Evidence map›Paper›PMID 27145937›Full record

Observational studyBMC psychiatry2016

Hospitalisation of severely mentally ill patients with and without problematic substance use before and during Assertive Community Treatment: an observational cohort study.

Hanne Clausen, Torleif Ruud, Sigrun Odden, Jūratė Šaltytė Benth, Kristin Sverdvik Heiervang, Hanne Kilen Stuen, Helen Killaspy, Robert E Drake, Anne Landheim

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. How clinicians make decisions about CTOs in ACT: a qualitative study.International journal of mental health systems · 2018
    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

9 authors.

Hanne ClausenDepartment of Research & Development, Mental Health Services, Akershus University Hospital, Lørenskog, Norway. hanne.kristin.clausen@ahus.no.
Torleif RuudDepartment of Research & Development, Mental Health Services, Akershus University Hospital, Lørenskog, Norway.
Sigrun OddenNational Centre for Dual Diagnosis, Innlandet Hospital Trust, Brumunddal, Norway.
Jūratė Šaltytė BenthInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Kristin Sverdvik HeiervangDepartment of Research & Development, Mental Health Services, Akershus University Hospital, Lørenskog, Norway.
Hanne Kilen StuenNational Centre for Dual Diagnosis, Innlandet Hospital Trust, Brumunddal, Norway.
Helen KillaspyDivision of Psychiatry, University College London, London, UK.
Robert E DrakeDartmouth Psychiatric Research Center, Lebanon, New Hampshire, USA.
Anne LandheimNational Centre for Dual Diagnosis, Innlandet Hospital Trust, Brumunddal, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCo-occurring substance use increases the risk of hospitalisation in people with severe mental illness, whereas Assertive Community Treatment (ACT) generally reduces hospitalisation in patients with severe mental illness and high inpatient service use. Because the superiority of ACT over standard services amongst patients with problematic substance use is uncertain, the present study examined inpatient service use amongst patients with and without problematic substance use in the 2 years before and the 2 years after they enrolled into ACT teams.

methodsThis naturalistic observational study included 142 patients of 12 different ACT teams throughout Norway. The teams assessed the patients upon enrolment into ACT using clinician-rated and self-reported questionnaires. We obtained hospitalisation data from the Norwegian Patient Register for the 2 years before and the 2 years after enrolment into ACT. We used linear mixed models to assess changes in hospitalisation and to explore associations between problematic substance use and changes in hospitalisation, controlling for socio-demographic and clinical characteristics.

resultsA total of 84 (59%) participants had problematic substance use upon enrolment into the ACT teams. In the 2 years after ACT enrolment both participants with and without problematic substance use experienced a reduction in total inpatient days. Those with problematic substance use also had fewer involuntary inpatient days. Exploratory analyses suggested that symptom severity and functioning level interacted with problematic substance use to influence change in total inpatient days.

conclusionThese findings may suggest that ACT teams successfully support people with complex mental health problems in the community, including those with problematic substance use, and thereby contribute to a reduction in inpatient service use.

Indexed as

AdultAgedCohort StudiesCommunity Mental Health ServicesFemaleHospitalizationHumansMaleMiddle AgedNorwayPersons with Psychiatric DisordersSelf ReportSubstance-Related DisordersSurveys and QuestionnairesAssertive community treatmentHospitalisationInpatient careProblematic substance use

Identifiers

PMID27145937
PMCPMC4855443

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.