Evidence map›Paper›PMID 20514357›Full record

ArticleAmerican journal of psychiatric rehabilitation2009

The Role of Assertive Community Treatment in the Treatment of People with Borderline Personality Disorder.

Marcela Horvitz-Lennon, Sarah Reynolds, Randy Wolbert, Thomas F Witheridge

Abstract read
In one paragraph

Article in American journal of psychiatric rehabilitation, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Marcela Horvitz-LennonUniversity of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic (MHL); Cognitive and Behavioral Consultants of Westchester, LLC (SR); InterAct of Michigan, Inc. and Western Michigan University School of Social Work (RW); and the Minnesota Department of Human Services (TFW). This work was completed while Dr. Reynolds was affiliated with the University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic.
Sarah Reynolds
Randy Wolbert
Thomas F Witheridge

Funding

Project 1: Improving Clinical Assessment of Diagnosis for Latinos (261-295)P50MH073469 · NIMH · CAMBRIDGE HEALTH ALLIANCE · PI ALEGRIA, MARGARITA · 2005 to 2009
$4.6M
NIMH NIH HHS P50 MH073469
6 · The paper itself

Abstract

It is known that Assertive Community Treatment (ACT) is being used to treat people with borderline personality disorder (BPD), a puzzling trend given the lack of empirical support for this practice and the consensus that reserving ACT for a carefully selected population is critical to the sustainability of this costly intervention. Little is known about the contributors to this phenomenon and the ways in which ACT programs have adapted to the influx of patients with BPD. Many ACT programs in the US and Canada have integrated Dialectical Behavioral Therapy into the regular ACT programming, a practice that also lacks rigorous evidence of effectiveness. We provide a framework for policy-makers to decide on the optimal role of ACT in the continuum of care for people with BPD, and offer policy recommendations to address this phenomenon. There is an urgent need to generate the missing evidence and to improve and expand the services available to people with BPD, particularly those who are now being treated on ACT programs.

Identifiers

PMID20514357
PMCPMC2877283

What OpenQuestion holds

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Registered trials

None linked

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.