TY - JOUR
AU - W. van Ens
AU - S. Sanches
AU - L. Beverloo
AU - W. E. Swildens
A1 - 
AB - Locating specialized mental healthcare services in the neighborhood of people with severe mental illnesses (SMI) has been suggested as a way of improving treatment outcomes by increasing patient engagement and integration with the local care landscape. The current mixed methods study aimed to examine patient experience and treatment outcomes in three Flexible Assertive Community Treatment (FACT) teams that relocated to the neighborhood they served, compared to seven teams that continued to provide FACT as usual from a central office. Routine Outcome Measurement (ROM) and care use data were analyzed to compare change in treatment outcomes for patients in place-based FACT (n = 255) and FACT as usual (n = 833). Additionally, retrospective in-depth interviews were conducted with twenty patients about their experience with place-based FACT. Quantitative analysis showed mental health admission days decreased more in place-based than FACT as usual, although this difference was small. Both groups showed improved quality of life, psychosocial functioning, and symptomatic remission rates, and decreased unmet and overall needs for care. There was no change over time in met needs for care, employment, and daily activities. Qualitative analysis showed that patients experienced place-based FACT as more accessible, a better safety net, a more personal approach, better integrated with other forms of care, involving their social network, and embedded in their neighborhood and daily environment. This study showed that location and integration matter to patients, and the long term impact of place-based FACT on treatment outcomes should be explored.
AD - Altrecht Institute for Mental Health Care, Utrecht, The Netherlands.; Avans University of Applied Sciences, Breda, The Netherlands.; Altrecht Institute for Mental Health Care, Utrecht, The Netherlands. w.swildens@altrecht.nl.; Department of Nursing, Inholland University of Applied Sciences, Amsterdam, The Netherlands. w.swildens@altrecht.nl.
AN - 38727946
BT - Community Ment Health J
C5 - Healthcare Disparities; Measures
CP - 6
DA - Aug
DO - 10.1007/s10597-024-01277-4
DP - NLM
ET - 20240510
IS - 6
JF - Community Ment Health J
LA - eng
N2 - Locating specialized mental healthcare services in the neighborhood of people with severe mental illnesses (SMI) has been suggested as a way of improving treatment outcomes by increasing patient engagement and integration with the local care landscape. The current mixed methods study aimed to examine patient experience and treatment outcomes in three Flexible Assertive Community Treatment (FACT) teams that relocated to the neighborhood they served, compared to seven teams that continued to provide FACT as usual from a central office. Routine Outcome Measurement (ROM) and care use data were analyzed to compare change in treatment outcomes for patients in place-based FACT (n = 255) and FACT as usual (n = 833). Additionally, retrospective in-depth interviews were conducted with twenty patients about their experience with place-based FACT. Quantitative analysis showed mental health admission days decreased more in place-based than FACT as usual, although this difference was small. Both groups showed improved quality of life, psychosocial functioning, and symptomatic remission rates, and decreased unmet and overall needs for care. There was no change over time in met needs for care, employment, and daily activities. Qualitative analysis showed that patients experienced place-based FACT as more accessible, a better safety net, a more personal approach, better integrated with other forms of care, involving their social network, and embedded in their neighborhood and daily environment. This study showed that location and integration matter to patients, and the long term impact of place-based FACT on treatment outcomes should be explored.
PY - 2024
SN - 0010-3853 (Print); 0010-3853
SP - 1214
EP - 1227+
ST - Place-Based FACT: Treatment Outcomes and Patients' Experience with Integrated Neighborhood-Based Care
T1 - Place-Based FACT: Treatment Outcomes and Patients' Experience with Integrated Neighborhood-Based Care
T2 - Community Ment Health J
TI - Place-Based FACT: Treatment Outcomes and Patients' Experience with Integrated Neighborhood-Based Care
U1 - Healthcare Disparities; Measures
U3 - 10.1007/s10597-024-01277-4
VL - 60
VO - 0010-3853 (Print); 0010-3853
Y1 - 2024
ER -