Function assertive community treatment (FACT) and psychiatric service use in patients diagnosed with severe mental illness.

Abstract:

AIM:Previous work suggests that the Dutch variant of assertive community treatment (ACT), known as Function ACT (FACT), may be effective in increasing symptomatic remission rates when replacing a system of hospital-based care and separate community-based facilities. FACT guidelines propose a different pattern of psychiatric service consumption compared to traditional services, which should result in different costing parameters than care as usual (CAU). METHODS:South-Limburg FACT patients, identified through the local psychiatric case register, were matched with patients from a non-FACT control region in the North of the Netherlands (NN). Matching was accomplished using propensity scoring including, among others, total and outpatient care consumption. Assessment, as an important ingredient of FACT, was the point of departure of the present analysis. RESULTS:FACT patients, compared to CAU, had five more outpatient contacts after the index date. Cost-effectiveness was difficult to assess. CONCLUSION:Implementation of FACT results in measurable changes in mental health care use.

authors

Drukker M,van Os J,Sytema S,Driessen G,Visser E,Delespaul P

doi

10.1017/s2045796011000369

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

273-8

issue

3

eissn

2045-7960

issn

2045-7979

journal_volume

20

pub_type

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