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. 2021 Jun 24;17(2):e1154. doi: 10.1002/cl2.1154
Methods Design: Randomized control trial
Setting: Baltimore, MD, United States
Follow up: 12 months
Participants Population: Homeless persons with mental illness
Sample size: Total sample n = 152, Intervention n = 77, control n = 75
Interventions Intervention:
The experimental condition was the ACT program, modeled after the ACT program first developed by Stein and Test. Each patient was assigned to a "mini‐team" consisting of a clinical case manager (caseload, 10‐12 patients), an attending psychiatrist, and a consumer advocate. The entire ACT team, including the consumer advocates, worked together in decision making and each staff member was knowledgeable about most of the patients. Team‐work was fostered through daily sign‐out rounds and twice‐weekly treatment planning meetings.
Control:
The comparison condition consisted of services as usual in Baltimore. The public mental health system in Baltimore encompasses 7 community mental health centers operating under a nonprofit, private, local mental health authority, which was developed as part of the Robert Wood Johnson Foundation Program on Chronic Mental illness. Several community‐based psychiatric inpatient and emergency facilities, including those affiliated with 2 major teaching institutions; provide acute inpatient and crisis‐oriented care.
Outcomes Housing stability, Mental health, Quality of life, Hospitalization
Notes