Community Mental Health Journal

, Volume 52, Issue 8, pp 908–913 | Cite as

Predictors of Clinical Outcome of Assertive Community Treatment (ACT) in a Rural Area in Denmark: An Observational Study with a Two-Year Follow-Up

  • Jørgen Aagaard
  • Pernille Kølbæk
Brief Report


Assertive Community Treatment (ACT) is a multidisciplinary team approach to community care treatment, mainly characterised by small caseload and individualised care. The aim of the present study was to identify predictors of clinical outcome in ACT using an observational design. Three ACT Teams were established in The North Denmark Region to treat patients with severe mental illness. The patients were identified and followed in regional and national psychiatric registers, and in social and somatic case registers, 2 years before and 2 years after inclusion. The results showed that the use of psychiatric hospital services decreased significantly for the 240 included patients. Furthermore, the psychopharmacological profile was improved. No significant change occurred in the consumption of the somatic hospitals. Clinical outcome, defined as halving of admissions or bed days, was in a logistic analysis predicted by the patient’s psychiatric use of inpatient service prior to inclusion in an ACT Team.


Assertive Community Treatment Severe mental illness Predictors of outcome Community mental health services 



The project has been funded by grants from The Ministry of Health and The North Denmark Region. Leslie Foldager, M.Sc. and Ph.D. in statistics, supervised and approved the statistical analyses.


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Unit for Psychiatric Research and Department S, Psychiatric HospitalAalborg University HospitalAalborgDenmark
  2. 2.Unit for Psychiatric Research and Department MAarhus University HospitalAarhusDenmark

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