The Impact of the Covid-19 Pandemic on Assertive Community Treatment Team Functions, Clinical Services, and Observable Outcomes—A Provincial Survey in Ontario, Canada
Publication: Canadian Journal of Community Mental Health
7 September 2023
Abstract
Assertive Community Treatment (ACT) teams provide the most intensive care for patients with serious mental illness. This online study surveyed the 88 ACT and Flexible ACT (FACT) teams in Ontario, Canada (144/232 surveys, 62.1%) during the height of Covid-19 in 2021, and qualitative thematic analysis on impact of team function and patient outcome showed challenges of teams switching to virtual care, reduced psychosocial services, division to smaller groups, staff redeployment, having unequal compensations, and exacerbated regional differences; there were also increased patient stress, loneliness, hospital and ER visits, substance use and related deaths, and police/crisis team involvement. There was limited morbidity related to actual Covid-19; and positive adaptations included observed independence and resilience, increased interdependence with community partners, and new communication formats.
Résumé
Les équipes de traitement communautaire assertif (ACT) fournissent les soins les plus intensifs aux patients atteints de maladies mentales graves. Cette étude en ligne a interrogé les 88 équipes ACT et ACT flexible (FACT) de l’Ontario, au Canada (144/232 enquêtes, 62,1 %) au plus fort de la Covid-19 en 2021. L’analyse thématique qualitative a montré des rapports faisant état d’une augmentation du stress des patients, de la solitude, des visites à l’hôpital, de la consommation de substances et les décès qui y sont liés, de l’implication de la police/équipe de crise et d’une morbidité limitée liée à la Covid-19. Les défis de l’équipe comprenaient les différences régionales, la division en petits groupes, le redéploiement du personnel, les soins virtuels, la réduction des services psychosociaux et les compensations inégales. Les adaptations positives comprenaient l’observation d’indépendance et de résilience, une interdépendance accrue avec les partenaires communautaires et de nouveaux modes de communication.
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Canadian Journal of Community Mental Health
Volume 42 • Number 2 • August 2023
Pages: 53 - 65
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Version of record online: 7 September 2023
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Aly Kassam, Michaela Beder, John Maher, Saadia Sediqzadah, Nicole Kirwan, Madeleine Ritts, Matthew Levy, and Samuel Law. 2023. The Impact of the Covid-19 Pandemic on Assertive Community Treatment Team Functions, Clinical Services, and Observable Outcomes—A Provincial Survey in Ontario, Canada. Canadian Journal of Community Mental Health.
42(2): 53-65. https://doi.org/10.7870/cjcmh-2023-016
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