Providing assertive community treatment for severely mentally ill patients in a rural area

A. B. Santos, P. A. Deci, K. R. Lachance, J. K. Dias, T. B. Sloop, T. G. Hiers, J. J. Bevilacqua

Research output: Contribution to journalArticle

64 Citations (Scopus)

Abstract

Objective: The authors' goals were to describe an assertive community treatment program developed for patients in rural South Carolina and to evaluate the effect of the program on rates of hospital utilization and cost of care. Methods: Twenty-three patients with chronic psychotic disorders living in rural areas of South Carolina were assigned to an assertive community treatment program. The patients' average number of days per year in the hospital, length of stay per admission, number of admissions per year, and estimated annual cost of care during the five years before assignment to the program and during a period from four to 26 months after assignment were compared. Results: the intervention was associated with a 79 percent decrease in hospital days per year, a 64 percent decrease in the number of admissions per year, a 75 percent decrease in the average length of stay per admission, and a 52 percent reduction in estimated direct cost of care. Conclusions: Although the methods of assertive community treatment may need to be modified to suit the travel retirements and other characteristics of rural settings, the study results suggest that the model can be successfully used in rural areas.

Original languageEnglish (US)
Pages (from-to)34-39
Number of pages6
JournalHospital and Community Psychiatry
Volume44
Issue number1
StatePublished - Jan 1 1993

Fingerprint

Community Mental Health Services
Mentally Ill Persons
Length of Stay
Costs and Cost Analysis
Hospital Costs
Retirement
Psychotic Disorders

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Santos, A. B., Deci, P. A., Lachance, K. R., Dias, J. K., Sloop, T. B., Hiers, T. G., & Bevilacqua, J. J. (1993). Providing assertive community treatment for severely mentally ill patients in a rural area. Hospital and Community Psychiatry, 44(1), 34-39.

Providing assertive community treatment for severely mentally ill patients in a rural area. / Santos, A. B.; Deci, P. A.; Lachance, K. R.; Dias, J. K.; Sloop, T. B.; Hiers, T. G.; Bevilacqua, J. J.

In: Hospital and Community Psychiatry, Vol. 44, No. 1, 01.01.1993, p. 34-39.

Research output: Contribution to journalArticle

Santos, AB, Deci, PA, Lachance, KR, Dias, JK, Sloop, TB, Hiers, TG & Bevilacqua, JJ 1993, 'Providing assertive community treatment for severely mentally ill patients in a rural area', Hospital and Community Psychiatry, vol. 44, no. 1, pp. 34-39.
Santos AB, Deci PA, Lachance KR, Dias JK, Sloop TB, Hiers TG et al. Providing assertive community treatment for severely mentally ill patients in a rural area. Hospital and Community Psychiatry. 1993 Jan 1;44(1):34-39.
Santos, A. B. ; Deci, P. A. ; Lachance, K. R. ; Dias, J. K. ; Sloop, T. B. ; Hiers, T. G. ; Bevilacqua, J. J. / Providing assertive community treatment for severely mentally ill patients in a rural area. In: Hospital and Community Psychiatry. 1993 ; Vol. 44, No. 1. pp. 34-39.
@article{bba5e88265604d7fac0ae627a2758002,
title = "Providing assertive community treatment for severely mentally ill patients in a rural area",
abstract = "Objective: The authors' goals were to describe an assertive community treatment program developed for patients in rural South Carolina and to evaluate the effect of the program on rates of hospital utilization and cost of care. Methods: Twenty-three patients with chronic psychotic disorders living in rural areas of South Carolina were assigned to an assertive community treatment program. The patients' average number of days per year in the hospital, length of stay per admission, number of admissions per year, and estimated annual cost of care during the five years before assignment to the program and during a period from four to 26 months after assignment were compared. Results: the intervention was associated with a 79 percent decrease in hospital days per year, a 64 percent decrease in the number of admissions per year, a 75 percent decrease in the average length of stay per admission, and a 52 percent reduction in estimated direct cost of care. Conclusions: Although the methods of assertive community treatment may need to be modified to suit the travel retirements and other characteristics of rural settings, the study results suggest that the model can be successfully used in rural areas.",
author = "Santos, {A. B.} and Deci, {P. A.} and Lachance, {K. R.} and Dias, {J. K.} and Sloop, {T. B.} and Hiers, {T. G.} and Bevilacqua, {J. J.}",
year = "1993",
month = "1",
day = "1",
language = "English (US)",
volume = "44",
pages = "34--39",
journal = "Psychiatric Services",
issn = "1075-2730",
publisher = "American Psychiatric Association",
number = "1",

}

TY - JOUR

T1 - Providing assertive community treatment for severely mentally ill patients in a rural area

AU - Santos, A. B.

AU - Deci, P. A.

AU - Lachance, K. R.

AU - Dias, J. K.

AU - Sloop, T. B.

AU - Hiers, T. G.

AU - Bevilacqua, J. J.

PY - 1993/1/1

Y1 - 1993/1/1

N2 - Objective: The authors' goals were to describe an assertive community treatment program developed for patients in rural South Carolina and to evaluate the effect of the program on rates of hospital utilization and cost of care. Methods: Twenty-three patients with chronic psychotic disorders living in rural areas of South Carolina were assigned to an assertive community treatment program. The patients' average number of days per year in the hospital, length of stay per admission, number of admissions per year, and estimated annual cost of care during the five years before assignment to the program and during a period from four to 26 months after assignment were compared. Results: the intervention was associated with a 79 percent decrease in hospital days per year, a 64 percent decrease in the number of admissions per year, a 75 percent decrease in the average length of stay per admission, and a 52 percent reduction in estimated direct cost of care. Conclusions: Although the methods of assertive community treatment may need to be modified to suit the travel retirements and other characteristics of rural settings, the study results suggest that the model can be successfully used in rural areas.

AB - Objective: The authors' goals were to describe an assertive community treatment program developed for patients in rural South Carolina and to evaluate the effect of the program on rates of hospital utilization and cost of care. Methods: Twenty-three patients with chronic psychotic disorders living in rural areas of South Carolina were assigned to an assertive community treatment program. The patients' average number of days per year in the hospital, length of stay per admission, number of admissions per year, and estimated annual cost of care during the five years before assignment to the program and during a period from four to 26 months after assignment were compared. Results: the intervention was associated with a 79 percent decrease in hospital days per year, a 64 percent decrease in the number of admissions per year, a 75 percent decrease in the average length of stay per admission, and a 52 percent reduction in estimated direct cost of care. Conclusions: Although the methods of assertive community treatment may need to be modified to suit the travel retirements and other characteristics of rural settings, the study results suggest that the model can be successfully used in rural areas.

UR - http://www.scopus.com/inward/record.url?scp=0027447431&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027447431&partnerID=8YFLogxK

M3 - Article

VL - 44

SP - 34

EP - 39

JO - Psychiatric Services

JF - Psychiatric Services

SN - 1075-2730

IS - 1

ER -