Community Mental Health Journal

, Volume 55, Issue 2, pp 350–359 | Cite as

Employment Rates in Flexible Assertive Community Treatment Teams in The Netherlands: An Observational Study

  • Hans E. KortrijkEmail author
  • Niels L. Mulder
  • Astrid M. Kamperman
  • Jaap van Weeghel
Original Paper


We determined the proportions of clients treated in Flexible Assertive Community Treatment teams who were unemployed and gained employment and who were employed and lost employment. Secondly, we explored the demographical and clinical factors associated with employment. Data were collected during routine outcome monitoring. We calculated differences in employment rates over a year and explored differences in demographic characteristics at baseline between patient groups. Logistic regression analysis was used to estimate the role of clinical predictor variables on employment status. Over time, 10% remained employed, 5% lost their employment, 3% gained employment and 82% remained unemployed. Clients who found employment were younger, more often male, and had significantly fewer psychosocial problems and a higher subjective quality of life during follow-up than those who remained unemployed. Problems with motivation for treatment at baseline were related to losing employment or remaining unemployed. Better implementation of vocational services is very important for increasing the number of clients gaining employment.


Employment Severe mental illness Flexible Assertive Community Treatment Vocational services 



We thank David Alexander who provided medical writing services of on behalf of the investigators listed in this project.

Compliance with Ethical Standards

Conflict of interest

The authors declare that there are no conflict of interests and no financial interests.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Hans E. Kortrijk
    • 1
    Email author
  • Niels L. Mulder
    • 1
    • 2
  • Astrid M. Kamperman
    • 2
    • 3
  • Jaap van Weeghel
    • 4
    • 5
  1. 1.Bavo-EuropoortRotterdamThe Netherlands
  2. 2.Department of Psychiatry, Epidemiological and Social Psychiatric Research InstituteErasmus University Medical CentreRotterdamThe Netherlands
  3. 3.Department of PsychiatryErasmus University Medical CentreRotterdamThe Netherlands
  4. 4.Dijk en Duin mental health centreCastricumThe Netherlands
  5. 5.Tilburg School of Social and Behavioral Sciences, Tranzo Scientific Centre for Care and WelfareTilburg UniversityTilburgThe Netherlands

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