The nurse case manager is discussing the pros and cons of assertive community treatment (ACT) programs with a patient who is due to be discharged from the inpatient mental health unit. Which patient statement indicates that teaching was effective?
1. "These programs are expensive and not cost-effective."
2. "These programs will assign me to a single staff member who will work with me to achieve my goals."
3. "These programs offer access to resources such as housing and financial assistance."
4. "These programs increase stress and burnout of individual case managers."
3. "These programs offer access to resources such as housing and financial assistance."
Explanation:
ACT programs become actively and directly involved in many areas of the patient's life and may control access to resources, such as housing and financial assistance, in return for adherence to medication and treatment programs through outpatient commitment. There is no evidence that an ACT program is expensive. Reduction of stress and burnout of individual case managers is achieved through the an interprofessional team approach to the management of cases, which is considered one of the advantages of ACT programs.
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