This review examines the impact of assertive community treatment (ACT) and case management models on the use of impatient hospitalization and other community mental health services, costs, and other clinical and social outcomes.
ACT programs have been found to reduce hospitalization and increase use of community mental health services at an equivalent or reduced cost.
Greater fidelity to the ACT model produced better outcomes.
The impact of case management models is less consistent, but intensive case management programs also have been found to reduce hospitalization.
We discuss limitations in past research and recommend future directions.
Mots-clés Pascal : Schizophrénie, Psychose, Traitement communautaire, Psychiatrie communautaire, Prévention, Hospitalisation, Analyse coût, Economie santé, Santé mentale, Article synthèse, Homme, Suivi cas
Mots-clés Pascal anglais : Schizophrenia, Psychosis, Community treatment, Community psychiatry, Prevention, Hospitalization, Cost analysis, Health economy, Mental health, Review, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0080625
Code Inist : 002B18I11. Création : 199608.