The Experts below are selected from a list of 1548057 Experts worldwide ranked by ideXlab platform
Hanne Kristin Clausen - One of the best experts on this subject based on the ideXlab platform.
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improved rehabilitation outcomes for persons with and without problematic substance use after 2 years with assertive community treatment a prospective study of patients with severe mental illness in 12 norwegian act teams
Frontiers in Psychiatry, 2020Co-Authors: Hanne Kristin Clausen, Torleif Ruud, Sigrun Odden, Jurate Saltyte Benth, Kristin Sverdvik Heiervang, Hanne Kilen StuenAbstract:Background: Persons with severe mental illness often face difficulties in accessing and receiving adequate Services enabling them to live independently. Many have co-occurring substance use problems that increase the risk of adverse outcomes. Community-Based Service models have been implemented around the world, including assertive community treatment (ACT), but the knowledge of rehabilitation outcomes in different subgroups is limited. We aimed to explore rehabilitation outcomes among patients suffering severe mental illness with and without substance use problems who had received ACT Services for at least 2 years. Additionally, we compared differences in changes between the two groups. Methods: A total of 142 patients who received Services for 2 years from the first 12 Norwegian ACT teams were included. Eighty-four (59%) had problematic substance use, while 58 (41%) did not. Data regarding housing, activity, symptoms, functioning, and subjective quality of life were collected upon enrollment into ACT and at 2 years of follow-up. Clinician-rated scales and self-report questionnaires were used. Changes within the two groups and differences in change between the groups were assessed using generalized linear mixed models. Results: Both groups were more likely to have good housing, higher level of functioning, and less anxiety and depressive symptoms after 2 years. The odds of good housing among participants with problematic substance use increased only after adjusting for age and gender. Participants with problematic substance use had less severe symptoms, particularly negative and manic symptoms, while participants without problematic substance use reported improved satisfaction with life in general. Neither group experienced a change in having a meaningful daily activity, positive symptoms, practical and social functioning, or subjective quality of life. The reduction of manic symptoms in the substance use group was the only difference between the groups. Conclusion: After 2 years, patients with and without problematic substance use experienced improvements in several important domains. Furthermore, the improvements were similar in both groups for most outcomes. This may suggest that ACT has a place in the continued effort toward integrated and comprehensive community Services empowering patients with severe mental illness to achieve and sustain an independent life, including marginalized groups with severe substance use.
Bowen Chung - One of the best experts on this subject based on the ideXlab platform.
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community partnered cluster randomized comparative effectiveness trial of community engagement and planning or resources for Services to address depression disparities
Journal of General Internal Medicine, 2013Co-Authors: Kenneth B Wells, Loretta Jones, Bowen Chung, Elizabeth L Dixon, Lingqi Tang, James Gilmore, Cathy D SherbourneAbstract:BACKGROUND Depression contributes to disability and there are ethnic/racial disparities in access and outcomes of care. Quality improvement (QI) programs for depression in primary care improve outcomes relative to usual care, but health, social and other Community-Based Service sectors also support clients in under-resourced communities. Little is known about effects on client outcomes of strategies to implement depression QI across diverse sectors.
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community partnered cluster randomized comparative effectiveness trial of community engagement and planning or resources for Services to address depression disparities
Journal of General Internal Medicine, 2013Co-Authors: Kenneth B Wells, Loretta Jones, Bowen Chung, Elizabeth L Dixon, Lingqi Tang, James Gilmore, Cathy D SherbourneAbstract:Depression contributes to disability and there are ethnic/racial disparities in access and outcomes of care. Quality improvement (QI) programs for depression in primary care improve outcomes relative to usual care, but health, social and other Community-Based Service sectors also support clients in under-resourced communities. Little is known about effects on client outcomes of strategies to implement depression QI across diverse sectors. To compare the effectiveness of Community Engagement and Planning (CEP) and Resources for Services (RS) to implement depression QI on clients’ mental health-related quality of life (HRQL) and Services use. Matched programs from health, social and other Service sectors were randomized to community engagement and planning (promoting inter-agency collaboration) or resources for Services (individual program technical assistance plus outreach) to implement depression QI toolkits in Hollywood-Metro and South Los Angeles. From 93 randomized programs, 4,440 clients were screened and of 1,322 depressed by the 8-item Patient Health Questionnaire (PHQ-8) and providing contact information, 1,246 enrolled and 1,018 in 90 programs completed baseline or 6-month follow-up. Self-reported mental HRQL and probable depression (primary), physical activity, employment, homelessness risk factors (secondary) and Services use. CEP was more effective than RS at improving mental HRQL, increasing physical activity and reducing homelessness risk factors, rate of behavioral health hospitalization and medication visits among specialty care users (i.e. psychiatrists, mental health providers) while increasing depression visits among users of primary care/public health for depression and users of faith-based and park programs (each p 0.05). Community engagement to build a collaborative approach to implementing depression QI across diverse programs was more effective than resources for Services for individual programs in improving mental HRQL, physical activity and homelessness risk factors, and shifted utilization away from hospitalizations and specialty medication visits toward primary care and other sectors, offering an expanded health-home model to address multiple disparities for depressed safety-net clients.
Hanne Kilen Stuen - One of the best experts on this subject based on the ideXlab platform.
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improved rehabilitation outcomes for persons with and without problematic substance use after 2 years with assertive community treatment a prospective study of patients with severe mental illness in 12 norwegian act teams
Frontiers in Psychiatry, 2020Co-Authors: Hanne Kristin Clausen, Torleif Ruud, Sigrun Odden, Jurate Saltyte Benth, Kristin Sverdvik Heiervang, Hanne Kilen StuenAbstract:Background: Persons with severe mental illness often face difficulties in accessing and receiving adequate Services enabling them to live independently. Many have co-occurring substance use problems that increase the risk of adverse outcomes. Community-Based Service models have been implemented around the world, including assertive community treatment (ACT), but the knowledge of rehabilitation outcomes in different subgroups is limited. We aimed to explore rehabilitation outcomes among patients suffering severe mental illness with and without substance use problems who had received ACT Services for at least 2 years. Additionally, we compared differences in changes between the two groups. Methods: A total of 142 patients who received Services for 2 years from the first 12 Norwegian ACT teams were included. Eighty-four (59%) had problematic substance use, while 58 (41%) did not. Data regarding housing, activity, symptoms, functioning, and subjective quality of life were collected upon enrollment into ACT and at 2 years of follow-up. Clinician-rated scales and self-report questionnaires were used. Changes within the two groups and differences in change between the groups were assessed using generalized linear mixed models. Results: Both groups were more likely to have good housing, higher level of functioning, and less anxiety and depressive symptoms after 2 years. The odds of good housing among participants with problematic substance use increased only after adjusting for age and gender. Participants with problematic substance use had less severe symptoms, particularly negative and manic symptoms, while participants without problematic substance use reported improved satisfaction with life in general. Neither group experienced a change in having a meaningful daily activity, positive symptoms, practical and social functioning, or subjective quality of life. The reduction of manic symptoms in the substance use group was the only difference between the groups. Conclusion: After 2 years, patients with and without problematic substance use experienced improvements in several important domains. Furthermore, the improvements were similar in both groups for most outcomes. This may suggest that ACT has a place in the continued effort toward integrated and comprehensive community Services empowering patients with severe mental illness to achieve and sustain an independent life, including marginalized groups with severe substance use.
Jurate Saltyte Benth - One of the best experts on this subject based on the ideXlab platform.
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improved rehabilitation outcomes for persons with and without problematic substance use after 2 years with assertive community treatment a prospective study of patients with severe mental illness in 12 norwegian act teams
Frontiers in Psychiatry, 2020Co-Authors: Hanne Kristin Clausen, Torleif Ruud, Sigrun Odden, Jurate Saltyte Benth, Kristin Sverdvik Heiervang, Hanne Kilen StuenAbstract:Background: Persons with severe mental illness often face difficulties in accessing and receiving adequate Services enabling them to live independently. Many have co-occurring substance use problems that increase the risk of adverse outcomes. Community-Based Service models have been implemented around the world, including assertive community treatment (ACT), but the knowledge of rehabilitation outcomes in different subgroups is limited. We aimed to explore rehabilitation outcomes among patients suffering severe mental illness with and without substance use problems who had received ACT Services for at least 2 years. Additionally, we compared differences in changes between the two groups. Methods: A total of 142 patients who received Services for 2 years from the first 12 Norwegian ACT teams were included. Eighty-four (59%) had problematic substance use, while 58 (41%) did not. Data regarding housing, activity, symptoms, functioning, and subjective quality of life were collected upon enrollment into ACT and at 2 years of follow-up. Clinician-rated scales and self-report questionnaires were used. Changes within the two groups and differences in change between the groups were assessed using generalized linear mixed models. Results: Both groups were more likely to have good housing, higher level of functioning, and less anxiety and depressive symptoms after 2 years. The odds of good housing among participants with problematic substance use increased only after adjusting for age and gender. Participants with problematic substance use had less severe symptoms, particularly negative and manic symptoms, while participants without problematic substance use reported improved satisfaction with life in general. Neither group experienced a change in having a meaningful daily activity, positive symptoms, practical and social functioning, or subjective quality of life. The reduction of manic symptoms in the substance use group was the only difference between the groups. Conclusion: After 2 years, patients with and without problematic substance use experienced improvements in several important domains. Furthermore, the improvements were similar in both groups for most outcomes. This may suggest that ACT has a place in the continued effort toward integrated and comprehensive community Services empowering patients with severe mental illness to achieve and sustain an independent life, including marginalized groups with severe substance use.
Torleif Ruud - One of the best experts on this subject based on the ideXlab platform.
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improved rehabilitation outcomes for persons with and without problematic substance use after 2 years with assertive community treatment a prospective study of patients with severe mental illness in 12 norwegian act teams
Frontiers in Psychiatry, 2020Co-Authors: Hanne Kristin Clausen, Torleif Ruud, Sigrun Odden, Jurate Saltyte Benth, Kristin Sverdvik Heiervang, Hanne Kilen StuenAbstract:Background: Persons with severe mental illness often face difficulties in accessing and receiving adequate Services enabling them to live independently. Many have co-occurring substance use problems that increase the risk of adverse outcomes. Community-Based Service models have been implemented around the world, including assertive community treatment (ACT), but the knowledge of rehabilitation outcomes in different subgroups is limited. We aimed to explore rehabilitation outcomes among patients suffering severe mental illness with and without substance use problems who had received ACT Services for at least 2 years. Additionally, we compared differences in changes between the two groups. Methods: A total of 142 patients who received Services for 2 years from the first 12 Norwegian ACT teams were included. Eighty-four (59%) had problematic substance use, while 58 (41%) did not. Data regarding housing, activity, symptoms, functioning, and subjective quality of life were collected upon enrollment into ACT and at 2 years of follow-up. Clinician-rated scales and self-report questionnaires were used. Changes within the two groups and differences in change between the groups were assessed using generalized linear mixed models. Results: Both groups were more likely to have good housing, higher level of functioning, and less anxiety and depressive symptoms after 2 years. The odds of good housing among participants with problematic substance use increased only after adjusting for age and gender. Participants with problematic substance use had less severe symptoms, particularly negative and manic symptoms, while participants without problematic substance use reported improved satisfaction with life in general. Neither group experienced a change in having a meaningful daily activity, positive symptoms, practical and social functioning, or subjective quality of life. The reduction of manic symptoms in the substance use group was the only difference between the groups. Conclusion: After 2 years, patients with and without problematic substance use experienced improvements in several important domains. Furthermore, the improvements were similar in both groups for most outcomes. This may suggest that ACT has a place in the continued effort toward integrated and comprehensive community Services empowering patients with severe mental illness to achieve and sustain an independent life, including marginalized groups with severe substance use.