PMID: 2113885Jun 1, 1990Paper

New directions in research on assertive community treatment

Hospital & Community Psychiatry
C A TaubeA B Santos

Abstract

Evaluation of assertive community treatment programs has demonstrated that they are highly effective in reducing the need for psychiatric hospitalization of chronic mentally ill patients. However, the programs also tend to cost more than traditional outpatient care, and their impact on other areas of patient functioning is not clear. The authors believe more rigorous studies of the programs are needed before policymakers can properly evaluate their role in the overall mix of services. Future studies should extend previous research by comparing the programs to current state-of-the-art treatment in community mental health centers or county mental health programs; assessing the total system costs of assertive community treatment programs, as well as the amount of cost shifting by payers; analyzing outcomes of clients in mature programs over longer time periods; standardizing the measurement of various client outcomes; and determining the impact of individual program elements--alone and in combination--on different subgroups of clients.

Citations

Dec 1, 1990·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·J J ZealbergS D Christie
Sep 2, 2003·The British Journal of Psychiatry : the Journal of Mental Science·Michela NoséMichele Tansella
Aug 26, 1998·The Australian and New Zealand Journal of Psychiatry·S JohnstonN Buhrich
Dec 1, 1990·American Journal of Community Psychology·C T Mowbray
Mar 22, 2003·European Psychiatry : the Journal of the Association of European Psychiatrists·O KampmanE Leinonen
Jul 2, 2005·Journal of Psychiatric Practice·R O Pasnau
Sep 1, 1994·The Australian and New Zealand Journal of Psychiatry·J A Hambridge, A Rosen

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