Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Article   |    
Impact of Assertive Community Treatment on the Use of State Hospital Inpatient Bed-Days
Jerry Dincin; Daniel Wasmer; Thomas F. Witheridge; Larry Sobeck; Judith Cook; Lisa Razzano
Psychiatric Services 1993; doi:
View Author and Article Information

The authors thank Eileen Niccolai, program director of Thresholds Bridge Southwest, and her dedicated staff, as well as the staff at the Madden Mental Health Center and the Back of the Yards Mental Health Center. The authors also thank Gary Bond, Ph. D., for his advice.

Thresholds, 2700 North Lakeview Avenue, Chicago, Illinois 60614

Dakota County in Minnesota

Department of Mental Health and Developmental Disabilities

Thresholds national research and training center on rehabilitation and mental illness in Chicago

1993 by the American Psychiatric Association

text A A A
PDF of the full text article.

Objective: The purpose of the study was to determine whether use of inpatient services at a state hospital was reduced by implementation of an assertive community treatment program among persons in one of the hospital's catchement areas who were at high risk for rehospitalization. Methods: Bedday utilization by program participants during the fiscal year before the program was implemented ( 1986) and three subsequent fiscal years was compared with utilization by persons in catchment areas not served by the program. For the 66 program participants, hospital use during the year before program intake was compared with use in the year after intake using t tests. Results: Utilization of bed-days by persons in the program's catchment area was reduced by 28 percent in the third fiscal year after program implementation, compared with an increase of 15 percent among persons in the hospital's other catchment areas. in the year after the program was implemented, participants were hospitalized a mean of 27.7 days, compared with a mean of 80 days in the year before the program. Conclusions: The assertive community treatment program significantly reduced use of inpatient days and improved continuity of care.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).




CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe

Related Content
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 33.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 22.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 53.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 53.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 34.  >
Topic Collections
Psychiatric News
APA Guidelines
PubMed Articles