The REACT study: randomised evaluation of assertive community treatment in north London
Open accessAbstract
OBJECTIVE: To compare outcomes of care from assertive community treatment teams with care by community mental health teams for people with serious mental illnesses. DESIGN: Non-blind randomised controlled trial. SETTING: Two inner London boroughs. PARTICIPANTS: 251 men and women under the care of adult secondary mental health services with recent high use of inpatient care and difficulties engaging with community services. INTERVENTIONS: Treatment from assertive community treatment team (127 participants) or continuation of care from community mental health team (124 participants). MAIN OUTCOME MEASURES: Primary outcome was inpatient bed use 18 months after randomisation. Secondary outcomes included symptoms, social function, client satisfaction, and engagement with services. RESULTS: No significant differences were found in inpatient bed use (median difference 1, 95% confidence interval -16 to 38) or in clinical or social outcomes for the two treatment groups. Clients who received care from the assertive community treatment team seemed better engaged (adapted homeless engagement acceptance schedule: difference in means 1.1, 1.0 to 1.9), and those who agreed to be interviewed were more satisfied with services (adapted client satisfaction questionnaire: difference in means 7.14, 0.9 to 13.4). CONCLUSIONS: Community mental health teams are able to support people with serious mental illnesses as effectively as assertive community treatment teams, but assertive community treatment may be better at engaging clients and may lead to greater satisfaction with services.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
The citation lists haven’t been fetched yet
References 36 · Cited by 273
Research works printed but not linked: 1
- Camden and Islington Mental Health and Social Care Trust. Analysis of acute inpatient services in the care trust. London: Camden and Islington Mental Health and Social Care Trust, 2004. (Accepted 2 February 2006) doi 10.1136/bmj.38773.518322.7C Department of Mental Health Sciences, University College London, London NW3 2PF; Camden and Islington Mental Health and Social Care Trust Helen Killaspy senior lecturer Michael King professor Paul Bebbington professor Sonia Johnson senior lecturer Department of Mental Health Sciences, University College London Robert Blizard statistician Centre for Outcomes Research and Effectiveness, University College London Fiona Nolan nursing research fellow Stephen Pilling director of centre Correspondence to: H Killaspy h.killaspy@medsch.ucl.ac.uk · DOI
- Authors
- Killaspy, H., Bebbington, P., Blizard, R., Johnson, S., Nolan, F., Pilling, S., & King, M.
- Affiliations
- University College London (GB)
- Corresponding author
- Killaspy, Helen
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2006-03-16
- Volume
- 332
- Issue
- 7545
- Pages
- 815-820
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- PMC
- PMC1432213
- OpenAlex
- W2117379949
- Cited by
- 273
- References
- 36
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 5 · 2023: 3 · 2022: 6 · 2021: 23 · 2020: 4 · 2019: 6 · 2018: 13 · 2017: 7 · 2016: 13 · 2015: 17 · 2014: 18 · 2013: 13 · 2012: 29
- FWCI
- 24.67
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- BMJ (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- assertive community treatment, community mental health teams, severe mental illness, service engagement, client satisfaction, social functioning, inner London
- MeSH terms
- Adult, Assertiveness, Behavior Therapy, Mental Disorders, Community Mental Health Services, Female, Humans, London, Male, Treatment Outcome, Patient Satisfaction
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
