Publications by authors named "Anne L van Melle"

Article Synopsis
  • Multiple studies indicate that compulsory community treatment (CCT) does not significantly improve clinical outcomes or reduce hospital admissions compared to voluntary care, yet many countries still implement it due to stakeholder support.
  • An integrative review examined the perceptions of various stakeholders—patients, significant others, mental health workers, and policymakers—about CCT, identifying a lack of input from policymakers in the existing literature.
  • Most stakeholders, especially relatives and mental health workers, tend to support CCT for its benefits in accessibility and ongoing patient contact, although there's widespread concern about the autonomy restrictions it imposes, with patients showing more hesitation towards CCT.
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Objective: The Active Recovery Triad (ART) model is a recently developed care model for people who are admitted to an institutional setting for several years and receive 24-h mental health care and support. This study focuses on the ART monitor, a model fidelity scale that measures the degree of compliance with the ART model. Our aim is to evaluate the psychometric properties of the ART monitor and to further improve the instrument.

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Forensic High and Intensive Care (FHIC) has recently been developed as a new care model in Dutch forensic psychiatry. FHIC aims to provide contact-based care. To support Dutch forensic care institutions in the implementation of the model, a model fidelity scale was developed called the FHIC monitor.

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In the Netherlands, two new approaches have been developed for acute and forensic psychiatry, called High and Intensive Care (HIC) and Forensic High and Intensive Care (FHIC). The models provide standards for temporary high-quality clinical care for patients in crisis and combine practices to reduce seclusion. To support the implementation of these approaches, Communities of Practice (CoPs) were created, including peer providers, mental health nurses, psychiatrists and managers.

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In response to three reforms in Dutch mental health care, an organizational framework, including methods and interventions, was developed as part of a new model for acute inpatient care. Core elements of high and intensive care (HIC) include preventing seclusion by means of a stepped-care principle; a six-step process of admission, treatment, and care; combining medical and recovery approaches; combining professional and experiential knowledge; and providing a healing environment. The HIC model differs from the utilization of psychiatric intensive care units in that it focuses on collaboration with outpatient care; establishing contact between staff, patients, and relatives; and minimizing coercion.

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