scholarly journals Review: assertive community treatment reduced hospital use and was cost effective when used for severely mentally ill patients with previous hospital use of 50 days yearly

2000 ◽  
Vol 3 (3) ◽  
pp. 94-94
Author(s):  
P. L Cornwall
Keyword(s):  
Assertive Community Treatment ◽  
Mentally Ill ◽  
Cost Effective ◽  
Community Treatment ◽  
Severely Mentally Ill ◽  
Hospital Use

scholarly journals Setting up an assertive community treatment service

1996 ◽  
Vol 2 (4) ◽  
pp. 143-150 ◽  
Author(s):  
Andrew Kent ◽  
Tom Burns
Keyword(s):  
Assertive Community Treatment ◽  
Mentally Ill ◽  
Revolving Door ◽  
Community Treatment ◽  
Treatment Service ◽  
Flexible Support ◽  
Severely Mentally Ill ◽  
Functional Areas ◽  
Key Worker

The last 20 years have witnessed a surge of interest in assertive community treatment (ACT) for the severely mentally ill (Drake & Burns, 1995). ACT aims to help people who would otherwise be in and out of hospital on a ‘revolving door’ basis live in the community and enjoy the best possible quality of life. Services based on the ACT model seek to replace the total support of the hospital with comprehensive, intensive and flexible support in the community, delivered by an individual key worker or core services team. They are organised in a way that optimises continuity of care across different functional areas and across time.

Providing Assertive Community Treatment for Severely Mentally Ill Patients in a Rural Area

1993 ◽  
Vol 44 (1) ◽  
pp. 34-39 ◽  
Author(s):  
Alberto B. Santos ◽  
Paul A. Deci ◽  
Kerry R. Lachance ◽  
James K. Dias ◽  
Theresa B. Sloop ◽  
...  
Keyword(s):  
Rural Area ◽  
Assertive Community Treatment ◽  
Mentally Ill ◽  
Community Treatment ◽  
Severely Mentally Ill

Assertive Community Treatment of the Mentally Ill: Service Model and Effectiveness

2005 ◽  
Vol 13 (2) ◽  
pp. 129-134 ◽  
Author(s):  
Adaobi Udechuku ◽  
James Olver ◽  
Karen Hallam ◽  
Frances Blyth ◽  
Melissa Leslie ◽  
...  
Keyword(s):  
Assertive Community Treatment ◽  
Mentally Ill ◽  
Psychiatric Inpatient ◽  
Community Treatment ◽  
Inpatient Service ◽  
Clinical Environment ◽  
Global Assessment Of Functioning ◽  
Severely Mentally Ill ◽  
Before And After

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.

The Gloucester assertive community treatment team: A description and comparison with other services

2006 ◽  
Vol 23 (4) ◽  
pp. 134-139 ◽  
Author(s):  
Nathan Gregory ◽  
Rob Macpherson
Keyword(s):  
United Kingdom ◽  
Assertive Community Treatment ◽  
Mentally Ill ◽  
Community Treatment ◽  
Service Development ◽  
Service Users ◽  
Treatment Team ◽  
Admission Rates ◽  
The United Kingdom ◽  
Severely Mentally Ill

AbstractAssertive Community Treatment (ACT) has developed globally as a model of community care for the severely mentally ill. However, in the United Kingdom there is mixed evidence regarding improvements in outcome and concerns about ACT teams having poor fidelity to the original ACT model.Objective: This study presents the fidelity characteristics of an established ACT team serving Gloucester City. It describes service user demographic and illness data and compares these findings to other important studies in the United Kingdom.Method: The Dartmouth Assertive Community Treatment Scale was applied to rate the Gloucester ACT team's fidelity characteristics. The Gloucester Caseload Project Demographic Pro-Forma was collected from all of the team's 79 service users.Results: The population of severely mentally ill ACT service users in Gloucester City were an older and more “disabled” group compared to the classic ACT studies. Furthermore, although findings indicate a high level of fidelity to the original ACT model, the team it is still associated with high levels of inpatient treatment.Conclusion: High fidelity ACT services appear to be associated with high admission rates. Therefore teams should not be viewed as alternatives to hospital admission but have goals of improving engagement and social functioning. Furthermore, findings have allowed the team to benchmark its service and target areas for further service development. More consistent reporting of fidelity data on ACT research would facilitate comparison across different services.

Cost-effectiveness of assertive community treatment for homeless persons with severe mental illness

1999 ◽  
Vol 174 (4) ◽  
pp. 346-352 ◽  
Author(s):  
Anthony F. Lehman ◽  
Lisa Dixon ◽  
Jeffrey S. Hoch ◽  
Bruce Deforge ◽  
Eimer Kernan ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Cost Effectiveness ◽  
Severe Mental Illness ◽  
Usual Care ◽  
Assertive Community Treatment ◽  
Cost Effective ◽  
Homeless Persons ◽  
Community Treatment ◽  
Stable Housing

BackgroundHomelessness is a major public health problem among persons with severe mental illness (SMI). Cost-effective programmes that address this problem are needed.AimsTo evaluate the cost-effectiveness of an assertive community treatment (ACT) programme for these persons in Baltimore, Maryland.MethodsA total of 152 homeless persons with SMI were randomly allocated to either ACT or usual services. Direct treatment costs and effectiveness, represented by days of stable housing, were assessed.ResultsCompared with usual care, ACT costs were significantly lower for mental health in-patient days and mental health emergency room care, and significantly higher for mental health out-patient visits and treatment for substance misuse. ACT patients spent 31% more days in stable housing than those receiving usual care. ACT and usual services incurred $242 and $415 respectively in direct treatment costs per day of stable housing, an efficiency ratio of 0. 58 in favour of ACT. Patterns of care and costs varied according to race.ConclusionACT provides a cost-effective approach to reducing homelessness among persons with severe and persistent mental illnesses.

Sign in / Sign up

Export Citation Format

Share Document