ArticleBMC psychiatry2008
A real-life observational study of the effectiveness of FACT in a Dutch mental health region.
Article in BMC psychiatry, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Intensive case management for severe mental illness.The Cochrane database of systematic reviews · 2017Pooled it
- Ten year outcomes of participants in the REACT (Randomised Evaluation of Assertive Community Treatment in North London) study.BMC psychiatry · 2014Trial
- Exploring New Models for Implementing Sustainable Integrated Health Access for People in Vulnerable Positions: Protocol for a Mixed Methods Multiple Case Study.JMIR research protocols · 2024Article
- Place-Based FACT: Treatment Outcomes and Patients' Experience with Integrated Neighborhood-Based Care.Community mental health journal · 2024Article
- A pre-post study design: evaluating the effectiveness of a new community-based integrated service model on patient outcomes.International journal of mental health systems · 2024Article
- The impact of the COVID-19 pandemic and earthquake on mental health of persons with severe mental illness: A survey study among people receiving community mental health care versus treatment as usual in Croatia.The International journal of social psychiatry · 2023Article
- Article
- Models of Care of Schizophrenia in the Community-An International Perspective.Current psychiatry reports · 2022Review
- The foundations of the working alliance in assertive community treatment teams.BMC psychiatry · 2021Article
- 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
- Sustainability of Community-Based Specialized Mental Health Services in Five European Countries: Protocol for Five Randomized Controlled Trial-Based Health-Economic Evaluations Embedded in the RECOVER-E Program.JMIR research protocols · 2020Article
- Observational
- Article
- The resource group method in severe mental illness: study protocol for a randomized controlled trial and a qualitative multiple case study.International journal of mental health systems · 2019Article
- Outcomes of FLEXIBLE Assertive Community Treatment (FACT) Implementation: A Prospective Real Life Study.Community mental health journal · 2016Article
- Examining the need profiles of patients with multiple emergency department visits for mental health reasons: a cross-sectional study.Social psychiatry and psychiatric epidemiology · 2016Article
- 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
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundACT is an effective community treatment but causes discontinuity of care between acutely ill and currently stable patient groups. The Dutch variant of ACT, FACT, combines both intensive ACT treatment and care for patients requiring less intensive care at one time point yet likely to need ACT in the future. It may be hypothesised that this case mix is not beneficial for patients requiring intensive care, as other patient groups may "dilute" care provision. The effectiveness of FACT was compared with standard care, with a particular focus on possible moderating effects of patient characteristics within the case mix in FACT.
methodsIn 2002, three FACT teams were implemented in a Dutch region in which a cumulative routine outcome measurement system was in place. Patients receiving FACT were compared with patients receiving standard treatment, matched on "baseline" symptom severity and age, using propensity score matching. Outcome was the probability of being in symptomatic remission of psychotic symptoms.
resultsThe probability of symptomatic remission was higher for SMI patients receiving FACT than for controls receiving standard treatment, but only when there was an unmet need for care with respect to psychotic symptoms (OR = 6.70, p = 0.002; 95% CI = 1.97-22.7).
conclusionCompared to standard care, FACT was more rather than less effective, but only when a need for care with respect to psychotic symptoms is present. This suggests that there is no adverse effect of using broader patient mixes in providing continuity of care for all patients with severe mental illness in a defined geographical area.
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