Evidence map›Paper›PMID 41193201›Full record

ArticleBMJ open2025

What is known about flexible assertive community treatment across populations and contexts? A scoping review protocol.

Florence Tang, Cara Evans, Arina Bogdan, Heather Bullock, Koen Westen, Hans Kroon, Philippe Delespaul

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Florence TangResearch and Academics, Waypoint Centre for Mental Health Care, Penetanguishene, Ontario, Canada ftang@waypointcentre.ca.ORCID http://orcid.org/0009-0001-9472-9219
Cara EvansResearch and Academics, Waypoint Centre for Mental Health Care, Penetanguishene, Ontario, Canada.ORCID http://orcid.org/0000-0003-2008-4742
Arina BogdanResearch and Academics, Waypoint Centre for Mental Health Care, Penetanguishene, Ontario, Canada.ORCID http://orcid.org/0009-0008-1712-4284
Heather BullockWaypoint Centre for Mental Health Care, Penetanguishene, Ontario, Canada.
Koen WestenAcademy of Welfare, Education and Healthcare, Avans University of Applied Science, Breda, the Netherlands.
Hans KroonCCAF, Utrecht, the Netherlands.
Philippe DelespaulCCAF, Utrecht, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe objective of this scoping review is to elucidate contexts in which Flexible Assertive Community Treatment (FACT) has been utilised, which populations it has served, how it has been adapted and what outcomes it has achieved. FACT is a model of mental healthcare where patients are transitioned along a continuum of high-intensity outreach-based treatment and lower-intensity case management, according to need. Despite being adopted globally, a review of the evidence on the FACT model has not been conducted since 2014. METHODS AND ANALYSIS: This study will follow the Joanna Briggs Institute's (JBI) methodology for scoping reviews and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. A structured search of several electronic databases (MedLine, CINAHL, PsycINFO, Psychology & Behavioural Sciences, Embase, Scopus, Sociological Abstracts and ASSIA Social Sciences Index Abstracts) will be conducted to locate relevant studies addressing models of care that adhere to the core components of the FACT model and that were published in English or Dutch from 2003 (model conception date) to the present day. To explore the range of populations served by FACT, we will not limit participant populations by age or diagnosis. With respect to FACT adaptations, we will include articles that explore modifications to the structure of FACT such as staffing complement, caseloads or interface with other health and social services. Articles identified from our structured searches will be screened independently by two reviewers. Data from included articles will be extracted, analysed and presented on tables and visual graphs, and summarised in a narrative report. ETHICS AND DISSEMINATION: Our scoping review does not require ethics approval as it does not involve human subjects and will draw evidence from published peer-reviewed articles. Our findings will be disseminated through journal publication, presentations at relevant conferences and distribution across our networks and those of our partners, including healthcare providers, researchers and other key stakeholders.

Indexed as

Community Mental Health ServicesMental DisordersHumansResearch DesignScoping Reviews as TopicDelivery of Health Care, IntegratedMENTAL HEALTHPSYCHIATRYPsychosocial InterventionSystematic Review

Identifiers

PMID41193201
PMCPMC12587939

What OpenQuestion holds

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LicenceCC BY-NC
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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.