ArticleClinical practice and epidemiology in mental health : CP & EMH2013
Flexible Assertive Community Treatment, Severity of Symptoms and Psychiatric Health Service Use, a Real life Observational Study.
Article in Clinical practice and epidemiology in mental health : CP & EMH, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed.
- Impact of flexible assertive community treatment model (FACT) on community rehabilitation of schizophrenia in Southern China.Neurogenetics · 2024Trial
- Effectiveness of Resource Groups for Improving Empowerment, Quality of Life, and Functioning of People With Severe Mental Illness: A Randomized Clinical Trial.JAMA psychiatry · 2021Trial
- [Comparative Study of Community-Based Management Models of Schizophrenia at Home and Abroad].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025Article
- Changes in inpatient mental health treatment and related costs before and after flexible assertive community treatment: a naturalistic observational cohort study.BMC psychiatry · 2025Observational
- 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
- 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 Overlooked Part of Flexible Assertive Community Treatment-A Retrospective Study on Factors Related to Discharge from FACT for Clients with a Psychotic Disorder.Community mental health journal · 2023Observational
- Flexible Assertive Community Treatment in Rural and Remote Areas: A Qualitative Study of the Challenges and Adaptations of the Model.Frontiers in public health · 2022Article
- 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
- Service User Experiences of How Flexible Assertive Community Treatment May Support or Inhibit Citizenship: A Qualitative Study.Frontiers in psychology · 2021Article
- Treating patients with severe mental illness with narrative exposure therapy for comorbid post-traumatic stress disorder.BJPsych open · 2020Article
- Article
- Observational
- 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
- Blended internet care for patients with severe mental illnesses: An open label prospective controlled cohort pilot study.Internet interventions · 2016Article
- Narrative exposure therapy for posttraumatic stress disorder associated with repeated interpersonal trauma in patients with severe mental illness: a mixed methods design.European journal of psychotraumatology · 2016Article
- Schizophrenia in the Netherlands: Continuity of Care with Better Quality of Care for Less Medical Costs.PloS one · 2016Article
- Preventing brain disorders: a framework for action.Social psychiatry and psychiatric epidemiology · 2015Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntroduction of Flexible Assertive Community Treatment (FACT) may be associated with increased remission rates and changes in patterns of care. The present paper reports on differences in psychosocial functioning and health care use between patients in FACT and two groups of patients not currently provided with a specific model of community service.
methodsThe ongoing "Pharmacotherapy Monitoring and Outcome Survey" provided routine outcome measures of patients using antipsychotics in the north of the Netherlands. Level of psychosocial functioning was assessed using the Health of the Nations Outcome Scales (HoNOS) and matched with psychiatric health care consumption obtained from the Psychiatric Case Register. Patients who never received FACT, patients ever in FACT but not at assessment date, and patients in FACT were identified. Data were subjected to multilevel linear regression analysis.
resultsData showed that most patients in FACT also had non-FACT episodes after the start of FACT. Furthermore, patients in FACT displayed higher levels of psychosocial functioning and used more outpatient care than the other two groups.
conclusionsPatients in FACT receive more outpatient care and have better psychosocial functioning. However, causal inferences cannot be derived from these data. In addition, membership of a FACT-team in this setting did not last indefinitely.
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