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Assertive community treatment and medication compliance in the homeless mentally ill
1Department of Psychiatry, University of Maryland at Baltimore 21201, USA. ldixon@umabnet.ab.umd.edu
Objective:
This study describes medication compliance rates among a group of homeless mentally ill subjects who received assertive community treatment.
Method:
The medication compliance of 77 homeless persons who had been referred to an assertive community treatment program was prospectively evaluated at baseline and quarterly for 1 year.
Results:
A minority of the cohort (29%) was compliant at entry into the assertive community treatment program. Compliance significantly increased after 3 months (57%) and remained high through the year. Medication compliance was associated with fewer psychiatric symptoms but not with better housing placements or fewer days in the hospital.
Conclusions:
Medication compliance rates among a cohort of homeless persons with severe mental illness were markedly higher after they entered a program of assertive community treatment.
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