PMID- 11280083
OWN - NLM
STAT- MEDLINE
DCOM- 20010510
LR  - 20170214
IS  - 0706-7437 (Print)
IS  - 0706-7437 (Linking)
VI  - 46
IP  - 2
DP  - 2001 Mar
TI  - Global assessment of functioning following assertive community treatment in 
      Edmonton, Alberta: a longitudinal study.
PG  - 144-8
AB  - OBJECTIVE: To examine longitudinally the effects of Assertive Community Treatment 
      (ACT) on Global Assessment of Functioning (GAF) scores in Edmonton, Alberta. 
      METHODS: We acquired GAF scores for all clients at initial registration in the 
      ACT program and at subsequent 18- and 36-month time points while in ACT. We 
      analyzed both the entire ACT cohort and separate diagnostic groups. RESULTS: We 
      obtained baseline and follow-up GAF scores for 411 clients, of whom the largest 
      diagnostic group suffered from schizophrenia (n = 189), followed by bipolar 
      disorder (n = 98). Collapsed across all groups, GAF scores significantly improved 
      at both 18 (P < 0.0001) and 36 months (P < 0.0001). By group, at 18-month 
      follow-up, significant improvements were seen in patients with delusional 
      disorder (P < 0.05), dysthymia (P < 0.05), schizoaffective disorder (P < 0.05), 
      and schizophrenia (P < 0.001). This was also seen at 36-month follow-up, with the 
      addition of significant improvements in those with bipolar disorder (P < 0.05). 
      Those patients with major affective disorder or psychosis not otherwise specified 
      (NOS) did not show significant improvements over time. Regardless of diagnosis, 
      those clients with baseline GAF scores of < or = 40 significantly improved at 
      both 18-month (P < 0.0001) and 36-month (P < 0.0001) follow-up, while those with 
      baseline GAF scores above 40 did not show significant improvement. CONCLUSIONS: 
      GAF scores improved at 18- and 36-month follow-up from enrolment in an ACT 
      program. Groups with different diagnoses and levels of functioning at time of 
      enrolment may not benefit to the same degree.
FAU - Tibbo, P
AU  - Tibbo P
AD  - Alberta Heritage Foundation for Medical Research, Department of Psychiatry, 
      University of Alberta, Edmonton, Alberta. ptibbo@pop.srv.ualberta.ca
FAU - Joffe, K
AU  - Joffe K
FAU - Chue, P
AU  - Chue P
FAU - Metelitsa, A
AU  - Metelitsa A
FAU - Wright, E
AU  - Wright E
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Can J Psychiatry
JT  - Canadian journal of psychiatry. Revue canadienne de psychiatrie
JID - 7904187
SB  - IM
MH  - Activities of Daily Living/psychology
MH  - Adult
MH  - Alberta
MH  - Cohort Studies
MH  - *Community Mental Health Services
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Care Team
MH  - Psychotic Disorders/psychology/*therapy
MH  - *Social Adjustment
MH  - Treatment Outcome
EDAT- 2001/03/31 10:00
MHDA- 2001/05/22 10:01
CRDT- 2001/03/31 10:00
PHST- 2001/03/31 10:00 [pubmed]
PHST- 2001/05/22 10:01 [medline]
PHST- 2001/03/31 10:00 [entrez]
AID - 10.1177/070674370104600205 [doi]
PST - ppublish
SO  - Can J Psychiatry. 2001 Mar;46(2):144-8. doi: 10.1177/070674370104600205.