Publication

Function assertive community treatment (FACT) and psychiatric service use in patients diagnosed with severe mental illness

Drukker, M., van Os, J., Sytema, S., Driessen, G., Visser, E. & Delespaul, P., Sep-2011, In : Epidemiology and psychiatric sciences. 20, 3, p. 273-278 6 p.

Research output: Contribution to journalArticleAcademicpeer-review

Aim. Previous work suggests that the Dutch variant of assertive community treatment (ACT), known as Function ACT (FACT), may be effective in increasing symptomatic remission rates when replacing a system of hospital-based care and separate community-based facilities. FACT guidelines propose a different pattern of psychiatric service consumption compared to traditional services, which should result in different costing parameters than care as usual (CAU).

Methods. South-Limburg FACT patients, identified through the local psychiatric case register, were matched with patients from a non-FACT control region in the North of the Netherlands (NN). Matching was accomplished using propensity scoring including, among others, total and outpatient care consumption. Assessment, as an important ingredient of FACT, was the point of departure of the present analysis.

Results. FACT patients, compared to CAU, had five more outpatient contacts after the index date. Cost-effectiveness was difficult to assess.

Conclusion. Implementation of FACT results in measurable changes in mental health care use.

Original languageEnglish
Pages (from-to)273-278
Number of pages6
JournalEpidemiology and psychiatric sciences
Volume20
Issue number3
Publication statusPublished - Sep-2011

    Keywords

  • Cost effectiveness, Health Services Research, Assertive Community Treatment, schizophrenia and disorders with psychotic features, MEDICAL DECISION-ANALYSIS, DUTCH VERSION, PRIMER, CARE, NEED, ACT

ID: 5461817