Effect of Assertive Community Treatment for Patients with Substance Use Disorder: A Systematic Review

Conclusions: The results of the very few existing randomized control studies are mixed. Treatment engagement was higher for ACT in 4 datasets. One dataset reported higher service contact rates for the ACT group than for controls. In 2 datasets a positive effect on hospitalization rates was found. Higher fidelity to the ACT model appears to improve outcomes. Substance use reduced only in half of the datasets, of which only one showed a significant reduction in the ACT group. Overall, ACT is a promising approach that may be useful for promoting treatment engagement for patients with SUD. According to earlier studies on patients with severe mental illness, patients with high inpatient service use benefit most from this assertive approach. We hypothesize that a similar high need user group among patients with SUD might benefit most from ACT. Further research is needed to examine which types of clinical interventions might help difficult-to-engage patients with addictions.Eur Addict Res 2019;25:56 –67
Source: European Addiction Research - Category: Addiction Source Type: research

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Source: Biochemical Engineering Journal - Category: Biochemistry Source Type: research
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Source: Acta Diabetologica - Category: Endocrinology Source Type: research
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Source: CBC | Health - Category: Consumer Health News Tags: News/Canada/British Columbia Source Type: news
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Source: IPS Inter Press Service - Health - Category: International Medicine & Public Health Authors: Tags: Armed Conflicts Featured Global Headlines Health Human Rights Peace TerraViva United Nations Source Type: news
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Source: Neural Plasticity - Category: Neurology Authors: Tags: Neural Plast Source Type: research
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Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Review Source Type: research
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Source: ScienceNOW - Category: Science Authors: Tags: Medicine, Diseases, Neuroscience reports Source Type: news
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