Department of Mental Health and Psychiatry, University Hospitals of Geneva, Geneva, Switzerland.
Department of Mental Health and Psychiatry, CAPPI Eaux-Vives, Rue du XXXI Décembre 6-8, 1207, Geneva, Switzerland.
Community Ment Health J. 2020 Apr;56(3):559-567. doi: 10.1007/s10597-019-00513-6. Epub 2019 Dec 5.
The benefits of assertive community treatment (ACT) on patients with severe mental disorders are well established over short or medium term. However, studies that investigate long term outcomes are remarkably scarce. Thus, this study aimed to evaluate patient's long term clinical and psychosocial evolution after discharge from ACT. An assessment was conducted on 29 patients characterized by inpatient facilities heavy use and refusal of care, who were included in an ACT program 8.7 (SD = 0.7) years ago and discharged 6.3 (SD = 1.8) years ago. Results of the follow up showed decreased rates of hospitalizations and symptomatology, as well as sustained improvement in adherence to care, in quality of life and in social functioning. This data suggests that ACT programs can help refractory to care patients to gain clinical and psychosocial improvement and lay foundation for better long-term adherence to care. Results also suggest that ACT didn't imply a lifetime treatment.
在短期或中期内，确证性社区治疗（ACT）对严重精神障碍患者的益处已得到充分证实。然而，研究长期结果的研究却非常稀缺。因此，本研究旨在评估患者从 ACT 出院后的长期临床和心理社会演变。对 29 名住院设施使用频繁且拒绝治疗的住院患者进行了评估，这些患者在 8.7（SD=0.7）年前被纳入 ACT 计划，并在 6.3（SD=1.8）年前出院。随访结果显示，住院率和症状减轻，以及对治疗的坚持、生活质量和社会功能的持续改善。这些数据表明，ACT 计划可以帮助那些难以治疗的患者获得临床和心理社会方面的改善，并为更好的长期治疗依从性奠定基础。结果还表明，ACT 并不意味着终身治疗。
