ArticleClinical practice and epidemiology in mental health : CP & EMH2014
Absence of Positive Results for Flexible Assertive Community Treatment. What is the next Approach?
Article in Clinical practice and epidemiology in mental health : CP & EMH, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 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
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Who cites it
10 citing papers in PubMed.
- What is known about flexible assertive community treatment across populations and contexts? A scoping review protocol.BMJ open · 2025Article
- 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
- Evaluation of a flexible assertive community treatment (FACT) program for patients with severe mental illness: an observational study in Salzburg, Austria.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
- 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
- Observational
- Building flexibility and managing complexity in community mental health: lessons learned in a large urban centre.BMC psychiatry · 2018Article
- Can "Model Projects of Need-Adapted Care" Reduce Involuntary Hospital Treatment and the Use of Coercive Measures?Frontiers in psychiatry · 2018Article
- 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
- 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
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aims were to review results of the five psychiatric studies on Flexible Assertive Community Treatment (FACT) published during 2007-2013, and to compare FACT with Resource-group Assertive Community Treatment (RACT) which specifically focuses on empowerment and rehabilitation of clients in the stable phase. During 2007 articles appeared in scientific journals arguing in favor of the need for the development of the treatment method Assertive Community Treatment (ACT). A particularly notable article was one that featured a Dutch version of ACT, namely FACT. The initiative received great sympathy given that clinical practice and research showed that both American and British versions of ACT were in need of new impulses to be able to maintain an optimal level of care. Seven years have passed since the Dutch model was international presented and five empirical studies about FACT have been published and therefore a first critical examination of FACT was conducted. The review indicated that the five empirical studies failed to show that FACT involves improvement of the clients in terms of symptoms, functioning, or well-being. The conclusions were that at present there is no evidence for FACT and that RACT with its small, flexible ACT teams, where the client him/herself is included and decides on the treatment goals, might be able to provide new impulses and a new vitality to the treatment mode of an assertive community treatment.
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