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Assertive outreach: mirror-image study with contemporaneous controls

  • Ann M. Mortimer (a1), Charles J. Shepherd (a1), Akin Fadahunsi (a2), Adam Jones (a3), Palanivelu Kumar (a4) and Poornima Gangaram (a5)...
Abstract
Aims and method

To evaluate the suitability of 80 patients referred for assertive outreach treatment (AOT) and their treatment outcomes, by comparing clinical and social data during the treatment period with data before treatment began. To control for service development across the board, patients on ordinary community treatment were identified and matched to patients undergoing AOT for age, gender, clinical diagnosis and duration, and data acquired for the same time period as the patients on AOT. This was a retrospective mirror-image evaluation with contemporaneous controls.

Results

The patients referred for AOT were more socially disadvantaged and had used more clinical resources than the control patients. Overall, AOT reduced resource uptake markedly following referral, while resource uptake by control patients during the same period remained static or increased; AOT, however, did not lessen most aspects of social disadvantage.

Clinical implications

The advantages of AOT include much reduced use of services but not the resolving of social exclusion. Some ordinary community provision may fail to afford the quality of AOT and thus suffer by comparison. The demise of AOT may be premature in such services.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Ann M. Mortimer (a.m.mortimer@hull.ac.uk)
Footnotes
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Declaration of interest

None.

Footnotes
References
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1 Sainsbury Centre for Mental Health. Keys to Engagement. Sainsbury Centre for Mental Health, 1998.
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BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
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Assertive outreach: mirror-image study with contemporaneous controls

  • Ann M. Mortimer (a1), Charles J. Shepherd (a1), Akin Fadahunsi (a2), Adam Jones (a3), Palanivelu Kumar (a4) and Poornima Gangaram (a5)...
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