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. 2021 Jun 24;17(2):e1154. doi: 10.1002/cl2.1154
Methods Design: 3‐arm randomized control trial
Setting: St. Louis, MO, United States
Follow up: 18 months
Participants Population: Homeless mentally ill individuals
Sample size: Total sample n = 165, ACT and ACT with community workers n = 105, BCM n = 60
Interventions Intervention:
Assertive community treatment: Principles included intensive individualized treatment, responsibility for providing or coordinating all services needed by the client, persistent follow‐up, and in vivo service delivery. No time limit was placed on treatment. The team conducted individual treatment activities, such as building a therapeutic alliance, linking clients with medication services, helping clients cope with symptoms and solve practical problems in daily living. The team also made interventions to improve clients social environment and resources and provided supportive services, such as monitoring medications, providing payee and money management services, and assisting with transportation.
Assertive Community Treatment with community workers: The approach operated similarly to the ACT only condition with one exception; clients were also assigned a paraprofessional community worker whose role was to assist with activities of daily living and to be available for leisure activities.
Comparator:
In the broker case management condition, the case manager's role was to develop an individualized service plan for the client, arrange for and purchase mental health and psychosocial services from various service providers, monitor the quality of purchased services and adjust the mix of services based on the client's changing needs.
Outcomes Housing stability, Mental health, Substance use, Income, quality of life, hospitalisation
Notes