Skip to main content

Table 4 Effect youth-ACT on psychiatric hospital admissions

From: The effect of youth assertive community treatment: a systematic PRISMA review

Reference Main results Follow-up (months) Assessment instruments Effect sizea & 95% CIb  
Adrian & Smith (2014) [46] Youth-ACT associated with reduction in length of hospital admission 12 Medical files NRc  
Ahrens et al. (2007) [47] Reduction in number of hospitalized days. Decrease in total number of days of inpatient psychiatric treatment, forensic treatment or incarceration 24 Medical files Reduction admission days:
Reduction in time in institutions, inpatient psychiatric treatment, and forensic treatment or incarceration:
0.5 (−0.2, 1.3)
0.6 (−0.3, 1.4)
Chai et al. (2012) [48] Significant reduction in rates of admission in the youth-ACT sample. Percentage of adolescents with no admissions increased from 53% prior to referral to 83% post treatment P-Td Medical files Reduction admissions: 1.0 (0.5, 1.6)
Godley et al. (2015) [52] Significant fewer days spent in residential treatment, juvenile detention, and hospitals over the 12 month follow-up period compared to UCC 3, 6, 9, 12 Medical files Reduction admission days: 0.3 (0.1, 0.6)
Schley et al. (2008) [42] Comparison of psychiatric hospital admission rates and average number of days in the hospital prior to and after youth-ACT treatment showed that admission rates decreased with 17% at 3 month, 29% at 6 month, 28% at 9 month and 22% at 12 month follow-up 3, 6, 9, 12 Structured self-developed questionnaire Reduction in hospital
admissions days:
3 months:
6 months:
12 months:
1.6 (1.2, 2.1)
1.1 (0.7, 1.5)
0.7 (0.1, 1.2)
  1. aEffect sizes were computed as Cohen’s d rounded to the first decimal place. Positive effect sizes represents improvement. Small (≥ 0.2–0.5); medium (> 0.5–0.8); large (> 0.8) [44]
  2. bCI = Confidence interval
  3. cNR = Not reported
  4. dP-T = Pre-Post measurement was conducted