Assertive Community Programs for Patients with Severe Mental Disorders: Are Benefits Sustained After Discharge?

Sonia Vidal; Nader Perroud; Leire Correa; Philippe Huguelet

doi:10.1007/s10597-019-00513-6

Assertive Community Programs for Patients with Severe Mental Disorders: Are Benefits Sustained After Discharge?

Sonia Vidal, Nader Perroud, Leire Correa, Philippe Huguelet

Résultat de recherche: Article › examen par les pairs

4 Citations (Scopus)

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.

Langue d'origine	English
Pages (de-à)	559-567
Nombre de pages	9
Journal	Community Mental Health Journal
Volume	56
Numéro de publication	3
DOI	https://doi.org/10.1007/s10597-019-00513-6
Statut de publication	Published - avr. 1 2020
Publié à l'externe	Oui

Note bibliographique

Funding Information:
We would like to warmly thank all the staff of the Assertive Community Treatment Mobile Team of the Geneva University Hospitals (S. Boulgy, R. Claveria, T. Delachenal, S. Demski, JC Fayet, C. Lehmann Koell, D. Mariatti, A. Mignot, K. Nagalingum, JL. Sudreau, S.Wolf) as well as Mr A. Engelhorn for his private support in the baseline study.

Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature.

ASJC Scopus Subject Areas

Health(social science)
Public Health, Environmental and Occupational Health
Psychiatry and Mental health

PubMed: MeSH publication types

Journal Article
Research Support, Non-U.S. Gov't

ODD de l’ONU

Cette action contribue à la réalisation des objectifs de développement durable suivants

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10.1007/s10597-019-00513-6

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title = "Assertive Community Programs for Patients with Severe Mental Disorders: Are Benefits Sustained After Discharge?",

abstract = "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{\textquoteright}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{\textquoteright}t imply a lifetime treatment.",

author = "Sonia Vidal and Nader Perroud and Leire Correa and Philippe Huguelet",

note = "Funding Information: We would like to warmly thank all the staff of the Assertive Community Treatment Mobile Team of the Geneva University Hospitals (S. Boulgy, R. Claveria, T. Delachenal, S. Demski, JC Fayet, C. Lehmann Koell, D. Mariatti, A. Mignot, K. Nagalingum, JL. Sudreau, S.Wolf) as well as Mr A. Engelhorn for his private support in the baseline study. Publisher Copyright: {\textcopyright} 2019, Springer Science+Business Media, LLC, part of Springer Nature.",

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doi = "10.1007/s10597-019-00513-6",

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AU - Perroud, Nader

AU - Correa, Leire

AU - Huguelet, Philippe

N1 - Funding Information: We would like to warmly thank all the staff of the Assertive Community Treatment Mobile Team of the Geneva University Hospitals (S. Boulgy, R. Claveria, T. Delachenal, S. Demski, JC Fayet, C. Lehmann Koell, D. Mariatti, A. Mignot, K. Nagalingum, JL. Sudreau, S.Wolf) as well as Mr A. Engelhorn for his private support in the baseline study. Publisher Copyright: © 2019, Springer Science+Business Media, LLC, part of Springer Nature.

PY - 2020/4/1

Y1 - 2020/4/1

N2 - 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.

AB - 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.

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Assertive Community Programs for Patients with Severe Mental Disorders: Are Benefits Sustained After Discharge?

Résumé

Note bibliographique

ASJC Scopus Subject Areas

PubMed: MeSH publication types

ODD de l’ONU

Accès au document

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