Assertive Community Treatment of the Mentally Ill: Service Model and Effectiveness
Objective: To provide a description of the service delivery model of an assertive community treatment (ACT) team in the management of a group of severely mentally ill patients and examine the effectiveness of this team in reducing readmissions to a psychiatric inpatient service. Method: A clinical c...
Gespeichert in:
| Veröffentlicht in: | Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists 2005-06, Vol.13 (2), p.129-134 |
|---|---|
| Hauptverfasser: | , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 134 |
|---|---|
| container_issue | 2 |
| container_start_page | 129 |
| container_title | Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists |
| container_volume | 13 |
| creator | Udechuku, Adaobi Olver, James Hallam, Karen Blyth, Frances Leslie, Melissa Nasso, Marina Schlesinger, Paul Warren, Lorraine Turner, Miles Burrows, Graham |
| description | Objective: To provide a description of the service delivery model of an assertive community treatment (ACT) team in the management of a group of severely mentally ill patients and examine the effectiveness of this team in reducing readmissions to a psychiatric inpatient service.
Method: A clinical case audit was performed on a single day in September 2001. Admission episodes and duration were collected for patients registered with the team in the 12 month period prior to ACT and for a period of 12 months ending on the day of the audit. Forty-three patients were registered with the team at the time of data collection. The majority (79%) were diagnosed with schizophrenia and there were high rates of comorbidity (76%) and disability (mean Global Assessment of Functioning score 45.9). The main outcome measures were the number of readmissions and readmission days before and after the institution of ACT.
Results: The mean number of readmission days reduced from 70.9 to 10.2 (p < 0.05) following the institution of ACT.
Conclusion: Assertive community treatment conducted in a naturalistic clinical environment is effective in signi?cantly reducing the number of readmission days in a group of patients suffering from long-term and persistent severe mental illness. |
| doi_str_mv | 10.1080/j.1440-1665.2005.02175.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67920111</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1080_j.1440-1665.2005.02175.x</sage_id><sourcerecordid>67920111</sourcerecordid><originalsourceid>FETCH-LOGICAL-c235x-531a28b1cf84666934ad30a599ff2d147f5d03239e53d3436f8c143ac6511243</originalsourceid><addsrcrecordid>eNqFkEtLxDAQx4Movr-C5OStdfLcxJssvkARdO8hthPt0ocmrex-e1t30aOnGWZ-8x_4EUIZ5AwMXCxzJiVkTGuVcwCVA2czla92yOHvYnfsQdjMKM0PyFFKSwAwiut9csCUlcaCOSTPVylh7KsvpPOuaYa26td0EdH3DbY97QLt35E-jr2v6zW9r-tL-oLxqyrGaVdiTX1b0usQsJhCWkzphOwFXyc83dZjsri5Xszvsoen2_v51UNWcKFWmRLMc_PKimCk1toK6UsBXlkbAi-ZnAVVguDCohKlkEIHUzApfKEVY1yKY3K-if2I3eeAqXdNlQqsa99iNySnZ5YDY-xfUM1AAlgYQbMBi9ilFDG4j1g1Pq4dAzd5d0s36XWTXjd5dz_e3Wo8Pdv-GF4bLP8Ot6JHQG2A5N_QLbshtqOb_4O_AXUgjaQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>57040090</pqid></control><display><type>article</type><title>Assertive Community Treatment of the Mentally Ill: Service Model and Effectiveness</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>SAGE Complete A-Z List</source><source>Taylor & Francis Journals Complete</source><creator>Udechuku, Adaobi ; Olver, James ; Hallam, Karen ; Blyth, Frances ; Leslie, Melissa ; Nasso, Marina ; Schlesinger, Paul ; Warren, Lorraine ; Turner, Miles ; Burrows, Graham</creator><creatorcontrib>Udechuku, Adaobi ; Olver, James ; Hallam, Karen ; Blyth, Frances ; Leslie, Melissa ; Nasso, Marina ; Schlesinger, Paul ; Warren, Lorraine ; Turner, Miles ; Burrows, Graham</creatorcontrib><description>Objective: To provide a description of the service delivery model of an assertive community treatment (ACT) team in the management of a group of severely mentally ill patients and examine the effectiveness of this team in reducing readmissions to a psychiatric inpatient service.
Method: A clinical case audit was performed on a single day in September 2001. Admission episodes and duration were collected for patients registered with the team in the 12 month period prior to ACT and for a period of 12 months ending on the day of the audit. Forty-three patients were registered with the team at the time of data collection. The majority (79%) were diagnosed with schizophrenia and there were high rates of comorbidity (76%) and disability (mean Global Assessment of Functioning score 45.9). The main outcome measures were the number of readmissions and readmission days before and after the institution of ACT.
Results: The mean number of readmission days reduced from 70.9 to 10.2 (p < 0.05) following the institution of ACT.
Conclusion: Assertive community treatment conducted in a naturalistic clinical environment is effective in signi?cantly reducing the number of readmission days in a group of patients suffering from long-term and persistent severe mental illness.</description><identifier>ISSN: 1039-8562</identifier><identifier>EISSN: 1440-1665</identifier><identifier>DOI: 10.1080/j.1440-1665.2005.02175.x</identifier><identifier>PMID: 15948908</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject><![CDATA[Assertive ; Case Management - economics ; Case Management - organization & administration ; Case Management - standards ; Community based ; Community Mental Health Services - methods ; Community Mental Health Services - organization & administration ; Community Mental Health Services - standards ; Delivery of Health Care - economics ; Delivery of Health Care - standards ; Diagnostic and Statistical Manual of Mental Disorders ; Health Care Costs - statistics & numerical data ; Health Services Research - statistics & numerical data ; Humans ; Long-Term Care - statistics & numerical data ; Management ; Medical Audit ; Mental Disorders - diagnosis ; Mental Disorders - rehabilitation ; Mental Disorders - therapy ; Mentally ill people ; Outcome Assessment (Health Care) - standards ; Outcome Assessment (Health Care) - statistics & numerical data ; Patient Admission ; Patient Readmission - statistics & numerical data ; Psychiatric Status Rating Scales ; Psychotropic Drugs - therapeutic use ; Retrospective Studies ; Schizophrenia - diagnosis ; Schizophrenia - rehabilitation ; Schizophrenia - therapy ; Severely ; Severity of Illness Index ; Treatment]]></subject><ispartof>Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists, 2005-06, Vol.13 (2), p.129-134</ispartof><rights>2005 The Royal Australian and New Zealand College of Psychiatrists</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c235x-531a28b1cf84666934ad30a599ff2d147f5d03239e53d3436f8c143ac6511243</citedby><cites>FETCH-LOGICAL-c235x-531a28b1cf84666934ad30a599ff2d147f5d03239e53d3436f8c143ac6511243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1080/j.1440-1665.2005.02175.x$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1080/j.1440-1665.2005.02175.x$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,31000,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15948908$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Udechuku, Adaobi</creatorcontrib><creatorcontrib>Olver, James</creatorcontrib><creatorcontrib>Hallam, Karen</creatorcontrib><creatorcontrib>Blyth, Frances</creatorcontrib><creatorcontrib>Leslie, Melissa</creatorcontrib><creatorcontrib>Nasso, Marina</creatorcontrib><creatorcontrib>Schlesinger, Paul</creatorcontrib><creatorcontrib>Warren, Lorraine</creatorcontrib><creatorcontrib>Turner, Miles</creatorcontrib><creatorcontrib>Burrows, Graham</creatorcontrib><title>Assertive Community Treatment of the Mentally Ill: Service Model and Effectiveness</title><title>Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists</title><addtitle>Australas Psychiatry</addtitle><description>Objective: To provide a description of the service delivery model of an assertive community treatment (ACT) team in the management of a group of severely mentally ill patients and examine the effectiveness of this team in reducing readmissions to a psychiatric inpatient service.
Method: A clinical case audit was performed on a single day in September 2001. Admission episodes and duration were collected for patients registered with the team in the 12 month period prior to ACT and for a period of 12 months ending on the day of the audit. Forty-three patients were registered with the team at the time of data collection. The majority (79%) were diagnosed with schizophrenia and there were high rates of comorbidity (76%) and disability (mean Global Assessment of Functioning score 45.9). The main outcome measures were the number of readmissions and readmission days before and after the institution of ACT.
Results: The mean number of readmission days reduced from 70.9 to 10.2 (p < 0.05) following the institution of ACT.
Conclusion: Assertive community treatment conducted in a naturalistic clinical environment is effective in signi?cantly reducing the number of readmission days in a group of patients suffering from long-term and persistent severe mental illness.</description><subject>Assertive</subject><subject>Case Management - economics</subject><subject>Case Management - organization & administration</subject><subject>Case Management - standards</subject><subject>Community based</subject><subject>Community Mental Health Services - methods</subject><subject>Community Mental Health Services - organization & administration</subject><subject>Community Mental Health Services - standards</subject><subject>Delivery of Health Care - economics</subject><subject>Delivery of Health Care - standards</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>Health Care Costs - statistics & numerical data</subject><subject>Health Services Research - statistics & numerical data</subject><subject>Humans</subject><subject>Long-Term Care - statistics & numerical data</subject><subject>Management</subject><subject>Medical Audit</subject><subject>Mental Disorders - diagnosis</subject><subject>Mental Disorders - rehabilitation</subject><subject>Mental Disorders - therapy</subject><subject>Mentally ill people</subject><subject>Outcome Assessment (Health Care) - standards</subject><subject>Outcome Assessment (Health Care) - statistics & numerical data</subject><subject>Patient Admission</subject><subject>Patient Readmission - statistics & numerical data</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychotropic Drugs - therapeutic use</subject><subject>Retrospective Studies</subject><subject>Schizophrenia - diagnosis</subject><subject>Schizophrenia - rehabilitation</subject><subject>Schizophrenia - therapy</subject><subject>Severely</subject><subject>Severity of Illness Index</subject><subject>Treatment</subject><issn>1039-8562</issn><issn>1440-1665</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkEtLxDAQx4Movr-C5OStdfLcxJssvkARdO8hthPt0ocmrex-e1t30aOnGWZ-8x_4EUIZ5AwMXCxzJiVkTGuVcwCVA2czla92yOHvYnfsQdjMKM0PyFFKSwAwiut9csCUlcaCOSTPVylh7KsvpPOuaYa26td0EdH3DbY97QLt35E-jr2v6zW9r-tL-oLxqyrGaVdiTX1b0usQsJhCWkzphOwFXyc83dZjsri5Xszvsoen2_v51UNWcKFWmRLMc_PKimCk1toK6UsBXlkbAi-ZnAVVguDCohKlkEIHUzApfKEVY1yKY3K-if2I3eeAqXdNlQqsa99iNySnZ5YDY-xfUM1AAlgYQbMBi9ilFDG4j1g1Pq4dAzd5d0s36XWTXjd5dz_e3Wo8Pdv-GF4bLP8Ot6JHQG2A5N_QLbshtqOb_4O_AXUgjaQ</recordid><startdate>200506</startdate><enddate>200506</enddate><creator>Udechuku, Adaobi</creator><creator>Olver, James</creator><creator>Hallam, Karen</creator><creator>Blyth, Frances</creator><creator>Leslie, Melissa</creator><creator>Nasso, Marina</creator><creator>Schlesinger, Paul</creator><creator>Warren, Lorraine</creator><creator>Turner, Miles</creator><creator>Burrows, Graham</creator><general>SAGE Publications</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>7X8</scope></search><sort><creationdate>200506</creationdate><title>Assertive Community Treatment of the Mentally Ill: Service Model and Effectiveness</title><author>Udechuku, Adaobi ; Olver, James ; Hallam, Karen ; Blyth, Frances ; Leslie, Melissa ; Nasso, Marina ; Schlesinger, Paul ; Warren, Lorraine ; Turner, Miles ; Burrows, Graham</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c235x-531a28b1cf84666934ad30a599ff2d147f5d03239e53d3436f8c143ac6511243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Assertive</topic><topic>Case Management - economics</topic><topic>Case Management - organization & administration</topic><topic>Case Management - standards</topic><topic>Community based</topic><topic>Community Mental Health Services - methods</topic><topic>Community Mental Health Services - organization & administration</topic><topic>Community Mental Health Services - standards</topic><topic>Delivery of Health Care - economics</topic><topic>Delivery of Health Care - standards</topic><topic>Diagnostic and Statistical Manual of Mental Disorders</topic><topic>Health Care Costs - statistics & numerical data</topic><topic>Health Services Research - statistics & numerical data</topic><topic>Humans</topic><topic>Long-Term Care - statistics & numerical data</topic><topic>Management</topic><topic>Medical Audit</topic><topic>Mental Disorders - diagnosis</topic><topic>Mental Disorders - rehabilitation</topic><topic>Mental Disorders - therapy</topic><topic>Mentally ill people</topic><topic>Outcome Assessment (Health Care) - standards</topic><topic>Outcome Assessment (Health Care) - statistics & numerical data</topic><topic>Patient Admission</topic><topic>Patient Readmission - statistics & numerical data</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychotropic Drugs - therapeutic use</topic><topic>Retrospective Studies</topic><topic>Schizophrenia - diagnosis</topic><topic>Schizophrenia - rehabilitation</topic><topic>Schizophrenia - therapy</topic><topic>Severely</topic><topic>Severity of Illness Index</topic><topic>Treatment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Udechuku, Adaobi</creatorcontrib><creatorcontrib>Olver, James</creatorcontrib><creatorcontrib>Hallam, Karen</creatorcontrib><creatorcontrib>Blyth, Frances</creatorcontrib><creatorcontrib>Leslie, Melissa</creatorcontrib><creatorcontrib>Nasso, Marina</creatorcontrib><creatorcontrib>Schlesinger, Paul</creatorcontrib><creatorcontrib>Warren, Lorraine</creatorcontrib><creatorcontrib>Turner, Miles</creatorcontrib><creatorcontrib>Burrows, Graham</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Udechuku, Adaobi</au><au>Olver, James</au><au>Hallam, Karen</au><au>Blyth, Frances</au><au>Leslie, Melissa</au><au>Nasso, Marina</au><au>Schlesinger, Paul</au><au>Warren, Lorraine</au><au>Turner, Miles</au><au>Burrows, Graham</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assertive Community Treatment of the Mentally Ill: Service Model and Effectiveness</atitle><jtitle>Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists</jtitle><addtitle>Australas Psychiatry</addtitle><date>2005-06</date><risdate>2005</risdate><volume>13</volume><issue>2</issue><spage>129</spage><epage>134</epage><pages>129-134</pages><issn>1039-8562</issn><eissn>1440-1665</eissn><abstract>Objective: To provide a description of the service delivery model of an assertive community treatment (ACT) team in the management of a group of severely mentally ill patients and examine the effectiveness of this team in reducing readmissions to a psychiatric inpatient service.
Method: A clinical case audit was performed on a single day in September 2001. Admission episodes and duration were collected for patients registered with the team in the 12 month period prior to ACT and for a period of 12 months ending on the day of the audit. Forty-three patients were registered with the team at the time of data collection. The majority (79%) were diagnosed with schizophrenia and there were high rates of comorbidity (76%) and disability (mean Global Assessment of Functioning score 45.9). The main outcome measures were the number of readmissions and readmission days before and after the institution of ACT.
Results: The mean number of readmission days reduced from 70.9 to 10.2 (p < 0.05) following the institution of ACT.
Conclusion: Assertive community treatment conducted in a naturalistic clinical environment is effective in signi?cantly reducing the number of readmission days in a group of patients suffering from long-term and persistent severe mental illness.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>15948908</pmid><doi>10.1080/j.1440-1665.2005.02175.x</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1039-8562 |
| ispartof | Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists, 2005-06, Vol.13 (2), p.129-134 |
| issn | 1039-8562 1440-1665 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_67920111 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete A-Z List; Taylor & Francis Journals Complete |
| subjects | Assertive Case Management - economics Case Management - organization & administration Case Management - standards Community based Community Mental Health Services - methods Community Mental Health Services - organization & administration Community Mental Health Services - standards Delivery of Health Care - economics Delivery of Health Care - standards Diagnostic and Statistical Manual of Mental Disorders Health Care Costs - statistics & numerical data Health Services Research - statistics & numerical data Humans Long-Term Care - statistics & numerical data Management Medical Audit Mental Disorders - diagnosis Mental Disorders - rehabilitation Mental Disorders - therapy Mentally ill people Outcome Assessment (Health Care) - standards Outcome Assessment (Health Care) - statistics & numerical data Patient Admission Patient Readmission - statistics & numerical data Psychiatric Status Rating Scales Psychotropic Drugs - therapeutic use Retrospective Studies Schizophrenia - diagnosis Schizophrenia - rehabilitation Schizophrenia - therapy Severely Severity of Illness Index Treatment |
| title | Assertive Community Treatment of the Mentally Ill: Service Model and Effectiveness |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T06%3A59%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Assertive%20Community%20Treatment%20of%20the%20Mentally%20Ill:%20Service%20Model%20and%20Effectiveness&rft.jtitle=Australasian%20psychiatry%20:%20bulletin%20of%20the%20Royal%20Australian%20and%20New%20Zealand%20College%20of%20Psychiatrists&rft.au=Udechuku,%20Adaobi&rft.date=2005-06&rft.volume=13&rft.issue=2&rft.spage=129&rft.epage=134&rft.pages=129-134&rft.issn=1039-8562&rft.eissn=1440-1665&rft_id=info:doi/10.1080/j.1440-1665.2005.02175.x&rft_dat=%3Cproquest_cross%3E67920111%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=57040090&rft_id=info:pmid/15948908&rft_sage_id=10.1080_j.1440-1665.2005.02175.x&rfr_iscdi=true |