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Cited by 224Psychiatric care and mental health servicesHomelessness and Social IssuesSchizophrenia research and treatment

The DOI matches its Crossref record; 29 of the 29 references it cites were found in a registry or an index.

Psychiatric Hospitalizations, Arrests, Emergency Room Visits, and Homelessness of Clients with Serious and Persistent Mental Illness: Findings from a Randomized Trial of Two ACT Programs vs. Usual Care

Clarke, Gregory N., Herinckx, Heidi A., Kinney, Ronald F., Paulson, Robert I., Cutler, David L., Lewis, Karen, Oxman, Evie·2000·Mental Health Services Research
DOI 10.1023/a:1010141826867
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Abstract

Objective This investigation examined several adverse outcomes in clients with serious mental illness in a randomized trial of Assertive Community Treatment (ACT) versus usual care. Method 163 subjects were randomized to one of two ACT experimental conditions (staffed by consumers or non-consumers) or usual community care. Conditions were compared on psychiatric hospitalization, emergency room visit, arrest, and homelessness, within the two-year study period. Demographic, program, and client variables were examined for significant associations with outcomes. Results Significant differences were found between ACT and usual care in time to first arrest, but not hospitalization, homelessness or ER visits. Shorter time to first hospitalization was associated with male gender, diagnoses other than schizophrenia, high psychiatric symptomatology and lower provider case load. ER visits were associated with increased client symptomatology. Shorter times to homelessness were predicted by poorer therapeutic alliance between case manager and clients. Shorter time to first arrest was predicted by client minority status and enrollment in usual care. Conclusions The paucity of significant main effects may have been due to a prolonged "start-up" phase of the ACT programs, poor ACT implementation, restricted availability of psychiatric hospital beds, or changes in usual care services delivered over the study period.

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Research works printed but not linked: 5

  1. Drake, R. E., Mueser, K. T., & McHugo, G. J. (1996). Clinician rating scales: Alcohol Use Scale (AUS), Drug Use Scale (DUS), and Substance Abuse Treatment Scale (SATS). In L. I. Sederer, & B. Dickey (Eds.), Outcomes assessment in clinical practice (pp. 113-116). Baltimore: Williams and Wilkins.
  2. Lukoff, D., Nuechterlein, K. H., & Ventura J. (1986). Manual for the Expanded Brief Psychiatric Rating Scale. Schizophrenia Bulletin, 12, 594-602.
  3. Nikkel, R. E., Smith, G., & Edwards, D. (1992). A consumeroriented case management project. Hospital and Community Psychiatry, 43, 577-579.
  4. Paulson, R., Clarke, G. N., Herinckx, H., Kinney, R., Cutler, D., & Lewis, K. (2000). A Randomized trial of consumer vs. Non-consumer-staffed assertive community treatment programs vs. Usual care for persons with major mental illness: Two year outcomes. Unpublished manuscript, Regional Research Institute, Portland State University, Oregon.
  5. Ventura, J., Green, M., & Shaner, A. (1993). Training and quality assurance on the BPRS: 'The drift busters.' International Journal of Methods in Psychiatric Research, 3, 221-224.

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Metadata

Authors
Clarke, G. N., Herinckx, H. A., Kinney, R. F., Paulson, R. I., Cutler, D. L., Lewis, K., & Oxman, E.
Affiliations
  • Kaiser Permanente Center for Health Research (US)
  • Portland State University (US)
Corresponding author
Clarke, Gregory N.
ORCID
Clarke, Gregory N.
Venue
Mental Health Services Research
Publisher
Springer Science and Business Media LLC
Published
2000-09
Volume
2
Issue
3
Pages
155-164
ISSN
  • 1522-3434 (ISSN-L)
  • 1573-6636
DOI
10.1023/a:1010141826867
OpenAlex
W1570195765
Semantic Scholar
ec1aa7389078636f94d7d1e57964430f228d2043
Cited by
223
References
29
Citations by year
2026: 4 · 2025: 2 · 2024: 1 · 2023: 6 · 2022: 2 · 2021: 11 · 2020: 9 · 2019: 7 · 2018: 7 · 2017: 52 · 2016: 8 · 2015: 5 · 2014: 8 · 2013: 14 · 2012: 12
FWCI
2.25
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Mental Health Services Research (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Social Sciences › Sociology and Political Science › Homelessness and Social Issues
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Keywords
assertive community treatment, severe mental illness, psychiatric hospitalization, emergency department visits, arrests, homelessness, therapeutic relationship, psychiatric symptom severity, minority status
MeSH terms
Adult, Mental Disorders, Community Mental Health Services, Emergency Services, Psychiatric, Female, Ill-Housed Persons, Hospitalization, Humans, Male, Severity of Illness Index, United States, Program Evaluation, Treatment Outcome

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