title: Function assertive community treatment (FACT) and psychiatric service use in patients diagnosed with severe mental illness.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  Implementation of FACT results in measurable changes in mental health care use.
authors.affiliation: Department of Psychiatry and Psychology, School for Mental Health and Neuroscience MHeNS, Maastricht University, The Netherlands. Marjan.Drukker@MaastrichtUniversity.nl
authors.forename: M
authors.initials: M
authors.lastname: Drukker
authors.forename: J
authors.initials: J
authors.lastname: van Os
authors.forename: S
authors.initials: S
authors.lastname: Sytema
authors.forename: G
authors.initials: G
authors.lastname: Driessen
authors.forename: E
authors.initials: E
authors.lastname: Visser
authors.forename: P
authors.initials: P
authors.lastname: Delespaul
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015331:Cohort Studies; D003156:Community Mental Health Services / Q000191:economics / Q000379:methods* / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000191:economics / Q000628:therapy*; D008875:Middle Aged; D009426:Netherlands; D012042:Registries; D012559:Schizophrenia / Q000191:economics / Q000628:therapy; D055815:Young Adult