PMID- 22391281
OWN - NLM
STAT- MEDLINE
DCOM- 20120717
LR  - 20191210
IS  - 1440-1614 (Electronic)
IS  - 0004-8674 (Linking)
VI  - 46
IP  - 3
DP  - 2012 Mar
TI  - Duration of assertive community treatment and the interpretation of routine 
      outcome data.
PG  - 240-8
LID - 10.1177/0004867411433214 [doi]
AB  - OBJECTIVE: Statistical inferences based on routine outcome monitoring data are 
      susceptible to biases. Because this process may be influenced by differences in 
      attrition and treatment duration, we wished to gain an insight into the 
      relationship between treatment duration and clinical outcome. METHOD: We enrolled 
      569 assertive community treatment (ACT) team patients. As part of a six-monthly 
      routine outcome monitoring (ROM) procedure, we used the Global Assessment of 
      Functioning (GAF) scale, the Health of the Nation Outcome Scales (HoNOS), and a 
      scale to assess their treatment motivation and satisfaction with services. 
      Duration of ACT showed that treatment duration was short for 292 patients [</= 
      three ROM assessments; 11.6 months (SD = 6.1)], medium for 191 [four to six ROM 
      assessments; 26.9 months (SD = 7.3)], and long for 86 [>/= seven ROM assessments; 
      44.06 months (SD=7.1)]. Chi-square and ANOVA were used to compare patient 
      characteristics and baseline values across different treatment duration groups, 
      and structural equation modelling was used to unravel interdependencies between 
      the baseline and outcome variables. RESULTS: More patients receiving long-term 
      ACT were diagnosed with a psychotic disorder and/or substance abuse than those 
      whose treatment was shorter. Patients whose treatment lasted longer had worse 
      baseline GAF and HoNOS scores than those whose treatment was shorter. Structural 
      equation modelling showed that the interdependencies between determinants and 
      outcome variables (concerning the relationships between both identical and 
      non-identical variables over time) were different for each of the treatment 
      duration categories. CONCLUSIONS: Patients in ACT teams with different treatment 
      durations constitute distinguishable groups with different outcomes. This should 
      be taken into account when using outcome data for benchmarking purposes.
FAU - Kortrijk, Hans E
AU  - Kortrijk HE
AD  - Bavo-Europoort, Rotterdam, The Netherlands. H.Kortrijk@parnassiabavogroep.nl
FAU - Mulder, Cornelis L
AU  - Mulder CL
FAU - Drukker, Marjan
AU  - Drukker M
FAU - Wiersma, Durk
AU  - Wiersma D
FAU - Duivenvoorden, Hugo J
AU  - Duivenvoorden HJ
LA  - eng
PT  - Journal Article
DEP - 20120105
PL  - England
TA  - Aust N Z J Psychiatry
JT  - The Australian and New Zealand journal of psychiatry
JID - 0111052
SB  - IM
MH  - Adult
MH  - Community Mental Health Services/*methods/*statistics & numerical data
MH  - Female
MH  - Humans
MH  - Male
MH  - Mental Disorders/therapy
MH  - Models, Psychological
MH  - Netherlands
MH  - Outcome Assessment, Health Care/*statistics & numerical data
MH  - Psychiatric Status Rating Scales/statistics & numerical data
MH  - Time Factors
EDAT- 2012/03/07 06:00
MHDA- 2012/07/18 06:00
CRDT- 2012/03/07 06:00
PHST- 2012/03/07 06:00 [entrez]
PHST- 2012/03/07 06:00 [pubmed]
PHST- 2012/07/18 06:00 [medline]
AID - 0004867411433214 [pii]
AID - 10.1177/0004867411433214 [doi]
PST - ppublish
SO  - Aust N Z J Psychiatry. 2012 Mar;46(3):240-8. doi: 10.1177/0004867411433214. Epub 
      2012 Jan 5.