BMJ  2006;332 (8 April), doi:10.1136/bmj.332.7545.0

Assertive mental health service improved engagement

Compared with usual care from community mental health teams, assertive community treatment teams in the London boroughs of Camden and Islington improved people's satisfaction and the quality of engagement with the services but didn't seem to offer other advantages. In a non-blinded randomised trial that included 251 people with serious mental illnesses who initially had high use of inpatient care and difficulties in engaging with community services, Killaspy and colleagues (p 815) found no difference between the groups in inpatient service use or in clinical or social outcomes over 18 months.

Credit: MARK THOMAS

 

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Relevant Article

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

Helen Killaspy, Paul Bebbington, Robert Blizard, Sonia Johnson, Fiona Nolan, Stephen Pilling, and Michael King
BMJ 2006 332: 815-820. [Abstract] [Full Text] [PDF]

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bmj.com, 10 Apr 2006 [Full text]

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Standard care isn’t what it used to be

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Transparency needed from the BMJ

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Correction and experiences needed

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