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Title: Assertive community treatment of the mentally ill: service model and effectiveness.
Austin 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, Victoria, Australia
Issue Date: 1-Jun-2005
Publication information: Australasian Psychiatry; 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.
Gov't Doc #: 15948908
DOI: 10.1111/j.1440-1665.2005.02175.x
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
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
Severity of Illness Index
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