, USA.

Psychiatric Services (Washington, D.C.)
|June 1, 1995
PubMed
Summary
This summary is machine-generated.

Adapting the Program for Assertive Community Treatment (PACT) model for rural areas is feasible. Modified PACT programs in South Carolina successfully retained core elements and achieved positive patient outcomes.

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Area of Science:

  • Mental Health Services
  • Psychiatric Rehabilitation
  • Community Support Programs

Background:

  • The Program for Assertive Community Treatment (PACT) model offers comprehensive, 24-hour services for individuals with serious mental illness.
  • Resource limitations often necessitate modifications to the original PACT model, particularly in rural settings.
  • Limited data exists on patient outcomes in agencies that have adapted the PACT model.

Purpose of the Study:

  • To examine the challenges and strategies for modifying the PACT model, with a focus on rural implementation.
  • To identify essential PACT elements that can be retained in adapted programs.
  • To assess the effectiveness of modified PACT programs in achieving desired patient outcomes.

Main Methods:

  • Focus on six core elements of the PACT model: multiservice teams, 24-hour availability, small caseloads, continuous services, assertive outreach, and in vivo rehabilitation.
  • Analysis of PACT adaptations implemented in South Carolina.
  • Evaluation of outcomes in programs utilizing smaller teams and modified schedules.

Main Results:

  • Adaptations of the PACT model in South Carolina successfully retained its six fundamental elements.
  • Modified PACT programs demonstrated the ability to achieve desired patient outcomes.
  • Smaller teams operating on modified schedules were effective in delivering PACT services.

Conclusions:

  • The PACT model can be effectively adapted for use in rural areas and other resource-constrained settings.
  • Retention of core PACT principles is key to successful program modification and positive patient outcomes.
  • Modified PACT programs offer a viable approach to providing comprehensive mental health services.