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Evaluated the cost-effectiveness of assertive community treatment (ACT) teams for people with serious mental disorders compared to an array of specified services provided or knitted together through the efforts of case managers in standard case management (SCM). 262 clients who were high service users with serious mental disorders were randomly assigned to ACT or to SCM at 3 sites and followed for 18 mo. Ss were interviewed at the time of assignment to treatment (baseline) and at 6, 12, and 18 mo from baseline using a structured interview. Daily service logs were kept for each S over the 18-mo period in order to compare costs. Results show that Ss in ACT spent more days in the community than did those in SCM, at no additional cost. For Ss who were hospitalized at study entry, ACT was more cost-effective than SCM. (Authors)
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A program of the U.S. Department of Health and Human Services Substance Abuse & Mental Health Services Administration, Center for Mental Health Services