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Enhancing the effectiveness of an assertive outreach team: case study

  • Abrar Hussain (a1), Tanya Thirkell (a1) and Azaad Taher (a1)
Abstract
Aims and method

To evaluate the effectiveness of the Harrow Assertive Outreach Team in reducing hospital admissions. We compared first- and second-year admissions of a cohort of 76 patients.

Results

Significant reductions in the number of admissions and number of days admitted were noted in the second year. In the subcohort of patients admitted in both years, the reduction in the number of admissions was significant but reduction in number of days admitted was not.

Clinical implications

Hospital admissions may be reduced by appointment of consultant psychiatrist and approved mental health practitioner, home treatment approach and intensive case management.

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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
Abrar Hussain (abrarhussain@nhs.net)
Footnotes
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Declaration of interest

All authors are members of the Harrow Assertive Outreach Team.

Footnotes
References
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1 Department of Health. National Service Framework for Mental Health: Modern Standards and Service Models. Department of Health, 1999.
2 Marshall, M, Lockwood, A. Assertive community treatment for people with severe mental disorders. Cochrane Dat Syst Rev 1998; 2: CD001089.
3 Killaspy, H, Bebbington, P, Blizard, R, Johnson, S, Nolan, F, Pilling, S, et al. The REACT study: randomised evaluation of assertive community treatment in north London. BMJ 2006: 332: 815–20.
4 Killaspy, H, Kingett, S, Bebbington, P, Blizard, R, Johnson, S, Nolan, F, et al. Randomised evaluation of assertive community treatment: 3-year outcomes. Br J Psychiatry 2009; 195: 81–2.
5 Killaspy, H. Assertive community treatment in psychiatry. BMJ 2007; 335: 311–2.
6 Department of Health. Mental Health Policy Implementation Guide. Department of Health, 2001.
7 World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders. WHO, 1993.
8 Department of Health. Assertive Outreach in Mental Health in England: Report from a Day Seminar on Research, Policy and Practice. Department of Health, 2005.
9 Weaver, T, Tyrer, P, Ritchie, J, Renton, A. Assessing the value of assertive outreach. Qualitative study of process and outcome generation in the UK700 trial. Br J Psychiatry 2003; 183: 437–45.
10 Tyrer, P. Are small case-loads beautiful in severe mental illness? Br J Psychiatry 2000; 177: 386–7.
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BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
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Enhancing the effectiveness of an assertive outreach team: case study

  • Abrar Hussain (a1), Tanya Thirkell (a1) and Azaad Taher (a1)
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