A Review of Assertive Community Treatment and Intensive Case Management for Homeless Persons with Mental Illness

Almer, Tamara (2019) A Review of Assertive Community Treatment and Intensive Case Management for Homeless Persons with Mental Illness. Honours thesis, University of Southern Queensland. (Unpublished)


Abstract

Homelessness is one of the most ongoing and devastating social issues in the world. Across the globe, the number of individuals suffering from homelessness has been growing increasing over time. It has been estimated that approximately 20-35% of any homeless population suffers from a mental illness. There are a number of negative outcomes associated with the mentally ill, homeless population, such as increased substance abuse activity, high emergency department presentations and difficulty adhering to psychological treatments. The most widely used interventions to support the mentally ill, homeless population are assertive community treatment (ACT) and intensive case management (ICM). These are communitybased outreach programs focused on community engagement and independent living skills. The main differentiation between these interventions is assertive community treatment is typically a 24/7 service, with clients being referred to an “in-house” multidisciplinary team, rather than an individual case manager. Intensive case management uses individual case managers and refers clients to external service providers. This study systematically evaluated the literature around these two interventions. This systematic literature reviewed 17 studies and compared the efficacy of each intervention on a number of outcome measures; housing stability, mental health symptoms, emergency department presentations/hospitalisations, substance abuse, quality of life and community functioning. It was expected that this review will provide further information regarding which intervention is more effective at combating the issues faced by the mentally ill, homeless population.


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Item Type: Thesis (Non-Research) (Honours)
Item Status: Live Archive
Additional Information: Current UniSQ staff and students can request access to this thesis. Please email research.repository@unisq.edu.au with a subject line of SEAR thesis request and provide: Name of the thesis requested and Your name and UniSQ email address
Faculty/School / Institute/Centre: Historic - Faculty of Health, Engineering and Sciences - School of Psychology and Counselling (1 Jan 2015 - 31 Dec 2021)
Supervisors: Erich Fein; John Gilmour
Qualification: Bachelor of Psychology (Honours)
Date Deposited: 18 Aug 2025 01:42
Last Modified: 18 Aug 2025 01:42
Uncontrolled Keywords: Homelessness is one of the most ongoing and devastating social issues in the world. Across the globe, the number of individuals suffering from homelessness has been growing increasing over time. It has been estimated that approximately 20-35% of any homeless population suffers from a mental illness. There are a number of negative outcomes associated with the mentally ill, homeless population, such as increased substance abuse activity, high emergency department presentations and difficulty adhering to psychological treatments. The most widely used interventions to support the mentally ill, homeless population are assertive community treatment (ACT) and intensive case management (ICM). These are communitybased outreach programs focused on community engagement and independent living skills. The main differentiation between these interventions is assertive community treatment is typically a 24/7 service, with clients being referred to an “in-house” multidisciplinary team, rather than an individual case manager. Intensive case management uses individual case managers and refers clients to external service providers. This study systematically evaluated the literature around these two interventions. This systematic literature reviewed 17 studies and compared the efficacy of each intervention on a number of outcome measures; housing stability, mental health symptoms, emergency department presentations/hospitalisations, substance abuse, quality of life and community functioning. It was expected that this review will provide further information regarding which intervention is more effective at combating the issues faced by the mentally ill, homeless population.
Fields of Research (2008): 17 Psychology and Cognitive Sciences > 1799 Other Psychology and Cognitive Sciences > 179999 Psychology and Cognitive Sciences not elsewhere classified
Fields of Research (2020): 52 PSYCHOLOGY > 5299 Other psychology > 529999 Other psychology not elsewhere classified
URI: https://sear.unisq.edu.au/id/eprint/52108

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