Community Mental Health Journal

, Volume 51, Issue 2, pp 171–174 | Cite as

Modified Assertive Community Treatment: Effectiveness on Hospitalization and Length of Stay

  • Salleh Mohd RazaliEmail author
  • Mohd Affendi Hashim
Brief Report


The objective is to assess the efficacy of a modified Assertive Community treatment (ACT). This is a retrospective cross-sectional study with a comparative group. The study group was patients with schizophrenia who had completed modified ACT, while the control group was those who did not receive modified ACT. The final sample comprises 44 patients in each group. There was no significant difference between both groups in number of admissions and average length of stay. However, in the modified ACT group there was a significant reduction in the number of admissions after the intervention. In conclusion readmission rate was significantly reduced following modified ACT intervention.


Modified ACT Admission rate Length of stay 


  1. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorder (4th ed.) text revision (DSM-IVTR). American Psychiatric Association: Washington, DC.Google Scholar
  2. Bond, G. R., Drake, R. E., Mueser, K. T., & Latimer, E. (2001). Assertive treatment for people with severe mental illness. Disease Management & Health Outcome, 9, 141–159.CrossRefGoogle Scholar
  3. Botha, U. A., Koen, L., Joska, J. A., Hering, L. M., & Oosthuizen, P. P. (2010). Assessing the efficacy of a modified assertive community-based treatment programme in a developing country. BMC Psychiatry, 10, 73.Google Scholar
  4. Burns, T. (2010). The rise and fall of assertive community treatment. International Review of Psychiatry, 22, 130–137.PubMedCrossRefGoogle Scholar
  5. Dixon, L. B. (2000). Assertive community treatment: twenty-five years of gold. Psychiatric Services (Washington, D. C.), 51, 759–765.CrossRefGoogle Scholar
  6. Dixon, L. B., & Goldman, H. H. (2003). Forty years of progress in community mental health: The role of evidence-based practices. Australian and New Zealand Journal of Psychiatry, 2003, 668–673.CrossRefGoogle Scholar
  7. Ghosh, R., & Killaspy, H. (2010). A national survey of assertive community treatment services in England. Journal of Mental Health, 19, 500–508.PubMedCrossRefGoogle Scholar
  8. Harvey, C., Killaspy, H., Martino, S., White, S., Priebes, S., Wright, C., et al. (2011). A comparison of the implementation of assertive community treatment in Melbourne, Australia and London, England. Epidemiology Psychiatric Sciences, 20, 151–161.PubMedCrossRefGoogle Scholar
  9. Malaysia’s Country Report. (2008). Malaysia’s country report: Asia-Pacific community mental health development project.
  10. Marshall, M., & Lockwood, A. (2000). Assertive community treatment for people with severe mental disorders (review). Cochrane Database of Systematic Reviews (2), CD001089.Google Scholar
  11. McCrone, P., Killaspy, H., Bebbington, P., Johnson, S., Nolan, F., Pilling, S., et al. (2009). The REACT study: Cost-effectiveness analysis of assertive community treatment in North London. Psychiatric Services (Washington, D. C.), 60, 908–913.CrossRefGoogle Scholar
  12. Mueser, K. T., Bond, G. R., Drake, R. E., & Resnick, S. G. (1998). Model of community care of severe mental illness: A review of research on case management. Schizophrenia Bulletin, 24, 37–74.PubMedCrossRefGoogle Scholar
  13. Rahima, D. (2010). Rehospitalization, functioning level and quality of life among patients with schizophrenia receiving ACT in Hospital Kuala Lumpur. Dissertation submitted for Master of Medicine (Psychiatry), Universiti Kebangsaan Malaysia, Kuala Lumpur.Google Scholar
  14. Razali, S. M. (2004). Deinstitutionalisation and community mental health services in Malaysia: An overview. International Medicine Journal, 11, 29–35.Google Scholar
  15. Ruzanna, Z., & Marhani, M. (2008). Assertive community treatment (ACT) for patients with severe mental illness: Experiences in Malaysia. Malaysian J Psychiatry, 17, 1–7.Google Scholar
  16. Salyers, M. P., & Tsemberis, S. (2007). Assertive Community Treatment and recovery: Integrating evidence-based practice and recovery orientation on Assertive Community Treatment team. Community Mental Health Journal, 43, 619–641.PubMedCrossRefGoogle Scholar
  17. Siti Salwa, R. (2008). Quality of life and psychological well being of caregivers of patients with schizophrenia receiving ACTA cross-sectional study. Dissertation submitted for Master of Medicine (Psychiatry), Universiti Kebangsaan Malaysia, Kuala Lumpur.Google Scholar
  18. Stein, K. I., & Test, M. A. (1980). Alternative to mental hospital treatment. Archives of General Psychiatry, 37, 392–397.PubMedCrossRefGoogle Scholar
  19. Ziguras, S. J., & Stuart, G. W. (2000). A meta-analysis of the effectiveness of mental health case management over 20 years. Psychiatric Services (Washington, D. C.), 51, 1410–1420.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Discipline of Psychiatry and Behaviour Medicine, Faculty of MedicineUniversiti Teknologi Mara (UiTM)Sungai BulohMalaysia
  2. 2.Department of PsychiatryHospital Sultanah BahiyahAlor SetarMalaysia

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