Evidence map›Paper›PMID 25389446›Full record

ArticleInternational journal of mental health systems2014

Engagement in assertive community treatment as experienced by recovering clients with severe mental illness and concurrent substance use.

Henning Pettersen, Torleif Ruud, Edle Ravndal, Ingrid Havnes, Anne Landheim

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of mental health systems, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 17% of its field
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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Intensive case management for severe mental illness.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Treatment engagement of individuals experiencing mental illness: review and update.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2016
    Article
  10. 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

5 authors at 3 institutions in 1 country.

Henning PettersenNational Centre for Dual Diagnosis, Innlandet Hospital Trust, P.O. Box 104, N-2381 Brumunddal, Norway ; SERAF - Norwegian Centre for Addiction Research, University of Oslo, Kirkevn.166, N-0407 Oslo, Norway.
Torleif RuudDivision Mental Health Services, Akershus University Hospital, N-1478 Lørenskog, Norway ; Institute of Clinical Medicine, University of Oslo, P.O. Box 1171, N-0318 Oslo, Norway.
Edle RavndalSERAF - Norwegian Centre for Addiction Research, University of Oslo, Kirkevn.166, N-0407 Oslo, Norway.
Ingrid HavnesSERAF - Norwegian Centre for Addiction Research, University of Oslo, Kirkevn.166, N-0407 Oslo, Norway ; Division of Mental Health and Addiction, Oslo University Hospital, P.O. Box 4956, N-0424 Oslo, Norway.
Anne LandheimNational Centre for Dual Diagnosis, Innlandet Hospital Trust, P.O. Box 104, N-2381 Brumunddal, Norway.
University of Oslo · NOInnlandet Hospital Trust · NOOslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClients with severe mental illness (SMI) who use substances are less engaged in treatment than those who do not use substances, and assertive community treatment (ACT) engages and retains clients with SMI and concurrent substance use at a higher rate compared with traditional treatment. This qualitative study aimed to explore the experiences of being recruited to, and remaining in, ACT among recovering clients diagnosed with SMI and concurrent substance use.

methodsTwenty semi-structured interviews were undertaken among 11 clients with SMI and concurrent substance use who were included in ACT teams. The inclusion criteria were SMI and concurrent substance use and improvement after a minimum of 12 months in treatment regarding one or several of the following parameters: quality of life, general functioning and substance use. Systematic text condensation was applied in the analyses.

resultsThe experiences of building trust through enduring involvement and receiving benefits were most important for the acceptance of ACT by clients. A feeling of exclusiveness, perceiving ACT as a safety net and the clients' own personal responsibility for taking part in the treatment were stated as the most important factors for remaining in treatment.

conclusionsThe implications of the results of the present study are that service providers have to prove that they can be trusted in the initial phase of the clients' contact with the team. The feeling by clients with SMI and concurrent substance use that service providers in ACT believe they can improve their client's quality of life, is of importance for feeling exclusive, having hope for the future and remaining in treatment.

Indexed as

Assertive community treatmentClient experiencesEngagementQualitative studySevere mental illnessSubstance use

Identifiers

PMID25389446
PMCPMC4226907
OpenAlexW2096217463

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.