Substance use outcomes among individuals with severe mental illnesses receiving assertive community treatment: A systematic review
Assertive Community Treatment (ACT) is a multidisciplinary treatment approach to support people with severe mental illnesses (SMI) in their recovery. While the majority of ACT recipients report co‐morbid substance use issues, limited reviews have evaluated the impact of receiving ACT services on sub...
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| Veröffentlicht in: | International journal of mental health nursing 2023-06, Vol.32 (3), p.704-726 |
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| container_title | International journal of mental health nursing |
| container_volume | 32 |
| creator | Abufarsakh, Bassema Kappi, Amani Pemberton, Kylie M. Williams, Lovoria B. Okoli, Chizimuzo T.C. |
| description | Assertive Community Treatment (ACT) is a multidisciplinary treatment approach to support people with severe mental illnesses (SMI) in their recovery. While the majority of ACT recipients report co‐morbid substance use issues, limited reviews have evaluated the impact of receiving ACT services on substance use outcomes. The purpose of this systematic review was to evaluate the impact of ACT involvement on substance use outcomes among people with SMI. A systematic literature search was conducted including articles published prior to April 2021. Twenty‐nine studies were included in this review. Of them, 15 studies implemented a controlled design (six studies demonstrated high quality) and 14 studies implemented a cohort design. From a synthesis of the reviewed studies, five areas of changes associated with substance use emerged including reduced alcohol and drug use severity, lower prevalence of alcohol and drug use, increased stage of change in substance use treatment, and fewer days of hospitalization and intoxication. Thus, future studies should examine the integration of substance use treatment services as part of ACT interventions for opportunities to enhance recovery outcomes among individuals with SMI. |
| doi_str_mv | 10.1111/inm.13103 |
| format | Article |
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While the majority of ACT recipients report co‐morbid substance use issues, limited reviews have evaluated the impact of receiving ACT services on substance use outcomes. The purpose of this systematic review was to evaluate the impact of ACT involvement on substance use outcomes among people with SMI. A systematic literature search was conducted including articles published prior to April 2021. Twenty‐nine studies were included in this review. Of them, 15 studies implemented a controlled design (six studies demonstrated high quality) and 14 studies implemented a cohort design. From a synthesis of the reviewed studies, five areas of changes associated with substance use emerged including reduced alcohol and drug use severity, lower prevalence of alcohol and drug use, increased stage of change in substance use treatment, and fewer days of hospitalization and intoxication. 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While the majority of ACT recipients report co‐morbid substance use issues, limited reviews have evaluated the impact of receiving ACT services on substance use outcomes. The purpose of this systematic review was to evaluate the impact of ACT involvement on substance use outcomes among people with SMI. A systematic literature search was conducted including articles published prior to April 2021. Twenty‐nine studies were included in this review. Of them, 15 studies implemented a controlled design (six studies demonstrated high quality) and 14 studies implemented a cohort design. From a synthesis of the reviewed studies, five areas of changes associated with substance use emerged including reduced alcohol and drug use severity, lower prevalence of alcohol and drug use, increased stage of change in substance use treatment, and fewer days of hospitalization and intoxication. Thus, future studies should examine the integration of substance use treatment services as part of ACT interventions for opportunities to enhance recovery outcomes among individuals with SMI.</description><subject>Alcohol use</subject><subject>Assertive community treatment</subject><subject>Assertiveness</subject><subject>Community Mental Health Services</subject><subject>Drug abuse</subject><subject>Drug use</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Integrated care</subject><subject>Interdisciplinary aspects</subject><subject>intervention</subject><subject>Intoxication</subject><subject>Medical treatment</subject><subject>Mental disorders</subject><subject>Mental Disorders - complications</subject><subject>Mental Disorders - therapy</subject><subject>Recovery</subject><subject>severe mental illness</subject><subject>Severity</subject><subject>Substance abuse</subject><subject>substance use</subject><subject>substance use outcome</subject><subject>Substance-Related Disorders - complications</subject><subject>Substance-Related Disorders - therapy</subject><subject>Systematic review</subject><issn>1445-8330</issn><issn>1447-0349</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kU1PFTEUhhujEbi48A-YJm5kMdAznc5M3REiSIKwANZNp3NGS6Yd7Me9uVt_uYWLLkzspm3yvE9P-hLyHtgxlHVivTsGDoy_IvvQNF3FeCNfP59F1XPO9shBjA-MQSeheUv2eCt400jYJ79u8xCT9gZpjkiXnMziMFLtFv-dWj_atR2zniPd2PSDRlxjQOrQJz1TO88eYyx4QIOFLBFd7iHZNdIictnbtKUpoE5Pmc_0lMZtTOh0sqak1hY3h-TNVB7Ady_7ityff7k7-1pd3Vxcnp1eVYYLzqtOSMn5VNeyRWlMKyYG41CPHZ_kUIgaYDDN1Ld6gJ4JwF52E2g2thL6qTN8RT7tvI9h-ZkxJuVsNDjP2uOSo6o7IXrGpGAF_fgP-rDk4Mt0qu7Lj_cgy0grcrSjTFhiDDipx2CdDlsFTD0Vo0ox6rmYwn54MebB4fiX_NNEAU52wMbOuP2_SV1ef9spfwNoe5lY</recordid><startdate>202306</startdate><enddate>202306</enddate><creator>Abufarsakh, Bassema</creator><creator>Kappi, Amani</creator><creator>Pemberton, Kylie M.</creator><creator>Williams, Lovoria B.</creator><creator>Okoli, Chizimuzo T.C.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4590-0884</orcidid><orcidid>https://orcid.org/0000-0002-5674-6253</orcidid></search><sort><creationdate>202306</creationdate><title>Substance use outcomes among individuals with severe mental illnesses receiving assertive community treatment: A systematic review</title><author>Abufarsakh, Bassema ; 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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Alcohol use Assertive community treatment Assertiveness Community Mental Health Services Drug abuse Drug use Hospitalization Humans Integrated care Interdisciplinary aspects intervention Intoxication Medical treatment Mental disorders Mental Disorders - complications Mental Disorders - therapy Recovery severe mental illness Severity Substance abuse substance use substance use outcome Substance-Related Disorders - complications Substance-Related Disorders - therapy Systematic review |
| title | Substance use outcomes among individuals with severe mental illnesses receiving assertive community treatment: A systematic review |
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