The effectiveness of rural assertive outreach: a prospective cohort study in an English region.

Background: Assertive Outreach has yet to be demonstrated to be effective in the UK. Few studies have explored its implementation in rural settings. Aims: To establish whether the Assertive Outreach Team (AOT) model is effective in reducing hospital bed use and in improving engagement with services...

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Publicado en:Journal of Mental Health Vol. 16; no. 4; pp. 471 - 483
Autores principales: Wane J, Owen A, Sood L, Bradley SHL, Jones C
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Aug2007
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2007
      vid: 16
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      pub: Taylor & Francis Ltd
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        10.1080/09638230701483129
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        atl: The effectiveness of rural assertive outreach: a prospective cohort study in an English region.
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          Wane J
          Owen A
          Sood L
          Bradley SHL
          Jones C
        affil: Coventry and Warwickshire Partnership Trust
      sug:
        subj:
          Community Mental Health Services Evaluation
          Schizophrenia Therapy
          Adolescence
          Adult
          Aged
          Descriptive Statistics
          Female
          Friedman Test
          Health Services Utilization
          Male
          Middle Age
          Models, Theoretical
          Patient Admission Evaluation
          Post Hoc Analysis
          Professional Compliance Evaluation
          Program Evaluation
          Program Implementation
          Prospective Studies
          Rural Areas United Kingdom
          Rural Health Services Evaluation
          Scales
          Summated Rating Scaling
          United Kingdom
          Urban Areas United Kingdom
          Wilcoxon Signed Rank Test
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Background: Assertive Outreach has yet to be demonstrated to be effective in the UK. Few studies have explored its implementation in rural settings. Aims: To establish whether the Assertive Outreach Team (AOT) model is effective in reducing hospital bed use and in improving engagement with services and social functioning in a mixed rural and urban area in the UK. Method: A prospective within subject control design, following a cohort of 42 patients during a period of 2 years prior to the implementation of an AOT, and for the first year of its operation. Results: There was a statistically significant reduction in bed use among the cohort during the first year of AOT, with secondary findings of improved engagement with services and social functioning. Conclusions: AOT can be effectively implemented in a mainstream NHS setting, in an area with a substantial rural population. Declaration of interest: None.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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