The effect of Assertive Community Treatment in Japan

  1. J. Ito1,
  2. I. Oshima2,
  3. M. Nishio3,
  4. T. Sono1,4,
  5. Y. Suzuki5,
  6. K. Horiuchi1,
  7. N. Niekawa6,
  8. M. Ogawa1,7,
  9. Y. Setoya1,
  10. F. Hisanaga8,
  11. M. Kouda8,
  12. K. Tsukada9

Article first published online: 10 NOV 2010

DOI: 10.1111/j.1600-0447.2010.01636.x

Issue

Acta Psychiatrica Scandinavica

Acta Psychiatrica Scandinavica

Volume 123, Issue 5, pages 398–401, May 2011

Additional Information

How to Cite

Ito, J., Oshima, I., Nishio, M., Sono, T., Suzuki, Y., Horiuchi, K., Niekawa, N., Ogawa, M., Setoya, Y., Hisanaga, F., Kouda, M. and Tsukada, K. (2011), The effect of Assertive Community Treatment in Japan. Acta Psychiatrica Scandinavica, 123: 398–401. doi: 10.1111/j.1600-0447.2010.01636.x

Author Information

  1. 1

    Department of Psychiatric Rehabilitation, National Center of Neurology and Psychiatry

  2. 2

    Graduate School of Social Welfare, Japan College of Social Work, Tokyo

  3. 3

    Faculty of Comprehensive Welfare, Tohoku Fukushi University, Miyagi

  4. 4

    Psilocybe Inc., Shiga

  5. 5

    Department of Adult Mental Health, National Center of Neurology and Psychiatry, Tokyo

  6. 6

    Social Work Research Institute, Japan College of Social Work, Tokyo

  7. 7

    Department of Psychiatric Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo

  8. 8

    Community Mental Health & Welfare Bonding Organization

  9. 9

    Kohnodai Hospital, International Medical Center of Japan, Chiba, Japan

*Junichiro Ito MD, PhD, Department of Psychiatric Rehabilitation, National Center of Neurology and Psychiatry, 4-1-1 Ogawahigashi-cho, Kodaira, Tokyo 187-8553, Japan. E-mail: junito@ncnp.go.jp

Publication History

  1. Issue published online: 14 APR 2011
  2. Article first published online: 10 NOV 2010
  3. Accepted for publication October 11, 2010

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Keywords:

  • Assertive Community Treatment (ACT);
  • community psychiatry;
  • outcomes research;
  • length of stay

Ito J, Oshima I, Nishio M, Sono T, Suzuki Y, Horiuchi K, Niekawa N, Ogawa M, Setoya Y, Hisanaga F, Kouda M, Tsukada K. The effect of Assertive Community Treatment in Japan.

Objective:  The aim of this study was to evaluate the effects of the Assertive Community Treatment (ACT) program in a Japanese mental health service setting.

Method:  This study was a randomized controlled trial. ACT was the intervention condition (n = 59), and the usual hospital-based rehabilitation program was the control condition (n = 59). Outcome indicators include in-patient days, psychiatric symptoms, social functioning, quality of life, and client satisfaction. The follow-up period was 12 months after the intervention.

Results:  We found a significant reduction of in-patient days for the ACT group demonstrated by t-test (t = 2.33, P = 0.02). However, the results of ancova did not show significant differences for in-patient days between the two groups (F = 1.85, P = 0.18). The depression score for Brief Psychiatric Rating Scale for the ACT group was significantly lower than the control group at the 12-month follow-up assessment (F = 5.57, P = 0.03). According to the t-test, the ACT group had a higher client satisfaction than the control group (t = 2.08, P = 0.05).

Conclusion:  We concluded that ACT had a positive influence, as evidenced by a reduction of in-patient days, lower depressive symptoms, and higher client satisfaction.

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