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The evolution of community outreach 

The evolution of community outreach
The evolution of community outreach

Tom Burns

, and Mike Firn

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date: 15 July 2020

This chapter traces the origin of the multidisciplinary team as a response to the wide range of needs of deinstitutionalized and ‘never institutionalized’ patients as care has become established in the community. It charts the early pragmatic and local evolution of CMHTs and case management and care management. It outlines how this was followed by a radical change around 1980 with the first published studies of assertive community treatment (ACT) in the US. A more rigorous, theoretically informed, and international research driven approach has become the norm. This has explored the relevance or otherwise of several of the underlying principles such as the team approach and 24-hour availability.

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