A real-life observational study of the effectiveness of FACT in a Dutch mental health region.

32Citations
Citations of this article
96Readers
Mendeley users who have this article in their library.

This article is free to access.

Abstract

BACKGROUND: ACT is an effective community treatment but causes discontinuity of care between acutely ill and currently stable patient groups. The Dutch variant of ACT, FACT, combines both intensive ACT treatment and care for patients requiring less intensive care at one time point yet likely to need ACT in the future. It may be hypothesised that this case mix is not beneficial for patients requiring intensive care, as other patient groups may "dilute" care provision. The effectiveness of FACT was compared with standard care, with a particular focus on possible moderating effects of patient characteristics within the case mix in FACT. METHODS: In 2002, three FACT teams were implemented in a Dutch region in which a cumulative routine outcome measurement system was in place. Patients receiving FACT were compared with patients receiving standard treatment, matched on "baseline" symptom severity and age, using propensity score matching. Outcome was the probability of being in symptomatic remission of psychotic symptoms. RESULTS: The probability of symptomatic remission was higher for SMI patients receiving FACT than for controls receiving standard treatment, but only when there was an unmet need for care with respect to psychotic symptoms (OR = 6.70, p = 0.002; 95% CI = 1.97-22.7). CONCLUSION: Compared to standard care, FACT was more rather than less effective, but only when a need for care with respect to psychotic symptoms is present. This suggests that there is no adverse effect of using broader patient mixes in providing continuity of care for all patients with severe mental illness in a defined geographical area.

Cite

CITATION STYLE

APA

Drukker, M., Maarschalkerweerd, M., Bak, M., Driessen, G., à Campo, J., de Bie, A., … Delespaul, P. (2008). A real-life observational study of the effectiveness of FACT in a Dutch mental health region. BMC Psychiatry, 8, 93. https://doi.org/10.1186/1471-244X-8-93

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free