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Table 1 Comparison of model elements

From: Community outreach for patients who have difficulties in maintaining contact with mental health services: longitudinal retrospective study of the Japanese outreach model project

Team/model characteristics ACT (DACT) 1) AO 2) JOMP Japanese regular outpatient care (Public insurance) 3)
Target population Patients suffering severe mental illness (SMI) High users of mental health services Quit their psychiatric outpatient treatment for more than 3 month Patients with mental illness
Involved service providers Multiprofessional Multiprofessional psychiatrist, nurse and others Psychiatrist, Nurse, PSW, OT, CP, Peer-staff' Psychiatrist others: as necessary
24/7 service Yes Yes Yes No
Case management Yes Yes Yes Optional
Home treatment Yes Yes Yes No
Patient to clinical staff ratios 12:1 >10:1 3:1–20:1 80:14)
Duration of relation Long term Long term Evaluate every six month Depends on patients
  1. ACT, assertive community treatment; DACTS; dartmouth assertive community treatment scale.
  2. AO, assertive outreach; JOMP, Japanese outreach model project.
  3. SMI, severe mental illness; OT, occupational therapist; SW, social worker; CP, clinical psychologist.
  4. 1) Teague, Bond & Drake (1998). Program fidelity in assertive community treatment. American journal of orthopsychiatry, 68(2), 216–233.
  5. 2) Department of Health. (2001). Mental health policy implementation guide.
  6. 3) http://www.mhlw.go.jp/bunya/iryouhoken/iryouhoken15/dl/2-11.pdf (in Japanese).
  7. 4) http://wwwhourei.mhlw.go.jp/cgi-bin/t_docframe.cgi?MODE=tsuchi%26DMODE=CONTENTS%26SMODE=NORMAL%26KEYWORD%26EFSNO=1154 (in Japanese).