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Open Access 01-11-2016 | Original Paper

Outcomes of FLEXIBLE Assertive Community Treatment (FACT) Implementation: A Prospective Real Life Study

Authors: M. Annet Nugter, Fabiana Engelsbel, Michiel Bähler, René Keet, Remmers van Veldhuizen

Published in: Community Mental Health Journal | Issue 8/2016

Abstract

This study aimed to investigate social and clinical outcomes and use of care during and after implementation of FLEXIBLE Assertive Community Treatment (ACT). Three teams and 372 patients were involved. Model fidelity, clinical and social assessments were performed at baseline and after 1 and 2 years. Use of care was registered continuously. Model fidelity was good at the end of the study. Data showed much variation between patients in number and duration of ACT periods. Statistically significant improvements were found in compliance, unmet needs and quality of life. Improvement of quality of life and functioning was related to duration of ACT. The percentage of remissions increased with 9 %. The number of admissions, admission days and face to face contacts differed between ACT and non-ACT patients, but generally decreased. Findings suggest that implementation of FACT results in a more flexible adaptation of care to the needs of the patients.

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Title: Outcomes of FLEXIBLE Assertive Community Treatment (FACT) Implementation: A Prospective Real Life Study
Authors: M. Annet Nugter
Fabiana Engelsbel
Michiel Bähler
René Keet
Remmers van Veldhuizen
Publication date: 01-11-2016
Publisher: Springer US
Published in: Community Mental Health Journal / Issue 8/2016
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-015-9831-2

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Outcomes of FLEXIBLE Assertive Community Treatment (FACT) Implementation: A Prospective Real Life Study

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