Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/9937
Title: Assertive community treatment of the mentally ill: service model and effectiveness.
Authors: Udechuku, Adaobi;Olver, James S;Hallam, Karen;Blyth, Frances;Leslie, Melissa;Nasso, Marina;Schlesinger, Paul;Warren, Lorraine;Turner, Miles;Burrows, Graham D
Affiliation: North East Mobile Support and Treatment Service, Austin Health, Heidelberg, Vic., Australia.
Issue Date: 1-Jun-2005
Citation: Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists; 13(2): 129-34
Abstract: 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.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.The mean number of readmission days reduced from 70.9 to 10.2 (p<0.05) following the institution of ACT.Assertive community treatment conducted in a naturalistic clinical environment is effective in significantly reducing the number of readmission days in a group of patients suffering from long-term and persistent severe mental illness.
Internal ID Number: 15948908
URI: http://ahro.austin.org.au/austinjspui/handle/1/9937
DOI: 10.1111/j.1440-1665.2005.02175.x
URL: http://www.ncbi.nlm.nih.gov/pubmed/15948908
Type: Journal Article
Subjects: Case Management.economics.organization & administration.standards
Community Mental Health Services.methods.organization & administration.standards
Delivery of Health Care.economics.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
Medical Audit
Mental Disorders.diagnosis.rehabilitation.therapy
Outcome Assessment (Health Care).standards.statistics & numerical data
Patient Admission
Patient Readmission.statistics & numerical data
Psychiatric Status Rating Scales
Psychotropic Drugs.therapeutic use
Retrospective Studies
Schizophrenia.diagnosis.rehabilitation.therapy
Severity of Illness Index
Appears in Collections:Journal articles

Files in This Item:
There are no files associated with this item.


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.