Assertive Community Programs for Patients with Severe Mental Disorders: Are Benefits Sustained After Discharge?
ACT
Assertive community treatment
Discharge
Long term outcome
Severe mental illness
Journal
Community mental health journal
ISSN: 1573-2789
Titre abrégé: Community Ment Health J
Pays: United States
ID NLM: 0005735
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
received:
24
09
2018
accepted:
30
11
2019
pubmed:
7
12
2019
medline:
29
7
2021
entrez:
7
12
2019
Statut:
ppublish
Résumé
The benefits of assertive community treatment (ACT) on patients with severe mental disorders are well established over short or medium term. However, studies that investigate long term outcomes are remarkably scarce. Thus, this study aimed to evaluate patient's long term clinical and psychosocial evolution after discharge from ACT. An assessment was conducted on 29 patients characterized by inpatient facilities heavy use and refusal of care, who were included in an ACT program 8.7 (SD = 0.7) years ago and discharged 6.3 (SD = 1.8) years ago. Results of the follow up showed decreased rates of hospitalizations and symptomatology, as well as sustained improvement in adherence to care, in quality of life and in social functioning. This data suggests that ACT programs can help refractory to care patients to gain clinical and psychosocial improvement and lay foundation for better long-term adherence to care. Results also suggest that ACT didn't imply a lifetime treatment.
Identifiants
pubmed: 31807993
doi: 10.1007/s10597-019-00513-6
pii: 10.1007/s10597-019-00513-6
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
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