From: The effect of youth assertive community treatment: a systematic PRISMA review
Referencea | Study design (time-frame) | Core elements of youth-ACT | Problems treated | Nb | Age (years) | Gender (%) | Ethnic group (%) | Team staff | Level of evidencec | ||
---|---|---|---|---|---|---|---|---|---|---|---|
Adrian & Smith (2014) GBR [46] | Pre-post test (2001–2011) | Home-based treatment: | Yes | Serious mental illness in crisis, admission is considered | 287 | Range: 12–17 Mean: 16 | Boys: 38 Girls: 62 | White: Black: Asian: Other: | 73 13 4 10 | Psychiatrist Nurse practitioner Psychologist Support worker Administrator | 2bc |
Small caseload (size < 10): | NRd | ||||||||||
Hardly assessable patients: | Yes | ||||||||||
Transition case management: | Yes | ||||||||||
Early intervention: | Yes | ||||||||||
Psychiatric assessment at home: | Yes | ||||||||||
Family support: | Yes | ||||||||||
Therapye: | Yes | ||||||||||
Pharmacology: | Yes | ||||||||||
Ahrens et al. (2007) USA [47] | Pre-post test (1998–2000) | Home-based treatment: | Yes | Long-term mental healthcare needs in transition to adulthood | 15 | Range: 15–20 Mean: 17 | Boys: 80 Girls: 20 | White: Black: | 80 20 | Interdisciplinary, not specified | 2bc |
Small caseload (size < 10): | NRd | ||||||||||
Hardly assessable patients: | Yes | ||||||||||
Transition case management: | Yes | ||||||||||
Early intervention: | Yes | ||||||||||
Psychiatric assessment at home: | Yes | ||||||||||
Family support | Yes | ||||||||||
Therapye: | Yes | ||||||||||
Pharmacology: | Yes | ||||||||||
Baier et al. (2013) CHE [6] | Pre-post test (2009–2010) | Home-based treatment: | Yes | Psychiatric symptoms and avoiding outpatient care | 35 | Range: 13–18 Mean: 16 | Boys: 43 Girls: 57 | NRd | Child psychiatrist Social workers Nurses | 2bc | |
Small caseload (size < 10): | Yes | ||||||||||
Hardly assessable patients: | Yes | ||||||||||
Transition case management: | Yes | ||||||||||
Early intervention: | Yes | ||||||||||
Psychiatric assessment at home | Yes | ||||||||||
Family support: | Yes | ||||||||||
Therapye: | Yes | ||||||||||
Pharmacology: | Yes | ||||||||||
Chai et al. (2012) AUS [48] | Pre-post test (2006–2008) | Home-based treatment: | Yes | Psychiatric symptoms and avoiding outpatient care | 59 | Range: 11–17 Modal: 15 | Boys: 32 Girls: 68 | NRd | Psychiatrist Social workers “Clinicians” | 2bc | |
Small caseload (size < 10): | Yes | ||||||||||
Hardly assessable patients: | Yes | ||||||||||
Transition case management: | Yes | ||||||||||
Early intervention: | Yes | ||||||||||
Psychiatric assessment at home: | NRd | ||||||||||
Family support: | Yes | ||||||||||
Therapye: | Yes | ||||||||||
Pharmacology: | Yes | ||||||||||
Godley et al. (2002) USA [49] | RCT (1999–2001) | Home-based treatment: | Yes | Alcohol/ drugs dependence or abuse | 114 | Range: 12–17 Mean: 16 | Boys: 80 Girls: 20 | White: Black: Other: | 74 17 9 | Case manager (not specified) | 2bc |
Small caseload (size < 10): | Yes | ||||||||||
Hardly assessable patients: | Yes | ||||||||||
Transition case management: | Yes | ||||||||||
Early intervention: | Yes | ||||||||||
Psychiatric assessment at home: | Yes | ||||||||||
Family support: | Yes | ||||||||||
Therapye: | Yes | ||||||||||
Pharmacology: | NRd | ||||||||||
Godley et al. (2006) USA [50] | RCT (1999–2003) | Home-based treatment: | Yes | Alcohol/ drugs dependence or abuse | 183 | Range: 12–18 Mean: 16 | Boys: 71 Girls: 29 | White: Black: Other: | 73 18 9 | Case manager (not specified) | 2bc |
Small caseload (size < 10) | Yes | ||||||||||
Hardly assessable patients: | Yes | ||||||||||
Transition case management: | Yes | ||||||||||
Early intervention: | Yes | ||||||||||
Psychiatric assessment at home: | Yes | ||||||||||
Family support: | Yes | ||||||||||
Therapye: | Yes | ||||||||||
Pharmacology: | NRd | ||||||||||
Godley et al. (2010) USA [51] | RCT (2002–2007) | Home-based treatment: | Yes | Alcohol /drugs dependence or abuse | 320 | Range: 12–18 Mean: 16 | Boys: 76 Girls: 24 | White: Black: Other: | 73 13 14 | Case manager (not specified) | 2bc |
Small caseload (size < 10): | No | ||||||||||
Hardly assessable patients: | Yes | ||||||||||
Transition case management: | Yes | ||||||||||
Early intervention: | Yes | ||||||||||
Psychiatric assessment at home: | Yes | ||||||||||
Family support: | Yes | ||||||||||
Therapye: | Yes | ||||||||||
Pharmacology: | NRd | ||||||||||
Godley et al. (2015) USA [52] | RCT (2004–2008) | Home-based treatment: | Yes | Alcohol /drugs dependence or abuse | 305 | Range: 12–18 Mean: 16 | Boys: 63 Girls: 37 | White: Black: Other: | 70 12 18 | Case manager (not specified) | 2bc |
Small caseload (size < 10): | NRd | ||||||||||
Hardly assessable patients: | Yes | ||||||||||
Transition case management: | Yes | ||||||||||
Early intervention: | Yes | ||||||||||
Psychiatric assessment at home: | Yes | ||||||||||
Family support: | Yes | ||||||||||
Therapye: | Yes | ||||||||||
Pharmacology: | NRd | ||||||||||
McFarlane et al. (2014) USA [40] | Quasi-experimental (2007–2010) | Home-based treatment: | Yes | Risk or early symptoms of psychosis | 337 | Range: NRd Mean: 17 | Boys: 60 Girls: 40 | White: Black: Other: | 62 9 19 | Psychiatrist Nurse practitioner Nurse Occupational therapist Clinical counsellors | 2bc |
Small caseload (size < 10): | Yes | ||||||||||
Hardly assessable patients: | Yes | ||||||||||
Transition case management: | Yes | ||||||||||
Early intervention: | Yes | ||||||||||
Psychiatric assessment at home: | Yes | ||||||||||
Family support | Yes | ||||||||||
Therapye: | Yes | ||||||||||
Pharmacology: | Yes | ||||||||||
McGarvey et al. (2014) USA [41] | Pre-post test (2007–2010) | Home-based treatment: | Yes | Substance use or co-occurring disorder and low income | 147 | Range: 12–18 Mean: 16 | Boys: 60 Girls: 40 | White: Black: Other: | 62 9 19 | Psychiatrist Nurse practitioner Nurse Occupational therapist Clinical counsellors | 2bc |
Small caseload (size < 10): | NRd | ||||||||||
Hardly assessable patients: | Yes | ||||||||||
Transition case management: | Yes | ||||||||||
Early intervention: | Yes | ||||||||||
Psychiatric assessment at home: | NRd | ||||||||||
Family support: | Yes | ||||||||||
Therapye: | Yes | ||||||||||
Pharmacology: | Yes | ||||||||||
Schley et al. (2008) AUS [42] | Pre-post test (2000–2004) | Home-based treatment: | Yes | Psychiatric symptoms, with high-risk of self-harm or harming others, avoiding outpatient care | 47 | Range: 12–18 Mean: 16 | Boys: 77 Girls: 23 | City | Clinical trainers Therapist (not specified) | 2bc | |
White: Black: | 52 48 | ||||||||||
Small caseload (size < 10): | Yes | ||||||||||
County | |||||||||||
White: Black: | 63 37 | ||||||||||
Hardly assessable patients: | Yes | ||||||||||
Transition case management: | Yes | ||||||||||
Early intervention: | Yes | ||||||||||
Psychiatric assessment at home: | Yes | ||||||||||
Family support: | Yes | ||||||||||
Therapye: | Yes | ||||||||||
Pharmacology: | NRd | ||||||||||
Urben et al. (2015) CHE [8] | Pre-post test (2010–2013) | Home-based treatment: | Yes | Psychiatric symptoms and avoiding outpatient care | 98 | Range: NRd Mean: 17 | Boys: 53 Girls: 47 | NRd | Psychiatrist Psychologist Social workers Occupational therapist Psychiatric nurse | 2bc | |
Small caseload (size < 10): | Yes | ||||||||||
Hardly assessable patients: | Yes | ||||||||||
Transition case management: | Yes | ||||||||||
Early intervention: | Yes | ||||||||||
Psychiatric assessment at home: | Yes | ||||||||||
Family support: | Yes | ||||||||||
Therapye: | Yes | ||||||||||
Pharmacology: | Yes | ||||||||||
Urben et al. (2016) CHE [43] | Pre-post test (NRd) | Home-based treatment: | Yes | Psychiatric symptoms and avoiding outpatient care | 47 | Range: 13–18 Mean: NRd | Boys: 61 Girls: 39 | NRd | Psychiatrist Psychologist Social workers Occupational therapist Psychiatric nurse | 2bc | |
Small caseload (size < 10): | Yes | ||||||||||
Hardly assessable patients: | Yes | ||||||||||
Transition case management: | Yes | ||||||||||
Early intervention: | Yes | ||||||||||
Psychiatric assessment at home: | Yes | ||||||||||
Family support: | Yes | ||||||||||
Therapye: | Yes | ||||||||||
Pharmacology: | Yes |