Clinical significance of assertive community treatment among adolescents.

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Version: Author's accepted manuscript
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Serval ID
serval:BIB_82BC25AB60F3
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Clinical significance of assertive community treatment among adolescents.
Journal
Social psychiatry and psychiatric epidemiology
Author(s)
Mantzouranis G., Baier V., Holzer L., Urben S., Villard E.
ISSN
1433-9285 (Electronic)
ISSN-L
0933-7954
Publication state
Published
Issued date
04/2019
Peer-reviewed
Oui
Volume
54
Number
4
Pages
445-453
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The efficacy of assertive community treatment for children and adolescents is proven in the United States, but remains controversial in Europe. Moreover, most studies showing positive outcomes of assertive community treatment are limited to statistically significant differences and do not consider whether the treatment is also subjectively clinically meaningful for the patient. Using a naturalistic sample, the present study aims to assess statistical and clinical significance of an assertive community treatment unit for adolescents in Europe.
Linear mixed-effects models and reliable change indices were used to respectively assess the statistical and clinical significance of assertive community treatment in 179 adolescents (mean age = 15.76, SD = 1.76) with severe mental illnesses.
Difficulties related to mental health (measured by the Health of the Nation Outcome Scales for Children and Adolescents, HoNOSCA) and overall functioning (measured by the Global Assessment of Functioning scale) statistically improved (all ps < 0.001) from admission to discharge. Additionally, a considerable proportion of patients (from 14% to 21%) clinically recovered to functional levels.
Our results support the fact that assertive community treatment can have convincing and positive clinical outcomes in European settings.
Keywords
Adolescent, Community Mental Health Services/methods, Community Mental Health Services/statistics & numerical data, Europe, Female, Hospitalization/statistics & numerical data, Humans, Linear Models, Male, Mental Disorders/psychology, Mental Disorders/therapy, Minimal Clinically Important Difference, Outcome Assessment (Health Care)/statistics & numerical data, Treatment Outcome, Adolescents, Assertive community treatment, HoNOSCA, Reliable change index, Treatment efficacy
Pubmed
Web of science
Create date
23/10/2018 9:45
Last modification date
20/08/2019 14:42
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