Cited by 592Psychiatric care and mental health servicesSchizophrenia research and treatmentHomelessness and Social Issues

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Assertive community treatment for people with severe mental disorders

Marshall, Max, Lockwood, Austin·1998·Cochrane Database of Systematic Reviews

DOI 10.1002/14651858.cd001089

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Abstract

Background Assertive Community Treatment (ACT) was developed in the early 1970s as a response to the closing down of psychiatric hospitals. ACT is a team-based approach aiming at keeping ill people in contact with services, reducing hospital admissions and improving outcome, especially social functioning and quality of life. Objectives To determine the effectiveness of Assertive Community Treatment (ACT) as an alternative to i. standard community care, ii. traditional hospital-based rehabilitation, and iii. case management. For each of the three comparisons the main outcome indices were i. remaining in contact with the psychiatric services, ii. extent of psychiatric hospital admissions, iii. clinical and social outcome and iv. costs. Search strategy Electronic searches of CINAHL (1982-1997), the Cochrane Schizophrenia Group's Register of trials (1997), EMBASE (1980-1997), MEDLINE (1966-1997), PsycLIT (1974-1997) and SCISEARCH (1997) were undertaken. References of all identified studies were searched for further trial citations. Selection criteria The inclusion criteria were that studies should i. be randomised controlled trials, ii. have compared ACT to standard community care, hospital-based rehabilitation, or case management and iii. have been carried out on people with severe mental disorder the majority of whom were aged from 18 to 65. Studies of ACT were defined as those in which the investigators described the intervention as "Assertive Community Treatment" or one of it…

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Authors: Marshall, M., & Lockwood, A.
Affiliations: University of Manchester (GB)
ORCID: Marshall, Max
Lockwood, Austin
Venue: Cochrane Database of Systematic Reviews
Publisher: John Wiley & Sons, Ltd
Published: 1998-04-27
Issue: 2
Pages: CD001089-CD001089
ISSN: 1361-6137 (ISSN-L)
DOI: 10.1002/14651858.cd001089
OpenAlex: W1698588946
Cited by: 589
References: 133
Citations by year: 2026: 2 · 2025: 7 · 2024: 7 · 2023: 8 · 2022: 8 · 2021: 10 · 2020: 12 · 2019: 13 · 2018: 16 · 2017: 50 · 2016: 15 · 2015: 28 · 2014: 25 · 2013: 31 · 2012: 33
Type: reference entry
Language: en
Status: Retracted
Update notices: retraction (2011-04-13)
withdrawal (2011-04-13)
Open access: closed
Locations: Cochrane Database of Systematic Reviews (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Social Sciences › Sociology and Political Science › Homelessness and Social Issues
Keywords: assertive community treatment, severe mental illness, schizophrenia, community-based care, hospital-based rehabilitation, case management, psychiatric hospital admissions, social functioning, quality of life, treatment costs, treatment effectiveness, community mental health
MeSH terms: Mental Disorders, Community Mental Health Centers, Community Mental Health Services, Humans

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