Evidence map›Paper›PMID 30310946›Full record

ArticleSocial psychiatry and psychiatric epidemiology2019

Clinical significance of assertive community treatment among adolescents.

Gregory Mantzouranis, Vanessa Baier, Laurent Holzer, Sébastien Urben, Eva Villard

Abstract read
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In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Observational
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.

Gregory MantzouranisResearch Unit, University Service of Child and Adolescent Psychiatry, University Hospital of Lausanne (CHUV), 9, Avenue d'Echallens, 1004, Lausanne, Switzerland. Gregory.Mantzouranis@chuv.ch.ORCID http://orcid.org/0000-0002-2051-6069
Vanessa BaierResearch Unit, University Service of Child and Adolescent Psychiatry, University Hospital of Lausanne (CHUV), 9, Avenue d'Echallens, 1004, Lausanne, Switzerland.
Laurent HolzerResearch Unit, University Service of Child and Adolescent Psychiatry, University Hospital of Lausanne (CHUV), 9, Avenue d'Echallens, 1004, Lausanne, Switzerland.
Sébastien UrbenResearch Unit, University Service of Child and Adolescent Psychiatry, University Hospital of Lausanne (CHUV), 9, Avenue d'Echallens, 1004, Lausanne, Switzerland.
Eva VillardResearch Unit, University Service of Child and Adolescent Psychiatry, University Hospital of Lausanne (CHUV), 9, Avenue d'Echallens, 1004, Lausanne, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe efficacy of assertive community treatment for children and adolescents is proven in the United States, but remains controversial in Europe. Moreover, most studies showing positive outcomes of assertive community treatment are limited to statistically significant differences and do not consider whether the treatment is also subjectively clinically meaningful for the patient. Using a naturalistic sample, the present study aims to assess statistical and clinical significance of an assertive community treatment unit for adolescents in Europe.

methodsLinear mixed-effects models and reliable change indices were used to respectively assess the statistical and clinical significance of assertive community treatment in 179 adolescents (mean age = 15.76, SD = 1.76) with severe mental illnesses.

resultsDifficulties related to mental health (measured by the Health of the Nation Outcome Scales for Children and Adolescents, HoNOSCA) and overall functioning (measured by the Global Assessment of Functioning scale) statistically improved (all ps < 0.001) from admission to discharge. Additionally, a considerable proportion of patients (from 14% to 21%) clinically recovered to functional levels.

conclusionOur results support the fact that assertive community treatment can have convincing and positive clinical outcomes in European settings.

Indexed as

Minimal Clinically Important DifferenceAdolescentCommunity Mental Health ServicesEuropeFemaleHospitalizationHumansLinear ModelsMaleMental DisordersOutcome Assessment, Health CareTreatment OutcomeAdolescentsAssertive community treatmentHoNOSCAReliable change indexTreatment efficacy

Identifiers

PMID30310946

What OpenQuestion holds

Textmetadata
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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.