GGZ Oost Brabant, Oss, The Netherlands.
Tranzo-Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands.
Soc Psychiatry Psychiatr Epidemiol. 2024 May;59(5):745-758. doi: 10.1007/s00127-023-02508-x. Epub 2023 Jun 6.
This Multicenter Youth Flexible ACT Study examined the effect of Youth Flexible Assertive Community Treatment on symptomatic, social, and personal recovery outcomes of adolescents dealing with multifaceted psychiatric and social care needs who do not readily engage in regular office-based mental health services.
Newly admitted clients (n = 199) aged 12-24 years from 16 Youth Flexible ACT teams participated in this observational prospective cohort study. Client and practitioner questionnaires were administered every 6 months, up to 18 months. Latent growth curve analyses were conducted to examine changes in symptomatic, social, and personal recovery outcomes throughout Flexible ACT.
Our analyses of client-reported outcomes showed a decrease in overall psychosocial difficulties, depressive symptoms, and subclinical psychosis symptoms. Moreover, outcomes showed improved social interaction with peers, quality of life, and feelings of empowerment and fewer contacts with the police/legal system. In addition, analyses of clinician-reported outcomes showed a decrease in problems related to family life, peer relationships, school/work attendance, emotional symptoms, and attentional problems. Problems related to personal finance, school and work status, substance misuse, disruptive and aggressive behavior, self-injury, and self-care and independence remained unchanged.
Our results showed that clients participating in Youth Flexible ACT improved in symptomatic, social, and personal recovery outcomes over 18 months. With its integrated approach and personalized care, this service delivery model is promising for adolescents unable to engage successfully in regular (office based) mental health support services.
这项多中心青年灵活强化社区治疗研究考察了青年灵活强化社区治疗对多方面精神卫生和社会护理需求青少年的症状、社会和个人康复结果的影响，这些青少年不太愿意接受常规的基于办公室的精神卫生服务。
来自 16 个青年灵活强化社区治疗小组的 199 名年龄在 12-24 岁的新入院患者参与了这项观察性前瞻性队列研究。在 18 个月内，每 6 个月对患者和从业者进行问卷调查。采用潜在增长曲线分析来研究在灵活强化社区治疗过程中症状、社会和个人康复结果的变化。
我们对患者报告结果的分析表明，整体心理社会困难、抑郁症状和亚临床精神病症状有所减少。此外，结果显示与同龄人互动、生活质量、赋权感得到改善，与警察/法律系统的接触减少。此外，对临床医生报告结果的分析表明，与家庭生活、同伴关系、上学/工作出勤率、情绪症状和注意力问题相关的问题有所减少。与个人财务、学校和工作状况、药物滥用、破坏和攻击行为、自我伤害以及自我护理和独立相关的问题没有变化。
我们的研究结果表明，参与青年灵活强化社区治疗的患者在 18 个月内改善了症状、社会和个人康复结果。这种服务提供模式具有综合性和个性化护理特点，有望为那些无法成功参与常规（基于办公室）精神卫生支持服务的青少年提供帮助。
