Difficult-to-engage patients: a specific target for time-limited assertive outreach in a Swiss setting.

Détails

ID Serval
serval:BIB_EDF49735AE26
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Difficult-to-engage patients: a specific target for time-limited assertive outreach in a Swiss setting.
Périodique
Canadian Journal of Psychiatry
Auteur⸱e⸱s
Bonsack C., Adam L., Haefliger T., Besson J., Conus P.
ISSN
0706-7437
Statut éditorial
Publié
Date de publication
2005
Peer-reviewed
Oui
Volume
50
Numéro
13
Pages
845-850
Langue
anglais
Résumé
OBJECTIVE: Assertive community treatment (ACT) failed to develop in Europe, and its efficacy is debated. In Lausanne, Switzerland, ACT focuses on difficult-to-engage patients and aims to facilitate linkage with outpatient care through time-limited interventions. This study aimed to evaluate the applicability and efficiency of time-limited ACT. METHODS: We retrospectively assessed social, clinical, and functional outcomes and motivation for treatment in 75 consecutively seen subjects treated between 2000 and 2002. RESULTS: With 70% of the interventions lasting less than 6 months, we observed significant improvement in most clinical and social problems, in collaboration, in motivation for treatment, and in social network support, despite high baseline levels of clinical and social problems. The number of hospitalizations decreased significantly. CONCLUSIONS: Time-limited ACT is a useful treatment for difficult-to-engage patients with severe clinical and social problems, and it facilitates linkage to care. This narrower target for ACT may facilitate its implementation in Europe.
Mots-clé
Adolescent, Adult, Aged, Assertiveness, Community-Institutional Relations, Female, Humans, Male, Middle Aged, Patients, Professional-Patient Relations, Retrospective Studies, Social Environment, Social Facilitation, Social Support, Switzerland, Time Factors
Pubmed
Web of science
Création de la notice
10/03/2008 9:47
Dernière modification de la notice
20/08/2019 16:15
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