P.3.e.002 The psychosocial rehabilitation of people with severe mental illness: a study of the impact of an assertive community treatment program

2013 ◽  
Vol 23 ◽  
pp. S491
Author(s):  
R. Marginean ◽  
O. Marginean
1999 ◽  
Vol 174 (4) ◽  
pp. 346-352 ◽  
Author(s):  
Anthony F. Lehman ◽  
Lisa Dixon ◽  
Jeffrey S. Hoch ◽  
Bruce Deforge ◽  
Eimer Kernan ◽  
...  

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.


2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Jolanda Stobbe ◽  
Niels CL Mulder ◽  
Bert-Jan Roosenschoon ◽  
Marja Depla ◽  
Hans Kroon

2010 ◽  
Vol 46 (4) ◽  
pp. 319-329 ◽  
Author(s):  
Michelle P. Salyers ◽  
Alan B. McGuire ◽  
Angela L. Rollins ◽  
Gary R. Bond ◽  
Kim T. Mueser ◽  
...  

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