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Pilot study results from the assertive community treatment transitional intervention program in Switzerland.

Mariela E Jaffé^1,2, Julian Moeller^1,3, Franziska Rabenschlag¹

¹Universitäre Psychiatrische Kliniken (UPK) Basel, University of Basel, Wilhelm Klein-Str. 27, 4002, Basel, Switzerland.

Scientific Reports

|March 16, 2025

Summary

A 3-month transitional intervention program reduced inpatient readmissions and treatment days for psychiatric patients. Participants reported high satisfaction, showing the program

Keywords:

Assertive community treatment Pilot study Relapse reduction Transitional intervention

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Area of Science:

Psychiatry
Public Health
Health Services Research

Background:

Early hospital readmission poses significant risks to patient well-being.
Transitional interventions are crucial for bridging inpatient and community psychiatric care.
Assertive community treatment (ACT) is an evidence-based model for post-discharge support.

Purpose of the Study:

To evaluate the implementation and effectiveness of a 3-month transitional intervention program.
To assess the program's impact on reducing follow-up inpatient treatment days.
To gauge patient satisfaction with the transitional support.

Main Methods:

A 3-year pilot project comparing participants (n=456) in a transitional intervention with a control group (n=104).
Intervention delivered as assertive community treatment in participants' homes.
Data collected on inpatient treatment days, stays, and involuntary admissions post-discharge.

Main Results:

A multidisciplinary team successfully managed a caseload of up to 66 individuals per month.
Descriptive analysis showed trends towards fewer inpatient days, stays, and involuntary admissions for participants.
The observed differences did not achieve statistical significance, but patient satisfaction was very high.

Conclusions:

The transitional intervention program demonstrates feasibility and potential benefits in psychiatric care.
High patient satisfaction suggests the program meets community support needs.
Further research may be needed to confirm statistical significance in reducing readmissions.