ArticleSocial psychiatry and psychiatric epidemiology2009
Successful engagement: a mixed methods study of the approaches of assertive community treatment and community mental health teams in the REACT trial.
Article in Social psychiatry and psychiatric epidemiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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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.
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Who cites it
19 citing papers in PubMed.
- Is there a role for physician involvement in introducing research to surrogate decision makers in the intensive care unit? (The Approach trial: a pilot mixed methods study).Intensive care medicine · 2015Trial
- Ten year outcomes of participants in the REACT (Randomised Evaluation of Assertive Community Treatment in North London) study.BMC psychiatry · 2014Trial
- The effectiveness of assertive community treatment for elderly patients with severe mental illness: a randomized controlled trial.BMC psychiatry · 2014Trial
- A mixed methods multiple case study of implementation as usual in children's social service organizations: study protocol.Implementation science : IS · 2013Trial
- Patients' experiences with coercive mental health treatment in Flexible Assertive Community Treatment: a qualitative study.BMC psychiatry · 2023Article
- Open Dialogue services around the world: a scoping survey exploring organizational characteristics in the implementation of the Open Dialogue approach in mental health services.Frontiers in psychology · 2023Article
- Feasibility of implementingBMJ open · 2021Observational
- 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
- Safewards Impact in Inpatient Mental Health Units in Victoria, Australia: Staff Perspectives.Frontiers in psychiatry · 2019Article
- Responsibilities with conflicting priorities: a qualitative study of ACT providers' experiences with community treatment orders.BMC health services research · 2018Article
- Can "Model Projects of Need-Adapted Care" Reduce Involuntary Hospital Treatment and the Use of Coercive Measures?Frontiers in psychiatry · 2018Article
- Are Users Satisfied with Assertive Community Treatment in Spite of Personal Restrictions?Community mental health journal · 2016Article
- Treatment engagement of individuals experiencing mental illness: review and update.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2016Article
- Engagement in assertive community treatment as experienced by recovering clients with severe mental illness and concurrent substance use.International journal of mental health systems · 2014Article
- A dismantling study of assertive outreach services: comparing activity and outcomes following replacement with the FACT model.Social psychiatry and psychiatric epidemiology · 2013Article
- Implementation of assertive community treatment in Australia: model fidelity, patient characteristics and staff experiences.Community mental health journal · 2012Article
- The impact of organizational stress and burnout on client engagement.Journal of substance abuse treatment · 2012Article
- Lessons learned in developing community mental health care in Europe.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2011Article
- Is the implementation of assertive community treatment in a low-income country feasible? The experience of Tbilisi, Georgia.Social psychiatry and psychiatric epidemiology · 2010Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe only randomised trial of assertive community treatment (ACT) carried out in England (the "REACT" study: randomised evaluation of assertive community treatment in North London) found no clinically significant advantage over usual care from community mental health teams (CMHTs). However, ACT clients were more satisfied and better engaged with services. To understand these findings better, we investigated the content of care and interventions offered to study participants.
methodQuantitative data were collected to compare team structures and processes. Qualitative interviews with care co-ordinators of 40 of the 251 REACT study participants (20 ACT, 20 CMHT clients) were carried out and thematic analysis was used to explore differences in the approaches of the two types of team.
resultsCMHTs scored low for ACT model fidelity and ACTTs scored high or ACT-like. All staff cited client engagement as their primary aim, but ACT approaches were less formal, more frequent and more successful than CMHTs'. Two aspects of ACT appeared important for engagement: small case loads and the team approach. Successful client engagement appeared to be associated with greater staff satisfaction.
conclusionsThe findings from this study assist in understanding why the ACT approach is more acceptable to clients deemed by CMHTs as "hard to engage". The key elements of ACT that facilitate client engagement may not be easily replicated within CMHTs due to their larger, varied caseloads.
Indexed as
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Registered trials
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