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Related Experiment Video

Updated: Jun 4, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Published on: May 15, 2020

Predicting outcome of assertive outreach across England.

T S Brugha¹, N Taub, J Smith

¹Department of Health Sciences, University of Leicester, Leicester, UK. tsb@le.ac.uk

Social Psychiatry and Psychiatric Epidemiology

|February 3, 2011

Summary

This summary is machine-generated.

Assertive outreach (AO) team characteristics do not predict long-term outcomes for severely mentally ill patients. New care models are needed to improve patient results and psychological intervention delivery.

Related Experiment Videos

Last Updated: Jun 4, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Published on: May 15, 2020

Area of Science:

Mental Health Services Research
Psychiatric Epidemiology
Community Psychiatry

Background:

Assertive community treatment (ACT) is increasingly used globally for severe mental illness.
The impact of recommended assertive outreach (AO) team characteristics on patient care and outcomes remains unclear.
This study investigated if specific AO team features predict reduced hospitalisation and improved outcomes.

Purpose of the Study:

To determine if recommended assertive outreach (AO) team characteristics influence patient hospitalisation and outcomes.
To test the hypothesis that joint health and social care management predicts reduced hospitalisation.
To examine the relationship between AO team characteristics and patient outcomes over 1 and 3 years.

Main Methods:

A two-stage design sampled 100 assertive outreach (AO) teams in England.
Systematic sampling of clients, with over-sampling for ethnic minority patients, was employed.
Data on team characteristics, treatment, and patient outcomes were collected and analyzed, accounting for patient history and clustering.

Main Results:

Hospitalisation time decreased under AO; few patients went missing.
Patient history significantly predicted outcomes, but team characteristics did not predict re-admission or long-term outcomes.
Jointly managed teams had more ethnic minority clients on compulsory orders; multidisciplinary teams facilitated psychological interventions, though uptake was low.

Conclusions:

Assertive outreach (AO) team characteristics do not explain long-term patient outcomes.
Current recommended team characteristics are ineffective; new care models and process testing are required.
Improved patient outcomes may result from managing teams to deliver evidence-based psychological interventions.