Trial reportSocial psychiatry and psychiatric epidemiology2007
An observational, "real life" trial of the introduction of assertive community treatment in a geographically defined area using clinical rather than service use outcome criteria.
Trial report in Social psychiatry and psychiatric epidemiology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed.
- Pilot Study of the Cost-Effectiveness of Youth F-ACT in the Netherlands.Community mental health journal · 2021Article
- A Qualitative Study on the Implementation of Flexible Assertive Community Treatment - an Integrated Community-based Treatment Model for Patients with Severe Mental Illness.International journal of integrated care · 2021Article
- Building flexibility and managing complexity in community mental health: lessons learned in a large urban centre.BMC psychiatry · 2018Article
- Outcomes of FLEXIBLE Assertive Community Treatment (FACT) Implementation: A Prospective Real Life Study.Community mental health journal · 2016Article
- Predictors of Clinical Outcome of Assertive Community Treatment (ACT) in a Rural Area in Denmark: An Observational Study with a Two-Year Follow-Up.Community mental health journal · 2016Observational
- Schizophrenia in the Netherlands: Continuity of Care with Better Quality of Care for Less Medical Costs.PloS one · 2016Article
- The Hourglass Model: Are There Structural Problems with the Scarcity of Positive Results for Flexible ACT?Clinical practice and epidemiology in mental health : CP & EMH · 2015Article
- Flexible ACT & Resource-group ACT: Different Working Procedures Which Can Supplement and Strengthen Each Other. A Response.Clinical practice and epidemiology in mental health : CP & EMH · 2015Article
- Absence of Positive Results for Flexible Assertive Community Treatment. What is the next Approach?Clinical practice and epidemiology in mental health : CP & EMH · 2014Article
- A dismantling study of assertive outreach services: comparing activity and outcomes following replacement with the FACT model.Social psychiatry and psychiatric epidemiology · 2013Article
- Flexible Assertive Community Treatment, Severity of Symptoms and Psychiatric Health Service Use, a Real life Observational Study.Clinical practice and epidemiology in mental health : CP & EMH · 2013Article
- Involving clients and their relatives and friends in psychiatric care: Case managers' experiences of training in resource group assertive community treatment.PsyCh journal · 2012Article
- Predictors of outcomes of assertive outreach teams: a 3-year follow-up study in North East England.Social psychiatry and psychiatric epidemiology · 2011Article
- Five-year outcome of first-episode psychosis before and after the implementation of a modified assertive community treatment programme.Social psychiatry and psychiatric epidemiology · 2010Article
- The cumulative needs for care monitor: a unique monitoring system in the south of the Netherlands.Social psychiatry and psychiatric epidemiology · 2010Article
- Disengagement from mental health services. A literature review.Social psychiatry and psychiatric epidemiology · 2009Review
- A real-life observational study of the effectiveness of FACT in a Dutch mental health region.BMC psychiatry · 2008Article
- Crisis homes for adult psychiatric patients.Social psychiatry and psychiatric epidemiology · 2008Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAssertive outreach methods of service delivery hold promise, but have been evaluated mostly in the context of short-lived experiments of limited sustainability and a focus on service use outcomes. The aim of the current investigation was to conduct an observational, "real life", pre-post comparison of the introduction of assertive outreach in a geographically defined area using clinical rather than service use outcome criteria.
methodAssertive outreach was implemented in 2002 in a catchment area of 250,000, where cumulative routine outcome measurements had been in place since 1998. Clinical outcome, defined as making a transition to meeting the recently introduced remission criterion, was compared for two non-overlapping cohorts of patients treated in the period 1998-2001 and in the period 2002-2005.
resultsThe proportion of patients that made the transition to remission increased from 19% in the period before the introduction of assertive outreach, to 31% in the period after (OR = 2.21, 95% CI 1.03-4.78).
conclusionAssertive outreach in real life routine clinical practice brings about detectable changes in clinical outcome. ACT may bring improvement to the lives of patients living in countries characterised by fragmented and hospital-based mental health services.
Indexed as
Identifiers
17235445What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.