PMID- 26376978
OWN - NLM
STAT- MEDLINE
DCOM- 20160801
LR  - 20191210
IS  - 1472-6963 (Electronic)
IS  - 1472-6963 (Linking)
VI  - 15
DP  - 2015 Sep 16
TI  - Fifteen-month follow up of an assertive community treatment program for chronic 
      patients with mental illness.
PG  - 388
LID - 10.1186/s12913-015-1058-y [doi]
LID - 388
AB  - BACKGROUND: The aim of this study was to evaluate the effect of an Assertive 
      Community Treatment (ACT) program on psychiatric symptoms, global functioning, 
      life satisfaction, and recovery-promoting relationships among individuals with 
      mental illness. METHODS: Participants were patients at the Suwon Mental Health 
      Center. Thirty-two patients were part of the ACT program and 32 patients matched 
      for age, sex, and mental illness were in a standard case-management program and 
      served as a control group. Follow-up with patients occurred every 3 months during 
      the 15 months after a baseline interview. Participants completed the Brief 
      Psychiatric Rating Scale (BPRS), Global Assessment of Functioning (GAF) Scale, 
      Life Satisfaction Scale, and Recovery-Promoting Relationship Scale (RPRS). 
      RESULTS: No significant differences were noted in the sociodemographic 
      characteristics of the ACT and the case-management group. According to the BPRS, 
      the ACT group showed a significant reduction in symptom severity, but the ACT 
      program was not significantly more effective at reducing psychiatric symptoms 
      from baseline to the 15-month follow-up compared to the case-management approach. 
      The ACT group showed more significant improvement than the control group in terms 
      of the GAF Scale. Both groups showed no significant differences in the change of 
      life satisfaction and in the change of recovery-promoting relationships. We 
      observed a significant increase in recovery-promoting relationships in the 
      control group, but the degree of change of recovery-promoting relationships 
      through time flow between groups was not significantly different. DISCUSSION: In 
      this study, we observed that ACT was significantly better at improving the GAF 
      than case management and that participation in ACT was associated with a 
      significant decrease in BPRS scores. However, ACT did not demonstrate an absolute 
      superiority over the standard case-management approach in terms of the BPRS and 
      the measures of life satisfaction and recovery-promoting relationships. 
      CONCLUSIONS: ACT may have some advantages over a standard case management 
      approach.
FAU - Kim, Tae-Won
AU  - Kim TW
AD  - Department of Psychiatry, College of Medicine, The Catholic University of Korea, 
      Seoul, Korea. decontex@empas.com.
FAU - Jeong, Jong-Hyun
AU  - Jeong JH
AD  - Department of Psychiatry, College of Medicine, The Catholic University of Korea, 
      Seoul, Korea. anton3@catholic.ac.kr.
AD  - Suwon Mental Health Center, Suwon, Gyeonggi do, Korea. anton3@catholic.ac.kr.
AD  - Department of Psychiatry, St.Vincent's Hospital, College of Medicine, The 
      Catholic University of Korea, 93, Ji-dong, Paldal-gu, Suwon, 442-723, Korea. 
      anton3@catholic.ac.kr.
FAU - Kim, Young-Hee
AU  - Kim YH
AD  - Suwon Mental Health Center, Suwon, Gyeonggi do, Korea. cmcktw@gmail.com.
FAU - Kim, Yura
AU  - Kim Y
AD  - Suwon Mental Health Center, Suwon, Gyeonggi do, Korea. pudentiana@naver.com.
FAU - Seo, Ho-Jun
AU  - Seo HJ
AD  - Department of Psychiatry, College of Medicine, The Catholic University of Korea, 
      Seoul, Korea. healm@catholic.ac.kr.
FAU - Hong, Seung-Chul
AU  - Hong SC
AD  - Department of Psychiatry, College of Medicine, The Catholic University of Korea, 
      Seoul, Korea. hscjohn@hotmail.com.
AD  - Suwon Mental Health Center, Suwon, Gyeonggi do, Korea. hscjohn@hotmail.com.
LA  - eng
PT  - Comparative Study
PT  - Evaluation Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20150916
PL  - England
TA  - BMC Health Serv Res
JT  - BMC health services research
JID - 101088677
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Case Management
MH  - *Community Mental Health Services
MH  - Female
MH  - Follow-Up Studies
MH  - Hospitals, Psychiatric
MH  - Humans
MH  - Interviews as Topic
MH  - Male
MH  - *Mental Disorders/therapy
MH  - Middle Aged
MH  - Qualitative Research
MH  - Republic of Korea
MH  - Surveys and Questionnaires
MH  - Young Adult
PMC - PMC4573673
EDAT- 2015/09/18 06:00
MHDA- 2016/08/02 06:00
PMCR- 2015/09/16
CRDT- 2015/09/18 06:00
PHST- 2014/09/30 00:00 [received]
PHST- 2015/09/11 00:00 [accepted]
PHST- 2015/09/18 06:00 [entrez]
PHST- 2015/09/18 06:00 [pubmed]
PHST- 2016/08/02 06:00 [medline]
PHST- 2015/09/16 00:00 [pmc-release]
AID - 10.1186/s12913-015-1058-y [pii]
AID - 1058 [pii]
AID - 10.1186/s12913-015-1058-y [doi]
PST - epublish
SO  - BMC Health Serv Res. 2015 Sep 16;15:388. doi: 10.1186/s12913-015-1058-y.