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Cost-effectiveness of Assertive Community Treatment versus standard case management for persons with co-occurring severe mental illness and substance use disorders.
Examines the cost-effectiveness of ACT in comparison to standard case management.
Clark, R. E., Teague, G. B., Ricketts, S. K., Bush, P. W., Xie, H., McGuire, T. G. et al. (1998). Cost-effectiveness of Assertive Community Treatment versus standard case management for persons with co-occurring severe mental illness and substance use disorders. Health Services Research, 33, 1285-1308.
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Assertive Community Treatment: An update of randomized trials.
Reviews outcomes of randomized controlled trials of ACT including studies of special populations (i.e., homeless, dual diagnoses).
Burns, B. J. & Santos, A. B. (1995). Assertive Community Treatment: An update of randomized trials. Psychiatric Services, 46, 669-675.
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Economic impacts of Assertive Community Treatment: A review of the literature.
Focuses on economic impact of ACT on hospital use, emergency-room use, use of outpatient services, housing costs.
Latimer, E. (1999). Economic impacts of Assertive Community Treatment: A review of the literature. Canadian Journal of Psychiatry, 44, 443-454.
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Moving Assertive Community Treatment into standard practice
Describes ACT, summarizes its effectiveness for different client populations, and discusses cost effectiveness. This article also discusses the critical components of ACT and how it has been adapted locally. Additionally, the authors outline issues that mental health system administrators, ACT staff, and consumers are likely to face when implementing ACT.
Phillips, S., Burns, B., Edgar, E., Mueser, K. T., Linkins, K. W., Rosenheck, R. A. et al. (2001). Moving Assertive Community Treatment into standard practice, Psychiatric Services, 52 (6), 771-779.
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Assertive Community Treatment for people with severe mental illness: Critical ingredients and impact on patients.
Summarizes the results of 25 studies of the effectiveness of ACT. Includes information on cost-effectiveness and fidelity.
Bond, G. R., Drake, R. E., Mueser, K. T., & Latimer, E. (2001). Assertive Community Treatment for people with severe mental illness: Critical ingredients and impact on patients. Disease Management & Health Outcomes, 9, 141-159.
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Assertive community treatment of severe mental illness: a Canadian experience.
The study assessed one-year outcomes for 110 clients with serious mental illness who were randomly assigned to an assertive community rehabilitation program that provides psychiatric rehabilitation services in community settings or to hospital-based rehabilitation programs. Key elements of the community program include a multidisciplinary team on call 24 hours a day, in vivo treatment, and instruction and assistance in basic living skills. Data from client interviews after one year of service were used to assess clients' quality of life, satisfaction with services, and psychopathology. Clients in the assertive community rehabilitation program were more likely to be maintained in community settings and reported better quality of life than clients in the hospital-based programs.
Lafave, H.G., de Souza, H.R, and Gerber, G.J. (1996). Assertive community treatment of severe mental illness: a Canadian experience. Psychiatric Services 47(7), 757-9.
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Cost effectiveness of intensive psychiatric community care for high users of inpatient services.
Evaluates the costs of 10 intensive psychiatric community care programs at U.S. Department of Veterans Affairs medical centers in the northeastern United States.
Rosenheck, R., & Neale, M. (1998). Cost effectiveness of intensive psychiatric community care for high users of inpatient services. Archives of General Psychiatry, 55, 459-466.
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