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Review: assertive community treatment is an effective alternative in severe mental disorders

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Question In patients with severe mental disorders, is assertive community treatment (ACT) an effective alternative to standard community care, hospital based rehabilitation, and case management?

Data sources

Studies were identified by searching CINAHL, the Cochrane Schizophrenia Group's Register of clinical trials, EMBASE/Excerpta Medica, Medline, PsycLIT, SCISEARCH, and reference lists of articles.

Study selection

Studies were selected if they were randomised controlled trials comparing ACT to standard community care, hospital based rehabilitation, or case management in patients between 18 and 65 years of age with severe mental disorders (schizophrenia and schizophrenia-like disorders, bipolar disorder, and depression with psychotic features).

Data extraction

Data were extracted on number of patients remaining in contact with psychiatric services, extent of psychiatric hospital admissions, clinical …

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