de Cangas J P
Sante Ment Que. 1994 Spring;19(1):75-91.
This study measured the effectiveness of a comprehensive community treatment program modeled after an Assertive Case Management structure. It used an experimental random assignment design. Over a six month period, patients in the ACM program, despite their acute symptoms, had better vocational and social outcomes, less symptomatology, lower recidivism and length of hospital stay rates. Most revealing was their reported quality of life and lower perceived family burden than the hospital program patients. Further, the ACM patients' overall treatment costs were lower than the patients in the hospital program.
本研究衡量了一个仿照主动式个案管理结构制定的综合社区治疗项目的效果。它采用了实验性随机分配设计。在六个月的时间里，接受主动式个案管理项目的患者，尽管有急性症状，但在职业和社会方面取得了更好的成果，症状更少，再犯率和住院时间率更低。最能说明问题的是，与住院项目的患者相比，他们报告的生活质量更高，感知到的家庭负担更低。此外，主动式个案管理项目患者的总体治疗成本低于住院项目的患者。
