Article Text

Download PDFPDF

Assertive community treatment for homeless adults with severe mental illnesses was effective but not more expensive than usual care
Free

Statistics from Altmetric.com

OpenUrlAbstract/FREE Full Text

Question In homeless people with severe mental illnesses, is assertive community treatment (ACT) cost effective for increasing time spent in stable community housing?

Design

Economic analysis of a randomised controlled trial with 12 months follow up.

Setting

Baltimore, Maryland, USA.

Patients

152 adults (mean age 37 y, 67% men, 72% African-American) who were homeless and had severe mental illnesses (58% schizophrenia or schizoaffective disorder, 20% bipolar disorder, 8% major depression, 14% other severe mental illnesses). {Follow up at 12 months was 83%.}*

Intervention

Adults were allocated to ACT {n=77}* or usual care {n=75}*. The goal of ACT was to promote continuity of care; a team of multidisciplinary professionals was available 24 hours/day, and they sought to integrate assertive, community based, clinical treatment with intensive case management and advocacy. Usual care consisted of services …

View Full Text

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.