Assertive community treatment for frequent users of psychiatric hospitals in a large city: A controlled study |
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Authors: | Gary R. Bond Thomas F. Witheridge Jerry Dincin Daniel Wasmer James Webb Rebecca De Graaf-Kaser |
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Affiliation: | (1) Department of Psychology, Indiana University-Purdue University at Indianapolis (IUPUI), 1125 E. 38th Street, Krannert Building 44P, 46205-2810 Indianapolis, Indiana;(2) Thresholds, Chicago, Illinois;(3) Loyola University of Chicago, Chicago, USA |
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Abstract: | Evaluated a large-city adaptation of the assertive community treatment (ACT) model (Stein & Test, 1980). Outcomes were examined after 1 year for 82 clients, averaging over 17 lifetime psychiatric hospitalizations, randomly assigned either to ACT or to a drop-in (DI) center. After 1 year, 76% of the ACT clients and only 7% of DI clients were involved in the respective programs. The ACT team averaged 2 home and community visits per week to each client. ACT clients averaged significantly fewer state hospital admissions and state hospital days than did DI clients. ACT clients reported greater satisfaction with program services, fewer contacts with the police, and less difficulty with practical problems associated with psychiatric readmission. More ACT clients were known to have stable community housing. Annual per-client treatment costs for ACT were estimated to be $1,500 less than for DI. |
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