The effect of Assertive Community Treatment in Japan
Article first published online: 10 NOV 2010
© 2010 John Wiley & Sons A/S
Acta Psychiatrica Scandinavica
Volume 123, Issue 5, pages 398–401, May 2011
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
- Issue published online: 14 APR 2011
- Article first published online: 10 NOV 2010
- Accepted for publication October 11, 2010
- 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.