Place-Based Fact
Treatment Outcomes and Patients’ Experience with Integrated Neighborhood-Based Care
Bibliographic Data
| ID | 8907614 |
|---|---|
| Authors | Welmoed van Ens (0009-0006-2068-0666, Altrecht GGZ, corresponding author), Sarita Sanches (0000-0001-6675-927X, Altrecht GGZ), Leonieke Beverloo (Altrecht GGZ), Wilma Swildens (0000-0003-3910-8767, Altrecht GGZ) |
| Year | 2024 |
| Volume | 60 |
| Issue | 6 |
| Pages | 1214-1227 |
| Publication date | 2024-05-10 |
| 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/s10597-024-01277-4 |
| PMID | 38727946 |
| OpenAlex | W4396808399 |
| Language | EN |
| Citations received | 2 |
| References cited | 56 |
Locating specialized mental healthcare services in the neighborhood of people with severe mental illnesses (SMI) has been suggested as a way of improving treatment outcomes by increasing patient engagement and integration with the local care landscape. The current mixed methods study aimed to examine patient experience and treatment outcomes in three Flexible Assertive Community Treatment (FACT) teams that relocated to the neighborhood they served, compared to seven teams that continued to provide FACT as usual from a central office. Routine Outcome Measurement (ROM) and care use data were analyzed to compare change in treatment outcomes for patients in place-based FACT (n = 255) and FACT as usual (n = 833). Additionally, retrospective in-depth interviews were conducted with twenty patients about their experience with place-based FACT. Quantitative analysis showed mental health admission days decreased more in place-based than FACT as usual, although this difference was small. Both groups showed improved quality of life, psychosocial functioning, and symptomatic remission rates, and decreased unmet and overall needs for care. There was no change over time in met needs for care, employment, and daily activities. Qualitative analysis showed that patients experienced place-based FACT as more accessible, a better safety net, a more personal approach, better integrated with other forms of care, involving their social network, and embedded in their neighborhood and daily environment. This study showed that location and integration matter to patients, and the long term impact of place-based FACT on treatment outcomes should be explored
Assertive community treatment · Community integration · Health care · Integrated care · Mental health · Mental illness · Physical therapy · Psychiatry · Psychosocial · Quality of life (healthcare · Medicine · Mental Health and Patient Involvement · Nursing · Psychiatric care and mental health services · Psychology · Schizophrenia research and treatment
Relation of the therapeutic alliance with outcome and other variables
The Camberwell Assessment of Need
Mortality in Mental Disorders and Global Disease Burden Implications
Contact Between Police and People With Mental Disorders
Alternative to Mental Hospital Treatment
Health of the Nation Outcome Scales (HoNOS)
The gap in life expectancy from preventable physical illness in psychiatric patients in Western Australia
Saturation in qualitative research
Multilevel Analysis
Application and Results of the Manchester Short Assessment of Quality of Life (Mansa)
The Therapeutic Relationship in the Treatment of Severe Mental Illness
‘Building up safe havens…all around the world’
Social stigma is an underestimated contributing factor to unemployment in people with mental illness or mental health issues
Cost Effectiveness and Budget Impact of the Boston University Approach to Psychiatric Rehabilitation for Increasing the Social Participation of Individuals With Severe Mental Illnesses
Caring for a Crisis”
Exploring the role of ‘enabling places’ in promoting recovery from mental illness
Employment Rates in Flexible Assertive Community Treatment Teams in The Netherlands
Outcomes of FLEXIBLE Assertive Community Treatment (Fact) Implementation
Fact
Factors Associated with Patient Satisfaction of Community Mental Health Services
Using thematic analysis in psychology
Frying eggs or making a treatment plan? Frictions between different modes of caring in a community mental health team
| Unique citing works | 2 |
|---|---|
| Citations per year | 2 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 2 |