ArticleCommunity mental health journal2016
Outcomes of FLEXIBLE Assertive Community Treatment (FACT) Implementation: A Prospective Real Life Study.
Article in Community mental health journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
66 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Community-based models of care facilitating the recovery of people living with persistent and complex mental health needs: a systematic review and narrative synthesis.Frontiers in psychiatry · 2023Pooled it
- Economic evaluation of intensive home treatment in comparison to care as usual alongside a randomised controlled trial.The European journal of health economics : HEPAC : health economics in prevention and care · 2025Trial
- Trial
- An intensive multimodal group programme for patients with psychotic disorders at risk of rehospitalization: a controlled intervention study.BMC psychiatry · 2019Trial
- Personality Disorder Diagnoses in Outpatient Forensic Mental Health: A Comprehensive Prevalence Study in the Netherlands.Personality and mental health · 2026Article
- Assertive Community Treatment and ACT-Derived Outreach Models: A Scoping Review of Adaptations, Fidelity and Outcomes.Community mental health journal · 2026Article
- Uncertainty of Fit - Serving People with Borderline Personality Disorder on an Assertive Community Treatment Team Setting: Experiences and Perspectives of Clinicians from a Flexible ACT Team.Community mental health journal · 2026Article
- What is known about flexible assertive community treatment across populations and contexts? A scoping review protocol.BMJ open · 2025Article
- A turning point after FACT: a qualitative study of family members' experiences and follow-up provided by flexible assertive community treatment.BMC health services research · 2025Article
- Clinical treatment interventions in personal recovery stories of patients with severe mental illness: a qualitative study.Social psychiatry and psychiatric epidemiology · 2025Article
- Assessing personal recovery in individuals with severe mental illness: validation of the Dutch Brief INSPIRE-O.Social psychiatry and psychiatric epidemiology · 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
- Article
- It is harder for me: A thematic analysis of lived experience of self-care, and its relationship with self-injurious behaviors in psychiatric patients.Qualitative research in medicine & healthcare · 2024Article
- 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
- Examining Youth Flexible ACT Model Implementation in the Netherlands.Community mental health journal · 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
- 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
- Prescriptive factors for intensive home treatment in acute psychiatry: a secondary analysis of a randomised controlled trial.International journal of mental health systems · 2024Article
6 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study aimed to investigate social and clinical outcomes and use of care during and after implementation of FLEXIBLE Assertive Community Treatment (ACT). Three teams and 372 patients were involved. Model fidelity, clinical and social assessments were performed at baseline and after 1 and 2 years. Use of care was registered continuously. Model fidelity was good at the end of the study. Data showed much variation between patients in number and duration of ACT periods. Statistically significant improvements were found in compliance, unmet needs and quality of life. Improvement of quality of life and functioning was related to duration of ACT. The percentage of remissions increased with 9 %. The number of admissions, admission days and face to face contacts differed between ACT and non-ACT patients, but generally decreased. Findings suggest that implementation of FACT results in a more flexible adaptation of care to the needs of the patients.
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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.