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The REACT study: randomised evaluation of assertive community treatment in north London

Killaspy, H; Bebbington, P; Blizard, R; Johnson, S; Nolan, F; Pilling, S; King, M; (2006) The REACT study: randomised evaluation of assertive community treatment in north London. British medical Journal , 332 (7545) 815 - 818A. 10.1136/bmj.38773.518322.7C. Green open access

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Abstract

Objective To compare outcomes of care from assertive community treatment teams with care by community menial 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 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.

Type: Article
Title: The REACT study: randomised evaluation of assertive community treatment in north London
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/bmj.38773.518322.7C
Publisher version: http://dx.doi.org/10.1136/bmj.38773.518322.7C
Language: English
Additional information: This article is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/'.
Keywords: Standard case-management, psychotic illness, prism psychosis, mentally-ill, schizophrenia, program, trial, scale, care, fidelity
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > IoN RLW Inst of Neurological Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute
URI: https://discovery.ucl.ac.uk/id/eprint/166247
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