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Long-term follow-up of individuals on assertive outreach teams

  • Tanvir Rana (a1) and Martin Commander (a2)
Abstract
Aims and method

To describe the long-term outcome of 165 people taken onto assertive outreach teams.

Results

After a mean follow-up of 6 years and 8 months, 130 people remained in contact with local services of whom 100 were still under the care of an assertive outreach team. Admission rates remained around half those at inception. However, 16 individuals had died, 10 spent time in prison, 12 were homeless and 14 had protracted stays in hospital during the follow-up period.

Clinical implications

Although assertive outreach teams are successful in engaging individuals and reducing admission rates, these benefits plateau after the first few years and could possibly be sustained by other services that may in addition focus more on those areas where teams have proven less effective including physical health, housing and employment.

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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
Martin Commander (martin.commander@bsmhft.nhs.uk)
Footnotes
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Declaration of interest

None.

Footnotes
References
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1 Department of Health. The Mental Health Policy Implementation Guide. Department of Health, 2001.
2 Killaspy, H. Assertive community treatment in psychiatry. BMJ 2007; 335: 311–2.
3 Commander, M, Sashidharan, S, Rana, T, Ratnayake, T. North Birmingham assertive outreach evaluation. Patient characteristics and clinical outcomes. Soc Psychiatry Psychiatr Epidemiol 2005; 40: 988–93.
4 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: 815–8.
5 Burns, T, Firn, M. Assertive Outreach in Mental Health – A Manual for Practitioners. Oxford University Press, 2002.
6 Priebe, S. Institutionalisation revisted – with and without walls. Acta Psychiatr Scand 2004; 110: 81–2.
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BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
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Long-term follow-up of individuals on assertive outreach teams

  • Tanvir Rana (a1) and Martin Commander (a2)
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