title: Outcomes of FLEXIBLE Assertive Community Treatment (FACT) Implementation: A Prospective Real Life Study.
abstract: This study aimed to investigate social and clinical outcomes and use of care during and after implementation of FLEXIBLE Assertive Community Treatment (ACT). Three teams and 372 patients were involved. Model fidelity, clinical and social assessments were performed at baseline and after 1 and 2 years. Use of care was registered continuously. Model fidelity was good at the end of the study. Data showed much variation between patients in number and duration of ACT periods. Statistically significant improvements were found in compliance, unmet needs and quality of life. Improvement of quality of life and functioning was related to duration of ACT. The percentage of remissions increased with 9 %. The number of admissions, admission days and face to face contacts differed between ACT and non-ACT patients, but generally decreased. Findings suggest that implementation of FACT results in a more flexible adaptation of care to the needs of the patients.
authors: Department of Research and Monitoring, Mental Health Service Organization GGZ Noord-Holland-Noord, PO Box 18, 1850 BA, Heiloo, The Netherlands. a.nugter@ggz-nhn.nl.
authors: M Annet
authors: MA
authors: Nugter
authors: Department of Research and Monitoring, Mental Health Service Organization GGZ Noord-Holland-Noord, PO Box 18, 1850 BA, Heiloo, The Netherlands.
authors: Fabiana
authors: F
authors: Engelsbel
authors: Department of Community Mental Health, Mental Health Service Organization GGZ Noord-Holland-Noord, PO Box 18, 1850 BA, Heiloo, The Netherlands.
authors: Michiel
authors: M
authors: Bähler
authors: Department of Community Mental Health, Mental Health Service Organization GGZ Noord-Holland-Noord, PO Box 18, 1850 BA, Heiloo, The Netherlands.
authors: René
authors: R
authors: Keet
authors: Centre for Certification ACT and FACT (CCAF), Praediniussingel 20/9, 9711 AG, Groningen, The Netherlands.
authors: Remmers
authors: R
authors: van Veldhuizen
mesh_terms: D000328:Adult; D003156:Community Mental Health Services / Q000458:organization & administration*; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010348:Patient Care Team / Q000458:organization & administration; D018802:Patient-Centered Care; D011446:Prospective Studies; D011788:Quality of Life
keywords: Admissions; Clinical outcomes; FLEXIBLE ACT (FACT); Severe mental illness (SMI)
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