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Brief Reports   |    
Effectiveness of Assertive Community Treatment in Hong Kong Among Patients With Frequent Hospital Admissions
Shu Keung Liem, M.R.C.Psych., F.H.K.C.Psych.; Chi Chiu Lee, M.R.C.P., F.H.K.C.Psych.
Psychiatric Services 2013; doi: 10.1176/appi.ps.201200421
View Author and Article Information

The authors are with Clinical Management Team 5, Kwai Chung Hospital, 3-15 Kwai Chung Hospital Rd., the New Territories, Hong Kong, China (e-mail: liemsk@ha.org.hk).

Copyright © 2013 by the American Psychiatric Association

Abstract

Objective  This study examined the effectiveness of assertive community treatment (ACT) for a group of psychiatric patients in Hong Kong with frequent hospital admissions.

Methods  The study compared hospitalization and other outcomes among participants of a two-year ACT intervention and a control group who had received treatment as usual two years earlier. The patients were Chinese adult psychiatric patients who had three or more admissions in the 12 months before the study.

Results  Seventy patients were recruited for each group. Although all the outcome measures decreased with time for both groups, repeated-measures analysis of variance indicated that the treatment group had significantly greater reductions in readmission rate, length of stay, and total days between a missed medical appointment and the next service contact.

Conclusions  ACT was effective in reducing hospitalization and enhancing service contacts for a group of Chinese psychiatric patients with frequent hospital admissions.

Abstract Teaser
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Anchor for Jump
Table 1Repeated-measures ANOVA comparing outcomes between patients who received ACT (treatment group) or usual care (control group)a
Table Footer Note

a ANOVA, analysis of variance; ACT, assertive community treatment

Table Footer Note

b Outcomes were assessed at 12-month and 24-month follow-ups.

Table Footer Note

e Cumulative days between missed medical appointments and date of next service contact

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