The Experts below are selected from a list of 540 Experts worldwide ranked by ideXlab platform

Anthony F. Lehman - One of the best experts on this subject based on the ideXlab platform.

  • cost effectiveness of assertive community treatment for homeless persons with severe Mental illness
    British Journal of Psychiatry, 1999
    Co-Authors: Anthony F. Lehman, Lisa B. Dixon, Jeffrey S Hoch, Bruce R Deforge, Eimer Kernan, Richard G Frank
    Abstract:

    BACKGROUND Homelessness is a major public health problem among persons with severe Mental illness (SMI). Cost-effective programmes that address this problem are needed. AIMS To evaluate the cost-effectiveness of an assertive community treatment (ACT) programme for these persons in Baltimore, Maryland. METHODS A total of 152 homeless persons with SMI were randomly allocated to either ACT or usual services. Direct treatment costs and effectiveness, represented by days of stable housing, were assessed. RESULTS Compared with usual care, ACT costs were significantly lower for Mental health in-patient days and Mental health emergency room care, and significantly higher for Mental health out-patient visits and treatment for substance misuse. ACT patients spent 31% more days in stable housing than those receiving usual care. ACT and usual services incurred $242 and $415 respectively in direct treatment costs per day of stable housing, an efficiency ratio of 0.58 in favour of ACT. Patterns of care and costs varied according to race. CONCLUSION ACT provides a cost-effective approach to reducing homelessness among persons with severe and Persistent Mental Illnesses.

  • A Randomized Trial of Assertive Community Treatment for Homeless Persons With Severe Mental Illness
    Archives of general psychiatry, 1997
    Co-Authors: Anthony F. Lehman, Lisa B. Dixon, Bruce R Deforge, Eimer Kernan, Leticia Postrado
    Abstract:

    Background: This experiment evaluated the effectiveness of an innovative program of assertive community treatment (ACT) for homeless persons with severe and Persistent Mental Illnesses. Methods: One hundred fifty-two homeless persons with severe and Persistent Mental illness were randomized to either the experiMental ACT program or to usual community services. Baseline assessments included the Structured Clinical Interview for DSM-III-R , Quality-of-Life Interview, Colorado Symptom Index, and the Medical Outcomes Study 36-Item Short Form Health Survey. All assessments (except the Structured Clinical Interview) were repeated at the 2-, 6-, and 12-month follow-up evaluations. Results: Subjects in the ACT program used significantly fewer psychiatric inpatient days, fewer emergency department visits, and more psychiatric outpatient visits than the comparison subjects. The ACT subjects also spent significantly more days in stable community housing, and they experienced significantly greater improvements in symptoms, life satisfaction, and perceived health status. Conclusions: Relative to usual community care, the ACT program for homeless persons with severe and Persistent Mental illness shifts the locus of care from crisisoriented services to ongoing outpatient care and produces better housing, clinical, and life satisfaction outcomes.

Lisa B. Dixon - One of the best experts on this subject based on the ideXlab platform.

  • cost effectiveness of assertive community treatment for homeless persons with severe Mental illness
    British Journal of Psychiatry, 1999
    Co-Authors: Anthony F. Lehman, Lisa B. Dixon, Jeffrey S Hoch, Bruce R Deforge, Eimer Kernan, Richard G Frank
    Abstract:

    BACKGROUND Homelessness is a major public health problem among persons with severe Mental illness (SMI). Cost-effective programmes that address this problem are needed. AIMS To evaluate the cost-effectiveness of an assertive community treatment (ACT) programme for these persons in Baltimore, Maryland. METHODS A total of 152 homeless persons with SMI were randomly allocated to either ACT or usual services. Direct treatment costs and effectiveness, represented by days of stable housing, were assessed. RESULTS Compared with usual care, ACT costs were significantly lower for Mental health in-patient days and Mental health emergency room care, and significantly higher for Mental health out-patient visits and treatment for substance misuse. ACT patients spent 31% more days in stable housing than those receiving usual care. ACT and usual services incurred $242 and $415 respectively in direct treatment costs per day of stable housing, an efficiency ratio of 0.58 in favour of ACT. Patterns of care and costs varied according to race. CONCLUSION ACT provides a cost-effective approach to reducing homelessness among persons with severe and Persistent Mental Illnesses.

  • A Randomized Trial of Assertive Community Treatment for Homeless Persons With Severe Mental Illness
    Archives of general psychiatry, 1997
    Co-Authors: Anthony F. Lehman, Lisa B. Dixon, Bruce R Deforge, Eimer Kernan, Leticia Postrado
    Abstract:

    Background: This experiment evaluated the effectiveness of an innovative program of assertive community treatment (ACT) for homeless persons with severe and Persistent Mental Illnesses. Methods: One hundred fifty-two homeless persons with severe and Persistent Mental illness were randomized to either the experiMental ACT program or to usual community services. Baseline assessments included the Structured Clinical Interview for DSM-III-R , Quality-of-Life Interview, Colorado Symptom Index, and the Medical Outcomes Study 36-Item Short Form Health Survey. All assessments (except the Structured Clinical Interview) were repeated at the 2-, 6-, and 12-month follow-up evaluations. Results: Subjects in the ACT program used significantly fewer psychiatric inpatient days, fewer emergency department visits, and more psychiatric outpatient visits than the comparison subjects. The ACT subjects also spent significantly more days in stable community housing, and they experienced significantly greater improvements in symptoms, life satisfaction, and perceived health status. Conclusions: Relative to usual community care, the ACT program for homeless persons with severe and Persistent Mental illness shifts the locus of care from crisisoriented services to ongoing outpatient care and produces better housing, clinical, and life satisfaction outcomes.

Eimer Kernan - One of the best experts on this subject based on the ideXlab platform.

  • cost effectiveness of assertive community treatment for homeless persons with severe Mental illness
    British Journal of Psychiatry, 1999
    Co-Authors: Anthony F. Lehman, Lisa B. Dixon, Jeffrey S Hoch, Bruce R Deforge, Eimer Kernan, Richard G Frank
    Abstract:

    BACKGROUND Homelessness is a major public health problem among persons with severe Mental illness (SMI). Cost-effective programmes that address this problem are needed. AIMS To evaluate the cost-effectiveness of an assertive community treatment (ACT) programme for these persons in Baltimore, Maryland. METHODS A total of 152 homeless persons with SMI were randomly allocated to either ACT or usual services. Direct treatment costs and effectiveness, represented by days of stable housing, were assessed. RESULTS Compared with usual care, ACT costs were significantly lower for Mental health in-patient days and Mental health emergency room care, and significantly higher for Mental health out-patient visits and treatment for substance misuse. ACT patients spent 31% more days in stable housing than those receiving usual care. ACT and usual services incurred $242 and $415 respectively in direct treatment costs per day of stable housing, an efficiency ratio of 0.58 in favour of ACT. Patterns of care and costs varied according to race. CONCLUSION ACT provides a cost-effective approach to reducing homelessness among persons with severe and Persistent Mental Illnesses.

  • A Randomized Trial of Assertive Community Treatment for Homeless Persons With Severe Mental Illness
    Archives of general psychiatry, 1997
    Co-Authors: Anthony F. Lehman, Lisa B. Dixon, Bruce R Deforge, Eimer Kernan, Leticia Postrado
    Abstract:

    Background: This experiment evaluated the effectiveness of an innovative program of assertive community treatment (ACT) for homeless persons with severe and Persistent Mental Illnesses. Methods: One hundred fifty-two homeless persons with severe and Persistent Mental illness were randomized to either the experiMental ACT program or to usual community services. Baseline assessments included the Structured Clinical Interview for DSM-III-R , Quality-of-Life Interview, Colorado Symptom Index, and the Medical Outcomes Study 36-Item Short Form Health Survey. All assessments (except the Structured Clinical Interview) were repeated at the 2-, 6-, and 12-month follow-up evaluations. Results: Subjects in the ACT program used significantly fewer psychiatric inpatient days, fewer emergency department visits, and more psychiatric outpatient visits than the comparison subjects. The ACT subjects also spent significantly more days in stable community housing, and they experienced significantly greater improvements in symptoms, life satisfaction, and perceived health status. Conclusions: Relative to usual community care, the ACT program for homeless persons with severe and Persistent Mental illness shifts the locus of care from crisisoriented services to ongoing outpatient care and produces better housing, clinical, and life satisfaction outcomes.

Bruce R Deforge - One of the best experts on this subject based on the ideXlab platform.

  • cost effectiveness of assertive community treatment for homeless persons with severe Mental illness
    British Journal of Psychiatry, 1999
    Co-Authors: Anthony F. Lehman, Lisa B. Dixon, Jeffrey S Hoch, Bruce R Deforge, Eimer Kernan, Richard G Frank
    Abstract:

    BACKGROUND Homelessness is a major public health problem among persons with severe Mental illness (SMI). Cost-effective programmes that address this problem are needed. AIMS To evaluate the cost-effectiveness of an assertive community treatment (ACT) programme for these persons in Baltimore, Maryland. METHODS A total of 152 homeless persons with SMI were randomly allocated to either ACT or usual services. Direct treatment costs and effectiveness, represented by days of stable housing, were assessed. RESULTS Compared with usual care, ACT costs were significantly lower for Mental health in-patient days and Mental health emergency room care, and significantly higher for Mental health out-patient visits and treatment for substance misuse. ACT patients spent 31% more days in stable housing than those receiving usual care. ACT and usual services incurred $242 and $415 respectively in direct treatment costs per day of stable housing, an efficiency ratio of 0.58 in favour of ACT. Patterns of care and costs varied according to race. CONCLUSION ACT provides a cost-effective approach to reducing homelessness among persons with severe and Persistent Mental Illnesses.

  • A Randomized Trial of Assertive Community Treatment for Homeless Persons With Severe Mental Illness
    Archives of general psychiatry, 1997
    Co-Authors: Anthony F. Lehman, Lisa B. Dixon, Bruce R Deforge, Eimer Kernan, Leticia Postrado
    Abstract:

    Background: This experiment evaluated the effectiveness of an innovative program of assertive community treatment (ACT) for homeless persons with severe and Persistent Mental Illnesses. Methods: One hundred fifty-two homeless persons with severe and Persistent Mental illness were randomized to either the experiMental ACT program or to usual community services. Baseline assessments included the Structured Clinical Interview for DSM-III-R , Quality-of-Life Interview, Colorado Symptom Index, and the Medical Outcomes Study 36-Item Short Form Health Survey. All assessments (except the Structured Clinical Interview) were repeated at the 2-, 6-, and 12-month follow-up evaluations. Results: Subjects in the ACT program used significantly fewer psychiatric inpatient days, fewer emergency department visits, and more psychiatric outpatient visits than the comparison subjects. The ACT subjects also spent significantly more days in stable community housing, and they experienced significantly greater improvements in symptoms, life satisfaction, and perceived health status. Conclusions: Relative to usual community care, the ACT program for homeless persons with severe and Persistent Mental illness shifts the locus of care from crisisoriented services to ongoing outpatient care and produces better housing, clinical, and life satisfaction outcomes.

Richard G Frank - One of the best experts on this subject based on the ideXlab platform.

  • cost effectiveness of assertive community treatment for homeless persons with severe Mental illness
    British Journal of Psychiatry, 1999
    Co-Authors: Anthony F. Lehman, Lisa B. Dixon, Jeffrey S Hoch, Bruce R Deforge, Eimer Kernan, Richard G Frank
    Abstract:

    BACKGROUND Homelessness is a major public health problem among persons with severe Mental illness (SMI). Cost-effective programmes that address this problem are needed. AIMS To evaluate the cost-effectiveness of an assertive community treatment (ACT) programme for these persons in Baltimore, Maryland. METHODS A total of 152 homeless persons with SMI were randomly allocated to either ACT or usual services. Direct treatment costs and effectiveness, represented by days of stable housing, were assessed. RESULTS Compared with usual care, ACT costs were significantly lower for Mental health in-patient days and Mental health emergency room care, and significantly higher for Mental health out-patient visits and treatment for substance misuse. ACT patients spent 31% more days in stable housing than those receiving usual care. ACT and usual services incurred $242 and $415 respectively in direct treatment costs per day of stable housing, an efficiency ratio of 0.58 in favour of ACT. Patterns of care and costs varied according to race. CONCLUSION ACT provides a cost-effective approach to reducing homelessness among persons with severe and Persistent Mental Illnesses.