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The replacement of assertive outreach services by reinforcing local community teams: a replication study reporting comparative outcomes and patient reported experience.

Firn, M; Alonso-Vicente, M; Hubbeling, D; Holley, J; White, SJ; Jones, B (2017) The replacement of assertive outreach services by reinforcing local community teams: a replication study reporting comparative outcomes and patient reported experience. J Ment Health, 27 (2). pp. 157-163. ISSN 1360-0567 https://doi.org/10.1080/09638237.2017.1340601
SGUL Authors: White, Sarah Jane

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Abstract

BACKGROUND: This is the third in a series of papers on patient outcomes and other consequences of the withdrawal of specialist assertive outreach (AO) teams. We previously reported positive outcomes for patients receiving a less intensive service at up to four years, but had not systematically interviewed patients. AIMS: To test the generalizability of earlier findings through replication in another service. To complement the analysis of service utilisation with patient reported experience between the two treatment models. METHODS: Service level evaluation 12 months pre and post service change for 55 eligible AO patients. Thirty three consenting patients answered validated questionnaires. RESULTS: There were no statistically significant changes in hospital bed use comparing the year before and the year after the change (850-712 bed days, median 34-20). No significant change in crisis activity occurred despite a highly significant reduction in face to face contacts from a mean of 90-40. There were no significant changes in patient reported experience. CONCLUSIONS: Results are consistent with earlier studies. Reinforcing community mental health teams can provide an integrated service model that is clinically effective and equally acceptable to patients, making this a viable and affordable alternative to orthodox AO teams.

Item Type: Article
Additional Information: This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Mental Health on 24/6/17, available online: http://www.tandfonline.com/10.1080/09638237.2017.1340601.
Keywords: Assertive, community, flexible, outreach, schizophrenia, Psychiatry, 1103 Clinical Sciences, 1701 Psychology
SGUL Research Institute / Research Centre: Academic Structure > Population Health Research Institute (INPH)
Journal or Publication Title: J Ment Health
ISSN: 1360-0567
Language: eng
Dates:
DateEvent
24 June 2017Published
3 May 2017Accepted
Publisher License: Publisher's own licence
PubMed ID: 28648100
Go to PubMed abstract
URI: http://sgultest.da.ulcc.ac.uk/id/eprint/108933
Publisher's version: https://doi.org/10.1080/09638237.2017.1340601

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