Evaluation of three assertive outreach teams

Abstract

Aims and methodTo evaluate outcomes for service users during their first year of treatment in three English assertive outreach teams. Changes in health and social functioning, engagement with services, service use and need (rated by staff and service users) were evaluated.ResultsIn 49 service users we found a significant increase in mean staff-rated met needs up to 6 months of treatment. There were no significant changes in ratings of engagement or Health of the Nation Outcome Scales (HoNOS) scores at 6 and 12 months. Unmet needs rated by service users and staff showed a non-significant trend for improvement across a range of individual health and social domains. Duration of hospital admission reduced significantly between the 12 months before the evaluation and the 12 months of the evaluation. Formal and informal admission and levels of contact with crisis teams reduced over the study period.Clinical implicationsAlthough these results offer some support to the assertive outreach approach, further research in larger samples is needed to identify which changes in health and social functioning are associated with transfer to assertive outreach teams.

The impact of assertive outreach teams on hospital admissions for psychosis: a time series analysis

“…Second, the model would facilitate shorter in‐patient hospital stays for some clients as the AOT could provide intensive community engagement which would identify clients earlier in their need for admission (Department of Health , Macpherson et al . ). Both of these assertions have been examined and debated within the psychiatric literature (Killaspy et al .…”

“…First, some people with severe mental health problems could avoid in-patient treatment altogether if community treatment were more flexible and proactive in engaging them. Second, the model would facilitate shorter in-patient hospital stays for some clients as the AOT could provide intensive community engagement which would identify clients earlier in their need for admission (Department of Health 2001, Macpherson et al 2013). Both of these assertions have been examined and debated within the psychiatric literature (Killaspy et al 2006, Mortimer et al 2011.…”