The Overlooked Part of Flexible Assertive Community Treatment—A Retrospective Study on Factors Related to Discharge from Fact for Clients with a Psychotic Disorder
Bibliographic Data
| ID | 8905696 |
|---|---|
| Authors | Eva de Bruijn (0000-0001-7666-9227, Tilburg University, corresponding author), Eline C Jochems (0000-0002-7466-9976), André I Wierdsma (0000-0002-0734-4776, Erasmus MC), Yolande Voskes (0000-0002-0211-8892, Tilburg University) |
| Year | 2023 |
| Volume | 59 |
| Issue | 7 |
| Pages | 1313-1320 |
| Publication date | 2023-04-22 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Community Mental Health Journal (JOURNAL) |
| Journal identifiers | ISSN: 0010-3853 • E-ISSN: 1573-2789 |
| Publisher | Springer Science+Business Media (PUBLISHER • DE) |
| DOI | 10.1007/s10597-023-01115-z |
| PMID | 37086300 |
| OpenAlex | W4366742499 |
| Language | EN |
| Citations received | 1 |
| References cited | 18 |
Flexible assertive community treatment (FACT) is a recovery-based treatment and its manual describes discharge criteria for clients who are recovered. Yet research on discharge is lacking. In this retrospective and observational study, between 2009 and 2019, we explored how sociodemographic, clinical, and treatment factors are associated with planned discharge or no discharge. We included 1734 clients with a psychotic disorder of which 38.5% were discharged after a mutual decision that FACT was no longer necessary. Logistic regression analysis was used to create a discharge profile which was more favorable for discharged clients. They were older at the start of FACT, had lower HoNOS scores, were diagnosed with another psychotic disorder, and had fewer contacts with non-FACT members. Discharge is a part of FACT and is more common than anticipated. While this study provides preliminary answers, further research is necessary to better understand discharge and its associated factors
Assertive community treatment · Assertiveness · Hospital discharge · Intensive care medicine · Logistic regression · Mental health · Mental illness · Observational study · Psychiatric hospital · Psychiatry · Psychotherapist · Retrospective cohort study · Schizophrenia (object-oriented programming · Medicine · Mental Health and Patient Involvement · Psychology · Schizophrenia research and treatment · Surgery
Applied Logistic Regression
Recovery from psychotic illness
Scientific and Consumer Models of Recovery in Schizophrenia
Conceptual framework for personal recovery in mental health
Transitions from Assertive Community Treatment Among Urban and Rural Teams
Outcomes of FLEXIBLE Assertive Community Treatment (Fact) Implementation
Fact
| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 1 |