Evidence map›Paper›PMID 28116636›Full record

Observational studyCommunity mental health journal2017

Clinical Factors Associated with Successful Discharge from Assertive Community Treatment.

Elizabeth Bromley, Lisa Mikesell, Fiona Whelan, Gerhard Hellemann, Marcia Hunt, Gary Cuddeback, Daniel W Bradford, Alexander S Young

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Community mental health journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

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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

8 authors.

Elizabeth BromleyDesert Pacific VA Mental Illness Research, Education and Clinical Center (MIRECC), West Los Angeles VA Healthcare Center, Los Angeles, USA. ebromley@mednet.ucla.edu.
Lisa MikesellSchool of Communication and Information, Rutgers University, New Brunswick, NJ, USA.
Fiona WhelanSemel Institute for Neuroscience and Human Behavior, UCLA Department of Psychiatry and Biobehavioral Sciences, Los Angeles, USA.
Gerhard HellemannSemel Institute for Neuroscience and Human Behavior, UCLA Department of Psychiatry and Biobehavioral Sciences, Los Angeles, USA.
Marcia HuntVA Connecticut Healthcare System, West Haven, CT, USA.
Gary CuddebackCecil G. Sheps Center for Health Services Research, School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Daniel W BradfordDurham VA Medical Center, Durham, NC, USA.
Alexander S YoungDesert Pacific VA Mental Illness Research, Education and Clinical Center (MIRECC), West Los Angeles VA Healthcare Center, Los Angeles, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We sought to explore clinical factors associated with successful transition from Assertive Community Treatment to less intensive clinical services. Mixed-method observational follow up study of veterans discharged from three VA-affiliated ACT teams to less intensive clinical services. Of the 240 veterans in ACT, 9% (n = 21) were discharged during the study period. Among the 11 of 21 discharged veterans who enrolled in the follow up study, reason for discharge, designated by the veteran's primary clinician at the time of discharge, predicted outcomes (p = 0.02) at 9 months, with "disengagement" as a reason for discharge predicting poorer outcomes. Six of 11 veterans experienced poor outcomes at 9 months, including incarceration and substance use relapse. ACT clinicians rarely discharge clients. Many clients may experience negative clinical events following ACT discharge, and clients may be difficult to follow post-discharge. Client disengagement from ACT may indicate higher likelihood of poor outcomes following discharge to less intensive clinical services.

Indexed as

Outcome and Process Assessment, Health CarePatient DischargeAdultCommunity Mental Health ServicesFemaleFollow-Up StudiesHumansMaleMental DisordersMiddle AgedSocial AdjustmentTime FactorsUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthAssertive community treatmentDischarge planningSerious mental illnessVeterans health

Identifiers

What OpenQuestion holds

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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.