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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