Evidence map›Paper›PMID 37280465›Full record

Observational studySocial psychiatry and psychiatric epidemiology2024

Effects of Youth Flexible Assertive Community Treatment: outcomes of an 18-month observational study.

Marieke Broersen, Daan H M Creemers, Nynke Frieswijk, Ad A Vermulst, Hans Kroon

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Social psychiatry and psychiatric epidemiology, 2024. 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.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Leveraging integrated youth services for social prescribing: a case study of Youth Wellness Hubs Ontario.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024
    Article
  7. Article
  8. 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.

Marieke BroersenGGZ Oost Brabant, Oss, The Netherlands. m.broersen@ggzoostbrabant.nl.ORCID http://orcid.org/0000-0001-5218-4866
Daan H M CreemersGGZ Oost Brabant, Oss, The Netherlands.
Nynke FrieswijkAccare, Groningen, The Netherlands.
Ad A VermulstGGZ Oost Brabant, Oss, The Netherlands.
Hans KroonTranzo-Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis Multicenter Youth Flexible ACT Study examined the effect of Youth Flexible Assertive Community Treatment on symptomatic, social, and personal recovery outcomes of adolescents dealing with multifaceted psychiatric and social care needs who do not readily engage in regular office-based mental health services.

methodsNewly admitted clients (n = 199) aged 12-24 years from 16 Youth Flexible ACT teams participated in this observational prospective cohort study. Client and practitioner questionnaires were administered every 6 months, up to 18 months. Latent growth curve analyses were conducted to examine changes in symptomatic, social, and personal recovery outcomes throughout Flexible ACT.

resultsOur analyses of client-reported outcomes showed a decrease in overall psychosocial difficulties, depressive symptoms, and subclinical psychosis symptoms. Moreover, outcomes showed improved social interaction with peers, quality of life, and feelings of empowerment and fewer contacts with the police/legal system. In addition, analyses of clinician-reported outcomes showed a decrease in problems related to family life, peer relationships, school/work attendance, emotional symptoms, and attentional problems. Problems related to personal finance, school and work status, substance misuse, disruptive and aggressive behavior, self-injury, and self-care and independence remained unchanged.

conclusionOur results showed that clients participating in Youth Flexible ACT improved in symptomatic, social, and personal recovery outcomes over 18 months. With its integrated approach and personalized care, this service delivery model is promising for adolescents unable to engage successfully in regular (office based) mental health support services.

Indexed as

Community Mental Health ServicesMental DisordersQuality of LifeAdolescentChildFemaleHumansMaleProspective StudiesSocial InteractionSurveys and QuestionnairesTreatment OutcomeYoung AdultAdolescent Mental HealthAssertive outreachEarly interventionFlexible Assertive Community TreatmentIntegrated care approachMental health services

Identifiers

PMID37280465
PMCPMC11087363

What OpenQuestion holds

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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.