Table 4.
Secondary outcomes at 18 months for clients with serious mental illness assigned to assertive community treatment or to community mental health team care. Values are numbers (percentages) of clients unless stated otherwise
| Variable | Assertive community treatment team | Community mental health team | Mean difference (95% CI) | P value |
|---|---|---|---|---|
| n=91 | n=75 | |||
| Mean (SD) symptoms (EBPRS) | 32.9 (9.0) | 33.5 (8.6) | −0.6 (−3.3 to 2.1) | 0.66 |
| Mean (SD) unmet needs (CANSAS) | 3.3 (2.7) | 3.4 (2.9) | −0.1 (−1.0 to 0.7) | 0.76 |
| Mean (SD) satisfaction (CSQ) | 77.2 (20.0) | 70.0 (20.6) | 7.14 (0.9 to 13.4) | 0.03 |
| n=91 | n=67 | |||
| Mean (SD) quality of life (MANSA) | 4.5 (1.0) | 4.4 (0.9) | 0.1 (−0.2 to 0.4) | 0.56 |
| n=124 | n=115 | |||
| Mean (SD) social function (LSP) | 119 (16.4) | 115 (19.7) | 4.3 (−0.3 to 8.9) | 0.07 |
| Mean (SD) total score (HoNOS) | 8.6 (4.8) | 9.0 (5.9) | −0.4 (−1.8 to 1.0) | 0.56 |
| Mean (SD) influences on medication (RoMI): compliance | 6.7 (2.6) | 6.1 (2.5) | 0.6 (−0.6 to 1.2) | 0.07 |
| Mean (SD) influences on medication (RoMI): non-compliance | 10.8 (4.3) | 11.4 (3.8) | −0.7 (−1.7 to 0.4) | 0.20 |
| Mean (SD) engagement (HEAS)* | 9.1 (3.3) | 8.0 (3.8) | 1.1 (0.1 to 1.9) | 0.03 |
| n=124 | n=115 | |||
| Lost to follow-up | 2 (2) | 10 (8) | 5.96† | 0.01 |
| Serious incidents in past 18 months: | ||||
| Homeless | 12 (10) | 16 (14) | 1.03† | 0.31 |
| Violence‡ | 21 (17) | 14 (12) | 1.08† | 0.30 |
| Deliberate self home§ | 10 (8) | 13 (11) | 0.72† | 0.40 |
| Arrested | 23 (19) | 25 (22) | 0.38† | 0.54 |
| Forensic¶ | 9 (7) | 6 (5) | 0.22† | 0.64 |
| Prison | 3 (2) | 4 (3) | 0.24† | 0.63 |
| Substance misuse: | ||||
| Alcohol | 25 (20) | 21 (18) | 0.14† | 0.71 |
| Illicit drugs | 29 (23) | 25 (22) | 0.64† | 0.42 |
Includes participants who disengaged completely and were out of contact with services therefore assertive community treatment n=124, community mental health care n=119.
ϰ2 tests.
Victim required hospital treatment.
Includes participants who committed suicide: one assigned to assertive community treatment (total n=125) and three assigned to community mental health care (total n=118).
Contact with forensic psychiatric services.